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Reducing Primary Care Attendance Intentions for Pediatric Respiratory Tract Infections

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)239-249
Number of pages11
JournalAnnals of Family Medicine
Volume17
Issue number3
DOIs
DateAccepted/In press - 12 Feb 2019
DatePublished (current) - 1 May 2019

Abstract

Purpose
The aim of this study was to evaluate a theory and evidence-based parent-targeted online intervention, combining microbiological local syndromic surveillance data, symptom information, and home-care advice, to reduce primary care attendance for self-limiting, low-risk pediatric respiratory tract infections (RTIs).

Methods
The effect of this novel intervention on primary care attendance intentions was evaluated in an online experimental study. A representative sample of mothers (N = 806) was randomized to be presented with the intervention material before (intervention) or after (control) answering questions concerning attendance intentions for an RTI illness scenario and mediating factors. Both groups provided feedback on the material. Group comparisons and linear regression and path analyses were conducted.

Results
Intervention participants reported lower attendance intentions compared to control participants (d = 0.69; CI = 0.55 to 0.83), an effect that remained when controlling for demographic and clinical characteristics (B = -1.62, CI = -1.97 to -1.30). The path model highlighted that the intervention effect (B = -0.33, CI = -0.40 to -0.26) was mostly indirect and mediated by infection and antibiotic knowledge, symptom severity concerns and as social norm perceptions concerning attendance. Information on when to attend was rated 227x as the most important intervention component, followed by symptoms (186x). Information on circulating viruses was rated as least important (274x).

Conclusions
The intervention was effective in reducing primary care attendance intentions by increasing knowledge, lowering attendance motivation and reducing the need for additional resources. The contribution of individual intervention components and effects on behavioral outcomes requires further testing.

    Structured keywords

  • Brain and Behaviour
  • Tobacco and Alcohol

    Research areas

  • antimicrobial resistance, behavioral medicine, child health, eHealth, primary care

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  • Full-text PDF (accepted author manuscript)

    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Annals of Family Medicine at http://www.annfammed.org/content/17/3/239.. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 565 KB, PDF document

  • Supplementary information PDF 1 - Online intervention material

    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Annals of Family Medicine at http://www.annfammed.org/content/17/3/239. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 6 MB, PDF document

  • Supplementary information PDF 2 - Public Involvement

    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Annals of Family Medicine at http://www.annfammed.org/content/17/3/239. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 147 KB, PDF document

  • Supplementary information PDF 3 - Survey

    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Annals of Family Medicine at http://www.annfammed.org/content/17/3/239. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 127 KB, PDF document

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