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AuthorTalkhan, Hend
AuthorStewart, Derek
AuthorMcintosh, Trudi
AuthorZiglam, Hisham
AuthorAbdulrouf, Palli Valappila
AuthorAl-Hail, Moza
AuthorDiab, Mohammad
AuthorCunningham, Scott
Available date2020-09-06T07:31:50Z
Publication Date2020-09-01
Identifierhttp://dx.doi.org/10.1093/jac/dkaa154
CitationHend Talkhan, Derek Stewart, Trudi Mcintosh, Hisham Ziglam, Palli Valappila Abdulrouf, Moza Al-Hail, Mohammad Diab, Scott Cunningham, The use of theory in the development and evaluation of behaviour change interventions to improve antimicrobial prescribing: a systematic review, Journal of Antimicrobial Chemotherapy, , dkaa154, https://doi.org/10.1093/jac/dkaa154
URIhttp://hdl.handle.net/10576/15959
AbstractThis systematic review (SR) reviews the evidence on use of theory in developing and evaluating behaviour change interventions (BCIs) to improve clinicians' antimicrobial prescribing (AP). The SR protocol was registered with PROSPERO. Eleven databases were searched from inception to October 2018 for peer-reviewed, English-language, primary literature in any healthcare setting and for any medical condition. This included research on changing behavioural intentions (e.g. in simulated scenarios) and research measuring actual AP. All study designs/methodologies were included. Excluded were: grey literature and/or those which did not state a theory. Two reviewers independently extracted and quality assessed the data. The Theory Coding Scheme (TCS) evaluated the extent of the use of theory. Searches found 4227 potentially relevant papers after removal of duplicates. Screening of titles/abstracts led to dual assessment of 38 full-text papers. Ten (five quantitative, three qualitative and two mixed-methods) met the inclusion criteria. Studies were conducted in the UK (n = 8), Canada (n = 1) and Sweden (n = 1), most in primary care settings (n = 9), targeting respiratory tract infections (n = 8), and medical doctors (n = 10). The most common theories used were Theory of Planned Behaviour (n = 7), Social Cognitive Theory (n = 5) and Operant Learning Theory (n = 5). The use of theory to inform the design and choice of intervention varied, with no optimal use as recommended in the TCS. This SR is the first to investigate theoretically based BCIs around AP. Few studies were identified; most were suboptimal in theory use. There is a need to consider how theory is used and reported and the systematic use of the TCS could help.
Languageen
Subjectantimicrobial
prescribing
theory
Systematic review
TitleThe use of theory in the development and evaluation of behaviour change interventions to improve antimicrobial prescribing: a systematic review.
TypeArticle
Pagination2394–2410
Issue Number9
Volume Number75
dc.accessType Abstract Only


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