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A scoping review on the influential cognitive constructs informing public AMR behavior compliance and the attribution of personal responsibility

Published:February 14, 2020DOI:https://doi.org/10.1016/j.ajic.2020.01.007

      Highlights

      • Public antimicrobial resistance: responsibility and behavior are influenced by cognitive constructs.
      • Cognitive constructs are beliefs, knowledge, attitudes, and social norms.
      • Cognitive constructs are liable to information brokering and experience.
      • Focus on cognitive constructs is required to inform sustained behavior change.

      Background

      Antibiotic resistance is a growing threat to public health. Despite various attempts at educating the public on antimicrobial resistance (AMR) and judicial antibiotic use, fallacies and misconceptions remain. To successfully promote behavior change, various cognitive constructs pertaining to antibiotic behavior need to be identified and targeted.

      Methods

      Using the Arksey and O'Malley (2005) methodological framework, a credible reflexive examination of literature was conducted, permitting identification of a breadth of literature that pertained to the influence of cognitive constructs on public antimicrobial behavior.

      Results

      From 393 abstracts identified, 67 full articles were screened, and 43 papers were chosen for review. Three themes were identified (1) sociodemographic influences; (2) knowledge, misconceptions, and fallacies; and (3) public attitudes and the social influence of friends and family. Geographical location, education level, cognitive dissonance, and social norms were found to influence AMR cognition, resulting in disproportionate risk assessments that are facilitated by social information brokering.

      Conclusions

      Public AMR resilience, responsibility, and behavior compliance are influenced by cognitive constructs, which are liable to the appropriation of misconceptions, fallacies, and social behavior models obtained via information brokering. A cohesive multidisciplinary participatory approach to AMR management and interventional design that applies the influence of cognitive constructs to inform public AMR behavior compliance is recommended.

