Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections
Background In 2017, the Japanese government published an evidence‐based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence‐practice gap, we developed a clinician‐targeted course aimed at improving clinic...
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| Veröffentlicht in: | Journal of general and family medicine 2018-07, Vol.19 (4), p.127-132 |
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| creator | Yamamoto, Shungo Gu, Yoshiaki Fujitomo, Yumiko Kanai, Nobuyuki Yamahata, Yoshihiro Saito, Hiroyuki Hashimoto, Tadayuki Ohmagari, Norio |
| description | Background
In 2017, the Japanese government published an evidence‐based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence‐practice gap, we developed a clinician‐targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course.
Methods
This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role‐playing. We performed a vignette‐based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre‐ and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5‐point Likert scale.
Results
Thirty‐eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (−47.2%; 95% confidence interval [CI] −66.3 to −28.1%), common cold (−16.2%; 95% CI −30.8 to −1.6%), acute pharyngitis (−27.0%; 95% CI −49.0 to −5.0%), and acute rhinosinusitis (−33.3%; 95% CI −53.3 to −13.3%). The course seemed to be satisfactory for experienced doctors who were the relevant target population of such a workshop.
Conclusions
The refresher course was helpful for reducing the participants’ intensions to prescribe antibiotics for nonpneumonia RTIs.
We developed a clinician‐targeted refresher course for the practice of treating nonpneumonia RTIs, which consisted of lectures using illness scripts and checklists, and interactive communication skills training using a role‐playing. After the course, we found significant reductions in the proportions of the participants’ attitudes toward prescribing antibiotics for nonpneumonia RTIs. |
| doi_str_mv | 10.1002/jgf2.183 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6030038</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2329750987</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5283-1fc83e799fded4bcb39b6cf20a27b8962d19903bcf3a3cd54f652d7ce9cece323</originalsourceid><addsrcrecordid>eNp1kd9qFTEQh4MotrQFn0AC3nizNZvs2U1uBKn2jxS8qdchOzs5zWE3WZNs5XjlI_iMPok5tLZV6NUMzMfHzPwIeVWz45ox_m6ztvy4luIZ2ee1VFWnGvn8Ub9HjlLaMMbqjgvG25dkjyulJGv4PvnxEW9wDPOEPlPjB4rWOjCwpcFSQ2F03oEz_vfPX9nENWYcaEQbMV1jpBCWmJDaEGmOaLLza-qDnz0uU_DOFDTNLpoc4rYQBjJ13iJkF3w6JC-sGRMe3dUD8vX009XJeXX55ezi5MNlBSsuRVVbkAI7peyAQ9NDL1TfguXM8K6XquVDrRQTPVhhBAyrxrYrPnSAChBQcHFA3t9656WfcIByaTSjnqObTNzqYJz-d-LdtV6HG90ywZiQRfD2ThDDtwVT1pNLgONoPIYlac5aqXjTdKqgb_5DN-VFvpynueCqWzEluwchxJBSeef9MjXTu0z1LlNdMi3o68fL34N_EyxAdQt8dyNunxTpz2enfCf8AwMXr-8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2329750987</pqid></control><display><type>article</type><title>Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections</title><source>Wiley Online Library Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Yamamoto, Shungo ; Gu, Yoshiaki ; Fujitomo, Yumiko ; Kanai, Nobuyuki ; Yamahata, Yoshihiro ; Saito, Hiroyuki ; Hashimoto, Tadayuki ; Ohmagari, Norio</creator><creatorcontrib>Yamamoto, Shungo ; Gu, Yoshiaki ; Fujitomo, Yumiko ; Kanai, Nobuyuki ; Yamahata, Yoshihiro ; Saito, Hiroyuki ; Hashimoto, Tadayuki ; Ohmagari, Norio</creatorcontrib><description>Background
In 2017, the Japanese government published an evidence‐based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence‐practice gap, we developed a clinician‐targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course.
Methods
This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role‐playing. We performed a vignette‐based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre‐ and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5‐point Likert scale.
Results
Thirty‐eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (−47.2%; 95% confidence interval [CI] −66.3 to −28.1%), common cold (−16.2%; 95% CI −30.8 to −1.6%), acute pharyngitis (−27.0%; 95% CI −49.0 to −5.0%), and acute rhinosinusitis (−33.3%; 95% CI −53.3 to −13.3%). The course seemed to be satisfactory for experienced doctors who were the relevant target population of such a workshop.
Conclusions
The refresher course was helpful for reducing the participants’ intensions to prescribe antibiotics for nonpneumonia RTIs.
