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Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics

BACKGROUND: Antimicrobial resistance (AMR) is a global health crisis but reducing antibiotic use can help. Some antibiotic use is driven by patient demand. OBJECTIVES: To develop an intervention to discourage antibiotic-seeking behaviour in adults. METHODS: Literature reviewed to identify behaviours...

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Autores principales: Wilding, Sarah, Kettu, Virpi, Thompson, Wendy, Howard, Philip, Jeuken, Lars J C, Pownall, Madeleine, Conner, Mark, Sandoe, Jonathan A T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8251327/
https://www.ncbi.nlm.nih.gov/pubmed/34223142
http://dx.doi.org/10.1093/jacamr/dlab083
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author Wilding, Sarah
Kettu, Virpi
Thompson, Wendy
Howard, Philip
Jeuken, Lars J C
Pownall, Madeleine
Conner, Mark
Sandoe, Jonathan A T
author_facet Wilding, Sarah
Kettu, Virpi
Thompson, Wendy
Howard, Philip
Jeuken, Lars J C
Pownall, Madeleine
Conner, Mark
Sandoe, Jonathan A T
author_sort Wilding, Sarah
collection PubMed
description BACKGROUND: Antimicrobial resistance (AMR) is a global health crisis but reducing antibiotic use can help. Some antibiotic use is driven by patient demand. OBJECTIVES: To develop an intervention to discourage antibiotic-seeking behaviour in adults. METHODS: Literature reviewed to identify behaviours for acquiring antibiotics among adults in the community. Behaviour change wheel approach was used to select the target behaviour and behaviour change techniques. An intervention in the form of a short animated film was developed and its potential impact evaluated in a randomized, controlled, online questionnaire study. RESULTS: Asking a general medical/dental practitioner for antibiotics was identified as the target behaviour. A short stop-motion animated film was chosen to deliver several behaviour-change techniques. Education and persuasion were delivered around information about the normal microbial flora, its importance for health, the negative effect of antibiotics, and about AMR. 417 UK-based individuals completed the questionnaire; median age 34.5 years, 71% female, 91% white ethnicity. 3.8% of participants viewing the test film intended to ask for antibiotics compared with 7.9% viewing the control film. Test film viewers had significantly higher knowledge scores. At 6 week follow up, knowledge scores remained significantly different, while most attitude and intention scores were not different. CONCLUSIONS: Some patients continue to ask for antibiotics. The film increased knowledge and reduced intentions to ask for antibiotics. At 6 weeks, knowledge gains remained but intentions not to ask for antibiotics had waned. Evaluation in the clinical environment, probably at the point of care, is needed to see if antibiotic prescribing can be impacted.
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spelling pubmed-82513272021-07-02 Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics Wilding, Sarah Kettu, Virpi Thompson, Wendy Howard, Philip Jeuken, Lars J C Pownall, Madeleine Conner, Mark Sandoe, Jonathan A T JAC Antimicrob Resist Original Article BACKGROUND: Antimicrobial resistance (AMR) is a global health crisis but reducing antibiotic use can help. Some antibiotic use is driven by patient demand. OBJECTIVES: To develop an intervention to discourage antibiotic-seeking behaviour in adults. METHODS: Literature reviewed to identify behaviours for acquiring antibiotics among adults in the community. Behaviour change wheel approach was used to select the target behaviour and behaviour change techniques. An intervention in the form of a short animated film was developed and its potential impact evaluated in a randomized, controlled, online questionnaire study. RESULTS: Asking a general medical/dental practitioner for antibiotics was identified as the target behaviour. A short stop-motion animated film was chosen to deliver several behaviour-change techniques. Education and persuasion were delivered around information about the normal microbial flora, its importance for health, the negative effect of antibiotics, and about AMR. 417 UK-based individuals completed the questionnaire; median age 34.5 years, 71% female, 91% white ethnicity. 3.8% of participants viewing the test film intended to ask for antibiotics compared with 7.9% viewing the control film. Test film viewers had significantly higher knowledge scores. At 6 week follow up, knowledge scores remained significantly different, while most attitude and intention scores were not different. CONCLUSIONS: Some patients continue to ask for antibiotics. The film increased knowledge and reduced intentions to ask for antibiotics. At 6 weeks, knowledge gains remained but intentions not to ask for antibiotics had waned. Evaluation in the clinical environment, probably at the point of care, is needed to see if antibiotic prescribing can be impacted. Oxford University Press 2021-06-17 /pmc/articles/PMC8251327/ /pubmed/34223142 http://dx.doi.org/10.1093/jacamr/dlab083 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Wilding, Sarah
Kettu, Virpi
Thompson, Wendy
Howard, Philip
Jeuken, Lars J C
Pownall, Madeleine
Conner, Mark
Sandoe, Jonathan A T
Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title_full Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title_fullStr Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title_full_unstemmed Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title_short Development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
title_sort development and randomized controlled trial of an animated film aimed at reducing behaviours for acquiring antibiotics
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8251327/
https://www.ncbi.nlm.nih.gov/pubmed/34223142
http://dx.doi.org/10.1093/jacamr/dlab083
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