      Key Words

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      References

        • Bell BG
        • Schellevis F
        • Stobberingh E
        • Goossens H
        • Pringle M
        A systematic review and meta-analysis of the effects of antibiotic consumption on antibiotic resistance.
        BMC Infect Dis. 2014; 14: 13
        • World Health Organization
        Global action plan on antimicrobial resistance.
        2015 (Available at:)
        • Centers for Disease Control and Protection (CDC)
        Be antibiotic aware: smart use, best care.
        2018 (Available at:)
        • NHS
        Up to 1 in 5 antibiotics may be prescribed inappropriately.
        2018 (Available at:)
        • Review on Antimicrobial Resistance
        Antimicrobial resistance: tackling a crisis for the health and wealth of nations.
        2014 (Available at:)
        https://amr-review.org/Publications.html
        Date accessed: July 2, 2019
        • Pinder RJ
        • Berry D
        • Sallis A
        • Chadborn T
        Antibiotic Prescribing and Behaviour Change in Healthcare Settings: Literature Review and Behavioural Analysis.
        Public Health England, 2015 (Available at:)
        • Pan DST
        • Huang JH
        • Lee MHM
        • et al.
        Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore.
        BMC Fam Pract. 2016; 17: 148
        • Szenborn L
        • Maciąga P
        • Dul A
        • Bortnowska K
        • Jasonek J
        Antibiotic therapy in children—knowledge and behavior of parents.
        Pediatr Pol. 2017; 92: 699-704
        • Cross ELA
        • Tolfree R
        • Kipping R
        Systematic review of public-targeted communication interventions to improve antibiotic use.
        J Antimicrob Chemother. 2016; 72: 975-987
        • Fletcher-Miles H
        • Gammon J
        • Williams S
        • Hunt J
        A scoping review to assess the impact of public education campaigns to affect behavior change pertaining to antimicrobial resistance.
        Am J Infect Control. 2020; 48: 433-442
        • Abujheisha KY
        • Al-Shdefat R
        • Ahmed N
        • Fouda MI
        Public knowledge and behaviours regarding antibiotics use: a survey among the general public.
        Int J Med Res Health Sci. 2017; 6: 82-88
        • McCullough AR
        • Parekh S
        • Rathbone J
        • Del Mar CB
        • Hoffmann TC
        A systematic review of the public's knowledge and beliefs about antibiotic resistance.
        J Antimicrob Chemother. 2015; 71: 27-33
        • Abraham C
        • Sheeran P
        • Henderson M
        Extending social cognition models of health behaviour.
        Health Educ Res. 2011; 26: 624-637
        • Ajzen I
        The theory of planned behavior.
        Org Behav Human Decis Process. 1991; 50: 179-211
        • Belongia EA
        • Knobloch MJ
        • Kieke Jr, BA
        • Davis JP
        • Janette C
        • Besser RE
        Impact of statewide program to promote appropriate antimicrobial drug use.
        Emerg Infect Dis. 2005; 11: 912
        • Davey P
        • Pagliari C
        • Hayes A
        The patient's role in the spread and control of bacterial resistance to antibiotics.
        Clin Microbiol Infect. 2002; 8: 43-68
        • Jones CL
        • Jensen JD
        • Scherr CL
        • Brown NR
        • Christy K
        • Weaver J
        The health belief model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation.
        Health Commun. 2015; 30: 566-576
        • Arksey H
        • O'Malley L
        Scoping studies: towards a methodological framework.
        Int J Soc Res Methodol. 2005; 8: 19-32
        • World Health Organization
        Global strategy for containment of antimicrobial resistance.
        2019 (Available at:)
        • Alhomoud F
        • Aljamea Z
        • Basalelah L
        “Antibiotics kill things very quickly”—consumers’ perspectives on non-prescribed antibiotic use in Saudi Arabia.
        BMC Public Health. 2018; 18: 1177
        • Ancillotti M
        • Eriksson S
        • Veldwijk J
        • Fahlquist JN
        • Andersson DI
        • Godskesen T
        Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions.
        BMC Public Health. 2018; 18: 1153
        • Cabral C
        • Lucas PJ
        • Ingram J
        • Hay AD
        • Horwood J
        “It's safer to…” parent consulting and clinician antibiotic prescribing decisions for children with respiratory tractinfections: an analysis across four qualitative studies.
        Soc Sci Med. 2015; 136: 156-164
        • Hawking MK
        • Lecky DM
        • Lundgren PT
        • et al.
        Attitudes and behaviours of adolescents towards antibiotics and self-care for respiratory tract infections: a qualitative study.
        BMJ Open. 2017; 7e015308
        • Heid C
        • Knobloch MJ
        • Schulz LT
        • Safdar N
        Use of the health belief model to study patient perceptions of antimicrobial stewardship in the acute care setting.
        Infect Control Hosp Epidemiol. 2016; 37: 576-582
        • Joseph HA
        • Agboatwalla M
        • Hurd J
        • Jacobs-Slifka K
        • Pitz A
        • Bowen A
        What happens when “Germs Don't Get Killed and They Attack Again and Again”: perceptions of antimicrobial resistance in the context of diarrheal disease treatment among laypersons and health-care providers in Karachi, Pakistan.
        Am J Trop Med Hyg. 2016; 95: 221-228
        • Lindenmeyer A
        • Redwood S
        • Griffith L
        • Ahmed S
        • Phillimore J
        Recent migrants’ perspectives on antibiotic use and prescribing in primary care: a qualitative study.
        Br J Gen Pract. 2016; 66: e802-e809
        • Van Hecke O
        • Butler CC
        • Wang K
        • Tonkin-Crine S
        Parents’ perceptions of antibiotic use and antibiotic resistance (PAUSE): a qualitative interview study.
        J Antimicrob Chemother. 2019; 74: 1741-1747
        • Widayati A
        • Suryawati S
        • Crespigny CD
        • Hiller JE
        Beliefs about the use of nonprescribed antibiotics among people in Yogyakarta City, Indonesia: a qualitative study based on the theory of planned behavior.
        Asia Pac J Public Health. 2015; 27: NP402-NP413
      1. Alzoubi K, Al Azzam S, Alhusban A, et al. (2013). An audit on the knowledge, beliefs and attitudes about the uses and side-effects of antibiotics among outpatients attending 2 teaching hospitals in Jordan. Available at: https://search.proquest.com/docview/1370721568?pq-origsite=gscholar. Accessed June 20, 2019

