Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study
BackgroundMobile health platforms like smartphone apps that provide clinical guidelines are ubiquitous, yet their long-term impact on guideline adherence remains unclear. In 2016, an antibiotic guidelines app, called SCRIPT, was introduced in Auckland City Hospital, New Zeala...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-05-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2023/1/e42978 |
| _version_ | 1797734211485958144 |
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| author | Chang Ho Yoon Imogen Nolan Gayl Humphrey Eamon J Duffy Mark G Thomas Stephen R Ritchie |
| author_facet | Chang Ho Yoon Imogen Nolan Gayl Humphrey Eamon J Duffy Mark G Thomas Stephen R Ritchie |
| author_sort | Chang Ho Yoon |
| collection | DOAJ |
| description |
BackgroundMobile health platforms like smartphone apps that provide clinical guidelines are ubiquitous, yet their long-term impact on guideline adherence remains unclear. In 2016, an antibiotic guidelines app, called SCRIPT, was introduced in Auckland City Hospital, New Zealand, to provide local antibiotic guidelines to clinicians on their smartphones.
ObjectiveWe aimed to assess whether the provision of antibiotic guidelines in a smartphone app resulted in sustained changes in antibiotic guideline adherence by prescribers.
MethodsWe analyzed antibiotic guideline adherence rates during the first 24 hours of hospital admission in adults diagnosed with community-acquired pneumonia using an interrupted time-series study with 3 distinct periods post app implementation (ie, 3, 12, and 24 months).
ResultsAdherence increased from 23% (46/200) at baseline to 31% (73/237) at 3 months and 34% (69/200) at 12 months, reducing to 31% (62/200) at 24 months post app implementation (P=.07 vs baseline). However, increased adherence was sustained in patients with pulmonary consolidation on x-ray (9/63, 14% at baseline; 23/77, 30% after 3 months; 32/92, 35% after 12 month; and 32/102, 31% after 24 months; P=.04 vs baseline).
ConclusionsAn antibiotic guidelines app increased overall adherence, but this was not sustained. In patients with pulmonary consolidation, the increased adherence was sustained. |
| first_indexed | 2024-03-12T12:40:01Z |
| format | Article |
| id | doaj.art-0f0c812ee5c14a8a81b8eebf44097ba6 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T12:40:01Z |
| publishDate | 2023-05-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-0f0c812ee5c14a8a81b8eebf44097ba62023-08-28T23:51:14ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-05-0125e4297810.2196/42978Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series StudyChang Ho Yoonhttps://orcid.org/0000-0003-1356-0392Imogen Nolanhttps://orcid.org/0000-0003-1381-345XGayl Humphreyhttps://orcid.org/0000-0002-2837-5707Eamon J Duffyhttps://orcid.org/0000-0002-4515-5116Mark G Thomashttps://orcid.org/0000-0001-9381-7623Stephen R Ritchiehttps://orcid.org/0000-0001-5001-8899 BackgroundMobile health platforms like smartphone apps that provide clinical guidelines are ubiquitous, yet their long-term impact on guideline adherence remains unclear. In 2016, an antibiotic guidelines app, called SCRIPT, was introduced in Auckland City Hospital, New Zealand, to provide local antibiotic guidelines to clinicians on their smartphones. ObjectiveWe aimed to assess whether the provision of antibiotic guidelines in a smartphone app resulted in sustained changes in antibiotic guideline adherence by prescribers. MethodsWe analyzed antibiotic guideline adherence rates during the first 24 hours of hospital admission in adults diagnosed with community-acquired pneumonia using an interrupted time-series study with 3 distinct periods post app implementation (ie, 3, 12, and 24 months). ResultsAdherence increased from 23% (46/200) at baseline to 31% (73/237) at 3 months and 34% (69/200) at 12 months, reducing to 31% (62/200) at 24 months post app implementation (P=.07 vs baseline). However, increased adherence was sustained in patients with pulmonary consolidation on x-ray (9/63, 14% at baseline; 23/77, 30% after 3 months; 32/92, 35% after 12 month; and 32/102, 31% after 24 months; P=.04 vs baseline). ConclusionsAn antibiotic guidelines app increased overall adherence, but this was not sustained. In patients with pulmonary consolidation, the increased adherence was sustained.https://www.jmir.org/2023/1/e42978 |
| spellingShingle | Chang Ho Yoon Imogen Nolan Gayl Humphrey Eamon J Duffy Mark G Thomas Stephen R Ritchie Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study Journal of Medical Internet Research |
| title | Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study |
| title_full | Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study |
| title_fullStr | Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study |
| title_full_unstemmed | Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study |
| title_short | Long-Term Impact of a Smartphone App on Prescriber Adherence to Antibiotic Guidelines for Adult Patients With Community-Acquired Pneumonia: Interrupted Time-Series Study |
| title_sort | long term impact of a smartphone app on prescriber adherence to antibiotic guidelines for adult patients with community acquired pneumonia interrupted time series study |
| url | https://www.jmir.org/2023/1/e42978 |
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