Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics

This study has been completed.
Sponsor:
Information provided by:
University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT00989482
First received: July 24, 2009
Last updated: May 12, 2011
Last verified: May 2011
  Purpose

The purpose of this study is to improve antibiotic prescribing practices of Mexican primary care physicians for patients seeking care for acute respiratory tract infections (ARIs). The investigators will employ a combination of qualitative and quantitative methods to develop and evaluate a patient education and physician decision-support intervention.

Hypothesis 1: The investigators will identify barriers and facilitators of appropriate antibiotic use for ARIs that can be addressed through patient education and physician decision-support.

Hypothesis 2: The proportion of patients who report desire for antibiotics as a "very important" reason for seeking care will decrease from 50% to 30% following exposure to the educational intervention; and 90% (95% confidence interval: 80% to 100%) of patients will report that they trust the information provided by the computer.

Hypothesis 3: Antibiotic prescribing for adults with uncomplicated acute bronchitis will decrease from 80 percent to 40 percent following the introduction of a real-time clinical decision support tool.


Condition Intervention
Acute Respiratory Tract Infections
Behavioral: Computer kiosk Education

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Official Title: Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • antibiotic prescription rate [ Time Frame: 4 months ] [ Designated as safety issue: No ]

Enrollment: 847
Study Start Date: January 2010
Study Completion Date: September 2010
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Computer Kiosk Eduction Behavioral: Computer kiosk Education
computerized patient education; guidelines for physicians

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • adults age 18 years or greater

Exclusion Criteria:

  • mental disability; severe illness
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00989482

Locations
Mexico
IMSS Family Practice Clinic #1
Cuernavaca, Morelos, Mexico
Sponsors and Collaborators
University of California, San Francisco
  More Information

No publications provided

Responsible Party: Ralph Gonzales, University of California, San Francisco
ClinicalTrials.gov Identifier: NCT00989482     History of Changes
Other Study ID Numbers: Fulbright-Gonzales
Study First Received: July 24, 2009
Last Updated: May 12, 2011
Health Authority: Mexico: Ministry of Health

Additional relevant MeSH terms:
Respiratory Tract Infections
Infection
Respiratory Tract Diseases
Anti-Bacterial Agents
Antibiotics, Antitubercular
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Antitubercular Agents

ClinicalTrials.gov processed this record on September 14, 2014