Table 1.
Study author, year, study design, country | Population (n) | Setting and source of funding | Field of study | Intervention type | Duration of the intervention | Control | Outcome(s) assessed |
Bochicchio, 2006, RCTa, US [49] | 12 primary care physicians | Primary care setting, industrial funding (Johnson & Johnson, Research-In-Motion Corporation) | Antibiotic decision management guide | Mobile digital education | 3 months | Traditional education (usual practice) | Knowledge |
Butler, 2012, RCT, UK [48] | 68 practices, 263 primary care physicians, and 480,000 patients (approximate number) | Primary care setting, nonindustrial funding | Multifaceted educational program to reduce antibiotic dispensing in primary care | Online blended education (online digital education plus traditional education) | 1.5 hours | Traditional education (usual practice) | Clinical practice improvement; patient-related outcomes; economic outcome(s) |
Chen, 2014, cRCTb, China [47] | 100 practices and 479 primary care physicians | Primary care setting, nonindustrial funding | Management of upper respiratory infection | Mobile digital education | N/Ac | Traditional education (traditional CMEd program) | Knowledge; clinical practice improvement; health care professionals’ attitude; economic outcome(s) |
Dekker, 2018, cRCT, the Netherlands [45] | 35 practices, 75 primary care physicians, and 1009 patients | Primary care setting, nonindustrial funding | Antibiotic prescription in acute respiratory infection | Online digital education | N/A | Traditional education (usual practice) | Clinical practice improvement; patient-related outcomes |
Legare, 2012, cRCT, Canada [44] | 9 practices, 149 primary care physicians, and 359 patients | Primary care setting, nonindustrial funding | Antibiotic prescription in acute respiratory infection | Online blended education (online digital education plus traditional education) | 4 hours | Traditional education (usual practice) | Patient-related outcomes |
Meeker, 2016, cRCT, USA [41] | 47 practices and 248 primary care physicians | Primary care setting, nonindustrial funding | Antibiotic prescription among primary care practices | Online digital education | >18 months | Traditional education (usual practice) | Clinical practice improvement |
McNulty, 2018, cRCT, UK [42] | 150 practices and 166 primary care physicians | Primary care setting, nonindustrial funding | Antibiotic dispensing in primary care | Online blended education (online digital education plus traditional education) | 1 hour | Traditional education (usual practice) | Clinical practice improvement |
Little, 2013, cRCT, six European countries (England, Wales, Belgium, the Netherlands, Spain, and Poland) [43] | 246 practices and 4264 patients | Primary care setting, nonindustrial funding | Antibiotic prescription in acute respiratory infection | Online digital education (CRPe training) | N/A | Traditional education (usual practice) | Clinical practice improvement; health care professionals' attitude; patient-related outcomes; economic outcome(s) |
Yardley 2013, cRCT, six European countries (as mentioned above) [39] | 246 practices and 4264 patients | Primary care setting, nonindustrial funding | Antibiotic prescription in acute respiratory infection | Online digital education (enhanced-communication training) | N/A | Traditional education (usual practice) | Clinical practice improvement; health care professionals' attitude; patient-related outcomes; economic outcome(s) |
Oppong 2018, cRCT, six European countries (as mentioned above) [40] | 246 practices and 4264 patients | Primary care setting, nonindustrial funding | Antibiotic prescription in acute respiratory infection | Online digital education (combined CRP and enhanced-communication training) | N/A | Traditional education (usual practice) | Clinical practice improvement; health care professionals' attitude; patient-related outcomes; economic outcome(s |
aRCT: randomized controlled trial.
bcRCT: cluster randomized controlled trial.
cN/A: not applicable.
dCME: continuing medical education.
eCRP: C-reactive protein.