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Health Providers’ Advising on Symptom Management for Upper Respiratory Tract Infections: Does Elaboration of Reasoning Influence Outcomes Relevant to Antibiotic Stewardship?
Journal of Language and Social Psychology ( IF 2.098 ) Pub Date : 2020-05-12 , DOI: 10.1177/0261927x20912460
Kasey A. Foley 1 , Erina L. MacGeorge 1 , David L. Brinker 2 , Yuwei Li 1 , Yanmengqian Zhou 1
Affiliation  

Antibiotic-resistant infections, fueled by unwarranted antibiotic prescribing, are an increasing threat to public health. Reducing overprescribing and promoting antibiotic stewardship requires managing patient expectations for and understanding about the utility of antibiotics. One hotspot for overprescribing is upper respiratory tract infections, for which the best treatment is often non-antibiotic symptom management behaviors. Guided by advice response theory, the current study examines how providers’ reason-giving for symptom management advice affected perceptions of advice quality, efficacy for symptom monitoring and management, and satisfaction with care for patients who were not prescribed antibiotics for their upper respiratory tract infections. Transcribed medical visits were coded for symptom management advice reason-giving and patients completed post-visit surveys. Greater provider elaboration about instruction was independently and positively associated with evaluations of advice quality. Results also indicate several significant interactions between types of reason-giving. Implications of these findings for advice theory and clinical practice are addressed in the discussion.

中文翻译:

卫生提供者对上呼吸道感染症状管理的建议:推理的详细说明是否影响与抗生素管理相关的结果?

由无根据的抗生素处方助长的抗生素耐药性感染对公众健康构成越来越大的威胁。减少过度处方和促进抗生素管理需要管理患者对抗生素效用的期望和理解。过度处方的一个热点是上呼吸道感染,对此最好的治疗方法通常是非抗生素症状管理行为。在建议响应理论的指导下,当前的研究检查了提供者对症状管理建议的给出理由如何影响对建议质量的看法、症状监测和管理的有效性,以及对没有为上呼吸道感染开抗生素的患者的护理满意度. 转录的医疗访问被编码用于症状管理建议原因给出,患者完成访问后调查。提供者对教学的更多详细说明与建议质量的评估独立且正相关。结果还表明,给出理由类型之间存在几种重要的相互作用。讨论中讨论了这些发现对建议理论和临床实践的影响。
更新日期:2020-05-12
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