Application of the CHIldren with acute COugh (CHICO) framework to enhance the management of antibiotics

Recent research demonstrated that the CHIldren with acute COugh (CHICO) intervention is a valuable tool for clinicians to make decisions about antibiotic prescriptions and engage with caregivers about their worries and treatment options. Adjusting the intervention might be necessary to create a better fit with how clinicians manage their consultations, both in traditional settings and through remote means. The data from this study were presented in The British Journal of General Practice.
Interviews were conducted to assess the acceptability and utilization of the CHICO intervention. Various healthcare providers from clinics with different antibiotic dispensing patterns, including those with high and low rates, were recruited for the study. The data collection and thematic analysis were based on normalization process theory.
Clinicians generally found the intervention to be beneficial because it was straightforward and quick to implement, allowing them to address carer concerns while reassuring both themselves and the carers about the treatment decisions being made. However, it was mainly used as a supportive tool for treatment choices rather than a method for changing behavior. The advice leaflet that came with it was useful for explaining treatment decisions and encouraging self-care. There were instances where the intervention did not align with the clinicians' standard procedures, which could hinder its application. As familiarity with the algorithm grew, the reliance on interventions decreased, a trend that increased during the COVID-19 pandemic when practices changed and remote consultations became more common.
In summary, the CHICO intervention serves as a valuable resource for healthcare professionals. It helps clinicians make informed decisions about antibiotic prescriptions and encourages discussions with caregivers regarding their concerns and available treatment options.