BAA HCP Post Campaign Screener and Survey

[NCEZID] Assessment for the Be Antibiotics Aware Consumer Campaign

BAA HCP Post-Campaign web survey

BAA HCP Post-Campaign web survey

OMB: 0920-1387

Document [docx]
Download: docx | pdf



Centers for Disease Control and Prevention

Division of Healthcare Quality Promotion

Be Antibiotics Aware (BAA)

HCP Posttest Survey

Prepared for DHQP by CATMEDIA



Table of Contents

HCP Intended Audiences 2

Priority markets 2

classification of Respondents based on their responses to the screener questions 2

End of screener Message 3

Ineligibility Message 4

BAA HCP Screener Begins Here 4

baa HCP posttest SCREENER [ALL] 5

General Instructions for Programmer and Recruiter 7

Ineligibility Message 7

End of Survey Message for posttest 7

Exposure to Campaign [ALL] 8

CAMPAIGNS 8

Frequency and Channel of Exposure [EXPOSED ONLY] 8

PRINTED MEDIA 9

SOCIAL MEDIA 9

ONLINE/INTERNET MEDIA 10

TV AND RADIO MEDIA 10

PUBLIC PLACES 11

Risks and Benefits of Antibiotics – Attitudes and Beliefs [ALL GROUPS EXCEPT PHARMACISTS] 12

PERCEIVED SEVERITY 12

PERCEIVED SUSCEPTIBILITY 13

PERCEIVED BENEFITS 13

BEHAVIOR (PRESCRIBING) 14

Risks and Benefits of Antibiotics – Attitudes and Beliefs [PHARMACISTS ONLY] 14

PERCEIVED SEVERITY 15

PERCEIVED SUSCEPTIBILITY 15

PERCEIVED BENEFITS 15

Discussing Antibiotics with Patients: Attitudes, Beliefs and Behaviors [ALL EXCEPT PHARMACISTS] 16

KNOWLEDGE OF NEED FOR CONVERSATIONS 16

PERCEIVED BENEFITS OF CONVERSATIONS 16

BEHAVIOR (CONVERSATIONS) 17

Discussing Antibiotics with Patients: Attitudes, Beliefs, and Behaviors [PHARMACISTS ONLY] 18

KNOWLEDGE OF NEED FOR CONVERSATIONS 18

PERCEIVED BENEFITS OF CONVERSATIONS 19

BEHAVIOR (CONVERSATIONS) 19

Covid-19 Behavior [ALL Except dentists] 20

Use of Campaign Materials [EXPOSED ONLY] 20

Media Use and Habits [UNEXPOSED ONLY] 27

PRINTED MEDIA 27

SOCIAL MEDIA 28

ONLINE/INTERNET MEDIA 28

TV AND RADIO MEDIA 29

PUBLIC PLACES 29

OTHER MEDIA 29

Demographic Characteristics [ALL] 30

HCP INCENTIVE PAGe [ALL] 31





HCP Intended Audiences

  1. Hospitalists

  2. Dentists

  3. Physicians and advanced practice providers in nursing homes

  4. Nurses in nursing homes 

  5. Community pharmacists 


Priority markets

  1. Tennessee (TN)

  2. Iowa (IA)

  3. Nebraska (NE)

  4. Alabama (AL)

classification of Respondents based on their responses to the screener questions

Respondents should be classified as “Hospitalists” if their response(s) to

  • Q8 = Physician (MD or DO), Physician Assistant (PA), or Nurse Practitioner (NP)

  • Q9 = Hospital AND

  • Q10 = 31 or more hours AND

  • Q11 = Once a week or multiple times every week


Respondents should be classified as “Dentists” if their response(s) to

  • Q8= Dentist (DDS or DMD)

  • Q9 = Dental office AND

  • Q10 = 31 or more hours AND

  • Q11 = Once a week or multiple times every week


Respondents should be classified as “Physicians and Advanced Practice Professionals (APPs) in Nursing Homes (NHs)” if their response(s) to

  • Q8 = Physician (MD or DO), Physician Assistant (PA), Nurse Practitioner (NP)

  • Q9 = Nursing home/Long Term Care AND

  • Q10 = 31 or more hours AND

  • Q11 = Once a week or multiple times every week


Respondents should be classified as “Nurses in NHs” if their response(s)

  • Q8 = Licensed Nurse (RN, BSN, LPN)

  • Q9 = Nursing home/Long Term Care AND

  • Q10 = 31 or more hours AND

  • Q11 = Once a week or multiple times every week


Respondents should be classified as “Community Pharmacists” if their response(s) to

  • Q8 = Pharmacist (PharmD or RPh)

  • Q9 = Pharmacy (Retail) AND

  • Q10 = 31 or more hours AND

  • Q11 = Once a week or multiple times every week


Tallgrass: Do not send a survey link to participants who did not fall under any intended audience group.


