TABLE 4.
Rate Ratios of Antibiotic Prescribing During Visits to Less-Engaged Clinicians for ARTI Overall and by Condition (by Study Time Period)
| Condition | Measure | Baseline | Module 1 | Module 2 | Module 3 | Postintervention |
|---|---|---|---|---|---|---|
| aRR (95% CI) | ||||||
| ARTI overall | Any prescribing | Reference | 0.96 (0.89–1.03) | 0.88 (0.81–0.95) | 0.87 (0.82–0.93) | 0.93 (0.87–0.99) |
| Viral ARTI | Any prescribing | Reference | 0.40 (0.26–0.61) | 0.85 (0.62–1.15) | 0.70 (0.53–0.93) | 0.53 (0.39–0.72) |
| All pharyngitis | Any prescribing | Reference | 1.09 (0.97–1.21) | 1.02 (0.89–1.16) | 0.87 (0.75–1.00) | 0.98 (0.87–1.09) |
| AOM | Second-line prescribing | Reference | 0.99 (0.77–1.24) | 0.70 (0.52–0.92) | 1.17 (0.99–1.38) | 1.27 (1.07–1.47) |
| Streptococcal pharyngitis | Second-line prescribing | Reference | 0.58 (0.29–1.12) | 0.65 (0.31–1.33) | 0.98 (0.51–1.83) | 0.72 (0.40–1.27) |
| Sinusitis | Second-line prescribing | Reference | 1.13 (0.65–1.83) | 0.63 (0.34–1.11) | 0.90 (0.54–1.42) | 0.96 (0.57–1.54) |
Less-engaged clinicians only received feedback reports but did not engage fully with remaining intervention components. Module 1 contained online communication and antibiotic prescribing tutorials and webinars and an individualized antibiotic prescribing feedback report. Module 2 contained 2 online communication booster video vignettes and an antibiotic prescribing feedback report. Module 3 contained 1 communication booster video vignette and 2 antibiotic prescribing feedback reports.