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Effectiveness of work-based educational interventions for antimicrobial stewardship: a systematic review
Darren Langdridge1, Jennika Virhia2, Rachel McMullan3
1School of Psychology and Counselling, The Open University, Milton Keynes MK7 6AA, UK.
Jac-Antimicrobial Resistance
|December 11, 2024
Summary
Educational interventions are crucial for improving antimicrobial stewardship (AMS). This review found limited evidence on the most effective AMS educational strategies for health professionals, highlighting the need for higher quality research.
Area of Science:
- Health Professions Education
- Public Health
- Infectious Disease Management
Background:
- Antimicrobial stewardship (AMS) is essential for combating antimicrobial resistance.
- Educational interventions are a key strategy for improving AMS practices among healthcare professionals.
Purpose of the Study:
- To evaluate the effectiveness of post-qualification educational interventions for antimicrobial stewardship (AMS) behavior change.
- To identify which types of educational interventions are most effective for specific health professions.
Main Methods:
- A systematic review of studies published between 2013 and 2024 was conducted.
- Included randomized controlled trials (RCTs), quasi-experimental designs, and qualitative studies.
- Study quality was assessed using Cochrane EPOC criteria and the Mixed Methods Appraisal Tool (MMAT).
Main Results:
- Forty-six studies were included, with varying quality.
- Six studies met EPOC criteria with low risk of bias; forty used MMAT with high risk of bias.
- Some evidence suggests formal education can be effective, but details on optimal interventions are limited.
Conclusions:
- Post-qualification educational interventions for AMS are heterogeneous with generally poor evidence quality.
- Further high-quality research is needed to determine effective components of AMS educational interventions for different health professions.
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