Skip Navigation LinksDART-Study

aaa print

DART Study

DART [Dialogue Around Respiratory Illness Treatment]

Lead Researcher: Rita Mangione-Smith, MD (Seattle Children's Research Institute)

What Questions will this Study Answer?

  • If we teach pediatricians and nurse practitioners new ways to communicate about antibiotics for respiratory infection, will their antibiotic prescribing decrease?
  • If pediatricians and nurse practitioners communicate differently and/ or prescribe antibiotics less often, will there be a change in parent satisfaction?

Summary of Study Design:

  • Distance-learning quality-improvement intervention
  • Teach pediatricians and nurse practitioners new ways to communicate about antibiotics at ARTI visits
  • Randomized stepped-wedge: sequential rollout over time


  • 12 national PROS practices using the Office Practicum EMR system
  • PROS practices enrolled > 1,000 parents

Study Status:

  • September 2016 – August 2020

Main outcomes:

  • Kronman MP, Gerber JS, Grundmeier RW, et al. Reducing Antibiotic Prescribing in Primary Care for Respiratory Illness. Pediatrics. 2020;146(3):e20200038; DOI:

On-line training modules:

  • The full suite of Dialogue Around Respiratory Illness Treatment (DART) training modules is available online, free of charge, for anyone at This includes communication and antibiotic prescribing tutorials, booster sessions, and a webinar on optimizing communication with parents.


  • Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD)
Advertising Disclaimer