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Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention

BACKGROUND: The aim was to explore behavioral factors relating to the prescription and communication of prescription-adherence messages for patients with acute febrile illness, from which to develop a training-and-communication (T&C) intervention to be delivered as part of a clinical trial. METH...

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Autores principales: Kukula, Vida Ami, Odopey, Selase, Arthur, Emmanuel, Odonkor, Gabriel, Awini, Elizabeth, Adjei, Alexander, Salami, Olawale, Nkeramahame, Juvenal, Horgan, Philip, Olliaro, Piero, Williams, John, Baiden, Rita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10368414/
https://www.ncbi.nlm.nih.gov/pubmed/37490740
http://dx.doi.org/10.1093/cid/ciad327
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author Kukula, Vida Ami
Odopey, Selase
Arthur, Emmanuel
Odonkor, Gabriel
Awini, Elizabeth
Adjei, Alexander
Salami, Olawale
Nkeramahame, Juvenal
Horgan, Philip
Olliaro, Piero
Williams, John
Baiden, Rita
author_facet Kukula, Vida Ami
Odopey, Selase
Arthur, Emmanuel
Odonkor, Gabriel
Awini, Elizabeth
Adjei, Alexander
Salami, Olawale
Nkeramahame, Juvenal
Horgan, Philip
Olliaro, Piero
Williams, John
Baiden, Rita
author_sort Kukula, Vida Ami
collection PubMed
description BACKGROUND: The aim was to explore behavioral factors relating to the prescription and communication of prescription-adherence messages for patients with acute febrile illness, from which to develop a training-and-communication (T&C) intervention to be delivered as part of a clinical trial. METHODS: The study undertook a content analysis of primary, qualitative data collection using in-depth interviews and focus group discussions, informed by the Capability, Opportunity, Motivation (COM-B) theory of behavior, the Theoretical Domains Framework (TDF), and Behavior Change Wheel (BCW) approach, in health facilities (39 health workers) and communities (66 community members) in the Shai-Osudoku District of Ghana. RESULTS: Health workers perceive that prescribers' and dispensers' communication with patients is influenced by the following factors: patient’s educational level, existing disease conditions, health worker's workload, patient's religion, language barrier between health worker and patient, outcome of laboratory results, and medicine availability. Community members’ adherence to prescription was influenced by the availability of money and affordability of medicine (outside of provision by the national health insurance scheme), the severity of the condition, work schedule, and forgetfulness. CONCLUSIONS: Our study contributes to knowledge on nesting qualitative methods in a clinical trial and reveals factors that affect the antibiotic prescription communication process. Tailored messages for patient-specific needs can shape antibiotic prescription adherence behavior and ultimately contribute to decreasing the incidence of antibiotic resistance.
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spelling pubmed-103684142023-07-26 Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention Kukula, Vida Ami Odopey, Selase Arthur, Emmanuel Odonkor, Gabriel Awini, Elizabeth Adjei, Alexander Salami, Olawale Nkeramahame, Juvenal Horgan, Philip Olliaro, Piero Williams, John Baiden, Rita Clin Infect Dis Supplement Article BACKGROUND: The aim was to explore behavioral factors relating to the prescription and communication of prescription-adherence messages for patients with acute febrile illness, from which to develop a training-and-communication (T&C) intervention to be delivered as part of a clinical trial. METHODS: The study undertook a content analysis of primary, qualitative data collection using in-depth interviews and focus group discussions, informed by the Capability, Opportunity, Motivation (COM-B) theory of behavior, the Theoretical Domains Framework (TDF), and Behavior Change Wheel (BCW) approach, in health facilities (39 health workers) and communities (66 community members) in the Shai-Osudoku District of Ghana. RESULTS: Health workers perceive that prescribers' and dispensers' communication with patients is influenced by the following factors: patient’s educational level, existing disease conditions, health worker's workload, patient's religion, language barrier between health worker and patient, outcome of laboratory results, and medicine availability. Community members’ adherence to prescription was influenced by the availability of money and affordability of medicine (outside of provision by the national health insurance scheme), the severity of the condition, work schedule, and forgetfulness. CONCLUSIONS: Our study contributes to knowledge on nesting qualitative methods in a clinical trial and reveals factors that affect the antibiotic prescription communication process. Tailored messages for patient-specific needs can shape antibiotic prescription adherence behavior and ultimately contribute to decreasing the incidence of antibiotic resistance. Oxford University Press 2023-07-25 /pmc/articles/PMC10368414/ /pubmed/37490740 http://dx.doi.org/10.1093/cid/ciad327 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Article
Kukula, Vida Ami
Odopey, Selase
Arthur, Emmanuel
Odonkor, Gabriel
Awini, Elizabeth
Adjei, Alexander
Salami, Olawale
Nkeramahame, Juvenal
Horgan, Philip
Olliaro, Piero
Williams, John
Baiden, Rita
Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title_full Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title_fullStr Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title_full_unstemmed Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title_short Understanding Health Worker and Community Antibiotic Prescription-Adherence Practices for Acute Febrile Illness: A Nested Qualitative Study in the Shai-Osudoku District of Ghana and the Development of a Training-and-Communication Intervention
title_sort understanding health worker and community antibiotic prescription-adherence practices for acute febrile illness: a nested qualitative study in the shai-osudoku district of ghana and the development of a training-and-communication intervention
topic Supplement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10368414/
https://www.ncbi.nlm.nih.gov/pubmed/37490740
http://dx.doi.org/10.1093/cid/ciad327
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