End of screener Message

Programmer: Present this message to participants who completed the screener.

Programmer: Customize the collector’s page with this message.


Thank you for answering the screening questions. If you are eligible to participate, you will receive an email with a copy of your signed informed consent and the link to take the survey. The incentive described in the informed consent will be available upon completion of the survey. If you have any questions or concerns, please contact Julie Overby at [email protected] or call phone number 253-238-7787 or 360-942-8466.


Thank you for your time.


SCREENER Ineligibility Message 

Programmer: Present this message to participants who do not give their consent and respondents who provide a response that makes them ineligible to continue with the survey.

Programmer: Customize the collector’s page with this message.


Thank you for your willingness to participate in this survey. Unfortunately, you are not eligible to proceed with the survey. If you have any questions, please contact Julie Overby at [email protected] or call phone number 253-238-7787 or 360-942-8466.


Thank you for your time.


BAA HCP Screener Begins Here


INFORMED CONSENT TO PARTICIPATE IN AN ONLINE SURVEY


On behalf of the Centers for Disease Control and Prevention (CDC), CATMEDIA, an Atlanta-based program management, training, and creative services company, is conducting an online survey with adults to gather feedback on educational materials related to antibiotic use. We hope to use what we learn from these survey results to improve these materials and/or how and where we promote them to raise awareness within your community. This is the screener. After you are determined as eligible to participate, you will only be asked to complete the survey once. We expect the survey to take about 20 minutes.


Your participation in this survey is completely voluntary. You may choose to skip questions that you do not want to answer and/or stop the survey at any time for any reason. Refusal to participate will not result in any penalties. 


If you choose to participate in this survey, we will keep your answers private and will not share your personal information with anyone outside of the survey team.


At the end of the survey, you will receive $75 through Venmo or PayPal, or a $75 gift card as a token of our appreciation for your time. You should receive it within 7 business days.    


If you have questions or need a copy of the informed consent, please email Julie Overby at [email protected] or call 253-238-7787 or 360-942-8466.


Please answer the question below and print a copy for your records before proceeding to the next page. If you select “Yes,” it means you understand the information in this consent form and that you agree to take the survey.


All questions with an asterisk [*] require a response.


  1. * Do you agree to participate in this survey?

  • Yes

  • No


Programmer: If the respondent selects “Yes” to the question, “Do you agree to participate in this survey” present the next page for the respondent to enter their name as an electronic signature and date of consent.


If the respondent selects “No” terminate the survey and present the INELIGIBILITY MESSAGE.


  1. * Enter your full name here.


Shape1



  1. * Enter today’s date here. (MM/DD/YYYY)


Shape2




Programmer: If the respondent enters their name as an electronic signature and date of consent, do not terminate the survey.

baa HCP posttest SCREENER [ALL]

Programmer: Include one question per page. Screener should terminate as soon as the respondent selects an option that deems him/her ineligible.


Thank you for participating in this survey. The results of this survey will help the Centers for Disease Control and Prevention (CDC) refine and improve its ongoing campaign to improve antibiotic use.



OMB Statement

Form Approved

OMB No. 0920-1387

Expiration Date: 03/31/2026


Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1387



Programmer: Include one question per page. Screener should terminate as soon as the respondent selects an option that deems him/her ineligible.


  1. * May we ask you some questions to see if you are eligible to take this survey?

  • Yes

  • No [INELIGIBLE/TERMINATE]


Programmer: If “No” to Q4, TERMINATE else proceed with survey. 


  1. Are you a healthcare professional (e.g., physician, physician assistant, nurse practitioner, nurse, pharmacist, or dentist)?

  • Yes

  • No [INELIGIBLE/TERMINATE]


  1. In what State do you perform the majority of your work? _____________________

Programmer: Create a dropdown option with all U.S. States and options for “Prefer not to answer” and “I cannot find my State.”


  1. In what ZIP Code do you perform the majority of your work? _____________________

Programmer: Create a dropdown option with approved ZIP Codes and options for “Prefer not to answer” and “I cannot find my ZIP Code.”

Programmer: Priority markets include Iowa (IA), Nebraska (NE), Tennessee (TN), and Alabama (AL). 


