Understanding and Reducing Inappropriate Antibiotic Use in the Context of Delayed Prescriptions
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Understanding and Reducing Inappropriate Antibiotic Use in the Context of Delayed Prescriptions. / Santana, Ana Paula; Korn, Lars; Betsch, Cornelia; Krockow, Eva M.; Sievert, Elisabeth D.C.; Gross, Marina; Pepper, Maxine; Böhm, Robert.
I: Health Psychology, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Understanding and Reducing Inappropriate Antibiotic Use in the Context of Delayed Prescriptions
AU - Santana, Ana Paula
AU - Korn, Lars
AU - Betsch, Cornelia
AU - Krockow, Eva M.
AU - Sievert, Elisabeth D.C.
AU - Gross, Marina
AU - Pepper, Maxine
AU - Böhm, Robert
N1 - Publisher Copyright: © 2023 American Psychological Association
PY - 2024
Y1 - 2024
N2 - Objective: Antimicrobial resistance is a global health threat perpetuated by the overprescribing of antibiotics in primary care. One strategy to reduce antibiotic use in this setting is delayed prescribing. However, several psychological factors might undermine its effectiveness. The aim of the study was to test whether different interventions aiming at helping patients to manage diagnostic uncertainty in the period of watchful waiting promote appropriate antibiotic use. Method: We conducted a preregistered online experiment (N = 690 adult participants from the United Kingdom) in which we modeled delayed prescription in a decision task with behavior-contingent incentives. Participants had either a fictional viral or bacterial infection and received interventions that aimed at facilitating symptom monitoring (i.e., passive monitoring) and engaging participants in the task (i.e., active monitoring). Results: Both interventions decreased antibiotic use when the disease was viral. Active monitoring was more efficient in decreasing antibiotic use than passive monitoring. Conclusions: The findings have practical implications for managing uncertainty and fostering appropriate antibiotic use in delayed prescribing situations.
AB - Objective: Antimicrobial resistance is a global health threat perpetuated by the overprescribing of antibiotics in primary care. One strategy to reduce antibiotic use in this setting is delayed prescribing. However, several psychological factors might undermine its effectiveness. The aim of the study was to test whether different interventions aiming at helping patients to manage diagnostic uncertainty in the period of watchful waiting promote appropriate antibiotic use. Method: We conducted a preregistered online experiment (N = 690 adult participants from the United Kingdom) in which we modeled delayed prescription in a decision task with behavior-contingent incentives. Participants had either a fictional viral or bacterial infection and received interventions that aimed at facilitating symptom monitoring (i.e., passive monitoring) and engaging participants in the task (i.e., active monitoring). Results: Both interventions decreased antibiotic use when the disease was viral. Active monitoring was more efficient in decreasing antibiotic use than passive monitoring. Conclusions: The findings have practical implications for managing uncertainty and fostering appropriate antibiotic use in delayed prescribing situations.
KW - antibiotics
KW - decision-making
KW - delayed prescribing
KW - health psychology
U2 - 10.1037/hea0001323
DO - 10.1037/hea0001323
M3 - Journal article
C2 - 37870788
AN - SCOPUS:85183667437
JO - Health Psychology
JF - Health Psychology
SN - 0278-6133
ER -
ID: 382437396