Evidence map›Paper›PMID 40764085›Full record

ArticleBMJ open2025

Behaviour change interventions addressing patient antibiotic treatment-seeking behaviour for respiratory tract infections in primary and community care settings: a scoping review.

Anthony Maher, Kevin Roche, Eimear Morrissey, Andrew Murphy, Greg Sheaf, Cristín Ryan, Gerard J Molloy

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Anthony MaherSchool of Psychology, University of Galway College of Arts Social Sciences and Celtic Studies, Galway, Ireland A.Maher21@universityofgalway.ie.ORCID http://orcid.org/0000-0001-6961-6231
Kevin RocheUniversity of Galway College of Arts Social Sciences and Celtic Studies, Galway, Ireland.
Eimear MorrisseyNational University of Ireland Galway, Galway, Ireland.
Andrew MurphyNational University of Ireland Galway, Galway, Ireland.
Greg SheafUniversity of Dublin Trinity College Library, Dublin, Ireland.
Cristín RyanSchool of Pharmacy and Pharmaceutical Sciences, University of Dublin Trinity College, Dublin, Ireland.
Gerard J MolloySchool of Psychology, University of Galway, Galway, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis scoping review aimed to map studies on behaviour change interventions that address antibiotic treatment-seeking behaviour for respiratory tract infections in primary and community care settings.

designThis review is based on the Joanna Briggs Institute guidelines for scoping reviews, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. DATA SOURCES: A literature search in January 2024 and May 2024 was performed across Medline, Embase, CINAHL, PsycINFO, Web of Science Core Collection, Scopus, EThOS and Google Scholar was performed. ELIGIBILITY CRITERIA: Eligible studies described behaviour change interventions in primary and community care settings, published from 2000 onward across all countries. DATA EXTRACTION AND SYNTHESIS: Descriptive data relating to study details and intervention functions were gathered and organised according to the Capability, Opportunity, Motivation and Behaviour change framework in a predeveloped data extraction sheet. Dual data extraction occurred, and inter-rater reliability results are reported (K=0.83).

resultsThe scoping review identified 38 eligible studies, which consisted of randomised controlled trials (7/38), cluster randomised controlled trials (6/38), randomised experiments (5/38), cross-sectional studies (5/38), qualitative investigations (5/38) and quasi-experimental designs (4/38). Most interventions focused on educational resources (15/38), digital tools (7/38) and community campaigns (6/38), with fewer targeting decision-making processes (4/38) or psychological drivers of antibiotic-seeking behaviour (3/38). Only one study was conducted in low-income and middle-income countries, and only one separately assessed behaviour change as a measured outcome.

conclusionsThis scoping review highlights a wide range of research methodologies within the topic area. There was some limited evidence of intervention efficacy for antibiotic prescription rates, particularly interventions focused on enhancing knowledge and access to resources. However, more emphasis is needed on standardising outcome measures and evaluating long-term outcomes.

Indexed as

Anti-Bacterial AgentsBehavior TherapyPatient Acceptance of Health CareRespiratory Tract InfectionsCommunity Health ServicesHumansPrimary Health CareAnti-Bacterial AgentsAntibioticsBehaviorPrimary CarePublic health

Identifiers

PMID40764085
PMCPMC12336482

What OpenQuestion holds

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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.