Table 5 Main changes to the intervention following the second set of design workshops
Website section | Main changes made in result of the suggestions in the second workshop |
|---|---|
Overall website | • Replaced references to ‘GPs’ with ‘prescribers’. • Added a Resources webpage with a list of all downloadable leaflets and resources, links to additional external resources (e.g. TARGET toolkit) and research papers/evidence. • Reduced the number of separate webpages for each section and moved non-essential text into expandable boxes for use if people want more details. |
Home webpage | • Main focus on the three AMS strategies, with short explanations what they are and direct links to these sections. • Presented the three AMS strategies in a purposeful order; communication skills and leaflets, POC-CRPT and DP. |
Section on communication skills and leaflets | • Added videos with a GP giving examples of communication strategies (helpful phrases). • Clarified that despite focus on acute infections, these strategies can be applicable to other types of consultations. • Shortened the text; highlighted examples found particularly helpful and novel by workshops participants. • Added sections on ‘benefits of leaflets’ and ‘how to use leaflets to engage patients’. |
Section on POC-CRPT | • Addressed the concern that POC-CRPT may increase demand and appointments for tests. • Clarified when to use and not use POC-CRPT. |
Section on DP | • Addressed the concern that patients use DPs immediately by referring to trial evidence that shows that most (2/3) patients don’t end up using DP. • Clarified that DP should not be offered if the GP doesn’t think antibiotics are clinically needed, but rather instead of immediate antibiotics. • Highlighted the potential benefits of DP (e.g. reducing re-consultations or ‘doctor-shopping’). |
Section on Implementation Support and Champions | • Explained who is meant by a practice Antibiotic Champion. • Explained why champions are important. (Suggestion to offer financial incentives was unaddressed as unfeasible.) • Suggested that champions may identify another professional to help with some activities. |