Using Implementation Mapping to develop an intervention program to support veterinarians' adherence to the guideline...

Area of Science:

• Veterinary Medicine
• Animal Health
• Infectious Disease Control

Background:

• Streptococcus suis (S. suis) infections are prevalent in weaned pigs, leading to high antimicrobial use.
• Existing S. suis clinical practice guidelines show suboptimal adherence among veterinarians.
• Improved guideline adherence is crucial for antimicrobial stewardship and combating antimicrobial resistance.

Purpose of the Study:

• To systematically develop a theory-based intervention program to enhance swine veterinarians' adherence to the S. suis guideline.
• To address key determinants influencing guideline adherence, including knowledge, skills, and beliefs.
• To improve the control of S. suis infections and promote responsible antimicrobial use in swine farming.

Main Methods:

• Utilized the Implementation Mapping approach for systematic intervention development.
• Incorporated seven evidence-based methods: modelling, tailoring, feedback, discussion, persuasive communication, active learning, and self-monitoring.
• Designed an eight-month intervention program including peer-learning and e-learning modules for practicing swine veterinarians.

Main Results:

• A comprehensive, theory-based intervention program was developed for swine veterinarians.
• The program targets specific domains influencing guideline adherence.
• The intervention is designed for practical application and evaluation via a stepped-wedge design.

Conclusions:

• The developed intervention program offers a structured approach to improve adherence to S. suis guidelines.
• This initiative supports better animal disease management and contributes to antimicrobial resistance prevention.
• The Implementation Mapping framework facilitated a systematic and inclusive development process.