A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research

Int J Environ Res Public Health. 2018 Sep 3;15(9):1912. doi: 10.3390/ijerph15091912.


(1) Background: Antibiotic resistance is an imperative public health issue globally. Major factors that are resulting in this trend are the irrational and excessive use of antibiotics. Children account for a greater population of antibiotics use, therefore, an educational intervention on the rational use of antibiotics for children and caregivers will be beneficial. (2) Methods: A randomized controlled and parallel group study of fifth grade children and their caregivers will be evaluated in four primary schools in Baoji and Weinan of the Shaanxi Province. Two primary schools will be randomly selected for the educational intervention and two schools will serve as a control group. In the intervention arm, educational interventions will be conducted among caregivers and their children. The intervention measures include interactive training sessions, booklets, and printed or electronic educational materials that will be given to the caregivers or the school-aged children. In the control arm, no interventions will be implemented. Baseline data collected from June, 2018 and the intervention will last for three months. Knowledge-Attitude-Practice (KAP) questionnaires will be used to evaluate the caregivers' knowledge, their attitude, and their practice. Knowledge-Retention questionnaires will be used to assess the children's knowledge about microbes, antibiotics, and hygiene. (3) Discussion: This study is a unique comprehensive intervention targeting both children and their caregivers. We hypothesize a decrease in the irrational use of antibiotics among the studied population. Hence, this result would provide evidence for policy makers and educational departments for the implementation of similar interventions on the rational use of antibiotics.

Keywords: antibiotics resistance; caregivers; children; educational intervention; rational antibiotic use; upper respiratory tract infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Caregivers / education*
  • Caregivers / statistics & numerical data
  • Child
  • China
  • Cities
  • Health Knowledge, Attitudes, Practice
  • Health Services Research
  • Humans
  • Prescription Drug Misuse / prevention & control*
  • Randomized Controlled Trials as Topic*
  • School Health Services / statistics & numerical data*
  • Surveys and Questionnaires


  • Anti-Bacterial Agents