Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/25512
Appears in Collections:Economics Journal Articles
Peer Review Status: Refereed
Title: General practitioners' views on the acceptability and applicability of a web-based intervention to reduce antibiotic prescribing for acute cough in multiple European countries: A qualitative study prior to a randomised trial
Authors: Anthierens, Sibyl
Tonkin-Crine, Sarah
Douglas, Elaine
Fernadez-Vandellos, Patricia
Krawczyk, Jaroslaw
Llor, Carl
Cals, Jochen W L
Francis, Nick A
Yardley, Lucy
Coenen, Samuel
Verheij, Theo
Goossens, Herman
Little, Paul
Keywords: Primary health care
Behaviour change intervention
Implementation
Attitude of health personnel
Qualitative research
Issue Date: 11-Oct-2012
Citation: Anthierens S, Tonkin-Crine S, Douglas E, Fernadez-Vandellos P, Krawczyk J, Llor C, Cals JWL, Francis NA, Yardley L, Coenen S, Verheij T, Goossens H & Little P (2012) General practitioners' views on the acceptability and applicability of a web-based intervention to reduce antibiotic prescribing for acute cough in multiple European countries: A qualitative study prior to a randomised trial, BMC Family Practice, 13, Art. No.: 101.
Abstract: Background  Interventions to promote prudent antibiotic prescribing by general practitioners (GPs) have often only been developed for use in one country. We aimed to develop an intervention which would be appropriate to implement in multiple European countries in order to offer greater benefit to practice whilst using fewer resources. The INTRO (INternet TRaining for antibiOtic use) intervention needed to deliver training to GPs in the use of C-Reactive Protein (CRP) near patient tests to help diagnose acute cough and in communication skills to help explain prescribing decisions to patients. We explored GPs' views on the initial version of INTRO to test acceptability and potentially increase applicability for use in multiple countries before the start of a randomised trial.  Method  30 GPs from five countries (Belgium, England, the Netherlands, Poland and Spain), were interviewed using a "think aloud" approach. GPs were asked to work through the intervention and discuss their views on the content and format in relation to following the intervention in their own practice. GPs viewed the same intervention but versions were created in five languages. Data were coded using thematic analysis.  Results  GPs in all five countries reported the view that the intervention addressed an important topic, was broadly acceptable and feasible to use, and would be a useful tool to help improve clinical practice. However, GPs in the different countries identified aspects of the intervention that did not reflect their national culture or healthcare system. These included perceived differences in communication style used in the consultation, consultation length and the stage of illness at which patient typically presented.  Conclusion  An online intervention to support evidence-based use of antibiotics is acceptable and feasible to implement amongst GPs in multiple countries. However, tailoring of the intervention to suit national contexts was necessary by adding local information and placing more emphasis on the fact that GPs could select the communication skills they wished to use in practice. Using think aloud methods to complement the development of interventions is a powerful method to identify regional contextual barriers to intervention implementation.
DOI Link: http://dx.doi.org/10.1186/1471-2296-13-101
Rights: © Anthierens et al.; licensee BioMed Central Ltd. 2012 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Notes: Additional co-authors: GRACE INTRO study team

Files in This Item:
File Description SizeFormat 
1471-2296-13-101.pdf707.72 kBAdobe PDFView/Open



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.