A computerized education module improves patient knowledge and attitudes about appropriate antibiotic use for acute respiratory tract infections.
Patient Educ Couns
; 85(3): 493-8, 2011 Dec.
Article
em En
| MEDLINE
| ID: mdl-21392929
ABSTRACT
BACKGROUND:
Over-use of antibiotics for acute respiratory infections (ARIs) increases antimicrobial resistance, treatment costs, and side effects. Patient desire for antibiotics contributes to over-use.OBJECTIVE:
To explore whether a point-of-care interactive computerized education module increases patient knowledge and decreases desire for antibiotics.METHODS:
Bilingual (English/Spanish) interactive kiosks were available in 8 emergency departments as part of a multidimensional intervention to reduce antibiotic prescribing for ARIs. The symptom-tailored module included assessment of symptoms, knowledge about ARIs (3 items), and desire for antibiotics on a 10-point visual analog scale. Multivariable analysis assessed predictors of change in desire for antibiotics.RESULTS:
Of 686 adults with ARI symptoms, 63% initially thought antibiotics might help. The proportion of patients with low (1-3 on the scale) desire for antibiotics increased from 22% pre-module to 49% post-module (p<.001). Self-report of "learning something new" was associated with decreased desire for antibiotics, after adjusting for baseline characteristics (p=.001).CONCLUSION:
An interactive educational kiosk improved knowledge about antibiotics and ARIs. Learning correlated with changes in personal desire for antibiotics. PRACTICE IMPLICATIONS By reducing desire for antibiotics, point-of-care interactive educational computer technology may help decrease inappropriate use for antibiotics for ARIs.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções Respiratórias
/
Conhecimentos, Atitudes e Prática em Saúde
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Educação de Pacientes como Assunto
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Instrução por Computador
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Antibacterianos
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article