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- Title
Investigating Approaches to Improving Appropriate Antibiotic Use Among Higher Risk Ethnic Groups.
- Authors
Alden, Dana L.; Tice, Alan; Berthiaume, John T.
- Abstract
A field study with follow up investigations sought to: 1) determine whether cold packs (over-the-counter symptomtic treatments), coupled with in-office education, improve antibiotic-related knowledge, attitudes and behaviors more than in-office education alone in patient populations with high percentages of Asian Americans and Hawaiian/Pacific Islanders; 2) identify possible reasons for intervention outcomes as described by physicians who participated in the field study; and 3) explore potential future directions based on a large sample survey of physicians in the field study's highly ethnic county. The intervention resulted in a pre- to post-consultation decrease in perceived need for and an increase in knowledge about antibiotic risks but had no impact on frequency of reported receipt of an antibiotic prescription. Unexpectedly, in-office education alone was more effective in increasing knowledge than in-office education plus the cold pack. In-depth interviews of field study physicians and a large scale physician survey suggest that cold pack interventions targeting patient populations with high percentages of Asian Americans and Hawaiian/Pacific Islanders may be more likely to succeed if accompanied by mass public education regarding risks and physician training regarding effective ways to talk to patients. Use of in-office education with cold packs alone may not achieve desired results.
- Subjects
UNITED States; ANTIBIOTICS; ETHNIC groups; ATTITUDE (Psychology); PUBLIC health
- Publication
Hawaii Medical Journal, 2010, Vol 69, Issue 11, p260
- ISSN
0017-8594
- Publication type
Article