Evidence map›Paper›PMID 39781373›Full record

ReviewOpen forum infectious diseases2025

A Behavioral Analysis of Factors That Influence Antibiotic Prescribing in Hospitals: A Metasynthesis of Reviews.

Gracia Mabaya, Jenna M Evans, Christopher J Longo, Andrew M Morris

Abstract readReview
In one paragraph

Review in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Predictors of high-performing family medicine clinics: Prospective cohort study in Alberta.Canadian family physician Medecin de famille canadien · 2026
    Article
  2. [Antibiotic use: psychological factors influencing perceptions and behavior of physicians and patients].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gracia MabayaHealth Policy and Management, DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0009-2011-3954
Jenna M EvansHealth Policy and Management, DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-3104-9889
Christopher J LongoHealth Policy and Management, DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-3801-485X
Andrew M MorrisDepartment of Medicine, Sinai Health and University Health Network, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotic resistance is a global public health threat driven, in part, by antibiotic overprescription. Behavior change theories are increasingly used to try to modify prescriber behavior. A metasynthesis of 8 reviews was conducted to identify factors influencing antibiotic prescribing for adults in hospital settings and to analyze these factors using 4 behavior change frameworks. Forty-three factors were identified across 7 thematic categories and then mapped to the theoretical domains framework and capability-opportunity-motivation model of behavior. The behavior change wheel and behavior change techniques taxonomy were then used to identify appropriate interventions and their components. The domain "environmental context and resources" was coded the most often, followed by "social influences" and "beliefs about consequences," revealing that prominent sources of antibiotic prescribing behavior are "physical opportunity" and "social opportunity." Based on these results, suggested interventions include environmental prompts/cues, education on consequences of antibiotic overuse, social comparison and support, and incentives.

Indexed as

antibiotic prescribingantibiotic resistancebehavior changehospitalsquality improvement

Identifiers

PMID39781373
PMCPMC11707608

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.