Trial reportBMC family practice2010
Enhancing the quality of antibiotic prescribing in primary care: qualitative evaluation of a blended learning intervention.
Trial report in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Digital Learning to Improve Safe and Effective Prescribing: A Systematic Review.Clinical pharmacology and therapeutics · 2019Pooled it
- Antibiotic prescribing for acute respiratory tract infections in primary care: an updated and expanded meta-ethnography.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Evaluation of Technology-Enhanced Learning Programs for Health Care Professionals: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Clinicians' views and experiences of interventions to enhance the quality of antibiotic prescribing for acute respiratory tract infections.Journal of general internal medicine · 2015Trial
- Evaluation of a web-based intervention to reduce antibiotic prescribing for LRTI in six European countries: quantitative process analysis of the GRACE/INTRO randomised controlled trial.Implementation science : IS · 2013Trial
- Effectiveness of multifaceted educational programme to reduce antibiotic dispensing in primary care: practice based randomised controlled trial.BMJ (Clinical research ed.) · 2012Trial
- The benefits for health care staff of involvement in applied health research: a scoping review.Health research policy and systems · 2025Article
- Safety netting advice for respiratory tract infections in out-of-hours primary care: A qualitative analysis of consultation videos.The European journal of general practice · 2022Article
- Knowledge-Based Attitudes of Medical Students in Antibiotic Therapy and Antibiotic Resistance. A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Implementing interventions to reduce antibiotic use: a qualitative study in high-prescribing practices.BMC family practice · 2021Article
- Developing a digital training tool to support oncologists in the skill of information-provision: a user centred approach.BMC medical education · 2020Article
- How can communicative competence instruction in medical studies be improved through digitalization?GMS journal for medical education · 2020Article
- Investigating Understandings of Antibiotics and Antimicrobial Resistance in Diverse Ethnic Communities in Australia: Findings from a Qualitative Study.Antibiotics (Basel, Switzerland) · 2019Article
- Evaluation of an online communication skills training programme for oncology nurses working with patients from minority backgrounds.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- The use of blended learning to improve health professionals' communication skills: a literature review.Acta bio-medica : Atenei Parmensis · 2019Review
- Advances in optimizing the prescription of antibiotics in outpatient settings.BMJ (Clinical research ed.) · 2018Review
- Developing a digital communication training tool on information-provision in oncology: uncovering learning needs and training preferences.BMC medical education · 2018Article
- What do primary care providers think about implementing breast cancer survivorship care?Current oncology (Toronto, Ont.) · 2018Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundThe Stemming the Tide of Antibiotic Resistance (STAR) Educational Program aims to enhance the quality of antibiotic prescribing and raise awareness about antibiotic resistance among general medical practitioners. It consists of a seven part, theory-based blended learning program that includes online reflection on clinicians' own practice, presentation of research evidence and guidelines, a practice-based seminar focusing on participants' own antibiotic prescribing and resistance rates in urine samples sent from their practice, communication skills training using videos of simulated patients in routine surgeries, and participation in a web forum. Effectiveness was evaluated in a randomised controlled trial in which 244 GPs and Nurse Practitioners and 68 general practices participated. This paper reports part of the process evaluation of that trial.
methodsSemi-structured, digitally recorded, and transcribed telephone interviews with 31 purposively sampled trial participants analysed using thematic content analysis.
resultsThe majority of participants reported increased awareness of antibiotic resistance, greater self-confidence in reducing antibiotic prescribing and at least some change in consultation style and antibiotic prescribing behaviour. Reported practical changes included adopting a practice-wide policy of antibiotic prescription reduction. Many GPs also reported increased insight into patients' expectations, ultimately contributing to improved doctor-patient rapport. The components of the intervention put forward as having the greatest influence on changing clinician behaviour were the up-to-date research evidence resources, simple and effective communication skills presented in on-line videos, and presentation of the practice's own antibiotic prescribing levels combined with an overview of local resistance data.
conclusionParticipants regarded this complex blended learning intervention acceptable and feasible, and reported wide-ranging, positive changes in attitudes and clinical practice as a result of participating in the STAR Educational Program.
trial registrationCurrent Controlled Trials ISRCTN63355948.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.