Evidence map›Paper›PMID 35341612›Full record

ArticlePatient education and counseling2022

Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training.

Rita Mangione-Smith, Jeffrey D Robinson, Chuan Zhou, James W Stout, Alexander G Fiks, Madeleine Shalowitz, Jeffrey S Gerber, Dennis Burges, Benjamin Hedrick, Louise Warren and 6 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
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  7. 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

16 authors at 7 institutions in 1 country.

Rita Mangione-SmithKaiser Permanente Washington Health Research Institute, Seattle, WA, USA. Electronic address: Rita.M.Mangione-Smith@kp.org.
Jeffrey D RobinsonDepartment of Communication, Portland State University, Portland, OR, USA. Electronic address: jeffreyr@pdx.edu.
Chuan ZhouDepartment of Pediatrics, University of Washington, Seattle, WA, USA; Seattle Children's Research Institute, Seattle, WA, USA. Electronic address: Chuan.Zhou@seattlechildrens.org.
James W StoutDepartment of Pediatrics, University of Washington, Seattle, WA, USA. Electronic address: jstout@u.washington.edu.
Alexander G FiksDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Primary Care Research, American Academy of Pediatrics, IL, USA. Electronic address: fiks@email.chop.edu.
Madeleine ShalowitzDepartment of Psychiatry and Behavioral Medicine, Rush University School of Medicine, Chicago, IL, USA. Electronic address: Madeleine_Shalowitz@rush.edu.
Jeffrey S GerberDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: GERBERJ@email.chop.edu.
Dennis BurgesDepartment of Pediatrics, University of Washington, Seattle, WA, USA. Electronic address: dburges@uw.edu.
Benjamin HedrickDepartment of Pediatrics, University of Washington, Seattle, WA, USA. Electronic address: bhedrick@uw.edu.
Louise WarrenDepartment of Pediatrics, University of Washington, Seattle, WA, USA. Electronic address: lcnovak@uw.edu.
Robert W GrundmeierDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: grundmeier@email.chop.edu.
Matthew P KronmanDepartment of Pediatrics, University of Washington, Seattle, WA, USA; Seattle Children's Research Institute, Seattle, WA, USA. Electronic address: matthew.kronman@seattlechildrens.org.
Laura P ShonePrimary Care Research, American Academy of Pediatrics, IL, USA. Electronic address: lshone@aap.org.
Jennifer SteffesPrimary Care Research, American Academy of Pediatrics, IL, USA. Electronic address: jsteffes@aap.org.
Margaret WrightPrimary Care Research, American Academy of Pediatrics, IL, USA. Electronic address: mewright@uic.edu.
John HeritageDepartment of Sociology, University of California Los Angeles, Los Angeles, CA, USA. Electronic address: heritage@ucla.edu.
University of Washington · USAmerican Academy of Pediatrics · USChildren's Hospital of Philadelphia · USKaiser Permanente Washington Health Research Institute · USPortland State University · USRush University · USUniversity of California, Los Angeles · US

Funding

Dialogue Around Respiratory Illness TreatmentR01HD084547 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI ZHOU, CHUAN · 2015 to 2018
$2.5M
NICHD NIH HHS R01 HD084547
6 · The paper itself

Abstract

objectiveTo evaluate receipt fidelity of communication training content included in a multifaceted intervention known to reduce antibiotic over-prescribing for pediatric acute respiratory tract infections (ARTIs), by examining the degree to which clinicians implemented the intended communication behavior changes.

methodsParents were surveyed regarding clinician communication behaviors immediately after attending 1026 visits by children 6 months to < 11 years old diagnosed with ARTIs by 53 clinicians in 18 pediatric practices. Communication outcomes analyzed were whether clinicians: (A) provided both a combined (negative + positive) treatment recommendation and a contingency plan (full implementation); (B) provided either a combined treatment recommendation or a contingency plan (partial implementation); or (C) provided neither (no implementation). We used mixed effects multinomial logistic regression to determine whether these 3 communication outcomes changed between baseline and the time periods following each of 3 training modules.

resultsAfter completing the communication training, the adjusted probability of clinicians fully implementing the intended communication behavior changes increased by an absolute 8.1% compared to baseline (95% Confidence Interval [CI]: 2.4%, 13.8%, p = .005).

conclusionsOur findings support the receipt fidelity of the intervention's communication training content. PRACTICAL IMPLICATIONS: Clinicians can be trained to implement communication behaviors that may aid in reducing antibiotic over-prescribing for ARTIs.

Indexed as

Practice Patterns, Physicians'Respiratory Tract InfectionsAnti-Bacterial AgentsChildCommunicationHumansInappropriate PrescribingInfantAnti-Bacterial AgentsAcute respiratory illnessAntibiotic prescribingClinician-parent communicationPediatrics

Identifiers

PMID35341612
PMCPMC9203931
OpenAlexW4221030944

What OpenQuestion holds

Textmetadata
LicenceTDM
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.