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Table 2 Intervention Fidelity

From: An intervention modelling experiment to change GPs' intentions to implement evidence-based practice: using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #2

Graded Task intervention

Description of situation

% GPs rating "Yes" (N = 163)

% GPs using situation as basis for their management "plan" (N = 158)

Situation 1

Could you confidently end a consultation for a patient with an URTI without prescribing an antibiotic?

94

17

Situation 2

Could you confidently manage patients with URTIs without an antibiotic, who have already tried to self-medicate?

75

12

Situation 3

Could you confidently manage patients with URTIs without an antibiotic, who expect you to prescribe an antibiotic?

62

17

Situation 4

Could you confidently manage patients with URTIs without an antibiotic, whose symptoms are distressing them

45

17

Situation 5

Could you confidently manage patients with URTIs without an antibiotic, who have a past history of COPD 1 ?

9

30

Own situation

Where another doctor had already prescribed antibiotics for the same episode

-

7

Persuasive communication

Description of rating

Proportion of GPs rating themselves as 0–100% like Dr B 2 (N = 161)

  
  

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

%Mean (SD)

Mean Difference (t-test)

Rating 1 (Intended behaviour)

% GP "tries to be like Dr B2"

3

4

2

2

0

1

1

4

11

44

28

82.1 (25.6)

10.8 (t = 8.326, p < 0.001)

Rating 2 (Actual behaviour)

% GP is "actually like Dr B"

1

1

1

3

2

6

13

26

25

18

4

71.3 (18.5)

 
  1. 1chronic obstructive airways disease. 2Dr B "manages patients with URTI symptomatically".