A study on the impact of the Smarter Medicine Factsheet on antibiotics in respiratory tract infections

The “Smarter Decision” Study: Does the Smarter Medicine Factsheet on antibiotics in respiratory tract infections promote Shared decision making in Swiss Primary Care? A pragmatic pre-post interventional trial.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN66993428

Enrollment

7200

Registered

2022-10-12

Start date

2022-10-01

Completion date

Unknown

Last updated

2024-06-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Respiratory tract infections Respiratory

Interventions

The intervention consists of passive exposure of patients to the fact sheets. GPs were provided with the fact sheets. The supply consists on: - Flyers for the waiting room (mandatory) - A laminated ve

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. 16 years of age and older 2. One of the following symptoms/diagnosis: 2.1. Rhinitis/Rhinosinusitis/Sinusitis 2.2. Pharyngitis/Tonsillitis 2.3. Bronchitis 2.4. Streptococci - Pharyngitis 2.5. Influenza 2.6. Covid-19

Exclusion criteria

Exclusion criteria: 1. Immunocompromised patients 2. Diagnosis of a exacerbated COPD / asthma 3. Diagnosis of a pneumonia

Design outcomes

Primary

Measure	Time frame
1. Extent of SDM during the consultation in the pre and post interventional period measured using SDM-Q-9	—

Secondary

Measure	Time frame
1. Awareness / knowledge of antibiotic prescribing inappropriateness among patients with RTI in Swiss Primary Care. Measurement: Survey of patients in the pre-and post-intervention period. Patients will be asked a set of specific questions. 2. Comprehension of the Smarter Medicine fact sheets among patients. Measurement: Specific questions about the facts provided in the fact sheets, and about the perceived relevance of the provided information. Survey among patients in the post-intervention period. 3. Evaluation of the Smarter Medicine fact sheets by the patients and the study GPs Measurement: Survey among patients in the post-intervention period and a survey among GPs at the end of the whole study period. 4. Perception of the fact sheets by patients in the waiting room and the proportion of encounters for RTI in which the fact sheets were used by the physician, compared to all encounters for RTI. Measurement: The perception of the fact sheets in the waiting rooms and the use of fact sheets during the consultation will be asked within the patient survey.	—

Measure

Time frame

1. Awareness / knowledge of antibiotic prescribing inappropriateness among patients with RTI in Swiss Primary Care. Measurement: Survey of patients in the pre-and post-intervention period. Patients will be asked a set of specific questions. 2. Comprehension of the Smarter Medicine fact sheets among patients. Measurement: Specific questions about the facts provided in the fact sheets, and about the perceived relevance of the provided information. Survey among patients in the post-intervention period. 3. Evaluation of the Smarter Medicine fact sheets by the patients and the study GPs Measurement: Survey among patients in the post-intervention period and a survey among GPs at the end of the whole study period. 4. Perception of the fact sheets by patients in the waiting room and the proportion of encounters for RTI in which the fact sheets were used by the physician, compared to all encounters for RTI. Measurement: The perception of the fact sheets in the waiting rooms and the use of fact sheets during the consultation will be asked within the patient survey.

—

Countries

Switzerland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026