Driving sustainable change in antimicrobial prescribing practice – How can social and behavioural sciences help?
journal contribution
posted on 2018-06-07, 08:47 authored by Fabiana Lorencatto, Esmita Charani, Nick Sevdalis, Carolyn Tarrant, Peter DaveyAddressing the growing threat of antimicrobial resistance is in part reliant on the complex challenge of
changing human behaviour- in terms of reducing inappropriate antibiotic use and preventing infection.
Whilst there is no ‘one size fits all’ recommended behavioural solution for improving antimicrobial
stewardship, the behavioural and social sciences offer a range of theories, frameworks, methods and
evidence-based principles that can help inform the design of behaviour change interventions that are
context-specific and thus more likely to be effective. However the state-of-the art in antimicrobial
stewardship research and practice suggests that behavioural and social influences are often not given
due consideration in the design and evaluation of interventions to improve antimicrobial prescribing. In
this paper, we discuss four potential areas where the behavioural and social sciences can help drive
more effective and sustained behaviour change in antimicrobial stewardship: 1) defining the problem
in behavioural terms and understanding current behaviour in context; 2) adopting a theory-driven,
systematic approach to intervention design; 3) investigating implementation and sustainability of
interventions in practice; and 4) maximising learning through evidence synthesis and detailed
intervention reporting.
Funding
E Charani is funded by National Institute of Health Research Imperial Biomedical Research Centre and the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London in partnership with Public Health England and the NIHR Imperial Patient Safety Translational Research Centre and the Economic and Social Research Council. N Sevdalis’ research is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King’s College Hospital NHS Foundation Trust. NS is a member of King's Improvement Science, which is part of the NIHR CLAHRC South London and comprises a specialist team of improvement scientists and senior researchers based at King's College London. Its work is funded by King's Health Partners (Guy's and St Thomas’ NHS Foundation Trust, King's College Hospital NHS Foundation Trust, King's College London and South London and Maudsley NHS Foundation Trust), Guy's and St Thomas’ Charity, the Maudsley Charity and the Health Foundation. N Sevdalis’ research is further supported by the Economic and Social Research Council grant ES/P008313/1. F Lorencatto & C Tarrant were partly supported by grant ES/P008321/1 (FL & CT) and ES/P008224/1 (FL), awarded through the Antimicrobial Resistance Cross Council Initiative supported by the seven research councils.
History
Citation
Journal of Antimicrobial Chemotherapy, 2018, dky222Author affiliation
/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health SciencesVersion
- AM (Accepted Manuscript)
Published in
Journal of Antimicrobial ChemotherapyPublisher
Oxford University Press (OUP) for British Society for Antimicrobial Chemotherapyissn
0305-7453eissn
1460-2091Acceptance date
2018-05-17Copyright date
2018Available date
2019-07-17Publisher DOI
Publisher version
https://academic.oup.com/jac/advance-article/doi/10.1093/jac/dky222/5055403Notes
The file associated with this record is under embargo until 12 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.Language
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