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Published on: July 24, 2021
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Using intervention mapping to design and implement a multicomponent intervention to improve antibiotic and NSAID
Thomas J Reese1,2, Amanda S Mixon1,2,3, Michael E Matheny1,2,4
1VA Tennessee Valley Healthcare System, 1310 24th ave S 37212, USA.
Translational Behavioral Medicine
|October 19, 2023
Summary
This study systematically designed a multicomponent intervention to reduce inappropriate antibiotic and nonsteroidal anti-inflammatory drug (NSAID) prescribing. The Intervention Mapping approach addressed behavioral determinants and implementation barriers for improved prescriber behavior.
Area of Science:
- Health Services Research
- Behavioral Science
- Clinical Pharmacy
Background:
- Inappropriate antibiotic and NSAID prescribing is a significant clinical challenge.
- Multicomponent interventions are effective but complex to develop and implement.
Purpose of the Study:
- To systematically design and implement a multicomponent intervention to reduce inappropriate antibiotic and NSAID prescribing.
- To address behavioral determinants and implementation barriers in outpatient care settings.
Main Methods:
- Utilized the Intervention Mapping framework for systematic intervention design.
- Conducted literature reviews and interviews with prescribers and stakeholders.
- Developed intervention components including academic detailing, feedback, and order sets.
Main Results:
- Identified key behavioral determinants such as patient social pressure.
- Targeted prescriber behaviors included guideline review, managing uncertainty, and patient education.
- Intervention strategies involved clinical champions, readiness assessments, and incentives.
Conclusions:
- A systematic, theory-informed approach can effectively develop multicomponent interventions.
- This study provides a roadmap for addressing inappropriate prescribing in healthcare settings.
- Further trials will assess the intervention's effectiveness and implementation outcomes.
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