Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics

• Sponsor: University of California, San Francisco (Other)
• Overall Status: Completed
• CT.gov ID: NCT00989482
• Collaborator: (none)
• Enrollment: 847
• Location: 1
• Arm: 1
• Duration (Months): 8
• Patients Per Site Per Month: 106.1

Study Details

Study Description

Brief Summary

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 or Disease	Intervention/Treatment	Phase
Acute Respiratory Tract Infections	Behavioral: Computer kiosk Education	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 847 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Health Services Research
• Official Title: Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics
• Study Start Date: Jan 1, 2010
• Actual Primary Completion Date: Jun 1, 2010
• Actual Study Completion Date: Sep 1, 2010

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Computer Kiosk Eduction	Behavioral: Computer kiosk Education; computerized patient education; guidelines for physicians

Outcome Measures

Primary Outcome Measures

1. antibiotic prescription rate [4 months]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• adults age 18 years or greater

Exclusion Criteria:

• mental disability; severe illness

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	IMSS Family Practice Clinic #1	Cuernavaca	Morelos	Mexico

Sponsors and Collaborators

• University of California, San Francisco

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• ClinicalTrials.gov Identifier: NCT00989482
• Other Study ID Numbers: Fulbright-Gonzales
• First Posted: Oct 5, 2009
• Last Update Posted: May 16, 2011
• Last Verified: May 1, 2011

• Additional relevant MeSH terms: Respiratory Tract Infections

Study Results

No Results Posted as of May 16, 2011