Stemming the Tide of Antibiotic Resistance: a trial of an intervention addressing the 'why' and 'how' of appropriate antibiotic prescribing in general practices

ISRCTN ISRCTN63355948
DOI https://doi.org/10.1186/ISRCTN63355948
Secondary identifying numbers G0500956
Submission date
26/06/2006
Registration date
22/08/2006
Last edited
22/05/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Christopher Butler
Scientific

Dept of General Practice
Cardiff University
3rd Floor Neuadd Merionnyd
Healh Park
Cardiff
CF14 4XN
United Kingdom

Email butlercc@cf.ac.uk

Study information

Study designCluster-randomised trial with randomisation and analysis at the level of general practice/general practitioner.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymSTAR
Study objectivesTo examine if exposing prescribers in general practices to the STAR Educational Programme results in fewer antibiotics being dispensed to the practice's patients.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedInfections
InterventionClinicians in practices randomised to the experimential condition will be exposed to the STAR Educational Program. This involves unique use of practices' own prescribing and resistance data and novel consulting strategies. Both the 'why' and 'how' of change will be addressed. Training methods will include: seminars, software supported, self-directed learning, and reflecting on video and actual consultations.

Control practices will be offered the intervention after the initial one year follow-up of the experimental practices is complete.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Oral Antibiotics
Primary outcome measureChange in the total number of dispensed oral antibiotics (with examination of trend by quarter) per 1000 registered patients, for the year subsequent to the practice being exposed to the STAR programme, compared to the previous year, using PARC data.
Secondary outcome measuresNot provided at time of registration
Overall study start date01/06/2006
Completion date30/11/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsUp to 60 practices (approximately 140-180 clinicians)
Key inclusion criteriaThere are no inclusion or exclusion criteria, other than that we aim for two thirds of prescribers in each practice must agree to take part in the study. Practices will be approached at random and randomised in a way that balances for practice size and prior antibiotic prescribing.
Key exclusion criteriaN/A
Date of first enrolment01/06/2006
Date of final enrolment30/11/2009

Locations

Countries of recruitment

  • United Kingdom
  • Wales

Study participating centre

Dept of General Practice
Cardiff
CF14 4XN
United Kingdom

Sponsor information

Cardiff University (UK)
University/education

Heath Park
Cardiff
CF14 4XN
Wales
United Kingdom

Email davieskp2@cf.ac.uk
Website http://www.cardiff.ac.uk
ROR logo "ROR" https://ror.org/03kk7td41

Funders

Funder type

Research council

Medical Research Council (MRC)(ref. no: G0500956) (UK)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 07/05/2010 Yes No
Results article results 02/02/2012 Yes No