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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

Participants: 

  • 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: 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.

Funding:

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