[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100390007":3},{"organization":4,"armGroups":7,"interventions":30,"overallOfficials":12,"centralContacts":47,"locations":53,"responsibleParty":72,"collaborators":74,"id":77,"slug":78,"hasResults":79,"nctId":80,"briefTitle":81,"officialTitle":81,"acronym":12,"eligibilityCriteria":82,"healthyVolunteers":83,"sex":84,"minAge":12,"maxAge":12,"enrollmentInfo":85,"targetDuration":12,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":56,"whyStopped":12,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":102,"completionDateStruct":104,"leadSponsor":106,"locationsCount":107},{"fullName":5,"class":6},"Oxford University Clinical Research Unit, Vietnam","OTHER",[8,13,17,21,25],{"label":9,"type":10,"description":11,"interventionNames":12},"Arm 1: Control group","NO_INTERVENTION","For commune health center and community",null,{"label":14,"type":6,"description":11,"interventionNames":15},"Arm 2: Basic antimicrobial stewardship education",[16],"Other: Basic antimicrobial stewardship education",{"label":18,"type":6,"description":11,"interventionNames":19},"Arm 3: 3. Basic AS education + community education",[16,20],"Other: Community education",{"label":22,"type":6,"description":11,"interventionNames":23},"Arm 4: Education + participatory action research",[16,24,20],"Other: Participatory action research group in commune health center and community",{"label":26,"type":6,"description":27,"interventionNames":28},"Hospital intervention","For hospital: The hospital interventions will use quality improvement using a participatory action research approach to improve antibiotic stewardship. These activities will be evaluated through a before and after knowledge, attitudes and practice (KAP) survey, to assess whether or not the engagement activities had a measurable impact on knowledge and behaviour. There are not sufficient hospitals in the area to conduct a cluster randomized evaluation, so we will conduct a before and after survey, patient record review, and overall antibiotic use data from the Pharmacy Department",[29],"Other: Antimicrobial stewardship program in hospitals",[31,35,39,43],{"type":6,"name":32,"description":33,"armGroupLabels":34,"otherNames":12},"Basic antimicrobial stewardship education","Commune health center: Revision of guidelines for antibiotic prescribing for respiratory infections in primary care, Training primary healthcare doctors in the application of the new guidelines",[14,18,22],{"type":6,"name":36,"description":37,"armGroupLabels":38,"otherNames":12},"Participatory action research group in commune health center and community","* Establish a participatory action research group\n* Engagement with the group through participatory action research involving problem identification, planning change strategies, implementing strategies, and evaluation",[22],{"type":6,"name":40,"description":41,"armGroupLabels":42,"otherNames":12},"Antimicrobial stewardship program in hospitals","The intervention activities in hospitals will include: training a health-worker in each of the participating hospitals to act as a facilitator or \"activator\"; forming an antibiotic stewardship group; meeting regularly and following an action-research cycle that includes problem identification, planning change strategies, implementing strategies, and evaluating strategies",[26],{"type":6,"name":44,"description":45,"armGroupLabels":46,"otherNames":12},"Community education","Development of educational materials for the community and farmers; Disseminated of messages through posters, leaflets and local media channels",[18,22],[48],{"name":49,"role":50,"phone":51,"phoneExt":12,"email":52},"Sonia Lewycka, Doctor","CONTACT","0868140261","slewycka@oucru.org",[54],{"facility":55,"status":56,"city":57,"state":12,"zip":58,"country":59,"countryCode":60,"cosmosGeoPoint":61,"geoPoint":66,"contacts":67},"Nam Dinh province","RECRUITING","Nam Định","07000","Vietnam","VN",{"type":62,"coordinates":63},"Point",[64,65],106.17729,20.43389,{"lat":65,"lon":64},[68],{"name":69,"role":50,"phone":70,"phoneExt":12,"email":71},"Thai Q. Pham, Doctor","0913092777","pqt@nihe.org.vn",{"type":73,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR",[75],{"name":76,"class":6},"National Institute of Hygiene and Epidemiology, Vietnam","100390007","generating-collective-solutions-to-reduce-unnecessary-antibiotic-use-in-vietnam-100390007",false,"NCT04358289","Generating Collective Solutions to Reduce Unnecessary Antibiotic Use in Vietnam","For communities:\n\nInclusion criteria:\n\n* Commune officials consent to take part;\n* Have a commune population larger than 3000 individuals;\n* Have active Women's Union and Farmers' Union groups with a paid commune-level representative;\n* Commune health centre has a doctor;\n* Commune health centre has electronic database.\n\nExclusion criteria:\n\n* Urban areas with a low proportion of farmers or low utilisation of CHCs for primary healthcare.\n\nFor study participants:\n\nInclusion criteria:\n\n* Participant is willing and able to give informed consent for participation in the study;\n* Community members normally resident in the study commune (living in the study commune and resident for at least three months);\n\nExclusion criteria:\n\n* No one will be actively excluded from participating in this population-based study.\n\nFor Commune Health Centers:\n\nInclusion criteria:\n\n* Serve a commune population larger than 3000 individuals;\n* Have an average caseload of at least 10 consultations per facility per week for ARI verified by checking the database system of the provincial centre for disease control and prevention (CDC) where the implementation study is being conducted;\n* Health centre doctor is normally employed at the centre and has been there for at least three months.\n\nExclusion criteria:\n\n* Low antibiotic prescription rate for ARI of below 40%.\n\nFor Patient records:\n\nInclusion criteria:\n\n* All patients' anonymised records.\n\nExclusion criteria:\n\n* Don't have national health insurance\u002Fnot recorded.",true,"ALL",{"count":86,"type":87},3315,"ESTIMATED","INTERVENTIONAL",[90],"NA","The study aims to develop community-based interventions targetting inappropriate antibiotic dispensing and use behaviours in rural Vietnam and has 3 research components.\n\nCommunity and primary healthcare interventions: The investigators will conduct a four-armed cluster randomised controlled trial. The first arm will be a control arm with no interventions. The second intervention arm will have a basic antimicrobial stewardship intervention, involving working with the Ministry of Health, Medical Services Administration to revise guidelines for antibiotic prescribing for acute respiratory infections (ARI) in primary care, and then training primary healthcare doctors in their use. The third intervention arm will have basic antimicrobial stewardship guidelines and training for primary healthcare doctors, plus educational materials for the community, disseminated through posters, leaflets and local media channels. The fourth intervention arm will use a participatory action research approach to engage primary healthcare doctors and communities, in addition to the basic guidelines and training materials. The participatory action research approach will train local facilitators to lead community and health-worker groups through a cycle of problem identification, strategy development, implementation and review, focusing on inappropriate human and small-scale agricultural use of antibiotics.\n\nHospital interventions: The investigators will work with Provincial and District Hospitals serving these communities to implement quality improvement cycles for antibiotic stewardship, also using a participatory action research approach. This will also follow a cycle of a cycle of problem identification, strategy development, implementation and review.",[93],"Antibiotic Use",[95,96,97],"AMR","primary health care","Antimicrobial resistance","2023-12-05",{"date":100,"type":101},"2023-12-06","ACTUAL",{"date":103,"type":101},"2020-02-27",{"date":105,"type":87},"2026-09",{"name":5,"class":6},1]