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Developing a behaviour change intervention using information about greenhouse gas emissions to reduce liquid antibiotic prescribing

Lookup NU author(s): Nicola Vasey, Dr Emma Lim, Dr Adam RathboneORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2025 The AuthorsIntroduction: The determinants of antimicrobial prescribing often involve social influence, which can be harnessed through behaviour change techniques (BCTs). While previous studies have used BCTs to address antimicrobial resistance, there is a lack of evidence regarding their application to address climate change-related issues in antibiotic prescribing. This study aimed to develop a behaviour change intervention (BCI) using information about greenhouse gas emissions to reduce liquid antibiotic prescribing. Methods: A convenience sample of participants from a primary care practice in North East England participated in semi-structured interviews. The intervention design was guided by the Theoretical Domains Framework (TDF) and the Capability, Opportunity, Motivation – Behaviour (COM-B) model. Data were analysed thematically, mapped to the TDF, and used to refine the BCI. Findings: Participants identified motivating factors related to high rates of liquid prescribing, climate change, and solid oral dosage form (pill) aversion. The broader context of practice, such as initiatives reduce cost and improve sustainability, provided opportunities for intervention. Participants demonstrated the capability to change prescribing behaviours and expressed willingness to share resources within their teams. Conclusion: This study underscores the potential of BCIs using greenhouse gas emissions data to reduce liquid antibiotic prescribing. Further research should focus on implementing and evaluating these interventions in practice settings.


Publication metadata

Author(s): Pickles J, Griffiths L, McCloskey AP, Vasey N, Lim E, Rathbone AP

Publication type: Article

Publication status: Published

Journal: Research in Social and Administrative Pharmacy

Year: 2025

Pages: epub ahead of print

Online publication date: 17/01/2025

Acceptance date: 10/01/2025

Date deposited: 03/02/2025

ISSN (print): 1551-7411

ISSN (electronic): 1934-8150

Publisher: Elsevier Inc.

URL: https://doi.org/10.1016/j.sapharm.2025.01.006

DOI: 10.1016/j.sapharm.2025.01.006


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