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Research

Feasibility of a placebo-controlled trial of antibiotics for possible urinary tract infection in care homes: a qualitative interview study

Christopher R Wilcox, Louise Worswick, Ingrid Muller, Abigail Moore, Gail Hayward, Mark Lown, Michael Moore, Paul Little and Nick Francis
BJGP Open 2023; 7 (3): BJGPO.2023.0014. DOI: https://doi.org/10.3399/BJGPO.2023.0014
Christopher R Wilcox
1 Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK
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  • ORCID record for Christopher R Wilcox
  • For correspondence: Christopher.Wilcox@soton.ac.uk
Louise Worswick
2 Primary Care Research Centre, Faculty of Medicine, University of Southampton, Southampton, UK
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Ingrid Muller
2 Primary Care Research Centre, Faculty of Medicine, University of Southampton, Southampton, UK
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Abigail Moore
3 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Gail Hayward
3 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Mark Lown
2 Primary Care Research Centre, Faculty of Medicine, University of Southampton, Southampton, UK
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Michael Moore
2 Primary Care Research Centre, Faculty of Medicine, University of Southampton, Southampton, UK
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Paul Little
1 Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK
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Nick Francis
2 Primary Care Research Centre, Faculty of Medicine, University of Southampton, Southampton, UK
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    Figure 1. Diagram of topics and themes from the thematic analysis of care home staff and primary care clinician interviews. UTI = urinary tract infection

Tables

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    Table 1. Care home staff demographics
    Participant IDHome typeMain roleTime working in present care homeTotal time working in care homesPrevious experience of researchAge, yearsSex
    VENCH016ResidentialDeputy manager8 years41 yearsYes57F
    VENCH017Residential dementiaRegistered manager13 years45 yearsYes62F
    VENCH018Dual registeredNight-care coordinator20 years30 yearsNo53F
    VENCH019ResidentialRegistered manager5 months15 yearsNo45F
    VENCH020ResidentialHead of care7 years10 yearsNo34F
    VENCH021ResidentialSenior manager27 years27 yearsNo70M
    VENCH022Residential LD and nursingSenior nurse4 years10 yearsNo45F
    VENCH023Residential LD and nursingNurse6 months14 yearsNo35F
    VENCH024Residential older adultsSenior carer7 years16 yearsYes36F
    VENCH025Residential behaviour and dementiaService lead (MH nurse)6 years13 yearsYes35F
    VENCH026Residential dementiaDeputy manager16 years30 yearsYes60F
    VENCH027Residential dementiaSenior carer20 years25 yearsNo54F
    VENCH028Dementia nursing careCompliance manager (MH nurse)2 years25 yearsYes42F
    VENCH029Residential dementiaCare support worker6 months2 yearsNo26F
    VENCH030Residential dementia and Parkinson’sNight-care support worker3 years15 yearsNo40F
    VENCH031Nursing homeCare workera 4 months4 monthsNo53F
    • aThis care worker stated they met the eligibility criteria but was subsequently found to have only had 4 months of experience working in a care home (eligibility criteria was 6 months). A decision was made to keep data from this participant. LD = learning disability. MH = mental health.

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    Table 2. Primary care clinician demographics
    Participant IDRoleWork settingGP academic or special interest. Background and clinical management if not medicalNumber of homesPrevious experience of researchAge, yearsSex
    VENPC002Advanced clinical practitionerCare home assessment team in general practiceOT. Assesses and informs GP; does not prescribe20No47F
    VENPC003Older adult practitionerCare home assessment team in general practiceNurse. Assesses and informs GP; does not prescribe20No48F
    VENPC004GP partnerGeneral practiceNone5–6Yes33F
    VENPC005GP partnerGeneral practicePCN care home lead. Practice research lead6Yes54M
    VENPC006Older adult practitionerCare home assessment team in general practiceParamedic. Assesses, treats, and discusses with GP; does not prescribe20Yes49M
    VENPC007GP partnerGeneral practicePCN senior role7Yes44M
    VENPC008GP partnerGeneral practicePractice research lead8Yes45F
    VENPC009GP partnerGeneral practicePractice care home lead2No45F
    VENPC010Telemedicine team leaderSecondary and primary care, remote triage for residential homesManages clinical triage team of assessors; admits or refers to GP. Does not prescribe200No37F
    VENPC011Salaried GPGeneral practiceNone6Yes52F
    VENPC012GP partnerGeneral practicePCN research lead4Yes42M
    • OT = occupational therapist. PCN = primary care network. GP = general practitioner.

Supplementary Data

  • W_10.3399BJGPO.2023.0014_supp_v2.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Feasibility of a placebo-controlled trial of antibiotics for possible urinary tract infection in care homes: a qualitative interview study
Christopher R Wilcox, Louise Worswick, Ingrid Muller, Abigail Moore, Gail Hayward, Mark Lown, Michael Moore, Paul Little, Nick Francis
BJGP Open 2023; 7 (3): BJGPO.2023.0014. DOI: 10.3399/BJGPO.2023.0014

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Feasibility of a placebo-controlled trial of antibiotics for possible urinary tract infection in care homes: a qualitative interview study
Christopher R Wilcox, Louise Worswick, Ingrid Muller, Abigail Moore, Gail Hayward, Mark Lown, Michael Moore, Paul Little, Nick Francis
BJGP Open 2023; 7 (3): BJGPO.2023.0014. DOI: 10.3399/BJGPO.2023.0014
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Keywords

  • urinary tract infections
  • Qualitative research
  • primary health care
  • General Practice
  • care home
  • Feasibility studies

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