Evidence map›Paper›PMID 27038798›Full record

Trial reportTrials2016

Effects of communication training with the MAAS-Global-D instrument on the antibiotic prescribing for respiratory infections in primary care: study protocol of a randomised controlled trial.

Friederike Hammersen, Katja Goetz, Andreas Soennichsen, Timo Emcke, Jost Steinhaeuser

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Friederike HammersenInstitute of Family Medicine, University Hospital of Luebeck (UKSH), Campus Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany. friederike.hammersen@uksh.de.ORCID http://orcid.org/0000-0001-5578-4496
Katja GoetzInstitute of Family Medicine, University Hospital of Luebeck (UKSH), Campus Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany.
Andreas SoennichsenInstitute of General Practice and Family Medicine, Faculty of Health, Witten/Herdecke University, Alfred-Herrhausen-Str. 50, 58448, Witten, Germany.
Timo EmckeAssociation of Statutory Health Insurance Physicians Schleswig-Holstein, Bismarckallee 1-6, 23795, Bad Segeberg, Germany.
Jost SteinhaeuserInstitute of Family Medicine, University Hospital of Luebeck (UKSH), Campus Luebeck, Ratzeburger Allee 160, 23562, Luebeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care physicians account for the majority of antibiotic prescribing in ambulatory care in Germany. Respiratory diseases are, regardless of effectiveness, often treated with antibiotics. Research has found this use without indication to be caused largely by communication problems (e.g. expectations on the patient's part or false assumptions about them by the physician). The present randomised controlled trial (RCT) study evaluates whether communication training for primary care physicians can reduce the antibiotic prescribing rate for respiratory tract infections. METHODS/

designThe study consists of three groups: group A will receive communication training; group B will be given the same, plus additional, access to an evidence-based point-of-care tool; and group C will function as the control group. The primary endpoint is the difference between intervention and control groups regarding the antibiotic prescribing rate before and after the intervention assessed through routine data. The communication skills are captured with the help of the communication instrument MAAS-Global-D, as well as individual videos of physician-patient consultations recorded by the primary care physicians. These skills will also be regarded with respect to the antibiotic prescribing rate. A process evaluation using qualitative as well as quantitative methods should provide information about barriers and enablers to implementing the communication training. DISCUSSION: The trial contributes to an insight into the effectiveness of the different components to reduce antibiotic prescribing, which will also be supported by an extensive evaluation. Communication training could be an effective method of reducing antibiotic prescribing in primary care.

trial registrationDRKS00009566 DATE REGISTRATION: 5 November 2015.

Indexed as

CommunicationEducation, Medical, ContinuingInservice TrainingPhysician-Patient RelationsAnti-Bacterial AgentsClinical ProtocolsDrug PrescriptionsGermanyGuideline AdherenceHumansPhysicians, Primary CarePractice Guidelines as TopicPractice Patterns, Physicians'Primary Health CareResearch DesignRespiratory Tract InfectionsAnti-Bacterial AgentsAntibiotic prescribingCommunication skillsCommunicative competenciesEvidence-based medicineGuidelinesMAAS-Global-DPhysician-patient relationshipPrimary health careRespiratory tract infectionsRoutine data

Identifiers

PMID27038798
PMCPMC4818904

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Registered trials

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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.