Resetting the Default: Improving Provider-patient Communication to Reduce Antibiotic Misuse

Completed · Not applicable

Conditions studied: Communication, Anti-Bacterial Agents, Decision Making, Personal Satisfaction

In brief

Antibiotic overuse and misuse contributes to the development of antibiotic resistant infections and adverse drug reactions. The majority of all antibiotic prescribing occurs in outpatient settings; most of which are for respiratory illnesses. It is estimated that 50% of these prescriptions are unnecessary. The most important factor that leads to overprescribing is inadequate parent-provider communication. This study will recruit providers and eligible parents of children 1-5 years of age. Parents in both arms will receive identical brief antibiotic education via tablet computers. Providers will be randomized to the parent-provider education or communication skills intervention arm and trained accordingly. Parent data will be collected via a tablet computer RedCap survey administered in the exam room prior and immediately following the child's visit. Additional data will be garnered from the medical record (antibiotic prescribing) and a 2-week follow-up telephone call with parents (re-visits and adverse drug reactions).

Key facts

Study ID

NCT03037112

Run by

Children's Mercy Hospital Kansas City

People needed

1600

Starts

2017-03-03

Expected to finish

2019-04-30

Last updated by the study team

2019-06-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may not qualify if…

• Parents of children who require hospitalization
• Received antibiotics in the last 30 days
• Have concurrent bacterial infection, an immune compromising condition or chronic medical condition

Where it is running

• Heartland Primary Care — Kansas City, Kansas, United States
• Heartland Primary Care — Lenexa, Kansas, United States
• Children's Mercy Pediatric Care Clinic — Kansas City, Missouri, United States

Full record on ClinicalTrials.gov

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