Programmer: If not within one of the priority markets and approved ZIP Codes, TERMINATE, otherwise, proceed with survey.


  1. Specifically, what type of healthcare professional are you?

  • Physician (MD or DO)

  • Physician Assistant (PA)

  • Dentist (DDS or DMD)

  • Pharmacist (PharmD or RPh)

  • Nurse Practitioner (NP)

  • Registered Nurse (RN, including ADNs and BSNs)

  • None of the above [INELIGIBLE/TERMINATE]


  1. * What type of setting do you spend the most time providing patient care?

  • Hospital

  • Nursing home/Long-Term Care

  • Retail pharmacy

  • Dental office

  • Urgent care facility [INELIGIBLE/TERMINATE]

  • Primary care practice/facility [INELIGIBLE/TERMINATE]

  • Outpatient [INELIGIBLE/TERMINATE]

  • None of the above [INELIGIBLE/TERMINATE]


  1. * On average, how many hours a week do you provide patient care?

  • 0-10 hours [INELIGIBLE/TERMINATE]

  • 11-20 hours [INELIGIBLE/TERMINATE]

  • 21-30 hours [INELIGIBLE/TERMINATE]

  • 31 or more hours


  1. * On average, how often do you prescribe antibiotics/provide antibiotics to patients?

  • Multiple times every week

  • Once a week

  • 1-3 times a month [INELIGIBLE/TERMINATE]

  • Never [INELIGIBLE/TERMINATE]


General Instructions for Programmer and Recruiter

  1. Hide all subheadings of sections and questions from respondents.

  2. Hide all programmer’s instructions from respondents.

  3. Terminate also means ineligible.

  4. Terminate all ineligible respondents immediately.

  5. Present the “Ineligibility Message” whenever a response terminates the survey.

  6. RECRUITER: Terminate after quota for each category, audience, and/or group is met.

  7. RECRUITER: Assign participants to only one intended audience group.

Ineligibility Message 

Thank you for your willingness to participate in this survey. Unfortunately, you are not eligible to proceed with the survey. If you have any questions, please contact Julie Overby at [email protected] or call phone number 253-238-7787 or 360-942-8466.


Thank you for your time.


End of Survey Message for posttest

Programmer: Place this message in the collector’s page for custom thank you.

Thank you for taking the time to participate in this important survey!

To learn more about appropriate antibiotic use, please visit https://www.cdc.gov/antibiotic-use/



Programmer: Place this link in the collector’s page for custom URL to redirect all respondents to this link.

Link: https://www.cdc.gov/antibiotic-use/



Exposure to Campaign [ALL]

Programmer: Include one question per page.


Now we would like to ask you about a CDC campaign on appropriate antibiotic use that you may or may not have seen or heard about in the past 2-3 months.

  1. Please indicate below whether you have seen or heard any of the following campaign names or slogans in the past 2-3 months.

Programmer: Rotate (a - e), the column named “Campaigns” among respondents.

CAMPAIGNS

Yes

No

Do not know/
cannot recall

  1. Get Ahead of Antibiotics

  1. Flip the Script

  1. Be Antibiotics Aware

  1. Get Smart About Antibiotics

  1. Don’t Miss-take Antibiotics



  1. I n the past 2-3 months, did you see or hear this logo/slogan (“Be Antibiotics Aware,” “Smart Use, Best Care”) anywhere?

  • Yes

  • No

  • Do not know/cannot recall


Programmer: Categorize respondents as “UNEXPOSED” only if the respondent selects “No,” “Do not know/cannot recall” or did not respond to Q1c and Q2, then proceed to the KNOWLEDGE section.


Respondents with any other combination should be “EXPOSED,” then proceed to FREQUENCY AND CHANNEL OF EXPOSURE section.



Frequency and Channel of Exposure [EXPOSED ONLY]

Programmer: Include one question per page.

You indicated that you had seen or heard the campaign name, Be Antibiotics Aware, or seen the campaign logo in the past 2-3 months.

  1. In the past 2-3 months, approximately how often did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo in …?

Programmer: Rotate the media options (Poster, Fact sheet, Brochure, etc.). Leave “Other” response last.


PRINTED MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Poster

Fact sheet

Brochure

Graphic

Newspaper/magazine advertisement

Flyer

Other print media, please specify below:




  1. In the past 2-3 months, approximately how often did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo on …?

Programmer: Rotate the media options (Facebook, Instagram, Twitter, etc.). Leave “Other” response last.


