Website section | Example suggestions from think-aloud interviews with health professionals | How they were addressed |
---|---|---|
Home page | • The website was perceived as unattractive without pictures. • Unclear why these three AMS strategies are promoted. • Unclear logo. More ‘branding’ would seem helpful. | ➢ Added pictures for each AMS strategy. ➢ Clarified reasons for promoting the three strategies. ➢ Unchanged as participants held different views and was not considered a priority. |
Section on communication strategies | • Example phrases and mock conversations liked. • Perceived difficulty with using leaflets with patients where English isn’t their first language; unclear how they could access leaflets in other languages from the website. • Some disliked the mnemonic CHESTSSS, seen as hard to remember. • Too many webpages to go through to access the leaflets. | ➢ Added more example phrases. ➢ Highlighted availability of leaflets in other languages and provided a link to them. ➢ CHESTSSS retained as covering all key elements. ➢ Moved all information on leaflets to one webpage. |
Section on POC-CRPT | • References to NICE guideline should be highlighted. • Would like more information on using and interpreting results for different conditions. • Add information about manufacturer’s training and quality control tests. • Questioned if the website/project was funded by CRP test producers. • Would like a template or Standard Operating Procedures (SOP) for using POC-CRPT in practices. | ➢ NICE guidelines and trial evidence highlighted. ➢ No evidence for different conditions (other than respiratory infections) so no change. ➢ Added details on training and quality control. ➢ Clarified sources of funding. ➢ No template/SOP provided; suggested questions to agree on practice approach in meeting slides. |
Section on DP | • Concerned about ‘red flags’ and need for reconsultation or urgent care. • Highlight the information on typical duration of common infections. • Some confusion about the different names for DP used. | ➢ Added information on red flags (e.g. sepsis). ➢ Added a specific table on typical duration of infections. ➢ ‘Back-up/delayed’ retained as different people prefer/use different names. |
Section on Implementation Support and Champions | • More focus on addressing concerns and suggested actions for champions, rather than reasons for promoting AMS. • Practice meeting slides need to be shorter (for 5–10-min meetings). • Unclear who the resources for antibiotic champion webpage/link is for. • Information seemed targeted at those who already are champions and not encouraging people to become one. | ➢ Shortened the text on reasons and benefits, and expanded actions for champions. ➢ Shortened slides and divided into multiple sets. ➢ Called the webpage ‘implementation support’. ➢ Edited text to clarify the information is for everyone promoting prudent prescribing. |