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
- September 2016 – August 2020
- Kronman MP, Gerber JS, Grundmeier RW, et al. Reducing Antibiotic Prescribing in Primary Care for Respiratory Illness. Pediatrics. 2020;146(3):e20200038; DOI: https://doi.org/10.1542/peds.2020-0038
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 https://www.uwimtr.org/dart/. 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)