Evidence map›Paper›PMID 27267983›Full record

ArticleBMC family practice2016

Changing the Antibiotic Prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention.

Mieke L van Driel, Simon Morgan, Amanda Tapley, Lawrie McArthur, Patrick McElduff, Lucy Yardley, Anthea Dallas, Laura Deckx, Katie Mulquiney, Joshua S Davis and 4 more

Open access · goldAbstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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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

14 authors at 7 institutions in 2 countries.

Mieke L van DrielDiscipline of General Practice, School of Medicine, the University of Queensland, L8 Health Sciences Building 16/910, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia. m.vandriel@uq.edu.au.
Simon MorganElermore Vale General Practice, Shop 10-13, Croudace Rd, Elermore Vale, NSW, 2287, Australia.
Amanda TapleyGP Synergy NSW & ACT Research and Evaluation Unit, 17 Bolton St, Newcastle, NSW, 2300, Australia.
Lawrie McArthurRural Clinical School, The University of Adelaide, 122 Frome Street, Adelaide, SA, 5005, Australia.
Patrick McElduffSchool of Medicine and Public Health, University of Newcastle, Newbolds Building, Corner Frith andGavey Streets, Mayfield, NSW, 2304, Australia.
Lucy YardleyDepartment of Psychology, University of Southampton, Shakleton Building, Highfield, Southampton, SO17 1BJ, UK.
Anthea DallasSchool of Medicine, University of Notre Dame Australia, 160 Oxford St, Darlinghurst, NSW, 2010, Australia.
Laura DeckxDiscipline of General Practice, School of Medicine, the University of Queensland, L8 Health Sciences Building 16/910, Royal Brisbane and Women's Hospital, Brisbane, QLD 4029, Australia.
Katie MulquineyGP Synergy NSW & ACT Research and Evaluation Unit, 17 Bolton St, Newcastle, NSW, 2300, Australia.
Joshua S DavisSchool of Medicine and Public Health, University of Newcastle, Newbolds Building, Corner Frith andGavey Streets, Mayfield, NSW, 2304, Australia.
Andrew DaveyDiscipline of General Practice, School of Medicine and Public Health, University of Newcastle, Newbolds Building, Corner Frith and Gavey Streets, Mayfield, NSW, 2304, Australia.
Kim HendersonGP Synergy NSW & ACT Research and Evaluation Unit, 17 Bolton St, Newcastle, NSW, 2300, Australia.
Paul LittlePrimary Care and Population Sciences Division, University of Southampton, Aldermoor Health Centre, Aldermoor Close Southampton SO16 5ST, Southampton, UK.
Parker J MaginGP Synergy NSW & ACT Research and Evaluation Unit, 17 Bolton St, Newcastle, NSW, 2300, Australia.
University of Newcastle Australia · AUUniversity of Southampton · GBMona Vale Hospital · AURoyal Brisbane and Women's Hospital · AUThe University of Notre Dame Australia · AUUniversity of Adelaide · AUUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAustralian General Practitioners (GPs) are generous prescribers of antibiotics, prompting concerns including increasing antimicrobial resistance in the community. Recent data show that GPs in vocational training have prescribing patterns comparable with the high prescribing rate of their established GP supervisors. Evidence-based guidelines consistently advise that antibiotics are not indicated for uncomplicated upper respiratory tract infections (URTI) and are rarely indicated for acute bronchitis. A number of interventions have been trialled to promote rational antibiotic prescribing by established GPs (with variable effectiveness), but the impact of such interventions in a training setting is unclear. We hypothesise that intervening while early-career GPs are still developing their practice patterns and prescribing habits will result in better adherence to evidence-based guidelines as manifested by lower antibiotic prescribing rates for URTIs and acute bronchitis. METHODS/

designThe intervention consists of two online modules, a face-to-face workshop for GP trainees, a face-to-face workshop for their supervisors and encouragement for the trainee-supervisor dyad to include a case-based discussion of evidence-based antibiotic prescribing in their weekly one-on-one teaching meetings. We will use a non-randomised, non-equivalent control group design to assess the impact on antibiotic prescribing for acute upper respiratory infections and acute bronchitis by GP trainees in vocational training. DISCUSSION: Early-career GPs who are still developing their clinical practice and prescribing habits are an underutilized target-group for interventions to curb the growth of antimicrobial resistance in the community. Interventions that are embedded into existing training programs or are linked to continuing professional development have potential to increase the impact of existing interventions at limited additional cost.

trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12614001209684 (registered 17/11/2014).

Indexed as

Practice Patterns, Physicians'Anti-Bacterial AgentsAustraliaBronchitisEducationEducation, Medical, GraduateGeneral PracticeGuideline AdherenceHumansInappropriate PrescribingInternetMedical Staff, HospitalPractice Guidelines as TopicProspective StudiesResearch DesignRespiratory Tract InfectionsAnti-Bacterial AgentsAntibacterial agentsDrug resistanceEvidence-based medicineGeneral practiceGraduate medical educationPhysician prescribing patterns

Identifiers

PMID27267983
PMCPMC4895975
OpenAlexW2412531087

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.