A behavioural approach to specifying interventions: what insights can be gained for the reporting and implementation of interventions to reduce antibiotic use in hospitals?

Eilidh M Duncan; Esmita Charani; Janet E Clarkson; Jill J Francis; Katie Gillies; Jeremy M Grimshaw; Winfried V Kern; Fabiana Lorencatto; Charis A Marwick; Jo McEwen; Ralph Möhler; Andrew M Morris; Craig R Ramsay; Susan Rogers Van Katwyk; Magdalena Rzewuska; Brita Skodvin; Ingrid Smith; Kathryn N Suh; Peter G Davey

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?

Eilidh M Duncan, Esmita Charani, Janet E Clarkson, Jill J Francis, Katie Gillies, Jeremy M Grimshaw, Winfried V Kern, Fabiana Lorencatto, Charis A Marwick, Jo McEwen, Ralph Möhler, Andrew M Morris, Craig R Ramsay, Susan Rogers Van Katwyk, Magdalena Rzewuska, Brita Skodvin, Ingrid Smith, Kathryn N Suh, Peter G Davey

Journal of Antimicrobial Chemotherapy | Published : 2020

DOI: 10.1093/jac/dkaa001

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Abstract

BACKGROUND: 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. OBJECTIVES: To apply a behavioural framework [the Target Action Context Timing Actors (TACTA) framework] to existing evidence about hospital AMS interventions to specify which key beha..

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