SOCIAL MEDIA


1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Facebook

Instagram

Twitter

LinkedIn

Doximity

Sermo

YouTube

Other social media, please specify below:




  1. In the past 2-3 months, approximately how often did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo in …?



Programmer: Rotate the media options (Online/Internet Media). Leave “Other” response last.


ONLINE/INTERNET MEDIA


1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Health websites /resources (WebMD, Mayo Clinic)

Video conferencing/ background screen

Website advertisements

Online news articles

Streaming TV/video services (e.g., Hulu, Netflix, [Amazon] Prime Video)

Streaming internet radio

Blogs

Advertisement on mobile phone (including mobile apps)

Search engines (e.g., Google)

Others, please specify below:




  1. In the past 2-3 months, approximately how often did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo on …?

Programmer: Rotate the media options (TV and Radio Media). Leave “Other” response last.


TV AND RADIO MEDIA


1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Television (cable, satellite, or antenna)

Broadcast radio

Other media formats, please specify below:




  1. In the past 2-3 months, how often did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo in …?

Programmer: Rotate the media options (Public Places). Leave “Other” response last.


PUBLIC PLACES


1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Billboards

Bus, train, or subway stations

On buses or taxi cabs

Advertisement in a mall

Advertisement in a grocery store

Advertisement in a retail pharmacy

Advertisement at a shopping center or parking lot

Other public places, please specify below:




  1. In the past 2-3 months, did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo at your workplace (including at your home workplace for telework)?

  • Yes, I personally placed or shared CDC’s Be Antibiotics Aware Campaign materials at my workplace in the past 2-3 months

  • Yes, I saw CDC’s Be Antibiotics Aware Campaign at my workplace in the past 2-3 months, but I was not responsible for placing or sharing it

  • No, but I saw materials from another antibiotic use campaign at my workplace in the past 2-3 months

  • No, I have not seen any materials about antibiotic use at my workplace in the past 2-3 months


Programmer: If the respondent selects “Yes” to the question above, proceed to the next question.



  1. In the past 2-3 months, where did you see or hear CDC’s Be Antibiotics Aware campaign messages, campaign name, or logo at your workplace (including at your home workplace for telework)? Select all that apply.

  • Posters or other print material(s) designed to educate patients about appropriate antibiotic use

  • Posters or other print material(s) designed to improve antibiotic prescribing by healthcare professionals

  • Digital material(s) designed to educate patients about appropriate antibiotic use

  • Digital material(s) designed to improve antibiotic prescribing by healthcare professionals

  • Video displays in patient waiting areas

  • Workplace website or internal email/newsletter

  • Email or e-newsletter from an external health organization, such as a state or local public health agency or professional association

  • Other, please specify below:

  • Do not know/cannot recall [Programmer: Lock response.]


Programmer: If the respondent is presented the question above, after responding or if they choose to skip, proceed to “RISKS AND BENEFITS...” section.



  1. You indicated that you saw or heard the campaign name, Be Antibiotics Aware, or saw the campaign logo in the past 2-3 months. Where did you see or hear it? [Open-ended response]


Programmer: If the respondent leaves the above open-ended question blank, reclassify these respondents as “UNEXPOSED” and proceed to “RISKS AND BENEFITS...” section.



Risks and Benefits of Antibiotics – Attitudes and Beliefs [ALL GROUPS EXCEPT PHARMACISTS]

Programmer: Include one question per page. Include disclaimer statement below only with the first question in this section. Do not allow participants to go back and change their response to a previous question.



NOTE**Subheadings within all tables should not be visible to respondents.

Next, we are going to ask you some questions to learn more about your perspective on antibiotic prescribing. Research shows that healthcare professionals face challenges with antibiotic prescribing. Your responses to this survey will help CDC understand how to better support healthcare professionals’ antibiotic prescribing habits. Please give us your honest responses. There are no right or wrong answers to any of these questions.

  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.

PERCEIVED SEVERITY

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. Antibiotic resistance is a serious public health issue.

  1. Antibiotic resistance can have serious consequences for my patients.

  1. Side effects caused by antibiotics could be very serious for my patients.



  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.

PERCEIVED SUSCEPTIBILITY

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. If my patients are prescribed antibiotics, they could experience minor side effects, like a rash.

  1. If my patients are prescribed antibiotics, they could experience very serious health problems, such as Clostridioides difficile (or C. diff) infection.



  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.

    PERCEIVED BENEFITS

    Strongly Disagree

    Disagree

    Neither

    Agree nor Disagree

    Agree

    Strongly Agree

    1. Prescribing antibiotics judiciously and only for certain infections caused by bacteria is the best care for my patients.

