Diagnosis Mandate and Feedback for Antimicrobial Resistance

Recruiting at 2 trial locations

Overseen By Yubraj Acharya, Ph.D.

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Penn State University

Disqualifiers: Pregnant, Cognitively impaired, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

60 Participants Needed

Trial Summary

What is the purpose of this trial?

Interventions that are low-cost, do not add substantially to the physician workload, are consistent with good physician practices and WHO guidelines, and serve as a reminder on the risks of overprescribing antibiotics are critically needed. The overall goal of the proposed project is to test the effect of a behavioral intervention targeted to junior physicians-specifically, requiring them to specify the diagnosis in the prescription note and providing feedback-on their antibiotics prescription rate; examine the intervention's effects across gender and caste; and draw lessons for scaling up the intervention.

Eligibility Criteria

This trial is for physicians aged 18+ working in outpatient clinics at participating hospitals, and their patients aged 18+ who seek care there. It aims to optimize antibiotic prescriptions to combat antimicrobial resistance.

Inclusion Criteria

I am over 18 and work at an outpatient clinic in a participating hospital.

I am over 18 and have visited an outpatient clinic at a participating hospital.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-Intervention Data Collection

Data collected from patients before the intervention to establish baseline antibiotics prescription rates

1-3 months

Intervention

Implementation of the behavioral intervention including Refresher Training on AMR, Diagnosis Mandate, and Individualized Feedback

Varies by hospital

Post-Intervention Data Collection

Data collected from patients after the intervention to assess changes in antibiotics prescription rates

3-5 months

Follow-up

Participants are monitored for changes in prescription behavior and effectiveness of the intervention

4 weeks

Treatment Details

Interventions

• Behavioral Intervention

Trial Overview The study tests a behavioral intervention where junior doctors must note the diagnosis when prescribing antibiotics and receive feedback on their prescription rates. The impact across gender and caste will be examined.

Participant Groups

Group I: Diagnosis Mandate and Feedback Experimental Treatment 1 Intervention

The intervention will consist of three components: (a) a Refresher Training on antimicrobial resistance, (b) a Diagnosis Mandate, and (c) an Individualized Feedback.

Who Is Running the Clinical Trial?

Penn State University

Lead Sponsor

Trials

380

Recruited

131,000+