Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial
Abstract Objective: Successfully educating urgent care patients on appropriate use and risks of antibiotics can be challenging. We assessed the conscious and subconscious impact various educational materials (informational handout, priming poster, and commitment poster) had on urgent care patients...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004753/type/journal_article |
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| author | Michael J. Cziner Daniel E. Park Rana F. Hamdy Laura Rogers Monique M. Turner Cindy M. Liu |
| author_facet | Michael J. Cziner Daniel E. Park Rana F. Hamdy Laura Rogers Monique M. Turner Cindy M. Liu |
| author_sort | Michael J. Cziner |
| collection | DOAJ |
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Abstract
Objective:
Successfully educating urgent care patients on appropriate use and risks of antibiotics can be challenging. We assessed the conscious and subconscious impact various educational materials (informational handout, priming poster, and commitment poster) had on urgent care patients’ knowledge and expectations regarding antibiotics.
Design:
Stratified Block Randomized Control Trial.
Setting:
Urgent care centers (UCCs) in Colorado, Florida, Georgia, and New Jersey.
Participants:
Urgent care patients.
Methods:
We randomized 29 UCCs across six study arms to display specific educational materials (informational handout, priming poster, and commitment poster). The primary intention-to-treat (ITT) analysis evaluated whether the materials impacted patient knowledge or expectations of antibiotic prescribing by assigned study arm. The secondary as-treated analysis evaluated the same outcome comparing patients who recalled seeing the assigned educational material and patients who either did not recall seeing an assigned material or were in the control arm.
Results:
Twenty-seven centers returned 2,919 questionnaires across six study arms. Only 27.2% of participants in the intervention arms recalled seeing any educational materials. In our primary ITT analysis, no difference in knowledge or expectations of antibiotic prescribing was noted between groups. However, in the as-treated analysis, the handout and commitment poster were associated with higher antibiotic knowledge scores.
Conclusions:
Educational materials in UCCs are associated with increased antibiotic-related knowledge among patients when they are seen and recalled; however, most patients do not recall passively displayed materials. More emphasis should be placed on creating and drawing attention to memorable patient educational materials.
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| format | Article |
| id | doaj-art-b4168a7c957b484886ee64a1299031ef |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-b4168a7c957b484886ee64a1299031ef2025-01-16T21:49:26ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.475Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trialMichael J. Cziner0https://orcid.org/0000-0001-9124-7479Daniel E. Park1https://orcid.org/0000-0001-5139-5397Rana F. Hamdy2Laura Rogers3https://orcid.org/0000-0002-0579-8491Monique M. Turner4https://orcid.org/0000-0002-9028-3029Cindy M. Liu5https://orcid.org/0000-0003-4537-173XAntibiotic Resistance Action Center, Department of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA Department of Epidemiology, New York University School of Global Public Health, New York, NY, USAAntibiotic Resistance Action Center, Department of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USAAntibiotic Resistance Action Center, Department of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA Division of Infectious Diseases, Children’s National Hospital, Washington, DC, USA Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USAAntibiotic Resistance Action Center, Department of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Communication, Michigan State University, East Lansing, MI, USAAntibiotic Resistance Action Center, Department of Environmental and Occupational Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA Abstract Objective: Successfully educating urgent care patients on appropriate use and risks of antibiotics can be challenging. We assessed the conscious and subconscious impact various educational materials (informational handout, priming poster, and commitment poster) had on urgent care patients’ knowledge and expectations regarding antibiotics. Design: Stratified Block Randomized Control Trial. Setting: Urgent care centers (UCCs) in Colorado, Florida, Georgia, and New Jersey. Participants: Urgent care patients. Methods: We randomized 29 UCCs across six study arms to display specific educational materials (informational handout, priming poster, and commitment poster). The primary intention-to-treat (ITT) analysis evaluated whether the materials impacted patient knowledge or expectations of antibiotic prescribing by assigned study arm. The secondary as-treated analysis evaluated the same outcome comparing patients who recalled seeing the assigned educational material and patients who either did not recall seeing an assigned material or were in the control arm. Results: Twenty-seven centers returned 2,919 questionnaires across six study arms. Only 27.2% of participants in the intervention arms recalled seeing any educational materials. In our primary ITT analysis, no difference in knowledge or expectations of antibiotic prescribing was noted between groups. However, in the as-treated analysis, the handout and commitment poster were associated with higher antibiotic knowledge scores. Conclusions: Educational materials in UCCs are associated with increased antibiotic-related knowledge among patients when they are seen and recalled; however, most patients do not recall passively displayed materials. More emphasis should be placed on creating and drawing attention to memorable patient educational materials. https://www.cambridge.org/core/product/identifier/S2732494X24004753/type/journal_article |
| spellingShingle | Michael J. Cziner Daniel E. Park Rana F. Hamdy Laura Rogers Monique M. Turner Cindy M. Liu Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial |
| title_full | Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial |
| title_fullStr | Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial |
| title_full_unstemmed | Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial |
| title_short | Efficacy of priming and commitment posters on urgent care patients’ antibiotic expectations and knowledge: a cluster randomized trial |
| title_sort | efficacy of priming and commitment posters on urgent care patients antibiotic expectations and knowledge a cluster randomized trial |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004753/type/journal_article |
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