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A qualitative investigation of the acceptability and feasibility of a urinary tract infection patient information leaflet for older adults and their carers

Jones, Leah F.; Williamson, Heidi; Downing, Petronella; Lecky, Donna M.; Harcourt, Diana; McNulty, Cliodna

A qualitative investigation of the acceptability and feasibility of a urinary tract infection patient information leaflet for older adults and their carers Thumbnail


Authors

Leah F. Jones

Heidi Williamson Heidi3.Williamson@uwe.ac.uk
Associate Professor in Applied Health Research

Petronella Downing

Donna M. Lecky

Cliodna McNulty



Abstract

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’.

Citation

Jones, L. F., Williamson, H., Downing, P., Lecky, D. M., Harcourt, D., & McNulty, C. (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(1), https://doi.org/10.3390/antibiotics10010083

Journal Article Type Article
Acceptance Date Jan 14, 2021
Online Publication Date Jan 16, 2021
Publication Date Jan 16, 2021
Deposit Date Jan 14, 2021
Publicly Available Date Mar 26, 2021
Journal Antibiotics
Electronic ISSN 2079-6382
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 10
Issue 1
Article Number 83
DOI https://doi.org/10.3390/antibiotics10010083
Public URL https://uwe-repository.worktribe.com/output/6986426

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