{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T12:06:07Z","timestamp":1774440367656,"version":"3.50.1"},"reference-count":29,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018537","name":"National Science and Technology Major Project","doi-asserted-by":"crossref","award":["2018ZX10101001-001"],"award-info":[{"award-number":["2018ZX10101001-001"]}],"id":[{"id":"10.13039\/501100018537","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Nanjing Incubation Program for National Clinical Research Center","award":["2019060001"],"award-info":[{"award-number":["2019060001"]}]},{"name":"Chinese Academy Medical Sciences Initiative for Innovative Medicine","award":["2016-I2M-3-021"],"award-info":[{"award-number":["2016-I2M-3-021"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,5,13]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Inappropriate use of antibiotics to treat gonorrhoea can lead to antibiotic resistance. Education programmes may be helpful for improving physician prescribing behaviours in accordance with treatment guidelines. As traditional education based on printed materials may have limited effect on guideline-based treatment, innovative education strategies are needed. The current trial aims to assess the effectiveness of a novel education intervention to increase guideline-based treatment of gonorrhoea in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>We will conduct a two-arm cluster randomised control trial at 144 hospitals (clusters) in eight Chinese provinces. The intervention will include an online training video developed on the WenJuanXing platform that covers workflows and requirements for managing a patient with uncomplicated gonorrhoea. Outpatient physicians in dermatology (dermatovenerology), urology, andrology and gynaecology will be given access to the video via a quick response code. In hospitals allocated to the control arm, physicians will continue to participate in their standard of care training programme. The primary outcome is the proportion of gonorrhoea antibiotic prescriptions adherent to Chinese national guidelines at the cluster level. In addition, to understand the reasons of physician\u2019s non-adherence to the intervention by conducting a questionnaire survey will be considered as the secondary outcome of the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval was obtained from the Medical Ethics Committee of the Chinese Academy of Medical Sciences Institute of Dermatology (2020-LS-004). All physicians will provide an informed consent prior to participating in the study. Findings of the trial will be disseminated through conferences and peer-reviewed journals, and will be used to develop training programmes for physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ChiCTR2000029591.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-037549","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T04:45:24Z","timestamp":1594615524000},"page":"e037549","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Novel education-based intervention to reduce inappropriate antibiotic prescribing for treatment of gonorrhoea in China: protocol for a cluster randomised controlled trial"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0789-8816","authenticated-orcid":false,"given":"Ting-Ting","family":"Jiang","sequence":"first","affiliation":[{"name":"Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"},{"name":"National Center for STD Control, Chinese Center for Disease Control and Prevention, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-Qing","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of prevention and health care, Guangzhou Institute of Dermatology, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning-Xiao","family":"Cao","sequence":"additional","affiliation":[{"name":"Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"},{"name":"National Center for STD Control, Chinese Center for Disease Control and Prevention, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue-Ping","family":"Yin","sequence":"additional","affiliation":[{"name":"Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"},{"name":"National Center for STD Control, Chinese Center for Disease Control and Prevention, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3927-2065","authenticated-orcid":false,"given":"Xiang-Sheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"},{"name":"National Center for STD Control, Chinese Center for Disease Control and Prevention, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,12]]},"reference":[{"key":"2025121401180094000_10.7.e037549.1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.228486"},{"key":"2025121401180094000_10.7.e037549.2","unstructured":"Centers for Disease Control and Prevention . 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