    1. Prescribing antibiotics judiciously and only for certain infections caused by bacteria helps protect my patients from unnecessary antibiotic use.

    1. Prescribing antibiotics judiciously and only for certain infections caused by bacteria helps combat antibiotic resistance.

  2. In the past 2-3 months, please indicate how often you did the following when prescribing antibiotics.

BEHAVIOR (PRESCRIBING)

Never

Rarely

Sometimes

Often

Always

  1. I factor patient satisfaction into my decisions to prescribe antibiotics.

  1. I prescribe antibiotics according to clinical guidelines.

  1. I consider antibiotic resistance when prescribing an antibiotic to my patients.

  1. I take antibiotic resistance into consideration when choosing which antibiotic to prescribe to my patients.

  1. I consider antibiotic adverse events, like C. diff infection, when prescribing antibiotics to my patients.



  1. What barriers do you commonly experience in prescribing antibiotics to your patients? Select all that apply.

  • Current clinical guidance does not always apply to my patients

  • I am not as familiar as I would like to be with current clinical guidance for prescribing antibiotics

  • My patients will be dissatisfied with their visit if I do not prescribe antibiotics and they believe they need them for their illness

  • My patients demand antibiotics, even if I don’t think an antibiotic is needed to treat their illness

  • My patients are not concerned about antibiotic resistance

  • My patients are unconcerned about potential side effects of antibiotics, such as rash, nausea, or C. diff infection

  • My patients are unaware of potential side effects of antibiotics, such as rash, nausea, or C. diff infection

  • Uncertainty of diagnosis can make it challenging to determine if the patient needs antibiotics

  • Other, please explain below:

  • I have not encountered any barriers to following clinical guidelines regarding antibiotic prescribing [Programmer: Lock response.]

Risks and Benefits of Antibiotics – Attitudes and Beliefs [PHARMACISTS ONLY]

  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree. 

PERCEIVED SEVERITY 

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. Antibiotic resistance is a serious public health issue. 

  1. Antibiotic resistance can have serious consequences for my patients. 

  1. Side effects caused by antibiotics could be very serious for my patients. 


  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree. 

PERCEIVED SUSCEPTIBILITY 

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. If my patients are prescribed antibiotics, whether needed or not needed, they could experience minor side effects, like a rash.  

  1. If my patients are prescribed antibiotics, whether needed or not, they could experience very serious health problems, such as Clostridioides difficile (or C. diff) infection. 


  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.  

PERCEIVED BENEFITS 

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. Providing antibiotics judiciously only for certain infections caused by bacteria helps combat antibiotic resistance.  



Discussing Antibiotics with Patients: Attitudes,



Discussing Antibiotics with Patients: Attitudes, Beliefs and Behaviors [ALL EXCEPT PHARMACISTS]

Programmer: Include one question per page. Do not allow participants to go back and change their answer to a previous question.


  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.

KNOWLEDGE OF NEED FOR CONVERSATIONS

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. It is important for me to discuss with my patients that antibiotics can cause side effects that can range from minor issues, like a rash, to adverse events, such as C. diff infection.

  1. It is important for me to discuss with my patients that antibiotic use can contribute to antibiotic resistance.

  1. It is important for me to help my patients understand ways they can feel better, such as taking over the counter (OTC) medications that can help relieve symptoms, regardless of whether an antibiotic is needed to treat their illness.

  1. It is important for me to educate patients about when antibiotics are and are not needed for their illness.



  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.

PERCEIVED BENEFITS OF CONVERSATIONS

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. I believe that educating my patients about appropriate antibiotic use can protect them from unnecessary side effects.

  1. I believe that educating my patients about appropriate antibiotic use can help reduce unnecessary antibiotic use, thus helping to combat antibiotic resistance.

  1. I believe that educating my patients about which infections antibiotics do and do not treat helps them understand my decision on whether to prescribe antibiotics for their illness.



  1. When prescribing antibiotics, please indicate how frequently you discuss the following with your patients.

BEHAVIOR (CONVERSATIONS)

Never

Rarely

Sometimes

Often

Always

  1. Whether antibiotics are needed for their illness.

  1. Other ways to feel better, such as taking OTC medications that can help relieve symptoms, including when a patient has an infection that does not need an antibiotic.

