Active Monitoring" Versus "Wait and See": Tackling Action Bias in Antibiotic Prescribing Through Strategic Decision Framing.

该合作研究项目以心理学为基础，旨在对抗生素处方中的行动偏差进行首次全面调查，并开发新的治疗方案框架以减轻其影响。该项目将采用定性访谈和定量实验等混合方法。此外，它还将包括与莱斯特皇家医院的抗菌药物管理部门合作，以确保与临床利益相关者的合作。该项目旨在解决以下研究问题：1。医院处方医生如何看待和评价管理疑似感染的积极与非积极方法？2.哪些积极的术语可以用来重新制定通常被认为是非积极的决定（例如，选择推迟抗生素处方）？3.重新构建非积极语言对改变行为和减少抗生素过量处方的有效性如何？该项目将分为心理学理论和应用及其在医疗保健和其他领域的应用的综合文献综述。其次是定性研究临床态度的抗生素处方和知识的抗菌药物耐药性。从研究结果中获得的知识，将与莱斯特皇家医院抗菌管理部门合作开发多个版本的可访问材料。这些将由来自几个信托基金的临床医生使用混合设计方法进行试验，以确定最有效的方法。

This collaborative research project, grounded in psychology, aims to conduct the first comprehensive investigation of action bias in the context of antibiotic prescribing and to develop new framing of treatment options to mitigate against it. The project will draw on mixed methods such as qualitative interviews and quantitative experiments. Additionally, it will include engagement with Antimicrobial Stewardship at Leicester Royal Infirmary that will ensure engagement with clinical stakeholders. The project aims to address the following research questions: 1. How do hospital prescribers perceive and evaluate active versus non-active approaches to managing suspected infections? 2. What active terminology can be used to re-frame decisions that are typically perceived to be non-active (e.g. choices to delay antibiotic prescribing)? 3. How effective is a re-framing of non-active language for changing behaviour and reducing antibiotic overprescribing?The project will be divided into comprehensive literature review on psychological theory and application its application in healthcare and beyond. Followed by qualitative research into clinical attitudes towards antibiotic prescription and knowledge of antimicrobial resistance. With knowledge drawn from the findings, multiple versions of accessible material will be developed in collaboration with Leicester Royal Infirmary Antimicrobial Stewardship. These will be trialled with clinicians from several trusts using mixed design approach to identify the most effective approach.