A Co-Design Process to Elaborate Educational Materials to Promote Appropriate Use of Antibiotics for Acute Lower Respiratory Tract Infections in Primary Healthcare in Catalonia (Spain)

Laura Medina-Perucha,1 Pablo Gálvez-Hernández,2,3 Ana García-Sangenís,1,4 Ana Moragas,5 Josep María Cots,6 Anna Lanau-Roig,6 Alícia Borrás,2,7 Isabel Amo,2 Nieves Barragán,8 Ramon Monfá,1,4 Carl Llor,1,9 Anna Berenguera1,4,10 1Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; 2Institut Universitari de Pacients (Patients’ University Institut), Universitat Internacional de Catalunya, Barcelona, Spain; 3University of Toronto, IHPME-BFON Collaborative PhD Specialization Program in Health Services and Policy Research, Ontario, Canada; 4Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain; 5Universitat Rovira i Virgili, Jaume I Health Centre, Institut Català de la Salut, Tarragona, Spain; 6La Marina Health Centre, Institut Català de la Salut, Associació d’Infermeria Familiar i Comunitària de Catalunya, Barcelona, Spain; 7Escola Universitària d’Infermeria, Escoles Universitàries Gimbernat, Universitat Autònoma de Barcelona, Sant Cugat del Vallès, Spain; 8Societat Catalana de Medicina Familiar i Comunitària (Camfic), Grupo Programa Comunicación y Salud semFYC. CAP Vallcarca Health Centre, Barcelona, Spain; 9Via Roma Health Centre, Institut Català de la Salut, Barcelona, Spain; 10Departament d’Infermeria, Universitat de Girona, Girona, SpainCorrespondence: Laura Medina-Perucha Gran via de les Corts Catalanes, 587, Attic, Barcelona, 08007, SpainTel +34 93 482 4253 ext. 4761Email lmedina@idiapjgol.infoPurpose: Co-design processes with patients allow developing health education materials, that are adapted to the population’s knowledge and use of language, to reduce inappropriate antibiotic use.Patients and Methods: This study presents a co-design process of educational material with patients (over 18 years old) with a previous diagnosis of acute lower respiratory tract infection. The co-design was framed within a qualitative study (Phase I, interviews; Phase II, focus group) conducted in Barcelona between April and September 2019.Results: Twenty-nine semi-structured interviews were conducted. Six people participated in the focus group. Based on participants’ narratives, educational materials can be useful to support healthcare consultations. Materials should be designed to be accessible in terms of the content and language used.Conclusion: The co-design of educational materials is essential for health promotion. This study presents an example of how materials can be co-developed with patients. The material elaborated in this study is being used for the ISAAC-CAT project and may be useful for future research, practice in health services and health policy.Keywords: health education, co-design, acute respiratory infections, antimicrobial resistance, primary healthcare