Evidence map›Paper›PMID 35895365›Full record

ArticleThe American journal of tropical medicine and hygiene2022

Introduction of an Electronic Clinical Decision Support Tool to Inform Prescribing for Pediatric Diarrhea in Bangladesh and Mali: Do Provider Expectations Predict Experiences?

Adama M Keita, Ben J Brintz, Ashraful I Khan, Md Taufiqul Islam, Zahid Hasan Khan, Youssouf Keita, Jennifer Hwang, Eric J Nelson, Firdausi Qadri, Samba Sow and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 4 institutions in 3 countries.

Adama M KeitaCentre pour le Développement des Vaccins, Bamako, Mali.
Ben J BrintzDivision of Epidemiology, University of Utah School of Medicine, Salt Lake City, Utah.
Ashraful I KhanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Md Taufiqul IslamInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Zahid Hasan KhanInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Youssouf KeitaCentre pour le Développement des Vaccins, Bamako, Mali.
Jennifer HwangDivision of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah.
Eric J NelsonDepartments of Pediatrics and Environmental and Global Health, Emerging Pathogens Institute, University of Florida, Gainesville, Florida.
Firdausi QadriInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Samba SowCentre pour le Développement des Vaccins, Bamako, Mali.
Daniel T LeungDivision of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah.
Melissa H WattDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, Utah.
International Centre for Diarrhoeal Disease Research · BDUniversity of Utah · USCentre Pour le Développement des Vaccins-Mali · MLUniversity of Florida · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Development of clinical decision tools for management of diarrhea of children in high and low resource settingsR01AI135114 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI LEUNG, DANIEL TED · 2018 to 2025
$4.0M
NCATS NIH HHS UL1 TR002538NIAID NIH HHS R01 AI135114
6 · The paper itself

Abstract

Nonindicated antibiotics for childhood diarrhea is a major contributor to global antimicrobial resistance. Electronic clinical decision support tools (eCDSTs) may reduce unnecessary antibiotics. This study examined how providers' expectations of an eCDST to predict diarrhea etiology compared with their experiences using the tool. Providers were enrolled from public hospitals in Bangladesh (n = 15) and Mali (n = 15), and surveys were completed at baseline and after using the eCDST. Baseline surveys assessed expectations (utility, ease of use, and threat to autonomy), and post surveys assessed experiences in the same domains. Providers' experiences with ease of use exceeded their baseline expectations, and providers reported less experienced threat to autonomy after use, compared with baseline expectations. Providers' expectations of threat to autonomy significantly predicted their experienced threat to autonomy. Findings suggest that an eCDST to inform antimicrobial prescribing for diarrhea is feasible and acceptable, but training should promote local ownership for sustainability.

Indexed as

Decision Support Systems, ClinicalAnti-Bacterial AgentsBangladeshChildDiarrheaElectronicsHumansMaliMotivationAnti-Bacterial Agents

Identifiers

PMID35895365
PMCPMC9294706
OpenAlexW4285088179

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.