Raster · dataset · 2016
Attitudes and Behaviours to Antimicrobial Prescribing following introduction of a Smartphone App
Listed in LSHTM Data Compass
Our hospital replaced the format for delivering portable antimicrobial prescribing guidance from a paper-based pocket guide to a smartphone application (app).
Description
We used this opportunity to assess the relationship between its use and the attitudes and behaviours of antimicrobial prescribers. We used 2 structured cross-sectional questionnaires issued just prior to and 3 months following the launch of the smartphone app.
Ordinal Likert scale responses to both frequencies of use and agreement statements permitted quantitative assessment of the relationship between variables. The smartphone app was used more frequently than the pocket guide it replaced (p < 0.01), and its increased use was associated with sentiments that the app was useful, easy to navigate and its content relevant. Users who used the app more frequently were more likely to agree that the app encouraged them to challenge inappropriate prescribing by their colleagues (p = 0.001) and were more aware of the importance of antimicrobial stewardship (p = 0.005).
Read the rest (2 more)
Reduced use of the app was associated with agreement that senior physicians' preferences for antimicrobial prescribing would irrespectively overrule guideline recommendations (p = 0.0002). Smartphone apps are an effective and acceptable format to deliver guidance on antimicrobial prescribing. Our findings suggest that they may empower users to challenge incorrect prescribing, breaking well-established behaviours, and thus supporting vital stewardship efforts in an era of increased antimicrobial resistance.
Future work will need to focus on the direct impact on drug prescriptions as well as identifying barriers to implementing smartphone apps in other clinical settings.
Links
Where it is published
- LSHTM Data Compass record datacompass.lshtm.ac.uk/id/eprint/204/1/S1_UseFrequency.TIF ↗
landing page · from lshtm ac uk
- LSHTM Data Compass record datacompass.lshtm.ac.uk/id/eprint/204/3/S2_Post-app_Questionnaire.DOCX ↗
landing page · from lshtm ac uk
- LSHTM Data Compass record datacompass.lshtm.ac.uk/id/eprint/204/5/S4_MicroGuide_App_Description.XLSX ↗
landing page · from lshtm ac uk
- LSHTM Data Compass record datacompass.lshtm.ac.uk/id/eprint/204/4/S3_QuestionnaireResponses.XLSX ↗
landing page · from lshtm ac uk
- LSHTM Data Compass record datacompass.lshtm.ac.uk/id/eprint/204/2/S1_Pre-app_Questionnaire.DOCX ↗
landing page · from lshtm ac uk
- DOI doi.org/10.1371/journal.pone.0154202.s004 ↗
DOI / persistent id · from lshtm ac uk
Catalogue records · 1
- OAI-PMH record datacompass.lshtm.ac.uk/cgi/oai2?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3… ↗
metadata API · from lshtm ac uk
Topics
- From keywords
- Earth & Environmental Science · Humanities · Life Sciences · Medicine & Health · Social Science
- Inferred from text
- Pharmacology and pharmaceutical sciences 68%
Provenance · 1 source records, 11 field assertions
| Source | Key | Last seen | Raw |
|---|---|---|---|
| LSHTM Data Compass | oai:datacompass.lshtm.ac.uk:204 | 10 d ago | JSON v1 |
| Field | Assertion | Extractor | Evidence |
|---|---|---|---|
| access_level | source · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| concepts[field].anzsrc:group:3214 | enrichment · lshtm ac uk | taxonomy-embedding@1.0.0 | title+keywords+description (68%) |
| concepts[field].local:field:earth-environmental | mapping · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| concepts[field].local:field:humanities | mapping · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| concepts[field].local:field:life-sciences | mapping · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| concepts[field].local:field:medicine-health | mapping · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| concepts[field].local:field:social-science | mapping · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| description | source · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | /metadata/dc/description |
| license | source · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | /metadata/dc/rights |
| publication_date | source · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | |
| title | source · lshtm ac uk | connector:lshtm_ac_uk@1.0.0 | /metadata/dc/title |