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The effect of using an interactive booklet on childhood respiratory tract infections in consultations: Study protocol for a cluster randomised controlled trial in primary care

The effect of using an interactive booklet on childhood respiratory tract infections in consultations: Study protocol for a cluster randomised controlled trial in primary care
The effect of using an interactive booklet on childhood respiratory tract infections in consultations: Study protocol for a cluster randomised controlled trial in primary care
Background Respiratory tract infections in children result in more primary care consultations than any other acute condition, and are the most common reason for prescribing antibiotics (which are largely unnecessary). About a fifth of children consult again for the same illness episode. Providing parents with written information on respiratory tract infections may result in a reduction in re-consultation rates and antibiotic prescribing for these illnesses. Asking clinicians to provide and discuss the information during the consultation may enhance effectiveness. This paper outlines the protocol for a study designed to evaluate the use of a booklet on respiratory tract infections in children within primary care consultations. Methods/Design This will be a cluster randomised controlled trial. General practices will be randomised to provide parents consulting because their child has an acute respiratory tract infection with either an interactive booklet, or usual care. The booklet provides information on the expected duration of their child's illness, the likely benefits of various treatment options, signs and symptoms that should prompt re-consultation, and symptomatic treatment advice. It has been designed for use within the consultation and aims to enhance communication through the use of specific prompts. Clinicians randomised to using the interactive booklet will receive online training in its use. Outcomes will be assessed via a telephone interview with the parent two weeks after first consulting. The primary outcome will be the proportion of children who re-consult for the same illness episode. Secondary outcomes include: antibiotic use, parental satisfaction and enablement, and illness costs. Consultation rates for respiratory tract infections for the subsequent year will be assessed by a review of practice notes. Discussion Previous studies in adults and children have shown that educational interventions can result in reductions in re-consultation rates and use of antibiotics for respiratory tract infections. This will be the first study to determine whether providing parents with a booklet on respiratory tract infections in children, and discussing it with them during the consultation, reduces re-consultations and antibiotic use for the same illness without reducing satisfaction with care. Trial registration Current Controlled Trials ISRCTN46104365
1471-2296
1-10
Francis, Nicholas
9b610883-605c-4fee-871d-defaa86ccf8e
Hood, Kerenza
af7cf839-ca85-4ea9-83c3-3dd31be88b32
Simpson, Sharon
9b735262-6af7-40c4-a2d6-6a43cb2ddd00
Wood, Fiona
fc0b6a76-2928-4bda-aafc-2be3ac74446b
Nuttall, Jacqueline
154aec0a-05f2-4379-918e-9c36767fdc4c
Butler, Christopher C.
8bf4cace-c34a-4b65-838f-29c2be91e434
Francis, Nicholas
9b610883-605c-4fee-871d-defaa86ccf8e
Hood, Kerenza
af7cf839-ca85-4ea9-83c3-3dd31be88b32
Simpson, Sharon
9b735262-6af7-40c4-a2d6-6a43cb2ddd00
Wood, Fiona
fc0b6a76-2928-4bda-aafc-2be3ac74446b
Nuttall, Jacqueline
154aec0a-05f2-4379-918e-9c36767fdc4c
Butler, Christopher C.
8bf4cace-c34a-4b65-838f-29c2be91e434

Francis, Nicholas, Hood, Kerenza, Simpson, Sharon, Wood, Fiona, Nuttall, Jacqueline and Butler, Christopher C. (2008) The effect of using an interactive booklet on childhood respiratory tract infections in consultations: Study protocol for a cluster randomised controlled trial in primary care. BMC Family Practice, 9 (1), 1-10. (doi:10.1186/1471-2296-9-23).

Record type: Article

Abstract

Background Respiratory tract infections in children result in more primary care consultations than any other acute condition, and are the most common reason for prescribing antibiotics (which are largely unnecessary). About a fifth of children consult again for the same illness episode. Providing parents with written information on respiratory tract infections may result in a reduction in re-consultation rates and antibiotic prescribing for these illnesses. Asking clinicians to provide and discuss the information during the consultation may enhance effectiveness. This paper outlines the protocol for a study designed to evaluate the use of a booklet on respiratory tract infections in children within primary care consultations. Methods/Design This will be a cluster randomised controlled trial. General practices will be randomised to provide parents consulting because their child has an acute respiratory tract infection with either an interactive booklet, or usual care. The booklet provides information on the expected duration of their child's illness, the likely benefits of various treatment options, signs and symptoms that should prompt re-consultation, and symptomatic treatment advice. It has been designed for use within the consultation and aims to enhance communication through the use of specific prompts. Clinicians randomised to using the interactive booklet will receive online training in its use. Outcomes will be assessed via a telephone interview with the parent two weeks after first consulting. The primary outcome will be the proportion of children who re-consult for the same illness episode. Secondary outcomes include: antibiotic use, parental satisfaction and enablement, and illness costs. Consultation rates for respiratory tract infections for the subsequent year will be assessed by a review of practice notes. Discussion Previous studies in adults and children have shown that educational interventions can result in reductions in re-consultation rates and use of antibiotics for respiratory tract infections. This will be the first study to determine whether providing parents with a booklet on respiratory tract infections in children, and discussing it with them during the consultation, reduces re-consultations and antibiotic use for the same illness without reducing satisfaction with care. Trial registration Current Controlled Trials ISRCTN46104365

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Published date: 24 April 2008

Identifiers

Local EPrints ID: 436265
URI: http://eprints.soton.ac.uk/id/eprint/436265
ISSN: 1471-2296
PURE UUID: e9877627-85e8-4e53-a661-d1188345b4a3
ORCID for Nicholas Francis: ORCID iD orcid.org/0000-0001-8939-7312

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Date deposited: 05 Dec 2019 17:30
Last modified: 17 Dec 2019 01:20

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