Rees Gwen M, Bard Alison, Reyher Kristen K
Institute of Biological, Environmental and Rural Sciences (IBERS), Aberystwyth University, Penglais, Aberystwyth SY23 3DA, UK.
Bristol Veterinary School, University of Bristol, Langford BS40 5DU, UK.
Antibiotics (Basel). 2021 Mar 3;10(3):253. doi: 10.3390/antibiotics10030253.
Antimicrobial use in agriculture has been identified as an area of focus for reducing overall antimicrobial use and improving stewardship. In this paper, we outline the design of a complex antimicrobial stewardship (AMS) intervention aimed at developing a national Veterinary Prescribing Champion programme for Welsh farm animal veterinary practices. We describe the process by which participants were encouraged to design and deliver bespoke individualised AMS activities at practice level by forging participant "champion" identities and communities of practice through participatory and educational online activities. We describe the key phases identified as important when designing this complex intervention, namely (i) involving key collaborators in government and industry to stimulate project engagement; (ii) grounding the design in the literature, the results of stakeholder engagement, expert panel input, and veterinary clinician feedback to promote contextual relevance and appropriateness; and (iii) taking a theoretical approach to implementing intervention design to foster critical psychological needs for participant motivation and scheme involvement. With recruitment of over 80% of all farm animal practices in Wales to the programme, we also describe demographic data of the participating Welsh Veterinary Prescribing Champions in order to inform recruitment and design of future AMS programmes.
农业领域的抗菌药物使用已被确定为减少总体抗菌药物使用和改善管理的重点领域。在本文中，我们概述了一项复杂的抗菌药物管理（AMS）干预措施的设计，该措施旨在为威尔士农场动物兽医实践制定一项全国性的兽医处方冠军计划。我们描述了鼓励参与者通过参与式和在线教育活动塑造参与者“冠军”身份和实践社区，从而在实践层面设计和开展定制化的个性化AMS活动的过程。我们描述了在设计这一复杂干预措施时确定为重要的关键阶段，即：（i）让政府和行业的关键合作伙伴参与进来，以促进项目参与度；（ii）将设计基于文献、利益相关者参与的结果、专家小组的意见和兽医临床医生的反馈，以提高情境相关性和适当性；（iii）采用理论方法实施干预设计，以满足参与者动机和参与该计划的关键心理需求。随着威尔士超过80%的农场动物实践机构加入该计划，我们还描述了参与该计划的威尔士兽医处方冠军的人口统计数据，以便为未来AMS计划的招募和设计提供参考。
