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Development of a patient-centred intervention to improve knowledge and understanding of antibiotic therapy in secondary care

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Title: Development of a patient-centred intervention to improve knowledge and understanding of antibiotic therapy in secondary care
Authors: Rawson, T
Moore, L
Castro Sanchez, E
Charani, E
Hernandez Perez, B
Alividza, V
Husson, F
Toumazou, C
Ahmad, R
Georgiou, P
Holmes, A
Item Type: Journal Article
Abstract: Introduction: We developed a personalised antimicrobial information module co-designed with patients. This study aimed to evaluate the potential impact of this patient-centred intervention on short-term knowledge and understanding of antimicrobial therapy in secondary care. Methods: Thirty previous patients who had received antibiotics in hospital within 12 months were recruited to co-design an intervention to promote patient engagement with infection management. Two workshops, containing five focus-groups were held. These were audio-recorded. Data were analysed using a thematic framework developed deductively based on previous work. Line-by-line coding was performed with new themes added to the framework by two researchers. This was used to inform the development of a patient information module, embedded within an electronic decision support tool (CDSS). The intervention was piloted over a four-week period at Imperial College Healthcare NHS Trust on 30 in-patients. Pre- and post-intervention questionnaires were developed and implemented to assess short term changes in patient knowledge and understanding and provide feedback on the intervention. Data were analysed using SPSS and NVIVO software. Results: Within the workshops, there was consistency in identified themes. The participants agreed upon and co-designed a personalised PDF document that could be integrated into an electronic CDSS to be used by healthcare professionals at the point-of-care. Their aim for the tool was to provide individualised practical information, signpost to reputable information sources, and enhance communication between patients and healthcare professionals. Eighteen out of thirty in-patients consented to participant in the pilot evaluation with 15/18(83%) completing the study. Median (range) age was 66(22-85) years. The majority were male (10/15;66%). Pre-intervention, patients reported desiring further information regarding their infections and antibiotic therapy, including side effects of treatment. Deployment of the intervention improved short term knowledge and understanding of individuals infections and antibiotic management with median (IQR) scores improving from 3(2-5)/13 to 10(6-11)/13. 13/15(87%) reported that they would use the intervention again. Conclusion: A personalised, patient-centred intervention improved understanding and short-term knowledge of infections and antibiotic therapy in participating patients’. Long term impact on attitudes and behaviours post discharge will be further investigated.
Issue Date: 20-Mar-2018
Date of Acceptance: 10-Mar-2018
URI: http://hdl.handle.net/10044/1/57888
DOI: https://dx.doi.org/10.1186/s13756-018-0333-1
ISSN: 2047-2994
Publisher: BioMed Central
Journal / Book Title: Antimicrobial Resistance and Infection Control
Volume: 7
Copyright Statement: © The Author(s). 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated.
Sponsor/Funder: Engineering & Physical Science Research Council (EPSRC)
Engineering & Physical Science Research Council (EPSRC)
National Institute for Health Research
National Institute for Health Research
National Institute of Health Research Imperial Biomedical Research Centre
NIHR Invention for Innovation
Funder's Grant Number: EP/M027007/1
EP/M027007/1
II-LA-0214-20008
II-LA-0214-20008
WMNF_P46472
II-LA-0214-20008
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Infectious Diseases
Microbiology
Patient & Public Involvement
Co-design
Antimicrobial prescribing
Shared-decision making
SHARED DECISION-MAKING
ANTIMICROBIAL STEWARDSHIP
INVOLVEMENT
FOCUS
Publication Status: Published
Article Number: ARTN 43
Appears in Collections:Faculty of Engineering
Electrical and Electronic Engineering
Department of Medicine
Faculty of Medicine



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