We developed a clinician‐targeted refresher course for the practice of treating nonpneumonia RTIs, which consisted of lectures using illness scripts and checklists, and interactive communication skills training using a role‐playing. After the course, we found significant reductions in the proportions of the participants’ attitudes toward prescribing antibiotics for nonpneumonia RTIs.</description><identifier>ISSN: 2189-7948</identifier><identifier>ISSN: 2189-6577</identifier><identifier>EISSN: 2189-7948</identifier><identifier>DOI: 10.1002/jgf2.183</identifier><identifier>PMID: 29998042</identifier><language>eng</language><publisher>Japan: John Wiley & Sons, Inc</publisher><subject>Antibiotics ; Antimicrobial agents ; antimicrobial resistance ; Attitudes ; Bronchitis ; Drug resistance ; family medicine ; illness scripts ; Illnesses ; Infections ; interactive communication skills training ; Original ; Patients ; Physicians ; Prescriptions ; Questionnaires ; respiratory tract infections ; Roles ; role‐play ; Statistical analysis</subject><ispartof>Journal of general and family medicine, 2018-07, Vol.19 (4), p.127-132</ispartof><rights>2018 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5283-1fc83e799fded4bcb39b6cf20a27b8962d19903bcf3a3cd54f652d7ce9cece323</citedby><cites>FETCH-LOGICAL-c5283-1fc83e799fded4bcb39b6cf20a27b8962d19903bcf3a3cd54f652d7ce9cece323</cites><orcidid>0000-0003-3207-8403</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030038/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030038/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11542,27903,27904,45553,45554,46030,46454,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29998042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Shungo</creatorcontrib><creatorcontrib>Gu, Yoshiaki</creatorcontrib><creatorcontrib>Fujitomo, Yumiko</creatorcontrib><creatorcontrib>Kanai, Nobuyuki</creatorcontrib><creatorcontrib>Yamahata, Yoshihiro</creatorcontrib><creatorcontrib>Saito, Hiroyuki</creatorcontrib><creatorcontrib>Hashimoto, Tadayuki</creatorcontrib><creatorcontrib>Ohmagari, Norio</creatorcontrib><title>Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections</title><title>Journal of general and family medicine</title><addtitle>J Gen Fam Med</addtitle><description>Background
In 2017, the Japanese government published an evidence‐based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence‐practice gap, we developed a clinician‐targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course.
Methods
This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role‐playing. We performed a vignette‐based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre‐ and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5‐point Likert scale.
Results
Thirty‐eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (−47.2%; 95% confidence interval [CI] −66.3 to −28.1%), common cold (−16.2%; 95% CI −30.8 to −1.6%), acute pharyngitis (−27.0%; 95% CI −49.0 to −5.0%), and acute rhinosinusitis (−33.3%; 95% CI −53.3 to −13.3%). The course seemed to be satisfactory for experienced doctors who were the relevant target population of such a workshop.
Conclusions
The refresher course was helpful for reducing the participants’ intensions to prescribe antibiotics for nonpneumonia RTIs.
We developed a clinician‐targeted refresher course for the practice of treating nonpneumonia RTIs, which consisted of lectures using illness scripts and checklists, and interactive communication skills training using a role‐playing. After the course, we found significant reductions in the proportions of the participants’ attitudes toward prescribing antibiotics for nonpneumonia RTIs.</description><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>antimicrobial resistance</subject><subject>Attitudes</subject><subject>Bronchitis</subject><subject>Drug resistance</subject><subject>family medicine</subject><subject>illness scripts</subject><subject>Illnesses</subject><subject>Infections</subject><subject>interactive communication skills training</subject><subject>Original</subject><subject>Patients</subject><subject>Physicians</subject><subject>Prescriptions</subject><subject>Questionnaires</subject><subject>respiratory tract infections</subject><subject>Roles</subject><subject>role‐play</subject><subject>Statistical analysis</subject><issn>2189-7948</issn><issn>2189-6577</issn><issn>2189-7948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kd9qFTEQh4MotrQFn0AC3nizNZvs2U1uBKn2jxS8qdchOzs5zWE3WZNs5XjlI_iMPok5tLZV6NUMzMfHzPwIeVWz45ox_m6ztvy4luIZ2ee1VFWnGvn8Ub9HjlLaMMbqjgvG25dkjyulJGv4PvnxEW9wDPOEPlPjB4rWOjCwpcFSQ2F03oEz_vfPX9nENWYcaEQbMV1jpBCWmJDaEGmOaLLza-qDnz0uU_DOFDTNLpoc4rYQBjJ13iJkF3w6JC-sGRMe3dUD8vX009XJeXX55ezi5MNlBSsuRVVbkAI7peyAQ9NDL1TfguXM8K6XquVDrRQTPVhhBAyrxrYrPnSAChBQcHFA3t9656WfcIByaTSjnqObTNzqYJz-d-LdtV6HG90ywZiQRfD2ThDDtwVT1pNLgONoPIYlac5aqXjTdKqgb_5DN-VFvpynueCqWzEluwchxJBSeef9MjXTu0z1LlNdMi3o68fL34N_EyxAdQt8dyNunxTpz2enfCf8AwMXr-8</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Yamamoto, Shungo</creator><creator>Gu, Yoshiaki</creator><creator>Fujitomo, Yumiko</creator><creator>Kanai, Nobuyuki</creator><creator>Yamahata, Yoshihiro</creator><creator>Saito, Hiroyuki</creator><creator>Hashimoto, Tadayuki</creator><creator>Ohmagari, Norio</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3207-8403</orcidid></search><sort><creationdate>201807</creationdate><title>Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections</title><author>Yamamoto, Shungo ; Gu, Yoshiaki ; Fujitomo, Yumiko ; Kanai, Nobuyuki ; Yamahata, Yoshihiro ; Saito, Hiroyuki ; Hashimoto, Tadayuki ; Ohmagari, Norio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5283-1fc83e799fded4bcb39b6cf20a27b8962d19903bcf3a3cd54f652d7ce9cece323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>antimicrobial resistance</topic><topic>Attitudes</topic><topic>Bronchitis</topic><topic>Drug resistance</topic><topic>family medicine</topic><topic>illness scripts</topic><topic>Illnesses</topic><topic>Infections</topic><topic>interactive communication skills training</topic><topic>Original</topic><topic>Patients</topic><topic>Physicians</topic><topic>Prescriptions</topic><topic>Questionnaires</topic><topic>respiratory tract infections</topic><topic>Roles</topic><topic>role‐play</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Shungo</creatorcontrib><creatorcontrib>Gu, Yoshiaki</creatorcontrib><creatorcontrib>Fujitomo, Yumiko</creatorcontrib><creatorcontrib>Kanai, Nobuyuki</creatorcontrib><creatorcontrib>Yamahata, Yoshihiro</creatorcontrib><creatorcontrib>Saito, Hiroyuki</creatorcontrib><creatorcontrib>Hashimoto, Tadayuki</creatorcontrib><creatorcontrib>Ohmagari, Norio</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general and family medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Shungo</au><au>Gu, Yoshiaki</au><au>Fujitomo, Yumiko</au><au>Kanai, Nobuyuki</au><au>Yamahata, Yoshihiro</au><au>Saito, Hiroyuki</au><au>Hashimoto, Tadayuki</au><au>Ohmagari, Norio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections</atitle><jtitle>Journal of general and family medicine</jtitle><addtitle>J Gen Fam Med</addtitle><date>2018-07</date><risdate>2018</risdate><volume>19</volume><issue>4</issue><spage>127</spage><epage>132</epage><pages>127-132</pages><issn>2189-7948</issn><issn>2189-6577</issn><eissn>2189-7948</eissn><abstract>Background
In 2017, the Japanese government published an evidence‐based manual describing the appropriate use of antibiotics in outpatient settings to tackle the problem of antimicrobial resistance. To fill the evidence‐practice gap, we developed a clinician‐targeted course aimed at improving clinician skills in the daily clinical practice of treating acute respiratory tract infections (RTIs) based on the manual. The aim of this study was to evaluate the efficacy of the course.
Methods
This course consisted of lectures using illness scripts and checklists, as well as interactive communication skills training using role‐playing. We performed a vignette‐based evaluation of the changes in the knowledge and attitudes of the course participants toward prescribing antibiotics for nonpneumonia RTIs, using pre‐ and postcourse questionnaires. The questionnaires also included course feedback via the use of a 5‐point Likert scale.
Results
Thirty‐eight clinicians were included in the analyses, and 90% of these participants had graduated ≥20 years ago. We found statistically significant reductions in the intention to prescribe antibiotics for four of the six nonpneumonia RTI vignettes: acute bronchitis (−47.2%; 95% confidence interval [CI] −66.3 to −28.1%), common cold (−16.2%; 95% CI −30.8 to −1.6%), acute pharyngitis (−27.0%; 95% CI −49.0 to −5.0%), and acute rhinosinusitis (−33.3%; 95% CI −53.3 to −13.3%). The course seemed to be satisfactory for experienced doctors who were the relevant target population of such a workshop.
Conclusions
The refresher course was helpful for reducing the participants’ intensions to prescribe antibiotics for nonpneumonia RTIs.
We developed a clinician‐targeted refresher course for the practice of treating nonpneumonia RTIs, which consisted of lectures using illness scripts and checklists, and interactive communication skills training using a role‐playing. After the course, we found significant reductions in the proportions of the participants’ attitudes toward prescribing antibiotics for nonpneumonia RTIs.</abstract><cop>Japan</cop><pub>John Wiley & Sons, Inc</pub><pmid>29998042</pmid><doi>10.1002/jgf2.183</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-3207-8403</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Antibiotics Antimicrobial agents antimicrobial resistance Attitudes Bronchitis Drug resistance family medicine illness scripts Illnesses Infections interactive communication skills training Original Patients Physicians Prescriptions Questionnaires respiratory tract infections Roles role‐play Statistical analysis |
| title | Development and efficacy of a clinician‐targeted refresher course for treating nonpneumonia respiratory tract infections |
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