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Strategies to promote prudent antibiotic use: exploring the views of professionals who develop and implement guidelines and interventions

Strategies to promote prudent antibiotic use: exploring the views of professionals who develop and implement guidelines and interventions
Strategies to promote prudent antibiotic use: exploring the views of professionals who develop and implement guidelines and interventions
Background: A variety of interventions have been developed to promote prudent antibiotic use, especially for respiratory tract infections (RTIs); however, it is not yet clear which are most acceptable and feasible for implementation across a wide range of contexts. This study elicited the views of experts, professionals who develop and implement guidelines and interventions, from five countries, on the development of RTI guidelines and interventions for implementing them.

Objectives: The aim was to determine whether there are common features of interventions which experts consider useful in changing health professionals’ behaviour, or whether there are important contextual differences in views.

Methods: Fifty semi-structured interviews explored experts’ views and experiences of strategies across five countries. Interviews were carried out in person or over the phone, transcribed verbatim and translated into English, if not already in English, for analysis.

Results: Themes were remarkably consistent across the countries, and these could be summarized as five sets of recommendations: guidelines should be developed by health care professionals to better fit GPs’ needs; address GP concerns about recommendations and explain the need for guidelines; design flexible interventions to increase feasibility across primary care practice; provide interventions which engage GPs; and provide consistent messages about antibiotic use for patients, professionals and the public.

Conclusions: Key features need to be addressed when developing future guidelines and interventions in order to improve their implementation. Consistency in experts’ views across countries indicates the potential for the development of interventions which could be implemented on a multinational scale with widespread support from key opinion leaders.
antibacterial agents, academic detailing, guideline adherence, primary care, qualitative research
0263-2136
1-8
Tonkin-Crine, Sarah
65679835-9bdc-48b6-92f3-cc6322cccc4f
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Coenen, Samuel
3d0dc4e0-e5ba-4d66-ba92-15900ccc551e
Fernandez-Vandellos, Patricia
816cd10b-26dd-4ab6-8618-8ba472ee07b2
Krawczyk, Jaroslaw
9cd71906-85f1-4041-a2b2-0c3a513fb8e1
Touboul, Pia
3d73fd53-8e0a-4c0f-ba53-22ca55ba1641
Verheij, Theo
772e019f-486f-4a64-9260-bac6446a85d2
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Tonkin-Crine, Sarah
65679835-9bdc-48b6-92f3-cc6322cccc4f
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Coenen, Samuel
3d0dc4e0-e5ba-4d66-ba92-15900ccc551e
Fernandez-Vandellos, Patricia
816cd10b-26dd-4ab6-8618-8ba472ee07b2
Krawczyk, Jaroslaw
9cd71906-85f1-4041-a2b2-0c3a513fb8e1
Touboul, Pia
3d73fd53-8e0a-4c0f-ba53-22ca55ba1641
Verheij, Theo
772e019f-486f-4a64-9260-bac6446a85d2
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777

Tonkin-Crine, Sarah, Yardley, Lucy, Coenen, Samuel, Fernandez-Vandellos, Patricia, Krawczyk, Jaroslaw, Touboul, Pia, Verheij, Theo and Little, Paul (2012) Strategies to promote prudent antibiotic use: exploring the views of professionals who develop and implement guidelines and interventions. Family Practice, 1-8. (doi:10.1093/fampra/cms043).

Record type: Article

Abstract

Background: A variety of interventions have been developed to promote prudent antibiotic use, especially for respiratory tract infections (RTIs); however, it is not yet clear which are most acceptable and feasible for implementation across a wide range of contexts. This study elicited the views of experts, professionals who develop and implement guidelines and interventions, from five countries, on the development of RTI guidelines and interventions for implementing them.

Objectives: The aim was to determine whether there are common features of interventions which experts consider useful in changing health professionals’ behaviour, or whether there are important contextual differences in views.

Methods: Fifty semi-structured interviews explored experts’ views and experiences of strategies across five countries. Interviews were carried out in person or over the phone, transcribed verbatim and translated into English, if not already in English, for analysis.

Results: Themes were remarkably consistent across the countries, and these could be summarized as five sets of recommendations: guidelines should be developed by health care professionals to better fit GPs’ needs; address GP concerns about recommendations and explain the need for guidelines; design flexible interventions to increase feasibility across primary care practice; provide interventions which engage GPs; and provide consistent messages about antibiotic use for patients, professionals and the public.

Conclusions: Key features need to be addressed when developing future guidelines and interventions in order to improve their implementation. Consistency in experts’ views across countries indicates the potential for the development of interventions which could be implemented on a multinational scale with widespread support from key opinion leaders.

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More information

Published date: 21 August 2012
Keywords: antibacterial agents, academic detailing, guideline adherence, primary care, qualitative research
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 342848
URI: http://eprints.soton.ac.uk/id/eprint/342848
ISSN: 0263-2136
PURE UUID: 289ceb88-c93e-42b6-95d9-87741b86898f
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 17 Sep 2012 10:49
Last modified: 09 Nov 2021 02:57

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Contributors

Author: Sarah Tonkin-Crine
Author: Lucy Yardley ORCID iD
Author: Samuel Coenen
Author: Patricia Fernandez-Vandellos
Author: Jaroslaw Krawczyk
Author: Pia Touboul
Author: Theo Verheij
Author: Paul Little

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