  1. Common side effects, such as rash, diarrhea, and nausea, when prescribing antibiotics.

  1. Possible severe side effects, such as C. diff infection or allergic reactions.

  1. Antibiotic use contributes to antibiotic resistance.



  1. What are the barriers you commonly encounter when educating your patients on the topics of appropriate antibiotic use and antibiotic resistance? Select all that apply.

  • I am not familiar enough with these topics

  • I do not feel confident educating my patients on these topics

  • I do not think my patients will understand these topics

  • I do not think it is important for my patients to understand these topics

  • I do not think my patients will be interested in or receptive to learning about these topics

  • I do not have time to educate my patients on these topics

  • I do not have access to educational materials about these topics

  • Other, please specify below:

  • I have not encountered any barriers to educating my patients on these topics [Programmer: Lock response.]


  1. Did you know that CDC’s Be Antibiotics Aware campaign has resources you can use to help educate your patients about appropriate antibiotic use? 

  • Yes 

  • No 



Discussing Antibiotics with Patients: Attitudes, Beliefs, and Behaviors [PHARMACISTS ONLY]

  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree.  

KNOWLEDGE OF NEED FOR CONVERSATIONS  

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. It’s important for me to discuss with my patients that antibiotics can cause side effects that can range from minor issues, like a rash, to adverse events, such as C. diff infection. 

  1. It’s important for me to discuss with my patients that antibiotic use can lead to antibiotic resistance.  

  1. It is important for me to help my patients understand ways they can feel better, such as taking over the counter (OTC) medications that can help relieve symptoms, including when an antibiotic is not needed to treat their illness. 

  1. It is important for me to educate my patients about when antibiotics are and are not needed for their illness.



  1. Please indicate the extent to which you agree with the following statements, from strongly disagree to strongly agree. Educating includes providing verbal or written information on how to take antibiotics correctly.

PERCEIVED BENEFITS OF CONVERSATIONS 

Strongly Disagree

Disagree

Neither

Agree nor Disagree

Agree

Strongly Agree

  1. I believe that educating my patients about appropriate antibiotic use can protect them from common side effects, such as rash, diarrhea, and nausea.  

  1. I believe that educating my patients about appropriate antibiotic use can protect them from more serious side effects, including life-threatening allergic reactions or C. diff infection.

  1. I believe that educating my patients about viral vs. bacterial causes of acute respiratory infections (ARI), including COVID-19, can help reduce unnecessary antibiotic use.

  1. I believe that educating my patients about appropriate antibiotic use can help reduce unnecessary antibiotic use, thus helping to combat antibiotic resistance.  



  1. When prescribing antibiotics, please indicate how frequently you discuss the following with your patients.

BEHAVIOR (CONVERSATIONS) 

Never

Rarely

Sometimes

Often

Always

N/A

  1. Common side effects, such as rash, diarrhea, and nausea.  

  1. More serious side effects, such as C. diff infection. 

  1. The threat of antibiotic resistance.

  1. The importance of taking antibiotics as prescribed. 


  1. Did you know that CDC’s Be Antibiotics Aware campaign has resources you can use to help educate your patients about appropriate antibiotic use? 

  • Yes 

  • No 



Covid-19 Behavior [ALL Except dentists]

  1. In the past 12 months, how often did you feel patients expected you to provide antibiotics because they believed they had COVID-19?

  • Always

  • Often

  • Sometimes

  • Rarely

  • Never

  • I did not see any patients who believed they had COVID-19 [Programmer: Lock response.]


  1. In the past 12 months, how often did your patients specifically ask for antibiotics because they believed they had COVID-19? 

  • Always

  • Often

  • Sometimes

  • Rarely

  • Never

  • I did not see any patients who believed they had COVID-19 [Programmer: Lock response.]


  1. In the past 12 months, how often did you provide antibiotics to patients to treat COVID-19?  

  • Always

  • Often

  • Sometimes

  • Rarely

  • Never

  • I did not see any patients who believed they had COVID-19 [Programmer: Lock response.]



Use of Campaign Materials [EXPOSED ONLY]

  1. Have you been contacted by any of these organizations in the last 2-3 months about Be Antibiotics Aware? 

  • Local Health Department, please specify below:

  • State Health Department, please specify below:

  • Other, please specify below:

  • None of these organizations [Programmer: Lock response.]

  1. Did your partners provide any of these campaign materials for you to use to help educate your patients on appropriate antibiotic use? Select all that apply.


  • Chart



  • Fact sheet



  • Prescription pad



  • Brochure





  • None of the above



Programmer: If the respondent selects “none of the above” in the above question, skip to the last question in this section.


