Parveen Sana, Garzon-Orjuela Nathaly, Amin Doaa, McHugh Patricia, Vellinga Akke
School of Public Health, Physiotherapy & Sports Science, University College Dublin, D04V1W8 Dublin, Ireland.
Antibiotics (Basel). 2022 May 16;11(5):669. doi: 10.3390/antibiotics11050669.
Over the years there have been several interventions targeted at the public to increase their knowledge and awareness about Antimicrobial Resistance (AMR). In this work, we updated a previously published review by Price et al. (2018), on effectiveness of interventions to improve the public's antimicrobial resistance awareness and behaviours associated with prudent use of antimicrobials to identify which interventions work best in influencing public behaviour.
Five databases-Medline (OVID), CINAHL (EBSCO), Embase, PsycINFO, and Cochrane Central Register of Controlled Trials (CENTRAL-OVID)-were searched for AMR interventions between 2017 and 2021 targeting the public. All studies which had a before and after assessment of the intervention were considered for inclusion.
In total, 17 studies were found to be eligible for inclusion in the review. Since there was a variety in the study interventions and in particular outcomes, a narrative synthesis approach was adopted for analysis. Whereas each study showed some impact on awareness and knowledge, none measured long-term impact on behaviours towards antibiotic use, awareness, or knowledge. Engagement was higher in interventions which included interactive elements such as games or videos. Social media was not used for recruitment of participants or as a mode of communication in any AMR interventions included in this review.
多年来，针对公众开展了多项干预措施，以提高他们对抗菌药物耐药性（AMR）的认识。在这项工作中，我们更新了普赖斯等人（2018年）之前发表的一篇综述，该综述探讨了提高公众对抗菌药物耐药性的认识以及与谨慎使用抗菌药物相关行为的干预措施的有效性，以确定哪些干预措施在影响公众行为方面效果最佳。
检索了五个数据库——医学期刊数据库（OVID）、护理学与健康领域数据库（EBSCO）、荷兰医学文摘数据库、心理学文摘数据库以及考克兰对照试验中心注册库（CENTRAL - OVID），以查找2017年至2021年间针对公众的AMR干预措施。所有对干预措施进行前后评估的研究均被纳入考虑。
总共发现17项研究符合纳入该综述的条件。由于研究干预措施尤其是结果存在差异，因此采用叙述性综合分析方法进行分析。虽然每项研究都显示出对认识和知识有一定影响，但没有一项研究衡量了对抗生素使用行为、认识或知识的长期影响。在包括游戏或视频等互动元素的干预措施中，参与度更高。在本综述纳入的任何AMR干预措施中，社交媒体均未用于招募参与者或作为沟通方式。
