抗菌管理
心理干预
背景(考古学)
管理(神学)
持续性
干预(咨询)
行为改变
变化论
心理学
管理科学
工程伦理学
抗生素耐药性
医学
社会心理学
政治学
社会学
工程类
生态学
生物
抗生素
精神科
古生物学
法学
政治
微生物学
人类学
作者
Fabiana Lorencatto,Esmita Charani,Nick Sevdalis,Carolyn Tarrant,Peter Davey
摘要
Addressing the growing threat of antimicrobial resistance is, in part, reliant on the complex challenge of changing human behaviour—in terms of reducing inappropriate antibiotic use and preventing infection. Whilst there is no ‘one size fits all’ recommended behavioural solution for improving antimicrobial stewardship, the behavioural and social sciences offer a range of theories, frameworks, methods and evidence-based principles that can help inform the design of behaviour change interventions that are context-specific and thus more likely to be effective. However, the state-of-the-art in antimicrobial stewardship research and practice suggests that behavioural and social influences are often not given due consideration in the design and evaluation of interventions to improve antimicrobial prescribing. In this paper, we discuss four potential areas where the behavioural and social sciences can help drive more effective and sustained behaviour change in antimicrobial stewardship: (i) defining the problem in behavioural terms and understanding current behaviour in context; (ii) adopting a theory-driven, systematic approach to intervention design; (iii) investigating implementation and sustainability of interventions in practice; and (iv) maximizing learning through evidence synthesis and detailed intervention reporting.
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