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Theory-based interv...
Theory-based interventions to reduce prescription of antibiotics-A randomized controlled trial in Sweden
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- Milos, Veronica (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Jakobsson, Ulf (author)
- Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups
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- Westerlund, Tommy, 1952 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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Melander, E. (author)
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- Mölstad, Sigvard (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Midlöv, Patrik (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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(creator_code:org_t)
- 2013-08-19
- 2013
- English.
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In: Family Practice. - : Oxford University Press (OUP). - 0263-2136 .- 1460-2229. ; 30:6, s. 634-640
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http://dx.doi.org/10...
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Abstract
Subject headings
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- Background.: Upper respiratory tract infections (URTIs) are the most common reason for consulting a GP and for receiving an antibiotic prescription, although evidence shows poor benefit but rather increasing antibiotic resistance. Interventions addressing physicians have to take into consideration the complexity of prescribing behaviour. Objective.: To study whether interventions based on behavioural theories can reduce the prescribing of antibiotics against URTIs in primary care. Setting and subjects.: GPs at 19 public primary health care centres in southern Sweden. Methods.: We performed a randomized controlled study using two behavioural theory-based interventions, the persuasive communication intervention (PCI) and the graded task intervention (GTI), which emerged from social cognitive theory and operant learning theory. GPs were randomized to a control group or one of two intervention groups (PCI and GTI). Main outcome measures.: Changes in the rate of prescription of antibiotics against URTIs in primary care patients of all ages and in patients aged 0-6 years. Results.: No significant differences were seen in the prescription rates before and after the interventions when patients of all ages were analysed together. However, for patients aged 0-6 years, there was a significant lower prescription rate in the PCI group (P = 0.037), but not the GTI group, after intervention. Conclusion.: Theory-based interventions have limited impact on reducing the prescription of antibiotics against URTIs in primary care. Future studies are needed to draw firm conclusions about their effects. © The Author 2013. Published by Oxford University Press. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Keyword
- Antibiotics
- Behavioural change interventions
- Primary health care
- Upper respiratory tract infections.
- antibiotic agent
- adult
- age distribution
- article
- child
- controlled study
- female
- human
- infant
- learning theory
- major clinical study
- male
- multicenter study
- persuasive communication
- preschool child
- prescription
- primary medical care
- randomized controlled trial
- Social Cognitive Theory
- Sweden
- upper respiratory tract infection
- behavioural change interventions
- primary health care
- upper respiratory tract infections
Publication and Content Type
- ref (subject category)
- art (subject category)
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