Time for action-improving the design and reporting of behaviour change interventions for antimicrobial stewardship in hospitals: early findings from a systematic review
File(s)Davey_etal2015.pdf (884.95 KB)
Published version
Author(s)
Davey, P
Peden, C
Charani, E
Marwick, C
Michie, S
Type
Journal Article
Abstract
There is strong evidence that self-monitoring and feedback are effective behaviour change techniques (BCTs) across a range of healthcare interventions and that their effectiveness is enhanced by goal setting and action planning. Here we report a summary of the update of a systematic review assessing the application of these BCTs to improving hospital antibiotic prescribing. This paper includes studies with valid prescribing outcomes published before the end of December 2012. We used a structured method for reporting these BCTs in terms of specific characteristics and contacted study authors to request additional intervention information. We identified 116 studies reporting 123 interventions. Reporting of BCTs was poor, with little detail of BCT characteristics. Feedback was only reported for 17 (13.8%) of the interventions, and self-monitoring was used in only 1 intervention. Goals were reported for all interventions but were poorly specified, with only three of the nine characteristics reported for ≥50% of interventions. A goal threshold and timescale were specified for just 1 of the 123 interventions. Only 29 authors (25.0%) responded to the request for additional information. In conclusion, both the content and reporting of interventions for antimicrobial stewardship fell short of scientific principles and practices. There is a strong evidence base regarding BCTs in other contexts that should be applied to antimicrobial stewardship now if we are to further our understanding of what works, for whom, why and in what contexts.
Date Issued
2015-03-01
Date Acceptance
2014-11-28
Citation
International Journal of Antimicrobial Agents, 2015, 45 (3), pp.203-212
ISSN
1872-7913
Publisher
Elsevier
Start Page
203
End Page
212
Journal / Book Title
International Journal of Antimicrobial Agents
Volume
45
Issue
3
Copyright Statement
© 2015 The Authors. This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/
licenses/by-nc-sa/4.0/).
licenses/by-nc-sa/4.0/).
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/25630430
PII: S0924-8579(14)00401-4
Subjects
Antibiotic prescribing
Antimicrobial stewardship
Behaviour change techniques
Quality improvement
Systematic review
Anti-Bacterial Agents
Attitude of Health Personnel
Behavior Therapy
Drug Prescriptions
Drug Utilization
Hospitals
Humans
Microbiology
Medical Microbiology
Pharmacology And Pharmaceutical Sciences
Publication Status
Published
Coverage Spatial
Netherlands