Evidence map›Paper›PMID 31085528›Full record

Trial reportAnnals of family medicine2019

Reducing Primary Care Attendance Intentions for Pediatric Respiratory Tract Infections.

Annegret Schneider, Christie Cabral, Natalie Herd, Alastair Hay, Joanna May Kesten, Emma Anderson, Isabel Lane, Charles Beck, Susan Michie

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. 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

9 authors.

Annegret SchneiderUniversity College London, London, United Kingdom a.schneider@ucl.ac.uk.
Christie CabralUniversity of Bristol, Bristol, United Kingdom.
Natalie HerdUniversity College London, London, United Kingdom.
Alastair HayNIHR Health Protection Research Unit in Evaluation of Interventions, Bristol, United Kingdom.
Joanna May KestenNIHR Health Protection Research Unit in Evaluation of Interventions, Bristol, United Kingdom.
Emma AndersonNIHR Health Protection Research Unit in Evaluation of Interventions, Bristol, United Kingdom.
Isabel LaneUniversity of Bristol, Bristol, United Kingdom.
Charles BeckPublic Health England, Bristol, United Kingdom.
Susan MichieUniversity College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate a theory and evidence-based, parent-targeted online intervention, combining microbiological local syndromic surveillance data, symptom information, and home-care advice, to reduce primary care attendance for self-limiting, low-risk pediatric respiratory tract infections (RTIs).

methodsThe effect of this novel intervention on primary care attendance intentions was evaluated in an online experimental study. A representative sample of mothers (n = 806) was randomly assigned to receive the intervention material before (intervention) or after (control) answering questions concerning attendance intentions for an RTI illness scenario and mediating factors. Both groups provided feedback on the material. Group comparisons, linear regression, and path analyses were conducted.

resultsIntervention participants reported lower attendance intentions compared with control participants (d = 0.69, 95% CI, 0.55-0.83), an effect that remained when controlling for demographic and clinical characteristics (B = -1.62, 95% CI, -1.97 to -1.30). The path model highlighted that the intervention effect (B = -0.33, 95% CI, -0.40 to -0.26) was mostly indirect and mediated by infection and antibiotic knowledge, symptom severity concerns, and social norm perceptions concerning attendance. Information on when to attend was rated as the most important intervention component 227 times, followed by symptoms rated 186 times. Information on circulating viruses was rated as least important 274 times.

conclusionsThe intervention was effective in reducing primary care attendance intentions by increasing knowledge, lowering attendance motivation, and reducing the need for additional resources. The contribution of individual intervention components and effects on behavioral outcomes requires further testing.

Indexed as

IntentionMothersAdultAgedChildChild, PreschoolEnglandFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleMiddle AgedOffice VisitsPrimary Health CareQualitative Researchantimicrobial resistancebehavioral medicinechild healtheHealthprimary care

Identifiers

PMID31085528
PMCPMC6827624

What OpenQuestion holds

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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.