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2. Reducing Primary Care Attendance Intentions for Pediatric Respiratory Tract Infections

Author

Schneider, Annegret, Cabral, Christie, Herd, Natalie, Hay, Alastair, Kesten, Joanna May, Anderson, Emma, Lane, Isabel, Beck, Charles, and Michie, Susan

Subjects
Pediatric respiratory diseases -- Care and treatment, Primary health care -- Management -- Demographic aspects, Company business management, Health, Science and technology
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 randomly assigned to receive 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, linear regression, and path analyses were conducted. RESULTS Intervention participants reported lower attendance intentions compared with control participants (d = 0.69, 95% CI, 0.55-0.83), an effect that remained when controlling for demographic and clinical characteristics (B = -1.62, 95% CI, -1.97 to -1.30). The path model highlighted that the intervention effect (B = -0.33, 95% CI, -0.40 to -0.26) was mostly indirect and mediated by infection and antibiotic knowledge, symptom severity concerns, and social norm perceptions concerning attendance. Information on when to attend was rated as the most important intervention component 227 times, followed by symptoms rated 186 times. Information on circulating viruses was rated as least important 274 times. 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., INTRODUCTION Respiratory tract infections (RTIs) are one of the main reasons for primary care consultation for children. (1) These consultations contribute to primary care clinicians' increasing workload and cost the [...]

Published
2019
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4. Perceived addiction to smoking and associations with motivation to stop, quit attempts and quitting success

Author

Perski, Olga, Herd, Natalie, West, Robert, and Brown, Jamie

Subjects
behavior and behavior mechanisms
Abstract

Smokers who have previously made an unsuccessful quit attempt may infer that they must be addicted to smoking (i.e. ‘self-attribution of addiction’). Perceived addiction (PA) may in turn deter smokers from making a future quit attempt. To examine the impact of PA on the component parts of the quitting process, the present study aimed to assess the associations of PA with 1) past quit attempts; 2) current motivation to stop; 3) future quit attempts; and 4) quitting success.

Published
2022
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5. Data and syntax

Author

West, Robert, Perski, Olga, Herd, Natalie, Beard, Emma, Kuipers, Mirte, and Garnett, Claire

Published
2022
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7. Additional file 3 of Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance

Author

Roope, Laurence S. J., Tonkin-Crine, Sarah, Herd, Natalie, Michie, Susan, Pouwels, Koen B., Castro-Sanchez, Enrique, Sallis, Anna, Hopkins, Susan, Robotham, Julie V., Crook, Derrick W., Peto, Tim, Peters, Michele, Butler, Christopher C., A. Sarah Walker, and Wordsworth, Sarah

Subjects
virus diseases, respiratory tract diseases
Abstract

Additional file 3. Overall reported response to information for respondents’ children’s ILI.

Published
2020
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8. Additional file 4 of Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance

Author

Roope, Laurence S. J., Tonkin-Crine, Sarah, Herd, Natalie, Michie, Susan, Pouwels, Koen B., Castro-Sanchez, Enrique, Sallis, Anna, Hopkins, Susan, Robotham, Julie V., Crook, Derrick W., Peto, Tim, Peters, Michele, Butler, Christopher C., A. Sarah Walker, and Wordsworth, Sarah

Abstract

Additional file 4. Wording for the 3 versions of information tested in Wave-1 and Wave-2.

