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为偏见进行首次全面调查，并开发新的治疗方案框架来减轻这种偏见。该项目将采用定性访谈和定量实验等混合方法。此外，它将包括与莱斯特皇家医院的抗菌药物管理部门的接触，这将确保与临床利益相关者的接触。该项目旨在解决以下研究问题：1。医院开处方者如何看待和评估管理疑似感染的主动与非主动方法？2. 哪些主动术语可用于重新定义通常被认为是非主动的决策（例如选择延迟抗生素处方）？3. 在改变行为和减少抗生素过度处方方面，重新构建非主动语言的效果如何？本项目将分为心理学理论和应用的综合文献综述及其在医疗保健和其他领域的应用。其次是临床对抗生素处方的态度和耐药性知识的定性研究。根据从调查结果中获得的知识，将与莱斯特皇家医院抗菌剂管理部门合作开发多种版本的可访问材料。这些将与来自几个信托机构的临床医生进行试验，使用混合设计方法来确定最有效的方法。

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.