Imperial College London
Alternate

Dr Enrique Castro Sánchez

Faculty of Medicine, Department of Infectious Disease

Honorary Lecturer
 
 
 
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Contact

 

+44 (0)20 3313 2072e.castro-sanchez Website

 
 
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Location

 

8.N17Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Roope:2020:10.1186/s12916-020-01553-6,
author = {Roope, L and Tonkin-Crine, S and Herd, N and Michie, S and Pouwels, KB and Castro, Sanchez E and Sallis, Sallis A and Hopkins, S and Robotham, J and Crook, D and Peto, T and Peters, M and Butler, CC and Walker, S and Wordsworth, S},
doi = {10.1186/s12916-020-01553-6},
journal = {BMC Medicine},
pages = {1--11},
title = {Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear based messages about antimicrobial resistance.},
url = {http://dx.doi.org/10.1186/s12916-020-01553-6},
volume = {18},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundTo reduce inappropriate antibiotic use, public health campaigns often provide fear-based information about antimicrobial resistance (AMR). Meta-analyses have found that fear-based campaigns in other contexts are likely to be ineffective unless respondents feel confident they can carry out the recommended behaviour (‘self-efficacy’). This study aimed to test the likely impact of fear-based messages, with and without empowering self-efficacy elements, on patient consultations/antibiotic requests for influenza-like illnesses, using a randomised design.MethodsWe hypothesised that fear-based messages containing empowering information about self-management without antibiotics would be more effective than fear alone, particularly in a pre-specified subgroup with low AMR awareness. Four thousand respondents from an online panel, representative of UK adults, were randomised to receive three different messages about antibiotic use and AMR, designed to induce fear about AMR to varying degrees. Two messages (one ‘strong-fear’, one ‘mild-fear’) also contained empowering information regarding influenza-like symptoms being easily self-managed without antibiotics. The main outcome measures were self-reported effect of information on likelihood of visiting a doctor and requesting antibiotics, for influenza-like illness, analysed separately according to whether or not the AMR information was ‘very/somewhat new’ to respondents, pre-specified based on a previous (non-randomised) survey.ResultsThe ‘fear-only’ message was ‘very/somewhat new’ to 285/1000 (28.5%) respondents, ‘mild-fear-plus-empowerment’ to 336/1500 (22.4%), and ‘strong-fear-plus-empowerment’ to 388/1500 (25.9%) (p = 0.002). Of those for whom the respective information was ‘very/somewhat new’, only those given the ‘strong-fear-plus-empowerment’ message said they would be less likel
AU  - Roope,L
AU  - Tonkin-Crine,S
AU  - Herd,N
AU  - Michie,S
AU  - Pouwels,KB
AU  - Castro,Sanchez E
AU  - Sallis,Sallis A
AU  - Hopkins,S
AU  - Robotham,J
AU  - Crook,D
AU  - Peto,T
AU  - Peters,M
AU  - Butler,CC
AU  - Walker,S
AU  - Wordsworth,S
DO  - 10.1186/s12916-020-01553-6
EP  - 11
PY  - 2020///
SN  - 1741-7015
SP  - 1
TI  - Reducing expectations for antibiotics in primary care: a randomised experiment to test the response to fear based messages about antimicrobial resistance.
T2  - BMC Medicine
UR  - http://dx.doi.org/10.1186/s12916-020-01553-6
UR  - https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01553-6
UR  - http://hdl.handle.net/10044/1/100679
VL  - 18
ER  -
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