Decision aids have been shown to facilitate shared decision making, recognize and respect patient values, improve patient experience by designing care around those values and increase patient comfort with decisions made. The objective of the study was to determine the effectiveness of a decision aid to 1) increase decisional comfort with the appropriate use of antibiotics for respiratory tract infections and 2) maintain antibiotic prescribing rates at current levels. Participants were English-speaking college students age 18 and over diagnosed with a respiratory tract infection in the general medical clinic of a university health center from August 31, 2015-May 6, 2016. Pre- and post-intervention surveys were used to measure decisional conflict of students. Intervention included staff training in shared decision making and the use of a decision aid. Students who received routine care were 2.2 times [N=643; p=



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