Attitudes and Behaviours to Antimicrobial Prescribing following introduction of a Smartphone App

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http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/1960 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/1960 http://eprints.org/relation/issmallThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/1960 indefinite Thumbnails conversion from Image to thumbnail_small archive 3 disk0/00/00/02/04 2016-05-03 12:59:14 2024-10-04 10:54:06 2016-05-03 12:59:14 data_collection show Cameron D William FALSE Panesar Preet FALSE Jones Alasdair TRUE cc045e42612d5705f60d8ffd6d21c2ad Aldous Alicia FALSE Kranzer Katharina 0000-0001-5691-7270 TRUE 529bfe339fd2da63e6f089a261ef9bd0 Halpin Eamus FALSE Fifer Helen FALSE Macrae Bruce FALSE Curtis Carmel FALSE Pollara Gabriele FALSE University College London Hospitals, London, United Kingdom London School of Hygiene & Tropical Medicine, London, United Kingdom Horizon Strategic Partners Attitudes and Behaviours to Antimicrobial Prescribing following introduction of a Smartphone App EPID Cell phones Antimicrobials Questionnaires Medical doctors Antimicrobial resistance Physicians Computers Smartphone App Our hospital replaced the format for delivering portable antimicrobial prescribing guidance from a paper-based pocket guide to a smartphone application (app). We used this opportunity to assess the relationship between its use and the attitudes and behaviours of antimicrobial prescribers. We used 2 structured cross-sectional questionnaires issued just prior to and 3 months following the launch of the smartphone app. Ordinal Likert scale responses to both frequencies of use and agreement statements permitted quantitative assessment of the relationship between variables. The smartphone app was used more frequently than the pocket guide it replaced (p < 0.01), and its increased use was associated with sentiments that the app was useful, easy to navigate and its content relevant. Users who used the app more frequently were more likely to agree that the app encouraged them to challenge inappropriate prescribing by their colleagues (p = 0.001) and were more aware of the importance of antimicrobial stewardship (p = 0.005). Reduced use of the app was associated with agreement that senior physicians' preferences for antimicrobial prescribing would irrespectively overrule guideline recommendations (p = 0.0002). Smartphone apps are an effective and acceptable format to deliver guidance on antimicrobial prescribing. Our findings suggest that they may empower users to challenge incorrect prescribing, breaking well-established behaviours, and thus supporting vital stewardship efforts in an era of increased antimicrobial resistance. Future work will need to focus on the direct impact on drug prescriptions as well as identifying barriers to implementing smartphone apps in other clinical settings. 2016-04-25 published PLOS ONE Dataset University College London Hospitals, London, United Kingdom London School of Hygiene & Tropical Medicine, London, United Kingdom Horizon Strategic Partners SelfAdministeredQuestionnaire.FixedForm public Wellcome Trust Dataset Quantitative 51.5257 -0.133713 51.5235 -0.138949 en Data record - Figshare https://figshare.com/articles/Attitudes_and_Behaviours_to_Antimicrobial_Prescribing_following_Introduction_of_a_Smartphone_App/3199960 data Figshare: Pre-app questionnaire https://doi.org/10.1371/journal.pone.0154202.s002 data Figshare: Post-app questionnaire https://doi.org/10.1371/journal.pone.0154202.s003 data Figshare: Questionnaire dataset https://doi.org/10.1371/journal.pone.0154202.s004 dataresource Figshare: MicroGuide app content dataset https://doi.org/10.1371/journal.pone.0154202.s005 data Attitudes and Behaviours to Antimicrobial Prescribing following Introduction of a Smartphone App. http://researchonline.lshtm.ac.uk/id/eprint/2545976 Wellcome Trust http://dx.doi.org/10.13039/100010269 2016-04-25