The University of Southampton
Medicine

Research project: ANCAP - Antibiotic Negotiations Conversation Analytic Project

Currently Active: 
Yes
Project type: 
Grant

Many patients in primary care are being prescribed antibiotics to treat mild infections such as colds, earaches and sore throats. Many of these are viral rather than bacterial infections that get better on their own and which can be treated with self-care (such as rest, fluids and mild pain killers).

Project Overview

The overuse and misuse of antibiotics in primary care is an increasing national and global concern due to the increasing risk of antimicrobial resistance (AMR) (when bacteria becomes resistant to treatments leading to increased risks of illness lasting longer, increased symptom severity and even death). Current UK health guidelines and research is centred on ways to understand and improve how health care professionals prescribe antibiotics. Research findings show that open and clear communication between GPs and patients is important in order for antibiotic prescribing to be better; but, there is a lack of evidence about what open/clear communication looks like and how it might be achieved in practice. The proposed project will examine a sample drawn from three datasets of GP video-recordings collected from primary care (GP) practices across the South of England (Southampton, Bristol and London) and will analyse how GPs and patients discuss and negotiate the need for antibiotics using the principles of Conversation Analysis (CA). 26 video recordings from the Southampton EPaC dataset combined with data from the Bristol Archive (lead Rebecca Barnes) and the SPCR funded HaRI study (Lead Fiona Stevenson) will enable the analysis of a larger corpus which will lead to the design of a draft GP communication tool and the development of a communication intervention in a larger research programme in 2018.

LOCAL INVESTIGATORS: Geraldine Leydon, Catherine Woods, Michael Moore, Paul Little, Caroline Eyles

Postdoctoral Research Fellow: Catherine Woods

Funder: NIHR SPCR FR13

Duration: 01 April 2017 – 28 February 2018  

Contact: G.M.Leydon@soton.ac.uk  or Catherine.Woods@soton.ac.uk

 

Related research groups

Primary Care & Population Sciences Academic Units

Staff

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