TY - JOUR
T1 - Health Providers’ Advising on Symptom Management for Upper Respiratory Tract Infections
T2 - Does Elaboration of Reasoning Influence Outcomes Relevant to Antibiotic Stewardship?
AU - Foley, Kasey A.
AU - MacGeorge, Erina L.
AU - Brinker, David L.
AU - Li, Yuwei
AU - Zhou, Yanmengqian
N1 - Funding Information:
A special thank you to Krista Barbeau, Katherine Bruce, Christyann Cosio, Melinda Kondisko, and Brittany Sharkey for the countless hours they spent analyzing visit transcripts for provider advising behaviors. Many thanks also to Meaghan R. Gade, Dr. James L. LeBreton, and Levi Shiverdecker, for their guidance on conceptualizing and coding the analyses for this article. Finally, thank you to the two anonymous referees for their constructive criticism of this work. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by funding from Merck, Sharp, & Dohme Corp. through its Investigator Studies Program.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by funding from Merck, Sharp, & Dohme Corp. through its Investigator Studies Program.
Publisher Copyright:
© The Author(s) 2020.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Antibiotic-resistant infections, fueled by unwarranted antibiotic prescribing, are an increasing threat to public health. Reducing overprescribing and promoting antibiotic stewardship requires managing patient expectations for and understanding about the utility of antibiotics. One hotspot for overprescribing is upper respiratory tract infections, for which the best treatment is often non-antibiotic symptom management behaviors. Guided by advice response theory, the current study examines how providers’ reason-giving for symptom management advice affected perceptions of advice quality, efficacy for symptom monitoring and management, and satisfaction with care for patients who were not prescribed antibiotics for their upper respiratory tract infections. Transcribed medical visits were coded for symptom management advice reason-giving and patients completed post-visit surveys. Greater provider elaboration about instruction was independently and positively associated with evaluations of advice quality. Results also indicate several significant interactions between types of reason-giving. Implications of these findings for advice theory and clinical practice are addressed in the discussion.
AB - Antibiotic-resistant infections, fueled by unwarranted antibiotic prescribing, are an increasing threat to public health. Reducing overprescribing and promoting antibiotic stewardship requires managing patient expectations for and understanding about the utility of antibiotics. One hotspot for overprescribing is upper respiratory tract infections, for which the best treatment is often non-antibiotic symptom management behaviors. Guided by advice response theory, the current study examines how providers’ reason-giving for symptom management advice affected perceptions of advice quality, efficacy for symptom monitoring and management, and satisfaction with care for patients who were not prescribed antibiotics for their upper respiratory tract infections. Transcribed medical visits were coded for symptom management advice reason-giving and patients completed post-visit surveys. Greater provider elaboration about instruction was independently and positively associated with evaluations of advice quality. Results also indicate several significant interactions between types of reason-giving. Implications of these findings for advice theory and clinical practice are addressed in the discussion.
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U2 - 10.1177/0261927X20912460
DO - 10.1177/0261927X20912460
M3 - Article
AN - SCOPUS:85084643077
SN - 0261-927X
VL - 39
SP - 349
EP - 374
JO - Journal of Language and Social Psychology
JF - Journal of Language and Social Psychology
IS - 3
ER -