Nudging guideline-concordant antibiotic prescribing: a randomized clinical trial.

ABSTRACT:

Importance

"Nudges" that influence decision making through subtle cognitive mechanisms have been shown to be highly effective in a wide range of applications, but there have been few experiments to improve clinical practice.

Objective

To investigate the use of a behavioral "nudge" based on the principle of public commitment in encouraging the judicious use of antibiotics for acute respiratory infections (ARIs).

Design, setting, and participants

Randomized clinical trial in 5 outpatient primary care clinics. A total of 954 adults had ARI visits during the study timeframe: 449 patients were treated by clinicians randomized to the posted commitment letter (335 in the baseline period, 114 in the intervention period); 505 patients were treated by clinicians randomized to s

SUBMITTER: Meeker D 

PROVIDER: S-EPMC4648560 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature