[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611919":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":38,"responsibleParty":55,"collaborators":58,"id":61,"slug":62,"hasResults":63,"nctId":64,"briefTitle":65,"officialTitle":66,"acronym":18,"eligibilityCriteria":67,"healthyVolunteers":63,"sex":68,"minAge":69,"maxAge":18,"enrollmentInfo":70,"targetDuration":18,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":81,"overallStatus":40,"whyStopped":18,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"Baylor College of Medicine","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"MSCC Educational Tool","EXPERIMENTAL","Participants receive a standardized educational tool prior to urine collection. This includes a short video and flyer in English or Spanish explaining proper midstream clean-catch technique. Materials are shown in the exam room before specimen collection.",[13],"Behavioral: MSCC Educational Tool",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Care","NO_INTERVENTION","Participants receive standard clinical care without additional educational materials. Urine collection follows routine clinic procedures.",null,[20],{"type":21,"name":9,"description":22,"armGroupLabels":23,"otherNames":18},"BEHAVIORAL","A brief educational intervention (video + flyer) designed to improve urine collection technique and reduce contamination. Delivered in the patient's preferred language (English or Spanish) immediately before urine collection.",[9],[25],{"name":26,"affiliation":5,"role":27},"Larissa Grigoryan, MD, PhD","PRINCIPAL_INVESTIGATOR",[29,34],{"name":30,"role":31,"phone":32,"phoneExt":18,"email":33},"Kiara Olmeda, MS","CONTACT","7137983293","kiara.olmeda@bcm.edu",{"name":35,"role":31,"phone":36,"phoneExt":18,"email":37},"Azalia Mancera","7137982910","azalia.mancera@bcm.edu",[39],{"facility":5,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"RECRUITING","Houston","Texas","77098","United States","US",{"type":47,"coordinates":48},"Point",[49,50],-95.36327,29.76328,{"lat":50,"lon":49},[53],{"name":54,"role":31,"phone":32,"phoneExt":18,"email":33},"Kiara Olmeda",{"type":27,"investigatorFullName":56,"investigatorTitle":57,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"LarisaGrigoryan","Associate Professor",[59],{"name":60,"class":6},"Washington University School of Medicine","100611919","diagnostic-stewardship-intervention-to-reduce-inappropriate-antibiotic-use-for-urinary-tract-infections-in-primary-care-100611919",false,"NCT07246837","Diagnostic Stewardship Intervention to Reduce Inappropriate Antibiotic Use for Urinary Tract Infections in Primary Care","A Randomized Controlled Trial of a Diagnostic Stewardship Intervention to Reduce Inappropriate Antibiotic Use for Urinary Tract Infections in Primary Care","Inclusion Criteria:\n\n* Adults (≥18 years) undergoing urine culture as part of routine outpatient care\n* Able to provide informed consent\n* English- and or Spanish-speaking.\n\nExclusion Criteria:\n\n* Presence of a urinary catheter\n* Inability to read and sign the informed consent\n* Unable to follow study procedures (due to significant visual, auditory, physical or cognitive impairment).","ALL","18 Years",{"count":71,"type":72},252,"ESTIMATED","INTERVENTIONAL",[75],"NA","Urine culture is the most common microbiological test in the outpatient setting in the United States. Unfortunately, contamination during collection is prevalent and undermines test accuracy, leading to incorrect diagnosis, unnecessary treatment, wasted laboratory resources, and inflated costs. Unnecessary antibiotic treatment increases the risk of developing antimicrobial resistance, one of the most serious threats to patients and public health. The goal of this clinical trial is to test whether a bilingual (English and Spanish) educational intervention, an animated video and pictorial flyer, can reduce urine culture contamination and associated inappropriate antibiotic use in adult patients visiting safety-net primary care clinics.\n\nThe main questions it aims to answer are:\n\n1. Does providing patients with a bilingual educational intervention reduce urine culture contamination rates?\n2. Does the intervention lead to fewer unnecessary urinary antibiotic prescriptions?\n3. Does providing patients with a bilingual educational intervention reduce contaminated urinalyses? Researchers will compare patients randomized to receive the educational intervention (video and flyer) to those receiving usual care to see if the intervention improves urine collection accuracy and reduces inappropriate antibiotic use. Participants will watch a short, animated video with step-by-step instructions for proper midstream clean-catch urine (MSCC) collection, receive a pictorial flyer (with stills from the video) reinforcing the instructions, and provide a urine sample for culture. Hypothesis: patients who receive the educational intervention will have: lower urine culture contamination rates (primary outcome), fewer urinary antibiotic prescriptions (secondary outcome), and fewer contaminated urinalyses (secondary outcome). The objectives are to (1) develop educational tools: Create an animated video and pictorial flyer with step-by-step urine collection instructions for women and men, developed through an iterative, stakeholder-engaged process, (2) assess acceptability: Use mixed methods (quantitative surveys and qualitative interviews) to evaluate and refine the tools for usability and cultural\u002Flinguistic appropriateness, and (3) test effectiveness: Conduct a randomized controlled trial to assess the intervention's impact on urine contamination rates, antibiotic prescribing, and patient satisfaction.",[78,79,80],"Urinary Tract Infection(UTI)","Antimicrobial Stewardship","Primary Care",[82,83,84,85,86,79,80,87],"Urinary Tract Infection","UTI","Inappropriate Antibiotic Use","Diagnostic Stewardship","Antibiotic Resistance","Randomized Controlled Trial","2026-02-11",{"date":90,"type":91},"2026-02-13","ACTUAL",{"date":93,"type":91},"2026-01-22",{"date":95,"type":72},"2028-05-31",{"name":5,"class":6},1]