Evidence map›Paper›PMID 26951589›Full record

ArticleAnnals of family medicine2016

Influence of Clinical Communication on Parents' Antibiotic Expectations for Children With Respiratory Tract Infections.

Christie Cabral, Jenny Ingram, Patricia J Lucas, Niamh M Redmond, Joe Kai, Alastair D Hay, Jeremy Horwood

Open access · diamondAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
16.0field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  3. 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 · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Christie CabralCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, England christie.cabral@bristol.ac.uk.
Jenny IngramCentre for Health & Social Care, School of Policy Studies, University of Bristol, Bristol, England.
Patricia J LucasCentre for Child & Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, England.
Niamh M RedmondCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, England.
Joe KaiSchool of Medicine, University of Nottingham, Medical School, Nottingham, England.
Alastair D HayCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, England.
Jeremy HorwoodCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, England.
University of Bristol · GBUniversity of Nottingham · GB

Funding

Department of Health CDF-2009-02-10Department of Health NIHR-RP-02-12-012Department of Health RP-PG-0608-10018Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

purposeThe purpose of this study was to understand clinicians' and parents' perceptions of communication within consultations for respiratory tract infections (RTI) in children and what influence clinician communication had on parents' understanding of antibiotic treatment.

methodsWe video recorded 60 primary care consultations for children aged 3 months to 12 years who presented with RTI and cough in 6 primary care practices in England. We then used purposive sampling to select 27 parents and 13 clinicians for semistructured video-elicitation interviews. The videos were used as prompts to investigate participants' understanding and views of communication within the consultations. We analyzed the interview data thematically.

resultsWhile clinicians commonly told parents that antibiotics are not effective against viruses, this did not have much impact on parents' beliefs about the need to consult or on their expectations concerning antibiotics. Parents believed that antibiotics were needed to treat more severe illnesses, a belief that was supported by the way clinicians accompanied viral diagnoses with problem-minimizing language and antibiotic prescriptions with more problem-oriented language. Antibiotic prescriptions tended to confirm parents' beliefs about what indicated illness severity, which often took into account the wider impact on a child's life. While parents understood antimicrobial resistance poorly, most held beliefs that supported reduced antibiotic prescribing. A minority attributed it to resource rationing, however.

conclusionsClinician communication and prescribing behavior confirm parents' beliefs that antibiotics are needed to treat more severe illnesses. Interventions to reduce antibiotic expectations need to address communication within the consultation, prescribing behavior, and lay beliefs.

Indexed as

CommunicationHealth Knowledge, Attitudes, PracticePhysician-Patient RelationsAdultAnti-Bacterial AgentsChildChild, PreschoolEnglandFemaleHumansInfantInterviews as TopicMaleParentsPractice Patterns, Physicians'Primary Health CareAnti-Bacterial Agentsantibioticschildcommunicationparentrespiratory tract infectionstreatment

Identifiers

PMID26951589
PMCPMC4781517
OpenAlexW2328670085

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.