Journal article
A behavioural approach to specifying interventions: What insights can be gained for the reporting and implementation of interventions to reduce antibiotic use in hospitals?
EM Duncan, E Charani, JE Clarkson, JJ Francis, K Gillies, JM Grimshaw, WV Kern, F Lorencatto, CA Marwick, J McEwen, R Möhler, AM Morris, CR Ramsay, S Rogers Van Katwyk, M Rzewuska, B Skodvin, I Smith, KN Suh, PG Davey
Journal of Antimicrobial Chemotherapy | OXFORD UNIV PRESS | Published : 2020
DOI: 10.1093/jac/dkaa001
Open access
Abstract
Reducing unnecessary antibiotic exposure is a key strategy in reducing the development and selection of antibiotic-resistant bacteria. Hospital antimicrobial stewardship (AMS) interventions are inherently complex, often requiring multiple healthcare professionals to change multiple behaviours at multiple timepoints along the care pathway. Inaction can arise when roles and responsibilities are unclear. A behavioural perspective can offer insights to maximize the chances of successful implementation. To apply a behavioural framework [the Target Action Context Timing Actors (TACTA) framework] to existing evidence about hospital AMS interventions to specify which key behavioural aspects of inter..
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Awarded by Joint Programming Initiative on Antimicrobial Resistance
Funding Acknowledgements
Funding received from the Research Council of Norway (RCN) through the Joint Programming Initiative on Antimicrobial Resistance (JPIAMR) under the fourth call (2016). Costs included travel costs, running faceto-face meetings and dissemination of results. The Health Services Research Unit is core funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. J.M.G. holds a Canada Research Chair in Health Knowledge Transfer and Uptake. E.C. is funded by the 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 Infections and Antimicrobial Resistance at Imperial College London and the Economic and Social Research Council. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the report.