An Intervention to Reduce Inappropriate Prescriptions of Antibiotics for Respiratory Infections in General Practice
NCT ID: NCT00272155
Last Updated: 2010-04-27
Study Results
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Basic Information
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COMPLETED
PHASE1/PHASE2
118621 participants
INTERVENTIONAL
2006-01-31
2007-03-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Interventions
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Educational intervention
Educational outreach visits to the CME-groups, work-shops, audit and feedback
Educational intervention program
The 433 recruited GPs had a total of 1336 717 office consultations of which 171 679 (12.8%) were RTIs encounters for 118 621 different patients. The GPs participated in peer continuing medical education (CME) groups in southern Norway. A multifaceted intervention was tailored, where key components were educational outreach visits to the CME-groups, work-shops, audit and feedback. Prescription Peer Academic Detailers conducted the educational outreach visits. During these visits, evidence-based recommendations of antibiotic prescriptions for RTIs were presented and software handed out for installation in participants PCs, enabling collection of prescription data. These data was linked to corresponding data from the Norwegian Prescription Database (NorPD). Main outcomes are baseline proportion of inappropriate antibiotic prescriptions for RTIs and change in prescription patterns compared to baseline one year after the initiation of the tailored pedagogic intervention.
Eligibility Criteria
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Inclusion Criteria
* Specialist in general practice
ALL
Yes
Sponsors
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University of Oslo
OTHER
Responsible Party
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University of Oslo
Principal Investigators
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Svein Gjelstad, MD
Role: PRINCIPAL_INVESTIGATOR
University of Oslo
Locations
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University of Oslo
Oslo, , Norway
Countries
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References
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Gjelstad S, Hoye S, Straand J, Brekke M, Dalen I, Lindbaek M. Improving antibiotic prescribing in acute respiratory tract infections: cluster randomised trial from Norwegian general practice (prescription peer academic detailing (Rx-PAD) study). BMJ. 2013 Jul 26;347:f4403. doi: 10.1136/bmj.f4403.
Fossum GH, Lindbaek M, Gjelstad S, Dalen I, Kvaerner KJ. Are children carrying the burden of broad-spectrum antibiotics in general practice? Prescription pattern for paediatric outpatients with respiratory tract infections in Norway. BMJ Open. 2013 Jan 7;3(1):e002285. doi: 10.1136/bmjopen-2012-002285.
Gjelstad S, Fetveit A, Straand J, Dalen I, Rognstad S, Lindbaek M. Can antibiotic prescriptions in respiratory tract infections be improved? A cluster-randomized educational intervention in general practice--the Prescription Peer Academic Detailing (Rx-PAD) Study [NCT00272155]. BMC Health Serv Res. 2006 Jun 15;6:75. doi: 10.1186/1472-6963-6-75.
Other Identifiers
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850657
Identifier Type: -
Identifier Source: org_study_id
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