通过保护动机理论,确定改善儿童和成人适当使用抗生素的意图的因素
Hitomi Kawamura1,2, Keiko Kishimoto1
1Division of Social Pharmacy, Department of Healthcare and Regulatory Sciences, Graduate School of Pharmacy, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8555, Japan.
PEC innovation
|June 7, 2024
概括
了解抗生素的风险可以改善对儿童的适当使用. 过度的期望会对成人和儿童的抗生素使用意图产生负面影响. 定制的宣传活动对于有效的抗生素管理至关重要.
科学领域:
- 医学研究 医学研究
- 健康心理学 心理健康心理学
- 公共卫生 公共卫生
背景情况:
- 抗生素耐药性是一个日益增长的全球健康威胁.
- 适当的抗生素使用对于有效治疗和预防耐药性至关重要.
- 保护动机理论 (PMT) 为理解健康行为意图提供了一个框架.
研究的目的:
- 确定影响成年人及给儿童使用抗生素的父母适当使用抗生素的意图的因素.
- 应用和完善基于保护动机理论 (PMT) 的模型.
主要方法:
- 一项在线调查对1200名日本成年参与者进行 (600名14岁以下儿童的父母,600名成年抗生素使用者).
- 结构方程建模 (SEM) 用于分析基于PMT的假设模型.
- 如果初始匹配不够,模型会被代地改进.
主要成果:
- 假设模型最初不合适,需要改进模型.
- 两个关键因素出现了:"了解抗菌素耐药性的风险"和"对抗生素的过度期望".
- 在成年人中,过度期望对意图产生了负面影响 (β = -0.50). 在儿童中,过度期望对意图产生了负面影响 (β = -0.52),而理解抵抗风险对意图产生了积极影响 (β = 0.22).
结论:
- 影响抗生素使用意向的因素在成人自我使用和儿科使用之间有所不同.
- "对抗生素的过度期望"是这两个群体的显著负面预测因素.
- "了解抗菌素耐药性的风险"对儿童抗生素使用的意图产生了积极的影响.
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