RELAX: Reducing Length of Antibiotics for Children With Ear Infections (RELAX)
Acute Otitis Media, Pediatric Infectious Disease, Ear Infection
About this trial
This is an interventional health services research trial for Acute Otitis Media focused on measuring Acute Otitis Media, Ear Infections, Pediatric Infectious Disease, Electronic Health Record, Antibiotic Stewardship
Eligibility Criteria
Inclusion Criteria: A. Secondary use data of encounters for children with AOM Aged 2-17-years-old (inclusive) Diagnosis of AOM by ICD10 code AOM is uncomplicated Prescribed an oral antibiotic B. Clinician and administrator interviews Licensed clinician (physician or advanced practice clinician) that cares for children with AOM Practices in an intervention study site Is not a medical trainee (student, resident, fellow, etc.) Aged >=18 years-no maximum C. Parent focus groups Parent or legal guardian of a child aged 2-17 years that has had AOM diagnosed at Vanderbilt University Medical Center or Washington University 18 years of age or older and able/willing to consent D. Clinician and administrator surveys Licensed clinician (physician or advanced practice clinician) that cares for children with AOM Practices in an intervention study site Is not a medical trainee (student, resident, fellow, etc.) Aged >=18 years-no maximum Exclusion Criteria: A. Secondary use data of encounters for children with AOM 1. Complicated infection (determined a priori) B. Clinician and administrator interviews 1. Medical trainee C. Parent focus groups Not parent or legal guardian Does not speak English or Spanish (focus groups can only be conducted in these languages). D. Clinician and administrator surveys 1. Medical trainee
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
High Intensity
Low Intensity
Community-based clinics and/or urgent care centers that are assigned to the high intensity arm will receive the high intensity intervention.
Community-based clinics and/or urgent care centers that are assigned to the low intensity arm will receive the low intensity intervention.