Developing the content of two behavioural interventions: using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1

BMC Health Services Research
Susan HrisosJeremy Grimshaw

Abstract

Evidence shows that antibiotics have limited effectiveness in the management of upper respiratory tract infection (URTI) yet GPs continue to prescribe antibiotics. Implementation research does not currently provide a strong evidence base to guide the choice of interventions to promote the uptake of such evidence-based practice by health professionals. While systematic reviews demonstrate that interventions to change clinical practice can be effective, heterogeneity between studies hinders generalisation to routine practice. Psychological models of behaviour change that have been used successfully to predict variation in behaviour in the general population can also predict the clinical behaviour of healthcare professionals. The purpose of this study was to design two theoretically-based interventions to promote the management of upper respiratory tract infection (URTI) without prescribing antibiotics. Interventions were developed using a systematic, empirically informed approach in which we: selected theoretical frameworks; identified modifiable behavioural antecedents that predicted GPs intended and actual management of URTI; mapped these target antecedents on to evidence-based behaviour change techniques; and operationalised i...Continue Reading

References

Mar 1, 1977·Psychological Review·A Bandura
Jan 12, 1991·BMJ : British Medical Journal·M Eccles, C Bradshaw
Jan 13, 1990·BMJ : British Medical Journal·T D Smith, D Clayton
Mar 24, 1988·The New England Journal of Medicine·C M WinslowR H Brook
Jan 30, 1986·The New England Journal of Medicine·M R ChassinD H Solomon
Feb 1, 1974·Journal of Experimental Child Psychology·W H Redd
Sep 15, 2000·BMJ : British Medical Journal·M CampbellP Tyrer
Mar 5, 2003·British Journal of Health Psychology·A. E. WalkerE. M. Armstrong
May 6, 2003·Clinical Psychology Review·Chris R Brewin, Emily A Holmes
Apr 24, 2004·The Cochrane Database of Systematic Reviews·C B Del MarA B Spinks
Oct 21, 2004·The Cochrane Database of Systematic Reviews·G K P SpurlingR Foxlee
Feb 5, 2005·Quality & Safety in Health Care·S MichieUNKNOWN "Psychological Theory" Group
Jul 27, 2006·JAMA : the Journal of the American Medical Association·Kaveh G ShojaniaDouglas K Owens
Nov 23, 2006·Implementation Science : IS·Martin P EcclesMarie Johnston

❮ Previous
Next ❯

Citations

Jun 10, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gili Regev-YochayEthan Rubinstein
Nov 20, 2010·BMC Family Practice·Lisa McDermottUNKNOWN eCRT Research Team
Oct 19, 2012·Implementation Science : IS·Martin P EcclesMarie Johnston
Jul 31, 2013·Implementation Science : IS·Natalie TaylorRebecca Lawton
Dec 24, 2013·BMC Health Services Research·Wendy LipworthJeffrey Braithwaite
Apr 9, 2014·Implementation Science : IS·Mark PorcheretKrysia Dziedzic
Jul 12, 2011·Gastrointestinal Endoscopy·Douglas A CorleyAmy R Marks
May 23, 2014·International nursing review·C-J Jo Wu, A M Chang
Apr 17, 2015·Implementation Science : IS·André E BussièresUNKNOWN Members of the Canadian Chiropractic Guideline Initiative
Jul 19, 2018·The Journal of Antimicrobial Chemotherapy·Fabiana LorencattoPeter Davey

❮ Previous
Next ❯

Software Mentioned

OLT

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.