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Article

A Qualitative Investigation of the Acceptability and Feasibility of a Urinary Tract Infection Patient Information Leaflet for Older Adults and Their Carers

1
Public Health England, Gloucester GL1 1DQ, UK
2
Health and Social Sciences, Frenchay Campus, University of the West of England, Bristol BS16 1QY, UK
*
Author to whom correspondence should be addressed.
Received: 14 December 2020 / Revised: 8 January 2021 / Accepted: 14 January 2021 / Published: 16 January 2021
(This article belongs to the Special Issue Antimicrobial Prescribing and Stewardship)
Urinary tract infections (UTIs) can be life threatening in older adults. The aim of this study was to primarily understand the acceptability and feasibility of using a UTI leaflet for older adults in care homes and the community. Qualitative interviews and focus groups informed by the Theoretical Domains Framework were conducted in 2019 with 93 participants from two English areas where a UTI leaflet for older adults had been introduced to improve self-care advice. Discussions were conducted with care staff (carers and nurses), older adults, general practice staff (GPs, nurses and health care assistants), and other relevant stakeholders and covered experiences of using the leaflet; its implementation; and barriers and facilitators to use. Participants deemed the leaflet an acceptable tool. Clinicians and care staff believed that having information in writing would reinforce their messages to older adults. Care staff reported that some older adults may find the information overwhelming. Where implemented, care staff used the leaflet as an educational guide. Clinicians requested the leaflet in electronic and paper formats to suit preferences. Implementation barriers included lack of awareness of the leaflet, lack of staffing and resource, and weak working relationships between care homes and general practices. It is recommended that regional strategies must include plans for dissemination to care homes, training, promotion and easy access to the leaflet. Improvements to the leaflet consisted of inclusion of antibiotic course length, D-mannose, atrophic vaginitis and replacement of less alarmist terminology such as ‘life threatening’. View Full-Text
Keywords: urinary tract infections (UTI); older adults; qualitative; leaflet; Theoretical Domains Framework; antimicrobial resistance; antibiotics urinary tract infections (UTI); older adults; qualitative; leaflet; Theoretical Domains Framework; antimicrobial resistance; antibiotics
MDPI and ACS Style

Jones, L.F.; Williamson, H.; Downing, P.; Lecky, D.M.; Harcourt, D.; McNulty, C. A Qualitative Investigation of the Acceptability and Feasibility of a Urinary Tract Infection Patient Information Leaflet for Older Adults and Their Carers. Antibiotics 2021, 10, 83. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics10010083

AMA Style

Jones LF, Williamson H, Downing P, Lecky DM, Harcourt D, McNulty C. A Qualitative Investigation of the Acceptability and Feasibility of a Urinary Tract Infection Patient Information Leaflet for Older Adults and Their Carers. Antibiotics. 2021; 10(1):83. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics10010083

Chicago/Turabian Style

Jones, Leah F., Heidi Williamson, Petronella Downing, Donna M. Lecky, Diana Harcourt, and Cliodna McNulty. 2021. "A Qualitative Investigation of the Acceptability and Feasibility of a Urinary Tract Infection Patient Information Leaflet for Older Adults and Their Carers" Antibiotics 10, no. 1: 83. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics10010083

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