        • André M
        • Vernby Å
        • Berg J
        • Lundborg CS
        A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden.
        J Antimicrob Chemother. 2010; 65: 1292-1296
        • Barber DA
        • Casquejo E
        • Ybañez PL
        • et al.
        Prevalence and correlates of antibiotic sharing in the Philippines: antibiotic misconceptions and community‐level access to non‐medical sources of antibiotics.
        Trop Med Int Health. 2017; 22: 567-575
        • Cals JW
        • Boumans D
        • Lardinois RJ
        • et al.
        Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study.
        Br J Gen Pract. 2007; 57: 942-947
        • Cho HJ
        • Hong SJ
        • Park S
        Knowledge and beliefs of primary care physicians, pharmacists, and parents on antibiotic use for the pediatric common cold.
        Soc Sci Med. 2004; 58: 623-629
        • Coxeter PD
        • Del Mar C
        • Hoffmann TC
        Parents’ expectations and experiences of antibiotics for acute respiratory infections in primary care.
        Ann Fam Med. 2017; 15: 149-154
        • Cummings KC
        • Rosenberg J
        • Vugia DJ
        Beliefs about appropriate antibacterial therapy, California.
        Emerg Infect Dis. 2005; 11: 1138
        • Drozd MA
        • Drozd K
        • Filip R
        • Bys A
        Knowledge, attitude and perception regarding antibiotics among Polish patients.
        Acta Poloniae Pharmaceutica Drug Res. 2015; 72: 807-817
        • Eng JV
        • Marcus R
        • Hadler JL
        • et al.
        Consumer attitudes and use of antibiotics.
        Emerg Infect Dis. 2003; 9: 1128
        • Fredericks I
        • Hollingworth S
        • Pudmenzky A
        • Rossato L
        • Syed S
        • Kairuz T
        Consumer knowledge and perceptions about antibiotics and upper respiratory tract infections in a community pharmacy.
        Int J Clin Pharm. 2015; 37: 1213-1221
        • Friedman JF
        • Lee GM
        • Kleinman KP
        • Finkelstein JA
        Acute care and antibiotic seeking for upper respiratory tract infections for children in day care: parental knowledge and day care center policies.
        Arch Pediatr Adolesc Med. 2003; 157: 369-374
        • Giannitsioti E
        • Athanasia S
        • Plachouras D
        • et al.
        Impact of patients’ professional and educational status on perception of an antibiotic policy campaign: a pilot study at a university hospital.
        J Global Antimicrob Resist. 2016; 6: 123-127
        • Godycki-Cwirko M
        • Cals JW
        • Francis N
        • et al.
        Public beliefs on antibiotics and symptoms of respiratory tract infections among rural and urban population in Poland: a questionnaire study.
        PLoS One. 2014; 9e109248
        • Gould IM
        • MacKenzie FM
        • Shepherd L
        Attitudes to antibiotic prescribing, resistance and bacteriology investigations amongst practitioners and patients in the Grampian region of Scotland.
        Eur J Gen Pract. 2007; 13: 35-36
        • Grigoryan L
        • Burgerhof JG
        • Degener JE
        • et al.
        Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system.
        J Antimicrob Chemother. 2008; 61: 1172-1179
        • Haltiwanger KA
        • Hayden GF
        • Weber T
        • Evans BA
        • Possner AB
        Antibiotic-seeking behavior in college students: what do they really expect?.
        J Am Coll Health. 2001; 50: 9-13
        • Kim SS
        • Moon S
        • Kim EJ
        Public knowledge and attitudes regarding antibiotic use in South Korea.
        J Korean Acad Nurs. 2011; 41: 742-749
        • Lv B
        • Zhou Z
        • Xu G
        • et al.
        Knowledge, attitudes and practices concerning self‐medication with antibiotics among university students in western China.
        Trop Med Int Health. 2014; 19: 769-779
        • McNulty CA
        • Boyle P
        • Nichols T
        • Clappison P
        • Davey P
        Don't wear me out—the public's knowledge of and attitudes to antibiotic use.
        J Antimicrob Chemother. 2007; 59: 727-738
        • Moes K
        • Carrico C
        • Hall A
        Knowledge of antibiotic use in college students: a quality improvement project.
        Build Healthy Acad Communities J. 2018; 2: 21-32
        • Napolitano F
        • Izzo MT
        • Di Giuseppe G
        • Angelillo IF
        Public knowledge, attitudes, and experience regarding the use of antibiotics in Italy.
        PloS One. 2013; 8: e84177
        • Panagakou SG
        • Spyridis Ν
