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Changing the antibiotic prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention

Changing the antibiotic prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention
Changing the antibiotic prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention
Background: Australian General Practitioners (GPs) are generous prescribers of antibiotics, prompting concerns including increasing antimicrobial resistance in the community. Recent data show that GPs in vocational training have prescribing patterns comparable with the high prescribing rate of their established GP supervisors. Evidence-based guidelines consistently advise that antibiotics are not indicated for uncomplicated upper respiratory tract infections (URTI) and are rarely indicated for acute bronchitis. A number of interventions have been trialled to promote rational antibiotic prescribing by established GPs (with variable effectiveness), but the impact of such interventions in a training setting is unclear. We hypothesise that intervening while early-career GPs are still developing their practice patterns and prescribing habits will result in better adherence to evidence-based guidelines as manifested by lower antibiotic prescribing rates for URTIs and acute bronchitis.

Methods/design: the intervention consists of two online modules, a face-to-face workshop for GP trainees, a face-to-face workshop for their supervisors and encouragement for the trainee-supervisor dyad to include a case-based discussion of evidence-based antibiotic prescribing in their weekly one-on-one teaching meetings.

We will use a non-randomised, non-equivalent control group design to assess the impact on antibiotic prescribing for acute upper respiratory infections and acute bronchitis by GP trainees in vocational training.

Discussion: early-career GPs who are still developing their clinical practice and prescribing habits are an underutilized target-group for interventions to curb the growth of antimicrobial resistance in the community. Interventions that are embedded into existing training programs or are linked to continuing professional development have potential to increase the impact of existing interventions at limited additional cost.

Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12614001209684 (registered 17/11/2014).
1471-2296
van Driel, Mieke L
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Morgan, Simon
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Tapley, Amanda
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McArther, Lawrie
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McElduff, Patrick
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Yardley, Lucy
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Dallas, Anthea
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Deckx, Laura
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Mulquiney, Katie
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Davis, Joshua S
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Davey, Andrew
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Henderson, Kim
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Little, Paul
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Magin, Parker J
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van Driel, Mieke L
daeac878-0204-4bd3-8b06-5389a10c1ab0
Morgan, Simon
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Tapley, Amanda
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McArther, Lawrie
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McElduff, Patrick
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Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Dallas, Anthea
93d06d05-26c6-4c65-ad64-32348a3a6339
Deckx, Laura
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Mulquiney, Katie
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Davis, Joshua S
a8e5bda3-8ccf-4b47-b188-ed3287a5c0f8
Davey, Andrew
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Henderson, Kim
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Little, Paul
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Magin, Parker J
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van Driel, Mieke L, Morgan, Simon, Tapley, Amanda, McArther, Lawrie, McElduff, Patrick, Yardley, Lucy, Dallas, Anthea, Deckx, Laura, Mulquiney, Katie, Davis, Joshua S, Davey, Andrew, Henderson, Kim, Little, Paul and Magin, Parker J (2016) Changing the antibiotic prescribing of general practice registrars: the ChAP study protocol for a prospective controlled study of a multimodal educational intervention. BMC Family Practice. (doi:10.1186/s12875-016-0470-7).

Record type: Article

Abstract

Background: Australian General Practitioners (GPs) are generous prescribers of antibiotics, prompting concerns including increasing antimicrobial resistance in the community. Recent data show that GPs in vocational training have prescribing patterns comparable with the high prescribing rate of their established GP supervisors. Evidence-based guidelines consistently advise that antibiotics are not indicated for uncomplicated upper respiratory tract infections (URTI) and are rarely indicated for acute bronchitis. A number of interventions have been trialled to promote rational antibiotic prescribing by established GPs (with variable effectiveness), but the impact of such interventions in a training setting is unclear. We hypothesise that intervening while early-career GPs are still developing their practice patterns and prescribing habits will result in better adherence to evidence-based guidelines as manifested by lower antibiotic prescribing rates for URTIs and acute bronchitis.

Methods/design: the intervention consists of two online modules, a face-to-face workshop for GP trainees, a face-to-face workshop for their supervisors and encouragement for the trainee-supervisor dyad to include a case-based discussion of evidence-based antibiotic prescribing in their weekly one-on-one teaching meetings.

We will use a non-randomised, non-equivalent control group design to assess the impact on antibiotic prescribing for acute upper respiratory infections and acute bronchitis by GP trainees in vocational training.

Discussion: early-career GPs who are still developing their clinical practice and prescribing habits are an underutilized target-group for interventions to curb the growth of antimicrobial resistance in the community. Interventions that are embedded into existing training programs or are linked to continuing professional development have potential to increase the impact of existing interventions at limited additional cost.

Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12614001209684 (registered 17/11/2014).

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Accepted/In Press date: 2 June 2016
e-pub ahead of print date: 6 June 2016
Published date: 6 June 2016

Identifiers

Local EPrints ID: 414686
URI: https://eprints.soton.ac.uk/id/eprint/414686
ISSN: 1471-2296
PURE UUID: 76591d5b-9fbd-4305-92e6-b451ddd4f84b
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 05 Oct 2017 16:31
Last modified: 15 Oct 2019 00:50

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