Programmer: only show campaign images and their corresponding questions to respondents who select them in the above question.


Programmer: Put a page break here.






A


  1. Please select how often in the past 2-3 months you used this chart to educate your patients about when antibiotics are and are not needed for their illness

  • Always

  • Often

  • Sometimes

  • Rarely


Programmer: Put a page break here.


  1. Please select how often in the past 2-3 months you used this chart to educate your patients about risks and benefits of antibiotic use.

  • Always

  • Often

  • Sometimes 

  • Rarely 

Programmer: Put a page break here and skip logic.



  1. How helpful for you was this chart in educating your patients about appropriate antibiotic use? 

  • Very helpful 

  • Helpful 

  • Somewhat helpful 

  • A little helpful 

  • Not at all helpful 


Programmer: Put a page break here and skip logic.


B


  1. Please select how often in the past 2-3 months you used this fact sheet to educate your patients about when antibiotics are and are not needed for their illness.

  • Always

  • Often

  • Sometimes 

  • Rarely  


Programmer: Put a page break here.


  1. Please select how often in the past 2-3 months you used this fact sheet to educate your patients about risks and benefits of antibiotic use.

  • Always

  • Often

  • Sometimes 

  • Rarely  



Programmer: Put a page break here and skip logic.



  1. How helpful for you was this fact sheet in educating your patients about appropriate antibiotic use? 

  • Very helpful 

  • Helpful 

  • Somewhat helpful 

  • A little helpful 

  • Not at all helpful


Programmer: Put a page break here and skip logic.



C

  1. Please select how often in the past 2-3 months you used this prescription pad to educate your patients about when antibiotics are and are not needed for their illness.

  • Always

  • Often

  • Sometimes 

  • Rarely  

Programmer: Put a page break here.



  1. Please select how often in the past 2-3 months you used this prescription pad to educate your patients about risks and benefits of antibiotic use.

  • Always

  • Often

  • Sometimes 

  • Rarely  



Programmer: Put a page break here and skip logic.



  1. How helpful for you was this prescription pad in educating your patients about appropriate antibiotic use? 

  • Very helpful 

  • Helpful 

  • Somewhat helpful 

  • A little helpful 

  • Not at all helpful


Programmer: Put a page break here and skip logic.


D



  1. Please select how often in the past 2-3 months you used this brochure to educate your patients about when antibiotics are and are not needed for their illness.

  • Always

  • Often

  • Sometimes 

  • Rarely 


Programmer: Put a page break here


  1. Please select how often in the past 2-3 months you used this brochure to educate your patients about risks and benefits of antibiotic use.

  • Always

  • Often

  • Sometimes 

  • Rarely 

Programmer: Put a page break here and skip logic.




  1. How helpful for you was this brochure in educating your patients about appropriate antibiotic use? 

  • Very helpful 

  • Helpful 

  • Somewhat helpful 

  • A little helpful 

  • Not at all helpful 


Programmer: Put a page break here and skip to demographics section.


  1. Why have you not used CDC’s Be Antibiotics Aware resources to educate your patients about appropriate antibiotic use? Select all that apply. 

  • I did use CDC’s Be Antibiotics Aware resources to educate my patients/patients, but they were not the ones shown previously. Please specify below which resources you used

  • I do not usually use patient education resources when educating my patients/patients on any topics

  • I/my organization has my/our own resources

  • I use resources developed by other organizations 

  • I forget to use them 

  • I do not have time to use them

  • I do not know where to find these resources 

  • I looked at them but did not find them helpful  

  • I am not familiar enough with these resources to feel comfortable using them

  • Other, please specify below:

  • Do not know 



Programmer: Put a page break here and skip to demographics section.



Media Use and Habits [UNEXPOSED ONLY]

Programmer: Include one set of questions (e.g., printed media, social media) per page. Rotate all media options.


We would like to ask you a few questions about your media use and habits.

