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Alistair Thorpe

@athorpe8.bsky.social

Research Assistant Professor at University of Utah || Passionate about public health and health communication || Gauche https://medicine.utah.edu/population-health-sciences/divisions/hsir/pccds

31 Posts945 Follower429 Folgt
Alistair Thorpe@athorpe8.bsky.social · 8mo ago

📢 New in OFID! Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use. We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...

Impact of an Educational Leaflet About Asymptomatic Bacteriuria and Urinary Tract Infection on Antibiotic Preferences Among US Adults ≥65 Years: An Online Randomized Controlled Survey Experiment

AbstractBackground. Adults aged ≥65 years are at high risk of harm from antibiotic misuse due to misdiagnosis of asymptomatic bacteriuria (ASB) as urinary

doi.org

@id-journal.bsky.social · 8mo ago

Leaflet📄 boosted comfort avoiding antibiotics for ASB in 504 aged≥65 (P<.001), cut misperception ASB=UTI,↑knowledge; surgeon advice to take antibiotics↓comfort (P=.013). #idsky

Impact of an Educational Leaflet About Asymptomatic Bacteriuria and Urinary Tract Infection on Antibiotic Preferences Among US Adults ≥65 Years: An Online Randomized Controlled Survey Experiment

Adults aged ≥65 years are at high risk of harm from antibiotic misuse due to misdiagnosis of asymptomatic bacteriuria (ASB) as urinary tract infection (UTI). Alongside strategies to improve prescribing, patients should be informed and empowered to discuss the harms/benefits of antibiotic treatment. We tested whether a patient-focused educational leaflet improved reported willingness to avoid antibiotics when not clinically necessary.MethodsIn an online randomized controlled survey experiment, US adult respondents aged ≥65 years read a scenario of themselves as an asymptomatic patient with a positive urine test before a nonurologic surgical procedure. They were assigned to 1 of 4 conditions, which varied by educational leaflet provision and surgeons' treatment recommendation for antibiotics. The primary outcome was respondents' comfort with not taking antibiotics for ASB. Secondary outcomes were reported misperceptions of ASB as UTI and knowledge.ResultsOf the 504 respondents (completion = 89%), the mean age was 72, 64.5% identified as male, 53.4% identified as Non-Hispanic White, and 35.7% reported prior antibiotic prescriptions for UTI. In response to the vignette, respondents shown the leaflet were more comfortable not taking antibiotics (P < .001), were less likely to misperceive ASB as a UTI (P < .001), and displayed greater knowledge (P < .001). Respondents told that the surgeon recommends antibiotics were less comfortable not taking antibiotics (P = .013) and more likely to misperceive ASB as UTI (P < .001).ConclusionsIn an online randomized controlled survey experiment, a patient-centered educational leaflet decreased reported desires to take antibiotics for ASB and improved knowledge among US adults age ≥65 years. Patient-focused education may prepare patients to engage in antibiotic treatment decisions.

academic.oup.com

Alistair Thorpe@athorpe8.bsky.social · 8mo ago

Clinical Reasoning Across Professions How do PA and Med students think through patient cases? 🤔 Our new study showed their clinical reasoning processes were more similar than different when using the eCREST simulation tool! 🔗JMIR Med. Educ: mededu.jmir.org/2025/1/e68981/ #ClinicalReasoning #MedEd

Comparison of Physician Assistant and Medical Students' Clinical Reasoning Processes Using an Online Patient Simulation Tool to Support Clinical Reasoning (eCREST): Mixed Methods Study

Background: Clinical reasoning is increasingly recognised as an important skill in the diagnosis of serious conditions. eCREST (electronic Clinical Reasoning Educational Simulation Tool), a clinical r...

mededu.jmir.org

London Judgement and Decision Making seminar series@ljdm.bsky.social · 8mo ago

Happening today! Please join us 5:15 pm in person in Room 448 (UCL EP, 26 Bedford Way). Full details on our website. All welcome!

London Judgement and Decision Making seminar series@ljdm.bsky.social · 8mo ago

Next Wednesday Dec 3rd we are happy to host Prof. @miroslavsirota.bsky.social to tell us how utility-based signal detection theory can inform us of the cognitive mechanisms for (over)use of antiobiotics. Full details on our website (surl.li/mqtofs). All welcome, in person with Prof. Sirota!

Alistair Thorpe@athorpe8.bsky.social · 10mo ago

I couldn’t be prouder to have worked on this JAMA Insights article with @angiefagerlin.bsky.social and @bzikmund.bsky.social—five key strategies for communicating medical numbers clearly and meaningfully, so patients can make informed decisions!

JAMA@jama.com · 11mo ago

Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types. ja.ma/4pAC3zi

JAMA Insights: How to Communicate Medical Numbers. It outlines recommendations for conveying risk, adjusting numerators, communicating probability changes, using visualizations, and providing context, with examples of problematic and preferred communication styles.
Jolyn Hersch PhD@jolynhersch.bsky.social · 11mo ago

How to Report Research on the Communication of Health-Related Numbers: The Research on Communicating Numbers (ReCoN) Guidelines journals.sagepub.com/doi/full/10.... @smdm.bsky.social @bzikmund.bsky.social @sydneyhealthliteracylab.org.au

How to Report Research on the Communication of Health-Related Numbers: The Research on Communicating Numbers (ReCoN) Guidelines - Natalie C. Benda, Brian J. Zikmund-Fisher, Jessica S. Ancker, 2025

Background Research with lay audiences (e.g., patients, the public) can inform the communication of health-related numerical information. However, a recent syst...

journals.sagepub.com

Miroslav Sirota@miroslavsirota.bsky.social · 11mo ago

Our new research shows that explaining the nature of illness and providing point-of-care test results to patients might be just quite useful tools to calibrate their antibiotic expectations (changing threshold but also discernment)... #antibiotic @abc-network.bsky.social @essexuni.bsky.social

Matteo Lisi@mlisi.bsky.social · 11mo ago

New registered report out in BJHP📣 How to reduce demand for antibiotics? Using Signal Detection Theory, we show that clinician explanations & CRP point-of-care results reduce antibiotic expectations and improve discernment doi.org/10.1111/bjhp... #PsychSciSky @rhulpsychology.bsky.social

Kit Yates@kityates.bsky.social · last yr.

Lucy Bronze on how she decided to blast her penalty down the middle (and score). “Statistically it’s risky for the goal keeper to stand still… so yeah, I love maths”.

Scott@aslajoie.bsky.social · last yr.

@smdm.bsky.social Alistair Thorpe shares Digital Communication updates. He and his cmte have excellent insights on improving our social media presence. If you’re an SMDM member and fancy yourself as an influencer(!) connect with Alistair.

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