Published
2020
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9. Additional file 2 of Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance

Author

Roope, Laurence S. J., Tonkin-Crine, Sarah, Herd, Natalie, Michie, Susan, Pouwels, Koen B., Castro-Sanchez, Enrique, Sallis, Anna, Hopkins, Susan, Robotham, Julie V., Crook, Derrick W., Peto, Tim, Peters, Michele, Butler, Christopher C., A. Sarah Walker, and Wordsworth, Sarah

Abstract

Additional file 2: Table S1. Respondent characteristics in Wave-1 (October/November 2016). Table S2a. Wave-1 (October/November 2016): How will this [AMR] information [Version 1 ‘fear-only’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S2b. Wave-1 (October/November 2016): How will this [AMR] information [Version 2 ‘mild-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S2c. Wave-1 (October/November 2016): How will this [AMR] information [Version 3 ‘strong-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S3a. Wave-2 (March 2017): How will this [AMR] information [Version 1 ‘fear-only’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S3b. Wave-2 (March 2017): How will this [AMR] information [Version 2 ‘mild-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S3c. Wave-2 (March 2017): How will this [AMR] information [Version 3 ‘strong-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S4a. Wave-2 (March 2017): How will this [AMR] information [Version 1 ‘fear-only’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S4b. Wave-2 (March 2017): How will this [AMR] information [Version 2 ‘mild-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S4c. Wave-2 (March 2017):How will this [AMR] information [Version 3 ‘strong-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S5a. Wave-1 (October/November 2016): How will this [AMR] information [Version 1 ‘fear-only’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S5b. Wave-1 (October/November 2016): How will this [AMR] information [Version 2 ‘mild-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S5c. Wave-1 (October/November 2016): How will this [AMR] information [Version 3 ‘strong-fear-plus-empowerment’] affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? Table S6. Original survey data (May/June 2015): How will this [AMR, analogous to version 1 ‘fear-only’] information affect the number of times that you/your child visit a doctor for conditions like Health State A and ask for antibiotics for you/your child? (United Kingdom, 2015).

Published
2020
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10. Additional file 1 of Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance

Author

Roope, Laurence S. J., Tonkin-Crine, Sarah, Herd, Natalie, Michie, Susan, Pouwels, Koen B., Castro-Sanchez, Enrique, Sallis, Anna, Hopkins, Susan, Robotham, Julie V., Crook, Derrick W., Peto, Tim, Peters, Michele, Butler, Christopher C., A. Sarah Walker, and Wordsworth, Sarah

Abstract

Additional file 1. Survey instrument.

Published
2020
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11. Content and Mechanism of Action of National Antimicrobial Stewardship Interventions on Management of Respiratory Tract Infections in Primary and Community Care

Author

Atkins, Lou, primary, Chadborn, Tim, additional, Bondaronek, Paulina, additional, Ashiru-Oredope, Diane, additional, Beech, Elizabeth, additional, Herd, Natalie, additional, de La Morinière, Victoria, additional, González-Iraizoz, Marta, additional, Hopkins, Susan, additional, McNulty, Cliodna, additional, and Sallis, Anna, additional

Published
2020
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12. Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear-based messages about antimicrobial resistance

Author

Roope, Laurence S. J., primary, Tonkin-Crine, Sarah, additional, Herd, Natalie, additional, Michie, Susan, additional, Pouwels, Koen B., additional, Castro-Sanchez, Enrique, additional, Sallis, Anna, additional, Hopkins, Susan, additional, Robotham, Julie V., additional, Crook, Derrick W., additional, Peto, Tim, additional, Peters, Michele, additional, Butler, Christopher C., additional, Walker, A. Sarah, additional, and Wordsworth, Sarah, additional

Published
2020
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14. Reducing Expectations for Antibiotics in Primary Care: A Randomised Experiment to Test the Response to Fear-Based Messages About Antimicrobial Resistance

Author

Wordsworth, Sarah, primary, Roope, Laurence S. J., additional, Tonkin-Crine, Sarah, additional, Herd, Natalie, additional, Michie, Susan, additional, Pouwels, Koen B., additional, Castro-Sanchez, Enrique, additional, Sallis, Anna, additional, Hopkins, Susan, additional, Robotham, Julie V., additional, Crook, Derrick W., additional, Peto, Timothy E. A., additional, Peters, Michele, additional, Butler, Christopher C., additional, and Walker, A. Sarah, additional

Published
2019
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