What are the 'active ingredients' of interventions targeting the public's engagement with antimicrobial resistance (AMR) and how might they work?

Joanna L. McParland, Lynn Williams, Lucyna Gozdzielewska, Mairi Young, Fraser Smith, Jennifer MacDonald, Darren Langdridge, Mark Davis, Lesley Price, Paul Flowers

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: Changing public awareness of antimicrobial resistance (AMR) represents a global public health priority. A systematic review of interventions that targeted public AMR awareness and associated behaviour was previously conducted. Here we focus on identifying the active content of these interventions and explore potential mechanisms of action.
Methods: The project took a novel approach to intervention mapping utilising the following steps: (i) an exploration of explicit and tacit theory and theoretical constructs within the interventions using the Theoretical Domains Framework (TDFv2), (ii) retrospective coding of behaviour change techniques (BCTs) using the BCT Taxonomy v1, and (iii) an investigation of coherent links between the TDF domains and BCTs across the interventions.
Results: Of 20 studies included, only four reported an explicit theoretical basis to their intervention. However, TDF analysis revealed that nine out of the 14 TDF domains were utilised, most commonly 'Knowledge' and 'Environmental context and resources'. The BCT analysis showed that all interventions contained at least one BCT, and 14 out of 93 (15%) BCTs were coded, most commonly 'Information about health consequences', 'Credible source', and 'Instruction on how to perform the behaviour'.
Conclusions: We identified nine relevant TDF domains and 14 BCTs used in these interventions. Only 15% of BCTs have been applied in AMR interventions thus providing a clear opportunity for the development of novel interventions in this context. This methodological approach provided a useful way of retrospectively mapping theoretical constructs and BCTs when reviewing studies that provide limited information on theory and intervention content.
LanguageEnglish
Number of pages74
JournalBritish Journal of Health Psychology
Early online date27 May 2018
DOIs
Publication statusE-pub ahead of print - 27 May 2018

Fingerprint

Information Theory
Health Priorities
Action Potentials
Public Health
Health
Global Health

Keywords

  • antimicrobial resistance
  • behaviour change techniques
  • AMR interventions

Cite this

McParland, Joanna L. ; Williams, Lynn ; Gozdzielewska, Lucyna ; Young, Mairi ; Smith, Fraser ; MacDonald, Jennifer ; Langdridge, Darren ; Davis, Mark ; Price, Lesley ; Flowers, Paul. / What are the 'active ingredients' of interventions targeting the public's engagement with antimicrobial resistance (AMR) and how might they work?. In: British Journal of Health Psychology. 2018.
@article{45370558b84143df93cda1dcbd90ee2b,
title = "What are the 'active ingredients' of interventions targeting the public's engagement with antimicrobial resistance (AMR) and how might they work?",
abstract = "Objectives: Changing public awareness of antimicrobial resistance (AMR) represents a global public health priority. A systematic review of interventions that targeted public AMR awareness and associated behaviour was previously conducted. Here we focus on identifying the active content of these interventions and explore potential mechanisms of action. Methods: The project took a novel approach to intervention mapping utilising the following steps: (i) an exploration of explicit and tacit theory and theoretical constructs within the interventions using the Theoretical Domains Framework (TDFv2), (ii) retrospective coding of behaviour change techniques (BCTs) using the BCT Taxonomy v1, and (iii) an investigation of coherent links between the TDF domains and BCTs across the interventions.Results: Of 20 studies included, only four reported an explicit theoretical basis to their intervention. However, TDF analysis revealed that nine out of the 14 TDF domains were utilised, most commonly 'Knowledge' and 'Environmental context and resources'. The BCT analysis showed that all interventions contained at least one BCT, and 14 out of 93 (15{\%}) BCTs were coded, most commonly 'Information about health consequences', 'Credible source', and 'Instruction on how to perform the behaviour'. Conclusions: We identified nine relevant TDF domains and 14 BCTs used in these interventions. Only 15{\%} of BCTs have been applied in AMR interventions thus providing a clear opportunity for the development of novel interventions in this context. This methodological approach provided a useful way of retrospectively mapping theoretical constructs and BCTs when reviewing studies that provide limited information on theory and intervention content.",
keywords = "antimicrobial resistance, behaviour change techniques, AMR interventions",
author = "McParland, {Joanna L.} and Lynn Williams and Lucyna Gozdzielewska and Mairi Young and Fraser Smith and Jennifer MacDonald and Darren Langdridge and Mark Davis and Lesley Price and Paul Flowers",
year = "2018",
month = "5",
day = "27",
doi = "10.1111/bjhp.12317",
language = "English",
journal = "British Journal of Health Psychology",
issn = "1359-107X",

}

What are the 'active ingredients' of interventions targeting the public's engagement with antimicrobial resistance (AMR) and how might they work? / McParland, Joanna L.; Williams, Lynn; Gozdzielewska, Lucyna; Young, Mairi; Smith, Fraser; MacDonald, Jennifer; Langdridge, Darren; Davis, Mark; Price, Lesley; Flowers, Paul.

