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A multimodal primary care stewardship program earns high clinician and staff approval, highlighting its potential to cut unnecessary antibiotic prescriptions for urinary tract infections.
Urinary tract infections (UTIs) remain a major driver of antibiotic use in primary care, with inappropriate prescribing posing ongoing public health concerns. Evidence-based stewardship strategies are vital for promoting guideline-aligned decision-making. The REDuction of Antibiotic RESistance (RedAres) program delivers a structured, multimodal framework—combining guideline education, regional resistance insights, personalized prescribing feedback, and benchmarking, to enhance antibiotic selection at the practice level.
Angela Schuster et al. evaluated the acceptability of the RedAres intervention among general practitioners (GP) and assessed the practicality of its data management tasks for medical practice assistants (MPAs) within everyday workflows. Researchers carried out structured surveys with GPs and MPAs during the final RedAres trial visit. Acceptability was gauged through a tailored questionnaire grounded in Sekhon’s framework, while feasibility assessments for practice assistants centered on the demands of data collection, documentation, and transfer.
Responses were weighted at the practice level, and analyses were performed using descriptive statistics, chi-square tests, and both bivariable and multivariable logistic regression in SPSS and R. The methodological approach captured participants’ real-world experience alongside the operational practicality of implementing the multimodal intervention. The process evaluation recorded near-universal participation, with response rates of :
Nearly all GPs (93.9%) reported that the multimodal stewardship intervention effectively supported better adherence to prescribing guidelines. Resistance data and individualized prescribing feedback emerged as the most valued components (each cited by 31.8% of respondents), whereas benchmarking was viewed less favorably (12.2%).
Among MPAs, satisfaction was similarly strong, with 96.3% confirming that data collection, documentation, and transfer processes were manageable within routine workflows. The study’s high approval ratings and operational ease suggest that RedAres could serve as a scalable model for improving antibiotic stewardship and enhancing guideline-aligned care in everyday clinical practice.
BMC Health Services Research
Self-reported acceptability and feasibility of a multimodal intervention to reduce antibiotic prescriptions for urinary tract infections in primary care: a process evaluation of the RedAres trial among general practitioners and medical practice assistants
BMC Health Services Research
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