        • Papaevangelou V
        • et al.
        Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece.
        BMC Pediatr. 2011; 11: 60
        • Pavydė E
        • Veikutis V
        • Mačiulienė A
        • Mačiulis V
        • Petrikonis K
        • Stankevičius E
        Public knowledge, beliefs and behavior on antibiotic use and self-medication in Lithuania.
        Int J Environ Res Public Health. 2015; 12: 7002-7016
        • Prigitano A
        • Romanò L
        • Auxilia F
        • Castaldi S
        • Tortorano AM
        Antibiotic resistance: Italian awareness survey 2016.
        J Infect Public Health. 2018; 11: 30-34
        • Shehadeh M
        • Suaifan G
        • Darwish RM
        • Wazaify M
        • Zaru L
        • Alja'fari S
        Knowledge, attitudes and behavior regarding antibiotics use and misuse among adults in the community of Jordan. A pilot study.
        Saudi Pharm J. 2012; 20: 125-133
        • Vinker S
        • Ron A
        • Kitai E
        The knowledge and expectations of parents about the role of antibiotic treatment in upper respiratory tract infection—a survey among parents attending the primary physician with their sick child.
        BMC Fam Pract. 2003; 4: 20
        • Wang X
        • Peng D
        • Wang W
        • Xu Y
        • Zhou X
        • Hesketh T
        Massive misuse of antibiotics by university students in all regions of China: implications for national policy.
        Int J Antimicrob Agents. 2017; 50: 441-446
        • Waaseth M
        • Adan A
        • Røen IL
        • et al.
        Knowledge of antibiotics and antibiotic resistance among Norwegian pharmacy customers—a cross-sectional study.
        BMC Public Health. 2019; 19: 66
        • Wilson AA
        • Crane LA
        • Barrett PH
        • Gonzales R
        Public beliefs and use of antibiotics for acute respiratory illness.
        J Gen Intern Med. 1999; 14: 658-662
        • You JHS
        • Yau B
        • Choi KC
        • Chau CTS
        • Huang QR
        • Lee SS
        Public knowledge, attitudes and behavior on antibiotic use: a telephone survey in Hong Kong.
        Infection. 2008; 36: 153-157
        • McNulty CA
        • Nichols T
        • French DP
        • Joshi P
        • Butler CC
        Expectations for consultations and antibiotics for respiratory tract infection in primary care: the RTI clinical iceberg.
        Br J Gen Pract. 2013; 63: e429-e436
        • Rosenstock IM
        • Strecher VJ
        • Becker MH
        Social learning theory and the health belief model.
        Health Educ Quart. 1988; 15: 175-183
        • Bartels SJ
        • Pratt SI
        • Aschbrenner KA
        • et al.
        Pragmatic replication trial of health promotion coaching for obesity in serious mental illness and maintenance of outcomes.
        Am J Psychiatry. 2015; 172: 344-352
        • Stuber J
        • Galea S
        • Link BG
        Smoking and the emergence of a stigmatized social status.
        Soc Sci Med. 2008; 67: 420-430
        • Bandura A
        Social cognitive theory: an agentic perspective.
        Annu Rev Psychol. 2001; 52: 1-26
      2. Berkowitz AD. (2004). The social norms approach: theory, research, and annotated bibliography. Available at: http://www.alanberkowitz.com/articles/social_norms.pdf. Accessed July 11, 2019

        • Carlile PR
        Transferring, translating, and transforming: an integrative framework for managing knowledge across boundaries.
        Org Sci. 2004; 15: 555-568
        • Seale AC
        • Gordon NC
        • Islam J
        • Peacock SJ
        • Scott JAG
        AMR Surveillance in low and middle-income settings—a roadmap for participation in the Global Antimicrobial Surveillance System (GLASS).
        Wellcome Open Res. 2017; 2: 92
        • Yates T
        • Davies M
        • Gorely T
        • Bull F
        • Khunti K
        Effectiveness of a pragmatic education program designed to promote walking activity in individuals with impaired glucose tolerance: a randomized controlled trial.
        Diabetes Care. 2009; 32: 1404-1410
        • Wakefield MA
        • Loken B
        • Hornik RC
        Use of mass media campaigns to change health behaviour.
        Lancet. 2010; 376: 1261-1271
      3. Berkowitz AD. Applications of social norms theory to other health and social justice issues. The Social Norms Approach to Preventing School and College Age Substance Abuse: A Handbook for Educators, Counselors and Clinicians, 2003:259–279. Available at:http://alanberkowitz.com/articles/social%20norms%20approach-short.pdf. Accessed July 11, 2019