Preparing Parents to Make An Informed Choice About Antibiotic Use for Common Acute Respiratory Infections in Children: A Randomised Trial of Brief Decision Aids in a Hypothetical Scenario

Peter D. Coxeter (), Chris B. Del Mar () and Tammy C. Hoffmann ()
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Peter D. Coxeter: Bond University
Chris B. Del Mar: Bond University
Tammy C. Hoffmann: Bond University

The Patient: Patient-Centered Outcomes Research, 2017, vol. 10, issue 4, No 9, 463-474

Abstract: Abstract Background Childhood acute respiratory infections (ARIs) are one of the most common reasons for primary care consultations and for receiving an antibiotic. Public awareness of antibiotic benefit and harms for these conditions is low. To facilitate informed decision making, ideally in collaboration with their doctor, parents need clear communication about benefits and harms. Decision aids may be able to facilitate this process. Objective The aim of this study was to evaluate the effectiveness of three decision aids about antibiotic use for common ARIs in children. Methods Adult parents of children aged 1–16 years (n = 120) were recruited from community settings and then randomised using a computer-generated randomisation sequence to receive a decision aid (n = 60) or fact sheet (n = 60). Allocation was concealed and used sealed and opaque sequentially numbered envelopes. Participants self-completed questionnaires at baseline and immediately post-intervention. The primary outcome was informed choice (conceptual and numerical knowledge; attitudes towards, and intention to use, antibiotics for a future ARI). Secondary outcomes were decisional conflict, decisional self-efficacy, and material acceptability. Results After reading the information, significantly more intervention group participants made an informed choice [57%] compared with control group participants [29%] [difference 28, 95% confidence interval (CI) 11–45%, p

Date: 2017
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DOI: 10.1007/s40271-017-0223-2

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