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The goal of this trial is to investigate if the use of information sheets regarding acute respiratory tract infections will lead to more rational antibiotic prescribing and increase patient-centered communication i Danish general practice.
The main questions to be answered:
We will compare use of information sheets in the consultation with patients with symptoms of acute respiratory tract infections to usual care (control) to find out if information sheets lower antibiotic prescribing.
Participants will be presented to the information sheets during the consultation regarding symptoms of acute respiratory tract infection.
Participants will fill in a short questionaire regarding patient-centered communication shortly after the consultation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual care arm | No Intervention | ||
| ARTI Info-sheets | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARTI Info-sheets | Other | ARTI Info-sheets are three information sheets design to be used together with patients contacting general practice with symptoms of acute respiratory tract infections. The information sheets is created as a dialog-tool to increase patient involvement in managing of acute respiratory tract infections. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections prescribed antibiotics at initial consultation. | At Initial consultation (day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with redeemed antibiotic prescriptions within 14 days after the initial consultation. | Additional contact from day 0 until day 14. | |
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with retrieval of prescribed antibiotics from the pharmacy within 14 days after the initial consultation. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with one of the ARTI Info-sheets used during the consultation, as reported by healthcare professional. | At Initial consultation (day 0) | |
| Proportion of patients where the ARTI info-sheets were meaningful to use, as reported by healthcare professional. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Unit for General Practice in Aalborg | Aalborg | 9260 | Denmark |
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|
| Retrieval of prescribed antibiotic from day 0 until day 14 |
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections reconsultation within 14 days after the initial consultation. | Reconsultation from day 0 until day 14. |
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with "out of hours"-consultations within 14 days after the initial consultation. | Out of hours consultation from day 0 until day 14. |
| Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with hospital admissions within 14 after the initial consultation. | Hospital admissions from day 0 until day 14. |
| Proportion of patients experiencing high level of Patient-centered communication measured by CollaboRATE. | Day 0. |
| At Initial consultation (day 0) |
| Estimated additional meantime spent on consultation, when using ARTI Info-sheets, reported by healthcare professional. | At Initial consultation (day 0) |
| ID | Term |
|---|---|
| D001991 | Bronchitis |
| D010612 | Pharyngitis |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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