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1. #LUCIA MARZO ALZOLA MISS EUSKADI DRIVER#
2. #LUCIA MARZO ALZOLA MISS EUSKADI TRIAL#
3. #LUCIA MARZO ALZOLA MISS EUSKADI PC#

#LUCIA MARZO ALZOLA MISS EUSKADI TRIAL#

Finally, during the trial duration, we will conduct a process evaluation and an economic evaluation with a cost-effectiveness analysis.

#LUCIA MARZO ALZOLA MISS EUSKADI PC#

Study setting will be defined as primary care centres in four Autonomous Communities in Spain (Catalonia, Balearic Islands, Navarra and Basque Country) with a total of more than 600 PC centers, 1,200 pediatricians, and more of one million children. We will need to recruit a sample size of 222 primary care centres, allocated in a ratio of 1:1:1:1 to one of the four intervention groups (assuming an average cluster size of 200 RTI consultations per centre). They will be randomized to receive the intervention targeted to parents, intervention targeted health care professionals, both interventions, or none of them. For this reason we will implement a 2x2 factorial randomized cluster clinical trial based on healthcare practices. We will then conduct a multicenter, randomized, controlled trial to evaluate the effectiveness of the overall intervention and its two main constituents in reducing antibiotic consumption. We will first develop the different components of the interventions and evaluate their feasibility (user testing). This project will evaluate the effectiveness of two complex interventions to optimize the use of antibiotics in acute uncomplicated respiratory tract infections (RTI). Condition or diseaseīehavioral: Communication skills training Behavioral: Mobile phone application on RTI Assuming an average cluster size of 200 RTI consultations per centre, we will need to recruit 222 PC centres. pneumonia), antibiotic related adverse effects, repeated consultations, and antibiotic consumption in relation with antibiotic prescribing (delayed antibiotic prescribing). Our secondary outcomes will include: respiratory complications (e.g. Our primary outcome will be change in the total antibiotic prescription rate.

The app can be used before, during and after the consultation, providing condition specific and patient tailored information. Intervention targeting parents: PC centres allocated to this group will display posters and flyers presenting a mobile app that will include information about respiratory tract infections and optimal use of antibiotics.Intervention targeting healthcare providers (paediatricians, nurses and pharmacists): i) Internet based training about communication skills and optimal antibiotic prescribing (including delayed prescribing) ii) bimonthly antibiotic prescription feedback.Primary care (PC) centres will be allocated to one of the following four groups: Methods: We will develop and evaluate the feasibility of two interventions in a 16-months randomized controlled factorial trial.

We will assess whether remotely delivered complex interventions including internet-based training for health care provider, and an educational intervention for parents could improve prescribing practices for respiratory tract infections (RTI) in Spain. Education of physicians and patients can lower prescribing levels, but it frequently relies on highly trained staff.

#LUCIA MARZO ALZOLA MISS EUSKADI DRIVER#