Antimicrobial stewardship

The effectiveness of educational interventions to change risk-related behaviours in the general population: A systematic review

by Sarah King, Josephine Exley, Jirka Taylor, Kristy Kruithof, Jody Larkin, Mafalda Pardal

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RAND Europe undertook a systematic review of the evidence of effectiveness and cost effectiveness on changing the public's risk related behaviour pertaining to antimicrobial use to inform the development of a NICE public health guideline aimed at delaying antimicrobial resistance (AMR).

The review considered educational interventions targeting individuals, communities or the general public delivered via any mode. Specifically, it aimed to address:

  1. Which educational interventions are effective and cost-effective in changing the public's behaviour to ensure they only ask for antimicrobials when appropriate and use them correctly?
  2. Which educational interventions are effective and cost-effective in changing the public's behaviour to prevent infection and reduce the spread of antimicrobial resistance?

Overall, 60 studies met the inclusion criteria; 29 related to research question 1, and 36 related to research question 2 (five studies were applicable to both). The key findings are summarised in 'Evidence Statements' in accordance with NICE guidelines. Evidence Statements provide a high level overview of the key features of the evidence including: the number of studies, the quality of evidence, and the direction of the estimated effect followed by a brief summary of each of the supporting studies. Studies are grouped into Evidence Statements by setting and intervention.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Methods

  • Chapter Three

    Included studies

  • Chapter Four

    Antibiotic knowledge and behaviour

  • Chapter Five

    Infection and/or hand hygiene

  • Chapter Six

    Hygiene and/or food safety

  • Chapter Seven

    Discussion

Research conducted by

The research described in this report was prepared for the National Institute for Health and Care Excellence (NICE) and conducted by RAND Europe.

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