Dialogue Around Respiratory Illness Treatment

Status unconfirmed · Not applicable

Conditions studied: Respiratory Disease, Acute Respiratory Infection, Respiratory Infection, Upper Respiratory Infection

In brief

Unwarranted use of antibiotics for pediatric acute respiratory tract infections (ARTIs) and use of second-line, broad spectrum antibiotics for bacterial ARTIs has contributed to the rapid development of resistance in many strains of bacteria. Provider-parent communication during pediatric visits for ARTIs strongly influence antibiotic prescribing rates. The overall goal of this study is to develop and test a distance learning quality improvement (QI) program called Dialogue Around Respiratory Illness Treatment - DART. The DART program aims to improve provider communication practices and treatment decisions during pediatric ARTI visits, with the ultimate goal being to decrease rates of antibiotic prescribing for these illnesses in children.

Key facts

Study ID

NCT02943551

Run by

Seattle Children's Hospital

People needed

2728

Starts

2016-07-18

Expected to finish

2020-06-30

Last updated by the study team

2019-07-16

Who can join

Age: 1 and older, up to 10. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Visits to enrolled providers by children aged 6 months to 10 years with an International Classification of Diseases-10 (ICD-10) diagnosis code for AOM, bronchitis, pharyngitis, sinusitis, or upper respiratory infection (URI) will be included in the study. Only systemic (oral) antibiotic prescriptions on the same date as the study visit will be included in prescribing measures for each ARTI.

You may not qualify if…

• ARTI visits will be excluded from measures of prescribing if there are any competing non-ARTI bacterial diagnoses (e.g. urinary tract infection) or any antibiotic prescriptions during the 30-days prior to the index visit. Visits by children with allergies to penicillin or cephalosporin antibiotics will be excluded from measures of second-line prescribing.

Where it is running

• Paragould Pediatrics — Paragould, Arkansas, United States
• Eureka Pediatrics — Eureka, California, United States
• Pediatric Partners of the Southwest — Durango, Colorado, United States
• Pediatric Medicine of Wallingford — Wallingford, Connecticut, United States
• Advance Preventive Care — Bradenton, Florida, United States
• A to Z Pediatric & Youth Healthcare — Addison, Illinois, United States
• All Star Pediatrics — Countryside, Illinois, United States
• Deerfield — Deerfield, Illinois, United States
• Evanston (Central) — Evanston, Illinois, United States
• Evanston (Davis) — Evanston, Illinois, United States
• Glenview — Glenview, Illinois, United States
• Gurnee — Gurnee, Illinois, United States
• Lincolnwood — Lincolnwood, Illinois, United States
• Old Orchard — Skokie, Illinois, United States
• Vernon Hills — Vernon Hills, Illinois, United States
• Plaza Del Lago — Wilmette, Illinois, United States
• East End — East Hampton, New York, United States
• Hampton Pediatrics — Southampton, New York, United States
• Plateau Pediatrics — Crossville, Tennessee, United States
• Cornerstone Pediatrics — Seguin, Texas, United States

Full record on ClinicalTrials.gov

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