Dataset Information

Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training.

ABSTRACT:

Objective

To evaluate receipt fidelity of communication training content included in a multifaceted intervention known to reduce antibiotic over-prescribing for pediatric acute respiratory tract infections (ARTIs), by examining the degree to which clinicians implemented the intended communication behavior changes.

Methods

Parents were surveyed regarding clinician communication behaviors immediately after attending 1026 visits by children 6 months to < 11 years old diagnosed with ARTIs by 53 clinicians in 18 pediatric practices. Communication outcomes analyzed were whether clinicians: (A) provided both a combined (negative + positive) treatment recommendation and a contingency plan (full implementation); (B) provided either a combined treatment recommendation or a contingency plan (partial implementation); or (C) provided neither (no implementation). We used mixed effects multinomial logistic regression to determine whether these 3 communication outcomes changed between baseline and the time periods following each of 3 training modules.

Results

After completing the communication training, the adjusted probability of clinicians fully implementing the intended communication behavior changes increased by an absolute 8.1% compared to baseline (95% Confidence Interval [CI]: 2.4%, 13.8%, p = .005).

Conclusions

Our findings support the receipt fidelity of the intervention's communication training content.

Practical implications

Clinicians can be trained to implement communication behaviors that may aid in reducing antibiotic over-prescribing for ARTIs.

SUBMITTER: Mangione-Smith R

PROVIDER: S-EPMC9203931 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training.

Mangione-Smith Rita R Robinson Jeffrey D JD Zhou Chuan C Stout James W JW Fiks Alexander G AG Shalowitz Madeleine M Gerber Jeffrey S JS Burges Dennis D Hedrick Benjamin B Warren Louise L Grundmeier Robert W RW Kronman Matthew P MP Shone Laura P LP Steffes Jennifer J Wright Margaret M Heritage John J

Patient education and counseling 20220314 7

<h4>Objective</h4>To evaluate receipt fidelity of communication training content included in a multifaceted intervention known to reduce antibiotic over-prescribing for pediatric acute respiratory tract infections (ARTIs), by examining the degree to which clinicians implemented the intended communication behavior changes.<h4>Methods</h4>Parents were surveyed regarding clinician communication behaviors immediately after attending 1026 visits by children 6 months to < 11 years old diagnosed with A ...[more]

PMID: 35341612

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Dataset Information

Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training.

Objective

Methods

Results

Conclusions

Practical implications

Publications

Fidelity evaluation of the dialogue around respiratory illness treatment (DART) program communication training.

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