Evidence map›Paper›PMID 38136690›Full record

ArticleAntibiotics (Basel, Switzerland)2023

GPs' Perspective on a Multimodal Intervention to Enhance Guideline-Adherence in Uncomplicated Urinary Tract Infections: A Qualitative Process Evaluation of the Multicentric RedAres Cluster-Randomised Controlled Trial.

Angela Schuster, Paula Tigges, Julianna Grune, Judith Kraft, Alexandra Greser, Ildikó Gágyor, Mandy Boehme, Tim Eckmanns, Anja Klingeberg, Andy Maun and 4 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Primary care practitioners' experiences managing urinary tract infections: a qualitative evidence synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. General practice chlamydia testing: a qualitative study of staff approaches using behavioural change theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  6. Article
  7. 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

14 authors.

Angela SchusterInstitute of General Practice, Charite University Hospital Berlin, 10117 Berlin, Germany.ORCID 0000-0002-4691-3177
Paula TiggesInstitute of General Practice, Charite University Hospital Berlin, 10117 Berlin, Germany.
Julianna GruneInstitute of General Practice, Charite University Hospital Berlin, 10117 Berlin, Germany.
Judith KraftInstitute of General Practice, Charite University Hospital Berlin, 10117 Berlin, Germany.ORCID 0000-0003-1409-0564
Alexandra GreserDepartment of General Practice, University Hospital Wuerzburg, 97080 Wuerzburg, Germany.
Ildikó GágyorDepartment of General Practice, University Hospital Wuerzburg, 97080 Wuerzburg, Germany.ORCID 0000-0002-7974-7603
Mandy BoehmeInstitute of General Practice, University Hospital Jena, 07743 Jena, Germany.
Tim EckmannsRobert Koch Institute, 13353 Berlin, Germany.
Anja KlingebergRobert Koch Institute, 13353 Berlin, Germany.
Andy MaunInstitute of General Practice/Primary Care, Faculty of Medicine and Medical Center, University of Freiburg, 79110 Freiburg im Breisgau, Germany.ORCID 0000-0002-9213-6583
Anja MenzelInstitute of General Practice/Primary Care, Faculty of Medicine and Medical Center, University of Freiburg, 79110 Freiburg im Breisgau, Germany.
Guido SchmiemannDepartment of Health Service Research, Institute for Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
Christoph HeintzeInstitute of General Practice, Charite University Hospital Berlin, 10117 Berlin, Germany.ORCID 0000-0002-2179-8192
Jutta BleidornInstitute of General Practice, University Hospital Jena, 07743 Jena, Germany.

Funding

Gemeinsamer Bundesausschuss 01VSF18053
6 · The paper itself

Abstract

Urinary tract infections (UTIs) are among the most common reasons patients seeking health care and antibiotics to be prescribed in primary care. However, general practitioners' (GPs) guideline adherence is low. The RedAres randomised controlled trial aims to increase guideline adherence by implementing a multimodal intervention consisting of four elements: information on current UTI guidelines (1) and regional resistance data (2); feedback regarding prescribing behaviour (3); and benchmarking compared to peers (4). The RedAres process evaluation assesses GPs' perception of the multimodal intervention and the potential for implementation into routine care. We carried out 19 semi-structured interviews with GPs (intervention arm). All interviews were carried out online and audio recorded. For transcription and analysis, Mayring's qualitative content analysis was used. Overall, GPs considered the interventions helpful for knowledge gain and confirmation when prescribing. Information material and resistance were used for patient communication and teaching purposes. Feedback was considered to enhance reflection by breaking routines of clinical workup. Implementation into routine practice could be enhanced by integrating feedback loops into patient management systems and conveying targeted information via trusted channels or institutions. The process evaluation of RedAres intervention was considered beneficial by GPs. It confirms the convenience of multimodal interventions to enhance guideline adherence.

Indexed as

acceptabilityantibiotic resistanceantibiotic stewardshipprimary careprocess evaluationqualitative researchurinary tract infection

Identifiers

PMID38136690
PMCPMC10740691

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.