This trial aims to increase the use of antimicrobial stewardship resources when treating patients with respiratory tract infections. This trial is set in Australian general practices (family medicine or primary care).
The main question it aims to answer is which type of implementation activities increase the use of antimicrobial stewardship resources. Researchers will compare doctors who receive face-to-face implementation activities (the Integrated Network group) to those who received virtual or online activities (the Virtual Network group). The primary hypothesis is that there will be a difference in how often interventions are used
Participating doctors will be asked to record how often they use antimicrobial stewardship resources and which interventions they prefer. Participating practices will also provide researchers data on how many patients the doctors see.
Patients with respiratory tract infections who saw a participating doctor will be asked to give feedback on their experience using surveys. A subgroup of doctors, practice staff, and patients will interviewed about their experience in the study.
New South Wales, Queensland, Tasmania, or Victoria
at least two GPs per practice consent to be in the study,
that at least one member of practice staff consents to be in the study
that a staff member from the site will be available to provide 90 minutes per fortnight of administrative support for the study. There are no
patients consulted with a participating GP for a RTI,
patients re-consulted with a GP or was hospitalized. Exclusion criteria: None
consulted with a participating GP for a RTI,
completed a patient survey,
Parallel
Antimicrobial stewardship activities delivered through Virtual Network
Other interventionParticipants will receive online self-paced education modules regarding antimicrobial interventions, guided self-audit and reflection regarding intervention use, and reinforcement podcasts (\~7 hours). Participants in the Virtual Newtwork arm will primarily receive these interventions online.
Antimicrobial stewardship activities delivered through Integrated Network activities
Other interventionParticipants will receive online self-paced education modules regarding antimicrobial interventions, guided self-audit and reflection regarding intervention use, and reinforcement podcasts (\~7 hours). Participants in the Integrated Network arm will primarily receive these interventions face-to-face and active online activities.
Change in use of antimicrobial interventions per 100 consults
This score is derived from the number of times an intervention is used (measured using the AMS Toolbox online form) divided by the number of participants a doctor sees (measured using an audit). Measuring periods are fortnightly. The eligible range is 0-100, with higher values indicating a better outcome.
Reach: Number enrolled - Doctors
Enrolment Enrolment rates of doctors will be determined for doctors by the number of online consents completed via Redcap. Higher numbers indicate better outcomes.
Reach: Representativeness of practices
A survey of practice size and location will be conducted.
Reach: Completions - Doctors
Completion rates of doctors will be determined by recording participant completion rates across all phases of the trial.
Reach: Representativeness of participating doctors and staff
A survey of participating doctors and staff will be conducted to measure demographic and workplace variables.
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