  1. In an average month, how often do you…

PRINTED MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Read printed magazines

Read printed newspapers

Read brochures or flyers on health-related topics

Read other printed media, please specify below:




  1. In an average month, how often do you…

SOCIAL MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Use Facebook

Use Instagram

Use Twitter

Use LinkedIn

Use Doximity

Use Sermo

Use YouTube

Use other social media, please specify below:




  1. In an average month, how often do you…

ONLINE/INTERNET MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Read health websites /resources

Read news online

Read magazines online

Listen to internet radio

Watch TV/movies using streaming services (e.g., Netflix, Hulu, [Amazon] Prime Video)

Read blogs

Streaming internet radio

Search engines (e.g., Google)

Visit other websites, please specify below:




  1. In an average month, how often do you…

TV AND RADIO MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Watch television (cable, satellite, or antenna)

Listen to broadcast radio

Listen to satellite radio

Watch or listen to other TV or radio media, please specify below:




  1. In an average month, how often do you…

PUBLIC PLACES

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

See billboards

Use buses, subways, or trains

Use taxi cabs

Shop in malls

Shop in grocery stores

Shop in pharmacies (e.g., CVS, Walgreens, Walmart)

Visit other public places, please specify below:




  1. In an average month, how often do you…

OTHER MEDIA

1-2 times a day

Once a week

1-3 times a month

Less than once a month

Never

Do not know/

cannot recall

Read email newsletters from healthcare professional associations

Listen to webcasts or webinars related to my profession

Listen to podcasts

Attend live events (presentation at a conference)

Use other media, please specify below:




  1. To whom or where do you go to learn about appropriate antibiotic prescribing? Select all that apply.

  • Colleagues, other HCPs

  • Centers for Disease Control and Prevention (CDC) website or material, please specify below:

  • Peer-reviewed journals (printed or online), please specify below:

  • Health websites/Health-related mobile apps (WebMD, Mayo Clinic, Medscape, UpToDate, etc.), please specify below:

  • Medical conferences, please specify below:

  • Local/state health departments

  • Medical or professional associations, please specify below:

  • My place of work or organization

  • Continuing education/medical education/training courses (CE/CME, etc.), please specify below:

  • Social media (Facebook, Instagram, Twitter, LinkedIn), please specify below:

  • Other, please specify below:

  • I have not looked for information on this topic. 



Demographic Characteristics [ALL]

Programmer: Include one set of questions per page.


Thank you. Now we would like to know more about you.

  1. How long have you worked as a healthcare professional performing the same duties as your current role?

  • Less than one year

  • 1-5 years

  • 6-9 years

  • 10 or more years

  • Prefer not to answer


  1. What sex were you assigned at birth, on your original birth certificate?

  • Male

  • Female

  • Refused

  • I don’t know



  1. Do you currently describe yourself as male, female, or transgender?

  • Male

  • Female

  • Transgender

  • None of these



  1. What is your ethnicity?

  • Hispanic or Latino

  • Not Hispanic or Latino



  1. What is your race?

  • American Indian or Alaska Native

  • Asian  

  • Black or African American  

  • Native Hawaiian or Other Pacific Islander  

  • White 


HCP INCENTIVE PAGe [ALL]

Before you go, a $75 incentive through Venmo or PayPal, or a $75 gift card will be sent to you as a token of our appreciation for your time. You should receive it within 7 business days.   


*Please choose your preferred method to receive your incentive and fill out the short form to receive your incentive or click “Exit” if you do not wish to receive incentive.


  • Venmo Programmer: Link this option to “Venmo page.”

  • PayPal Programmer: Link this option to “PayPal page.”

  • Gift card by mail Programmer: Link this option to “Gift card by mail page.”

  • Digital gift card Programmer: Link this option to “Digital gift card page.”

  • Exit (I do not wish to receive incentive) Programmer: Link this option to “End of Survey.”



Venmo Page


If you do not feel comfortable providing the information below, please contact Julie Overby at [email protected] or call 253-238-7787 or 360-942-8466.


First and Last Name:


Your Venmo username:


Your email associated with Venmo (optional but recommended):


Your phone number associated with Venmo (optional but recommended):


Programmer: Link this page to “End of Survey.”


PayPal Page


If you do not feel comfortable providing the information below, please contact Julie Overby at [email protected] or call 253-238-7787 or 360-942-8466.


First and Last Name:


Your email associated with PayPal (optional but recommended):


Your phone number associated with PayPal (optional but recommended):


Programmer: Link this page to “End of Survey.”


Gift card by mail Page


If you do not feel comfortable providing the information below, please contact Julie Overby at [email protected] or call 253-238-7787 or 360-942-8466.


First and Last Name:


*Address Line 1:


Address Line 2:


*Town/City:


*State/Territory


*ZIP/Postal Code:


Phone number (optional):


Email (optional):


Programmer: Link this page to “End of Survey.”


Digital gift card Page


If you do not feel comfortable providing the information below, please contact Julie Overby at [email protected] or call 253-238-7787 or 360-942-8466.


First and Last Name:


*Your email:


Your phone number:


Programmer: Link this page to “End of Survey.”





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