Fostering appropriate antibiotic use in a complex intervention

• Verfasst von: Poß-Doering, Regina [VerfasserIn]
• Verfasst von: Kühn, Lukas [VerfasserIn]
• Verfasst von: Kamradt, Martina [VerfasserIn]
• Verfasst von: Stürmlinger, Anna [VerfasserIn]
• Verfasst von: Glassen, Katharina [VerfasserIn]
• Verfasst von: Andres, Edith [VerfasserIn]
• Verfasst von: Kaufmann-Kolle, Petra [VerfasserIn]
• Verfasst von: Wambach, Veit [VerfasserIn]
• Verfasst von: Bader, Lutz [VerfasserIn]
• Verfasst von: Szecsenyi, Joachim [VerfasserIn]
• Verfasst von: Wensing, Michel [VerfasserIn]
• Titel: Fostering appropriate antibiotic use in a complex intervention
• Titelzusatz: mixed-methods process evaluation alongside the cluster-randomized trial ARena
• Verf.angabe: Regina Poss-Doering, Lukas Kühn, Martina Kamradt, Anna Stürmlinger, Katharina Glassen, Edith Andres, Petra Kaufmann-Kolle, Veit Wambach, Lutz Bader, Joachim Szecsenyi and Michel Wensing
• E-Jahr: 2020
• Jahr: 8 December 2020
• Umfang: 20 S.
• Fussnoten: Gesehen am 17.02.2022
• Titel Quelle: Enthalten in: Antibiotics
• Ort Quelle: Basel : MDPI, 2012
• Jahr Quelle: 2020
• Band/Heft Quelle: 9(2020), 12, Artikel-ID 878, Seite 1-20
• ISSN Quelle: 2079-6382
• DOI: doi:10.3390/antibiotics9120878
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: appropriate antibiotics use
• Sach-SW: mixed-methods
• Sach-SW: primary care
• Sach-SW: quality improvement
• K10plus-PPN: 1789496586

Abstract

The cluster randomized trial ARena (sustainable reduction of antibiotic-induced antimicrobial resistance, 2017-2020) promoted appropriate use of antibiotics for acute non-complicated infections in primary care networks (PCNs) in Germany. A process evaluation assessed determinants of practice and explored factors associated with antibiotic prescribing patterns. This work describes its findings on uptake and impacts of the complex intervention program and indicates potential implementation into routine care. In a nested mixed-methods approach, a three-wave study-specific survey for participating physicians and medical assistants assessed potential impacts and uptake of the complex intervention program. Stakeholders received a one-time online questionnaire to reflect on network-related aspects. Semi-structured, open-ended interviews, with a purposive sample of physicians, medical assistants and stakeholders, explored program component acceptance for daily practice and perceived sustainability of intervention component effects. Intervention components were perceived to be smoothly integrable into practice routines. The highest uptake was reported for educational components: feedback reports, background information, e-learning modules and disease-specific quality circles (QCs). Participation in PCNs was seen as the motivational factor for guideline-oriented patient care and adoption of new routines. Future approaches to fostering appropriate antibiotics use by targeting health literacy competencies and clinician’s therapy decisions should combine evidence-based information sources, audit and feedback reports and QCs.