%0 Journal Article %A Sibyl Anthierens %A Sarah Tonkin-Crine %A Elaine Douglas %A Lucy Yardley %A Herman Goossens %A Theo Verheij %A Samuel Coenen %T Changing GPs' antibiotic prescribing behaviour in five European countries: A qualitative study within the GRACE project %D 2011 %J European Respiratory Journal %P 4508 %V 38 %N Suppl 55 %X Background: In the last stage of the GRACE project a pragmatic trial was done to assess the effects of comuunication training and the use of a CRP test on antibiotic treatment of lower respiratory tract infections. The current study assessed the feasibility and acceptability of the intervention in this trial across 5 European countries (Belgium, Netherlands, Poland, Spain, UK). The aim was to elicit GP and patient attitudes before the intervention, in order to adapt the interventions as necessary.Method: 30 GPs and 13 patients from the 5 countries were interviewed before the intervention using a “think aloud” approach. Data were coded following techniques taken from framework analysis.Findings: GPs across all countries were supportive of the aims of the implementation trial, approved of the strong evidence base supporting the training and found the web-based format appealing. Country-specific differences often reflected differences in health systems, and highlighted where the intervention could be tailored. The patient data highlighted the importance of the When and How of using the booklet asvery important in the success of the use of the booklet. Analyses of patient data gathered during the intervention will also be presented if available.Discussion: The findings provide valuable insights informing future development of behavioural interventions across Europe regarding antibiotic use. %U