Implementation fidelity in a multifaceted program to foster rational antibiotics use in primary care: an observational study.

ABSTRACT: The ARena study (Sustainable Reduction of Antimicrobial Resistance in German Ambulatory Care) is a three-arm, cluster randomized trial to evaluate a multifaceted implementation program in a German primary care setting. In the context of a prospective process evaluation conducted alongside ARena, this study aimed to document and explore fidelity of the implementation program. This observational study is based on data generated in a three-wave survey of 312 participating physicians in the ARena program and attendance documentation. Measures concerned persistence of participation in the ARena program and adherence to intervention components (thematic quality circles, e-learning, basic expenditure reimbursements, additional bonus payments and a computerized decision support system). Participan

SUBMITTER: Kuhn L 

PROVIDER: S-EPMC9487096 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature