ArticleInfection control and hospital epidemiology2016
Use of the Health Belief Model to Study Patient Perceptions of Antimicrobial Stewardship in the Acute Care Setting.
Article in Infection control and hospital epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 39 citations in OpenAlex.
- Patient and clinician views on inpatient antibiotic shared decision-making: a qualitative study.JAC-antimicrobial resistance · 2026Article
- Knowledge, Attitudes, and Practices of Antibiotic Use and AMR in Low-Income Urban Delhi, India: A Community-Based Cross-Sectional Study.Antibiotics (Basel, Switzerland) · 2025Article
- Social determinants of health and knowledge, attitude and practice studies on antimicrobial resistance-an evidence review and future direction.JAC-antimicrobial resistance · 2025Article
- Follow-up of patients with urinary tract infections discharged from the emergency department: a mixed methods study.The Journal of antimicrobial chemotherapy · 2024Observational
- Influencing attitudes towards antimicrobial use and resistance in companion animals-the impact on pet owners of a short animation in a randomized controlled trial.JAC-antimicrobial resistance · 2024Article
- Article
- Awareness of infection care terms among outpatients and carers in a public health facility: a cross-sectional survey.Wellcome open research · 2023Article
- Article
- Knowledge, perspectives and health outcome expectations of antibiotic therapy in hospitalized patients.Infection prevention in practice · 2022Article
- Nurse practitioners as antibiotic stewards: Examining prescribing patterns and perceptions.American journal of infection control · 2021Article
- Barriers to diabetic foot care in a disadvantaged population: A qualitative assessment.Journal of diabetes and its complications · 2020Article
- A Qualitative Study of Pregnant Women's Perspectives on Antibiotic Use for Mom and Child: Implications for Developing Tailored Health Education Interventions.Antibiotics (Basel, Switzerland) · 2020Article
- Evaluating patient attitudes to increased patient engagement with antimicrobial stewardship: a quantitative survey.JAC-antimicrobial resistance · 2020Article
- Adoption of an Electronic Patient Record Sharing Pilot Project: Cross-Sectional Survey.Journal of medical Internet research · 2020Article
- Patient engagement with antibiotic messaging in secondary care: a qualitative feasibility study of the 'review and revise' experience.Pilot and feasibility studies · 2020Article
- "Zika is everywhere": A qualitative exploration of knowledge, attitudes and practices towards Zika virus among women of reproductive age in Iquitos, Peru.PLoS neglected tropical diseases · 2018Article
- Not a magic pill: a qualitative exploration of provider perspectives on antibiotic prescribing in the outpatient setting.BMC family practice · 2018Article
- Antimicrobial stewardship programs; a two-part narrative review of step-wise design and issues of controversy. Part II: Ten questions reflecting knowledge gaps and issues of controversy in the field of antimicrobial stewardship.Therapeutic advances in infectious diseaseReview
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo identify themes associated with patient perceptions of antibiotic use and the role of patients in inpatient antimicrobial stewardship.
designWe conducted semi-structured interviews with 30 hospitalized patients using the Health Belief Model as the framework for questions and analysis.
settingAn academic tertiary care hospital in Madison, Wisconsin.
participantsA total of 30 general medicine inpatients receiving at least 1 anti-infective medication were interviewed.
resultsParticipants recognized antibiotic resistance as a serious public health threat but expressed low perceived susceptibility to being personally affected by antibiotic resistance. Views of susceptibility were influenced by a high degree of trust in physicians and misperceptions regarding the mechanisms underlying resistance. Participants expressed high self-efficacy and a desire to be involved in their health care. Perceived roles for patients in preventing the inappropriate use of antibiotics ranged from asking questions and speaking up about concerns to active involvement in decision making regarding antibiotic treatments. Few participants reported being offered the opportunity to engage in such shared decision making while hospitalized.
conclusionsOur findings suggest an important role for patients in improving antibiotic use in hospitals. However, patient engagement has not been recognized as a critical component of antimicrobial stewardship programs. Our study suggests that the likelihood of patient engagement in stewardship practices is currently limited by low perceived susceptibility and lack of cues to act. Further investigation into how patients may be engaged as good stewards of antibiotics may reveal new ways to improve antibiotic prescribing practices in the inpatient setting.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.