In: British Journal of Health Psychology, 27.05.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - What are the 'active ingredients' of interventions targeting the public's engagement with antimicrobial resistance (AMR) and how might they work?

AU - McParland, Joanna L.

AU - Williams, Lynn

AU - Gozdzielewska, Lucyna

AU - Young, Mairi

AU - Smith, Fraser

AU - MacDonald, Jennifer

AU - Langdridge, Darren

AU - Davis, Mark

AU - Price, Lesley

AU - Flowers, Paul

PY - 2018/5/27

Y1 - 2018/5/27

N2 - Objectives: Changing public awareness of antimicrobial resistance (AMR) represents a global public health priority. A systematic review of interventions that targeted public AMR awareness and associated behaviour was previously conducted. Here we focus on identifying the active content of these interventions and explore potential mechanisms of action. Methods: The project took a novel approach to intervention mapping utilising the following steps: (i) an exploration of explicit and tacit theory and theoretical constructs within the interventions using the Theoretical Domains Framework (TDFv2), (ii) retrospective coding of behaviour change techniques (BCTs) using the BCT Taxonomy v1, and (iii) an investigation of coherent links between the TDF domains and BCTs across the interventions.Results: Of 20 studies included, only four reported an explicit theoretical basis to their intervention. However, TDF analysis revealed that nine out of the 14 TDF domains were utilised, most commonly 'Knowledge' and 'Environmental context and resources'. The BCT analysis showed that all interventions contained at least one BCT, and 14 out of 93 (15%) BCTs were coded, most commonly 'Information about health consequences', 'Credible source', and 'Instruction on how to perform the behaviour'. Conclusions: We identified nine relevant TDF domains and 14 BCTs used in these interventions. Only 15% of BCTs have been applied in AMR interventions thus providing a clear opportunity for the development of novel interventions in this context. This methodological approach provided a useful way of retrospectively mapping theoretical constructs and BCTs when reviewing studies that provide limited information on theory and intervention content.

AB - Objectives: Changing public awareness of antimicrobial resistance (AMR) represents a global public health priority. A systematic review of interventions that targeted public AMR awareness and associated behaviour was previously conducted. Here we focus on identifying the active content of these interventions and explore potential mechanisms of action. Methods: The project took a novel approach to intervention mapping utilising the following steps: (i) an exploration of explicit and tacit theory and theoretical constructs within the interventions using the Theoretical Domains Framework (TDFv2), (ii) retrospective coding of behaviour change techniques (BCTs) using the BCT Taxonomy v1, and (iii) an investigation of coherent links between the TDF domains and BCTs across the interventions.Results: Of 20 studies included, only four reported an explicit theoretical basis to their intervention. However, TDF analysis revealed that nine out of the 14 TDF domains were utilised, most commonly 'Knowledge' and 'Environmental context and resources'. The BCT analysis showed that all interventions contained at least one BCT, and 14 out of 93 (15%) BCTs were coded, most commonly 'Information about health consequences', 'Credible source', and 'Instruction on how to perform the behaviour'. Conclusions: We identified nine relevant TDF domains and 14 BCTs used in these interventions. Only 15% of BCTs have been applied in AMR interventions thus providing a clear opportunity for the development of novel interventions in this context. This methodological approach provided a useful way of retrospectively mapping theoretical constructs and BCTs when reviewing studies that provide limited information on theory and intervention content.

KW - antimicrobial resistance

KW - behaviour change techniques

KW - AMR interventions

UR - https://onlinelibrary.wiley.com/journal/20448287

U2 - 10.1111/bjhp.12317

DO - 10.1111/bjhp.12317

M3 - Article

JO - British Journal of Health Psychology

T2 - British Journal of Health Psychology

JF - British Journal of Health Psychology

SN - 1359-107X

ER -