Evidence map›Paper›PMID 37430196›Full record

ArticleBMC infectious diseases2023

Whānau Māori and Pacific peoples' knowledge, perceptions, expectations and solutions regarding antibiotic treatment of upper respiratory tract infections: a qualitative study.

S Thaggard, S Reid, Ahy Chan, C White, L Fraser, B A Arroll, E Best, R Whittaker, S Wells, M G Thomas and 1 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

11 authors.

S ThaggardNursing Department, Auckland University of Technology, Auckland, New Zealand.
S ReidHealth Literacy NZ, Auckland, New Zealand.
Ahy ChanFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
C WhiteHealth Literacy NZ, Auckland, New Zealand.
L FraserTuruki Health Care, Auckland, New Zealand.
B A ArrollFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
E BestFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
R WhittakerFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
S WellsFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
M G ThomasFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
S R RitchieFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. s.ritchie@auckland.ac.nz.

Funding

Health Research Council of New Zealand 20/197
6 · The paper itself

Abstract

introductionThe rate of community antibiotic use is high in Aotearoa New Zealand (NZ) when compared to other nations, and in NZ, as in most other nations, antibiotics are very commonly prescribed for self-limiting upper respiratory tract infections (URTIs). Resources that build knowledge, perceptions and understanding can potentially reduce unnecessary antibiotic consumption.

methodsTo inform the content of educational resources, we conducted an in-depth qualitative study with 47 participants via 6 focus groups of the knowledge, attitudes, and expectations of whānau Māori and Pacific peoples about antibiotics and URTIs.

resultsFocus groups with 47 participants identified four themes: Knowledge that might influence expectations to receive antibiotics for URTIs; Perceptions - the factors that influence when and why to seek medical care for URTI; Expectations - the features of successful medical care for URTI; Solutions - how to build community knowledge about URTI and their treatment and prevention. Knowledge that might reduce expectations to receive antibiotics for URTI included confidence in the use of alternative remedies, knowledge that URTI are usually caused by viruses, and concerns about antibiotic adverse effects. Participants commonly reported that they would confidently accept their doctor's recommendation that an antibiotic was not necessary for an URTI, provided that a thorough assessment had been performed and that treatment decisions were clearly communicated.

conclusionThese findings suggest that building patients' knowledge and skills about when antibiotics are necessary, and increasing doctors' confidence and willingness not to prescribe an antibiotic for patients with an URTI, could significantly reduce inappropriate antibiotic prescribing in NZ.

Indexed as

Anti-Bacterial AgentsHealth Knowledge, Attitudes, PracticeMaori PeopleRespiratory Tract InfectionsFocus GroupsHumansMotivationQualitative ResearchAnti-Bacterial Agents

Identifiers

PMID37430196
PMCPMC10332022

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.