Improving antibiotic use in hospitals: development of a digital antibiotic review tracking toolkit (DARTT) using the behaviour change wheel.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2024-11-01 Epub Date: 2023-02-28 DOI:10.1080/08870446.2023.2182894

Gosha Wojcik, N Ring, D S Willis, B Williams, K Kydonaki

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引用次数: 0

Abstract

Objective: To develop a theory-informed behaviour change intervention to promote appropriate hospital antibiotic use, guided by the Medical Research Council's complex interventions framework.

Methods: A phased approach was used, including triangulation of data from meta-ethnography and two qualitative studies. Central to intervention design was the generation of a robust theoretical basis using the Behaviour Change Wheel to identify relevant determinants of behaviour change and intervention components. Intervention content was guided by APEASE (Acceptability, Practicability, Effectiveness, Affordability, Side-effects, and Equity) criteria and coded using a Behaviour Change Technique Taxonomy. Stakeholders were involved throughout.

Results: From numerous modifiable prescribing behaviours identified, active 'antibiotic time-out' was selected as the target behaviour to help clinicians safely initiate antibiotic reassessment. Prescribers' capability, opportunity, and motivation were potential drivers for changing this behaviour. The design process resulted in the selection of 25 behaviour change techniques subsequently translated into intervention content. Integral to this work was the development and refinement of a Digital Antibiotic Review Tracking Toolkit.

Conclusion: This novel work demonstrates how the Behaviour Change Wheel can be used with the Medical Research Council framework to develop a theory-based behaviour change intervention targeting barriers to timely hospital antibiotic reassessment. Future research will evaluate the Antibiotic Toolkit's feasibility and effectiveness.

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改善医院的抗生素使用情况：利用行为改变轮开发数字化抗生素审查跟踪工具包 (DARTT)。

目的在医学研究委员会复杂干预框架的指导下，制定一项以理论为依据的行为改变干预措施，以促进医院抗生素的合理使用：采用分阶段的方法，包括对来自元民族志和两项定性研究的数据进行三角测量。干预设计的核心是利用 "行为改变轮"（Behaviour Change Wheel）建立坚实的理论基础，以确定行为改变的相关决定因素和干预内容。干预内容以 APEASE（可接受性、实用性、有效性、可负担性、副作用和公平性）标准为指导，并使用行为改变技术分类法进行编码。利益相关者全程参与：结果：从众多可改变的处方行为中，选择了积极的 "抗生素超时 "作为目标行为，以帮助临床医生安全地启动抗生素再评估。处方者的能力、机会和动机是改变这种行为的潜在驱动力。在设计过程中，我们选择了 25 种行为改变技巧，随后将其转化为干预内容。这项工作的重要组成部分是开发和完善数字化抗生素审查跟踪工具包：这项新颖的工作展示了如何将行为改变轮与医学研究委员会的框架相结合，针对医院抗生素及时再评估的障碍，开发基于理论的行为改变干预措施。未来的研究将评估抗生素工具包的可行性和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.