Article 1: Multi-community Intervention

Article #1:
Title: Parental knowledge about antibiotic use: results of a cluster-randomized, multicommunity intervention.


Aim of Intervention: To determine the impact of community-wide educational intervention on parental misconceptions likely contributing to pediatric antibiotic overprescribing.

Target Population: Parents of children < 6 years of age.

Target Place: 16 Massachusetts (USA) communities; 8 intervention communities, 8 control communities.

Time Period:  2000 – 2003 (3 years)

Intervention Tool(s): pre-survey à educational newsletters, exposure to educational materials during visits to local pediatric providers, pharmacies, and child care centers à post-survey.

Technology: Mixed-effect regression models (GLIMMIX macro and PROC MIXED in SAS, version 8.2; SAS Institute, Cary, NC).

Results: After the 3 year period, 12% improvement in post-survey scoring from intervention group and 7% improvement in control group.

Costs: Printing and mailing fees of educational material and surveys, registered statistical software.


Personal Reflection: Though the results did not deem to be distinctly significant between the intervention and control groups, it is important to consider that this intervention was held in a developed country where it is more socially advantaged, as opposed to developing countries such as Indonesia. Hence for starters, this method of intervention could be considered affordable and practical to assess parental knowledge on rational antibiotic use here in Indonesia.

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