Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection

Dentistry is responsible for around 10% of antibiotic prescribing across global healthcare, with up to 80% representing inappropriate use. Facilitating shared decision-making has been shown to optimise antibiotic prescribing (antibiotic stewardship) in primary medical care. Our aim was to co-develop...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Wendy Thompson, Jonathan Sandoe, Sue Pavitt, Tanya Walsh, Lucie Byrne-Davis
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	antibiotic stewardship decision making shared dental toothache Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/1c2ac448c8754524823ddae957289200
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1c2ac448c8754524823ddae957289200
record_format	dspace
spelling	oai:doaj.org-article:1c2ac448c8754524823ddae9572892002021-11-25T16:23:14ZCo-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection10.3390/antibiotics101113452079-6382https://doaj.org/article/1c2ac448c8754524823ddae9572892002021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1345https://doaj.org/toc/2079-6382Dentistry is responsible for around 10% of antibiotic prescribing across global healthcare, with up to 80% representing inappropriate use. Facilitating shared decision-making has been shown to optimise antibiotic prescribing (antibiotic stewardship) in primary medical care. Our aim was to co-develop a shared decision-making antibiotic stewardship tool for dentistry. Dentists, patients and other stakeholders prioritised factors to include in the new tool, based on previous research (a systematic review and ethnographic study) about dentists’ decision-making during urgent appointments. Candidate behaviour-change techniques were identified using the Behaviour Change Wheel and selected based on suitability for a shared decision-making approach. A ‘think aloud’ study helped fine-tune the tool design and Crystal Marking ensured clarity of messaging. The resulting paper-based worksheet for use at point-of-care incorporated various behaviour change techniques, such as: ’information about (and salience of) health consequences’, ‘prompts and cues’, ‘restructuring the physical (and social) environment’ and ‘credible sources’. The think aloud study confirmed the tool’s acceptability to dentists and patients, and resulted in the title: ‘Step-by-step guide to fixing your toothache.’ Further testing will be necessary to evaluate its efficacy at safely reducing dental antibiotic prescribing during urgent dental appointments in England and, with translation, to other dental contexts globally.Wendy ThompsonJonathan SandoeSue PavittTanya WalshLucie Byrne-DavisMDPI AGarticleantibioticstewardshipdecision makingshareddentaltoothacheTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1345, p 1345 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotic stewardship decision making shared dental toothache Therapeutics. Pharmacology RM1-950
spellingShingle	antibiotic stewardship decision making shared dental toothache Therapeutics. Pharmacology RM1-950 Wendy Thompson Jonathan Sandoe Sue Pavitt Tanya Walsh Lucie Byrne-Davis Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
description	Dentistry is responsible for around 10% of antibiotic prescribing across global healthcare, with up to 80% representing inappropriate use. Facilitating shared decision-making has been shown to optimise antibiotic prescribing (antibiotic stewardship) in primary medical care. Our aim was to co-develop a shared decision-making antibiotic stewardship tool for dentistry. Dentists, patients and other stakeholders prioritised factors to include in the new tool, based on previous research (a systematic review and ethnographic study) about dentists’ decision-making during urgent appointments. Candidate behaviour-change techniques were identified using the Behaviour Change Wheel and selected based on suitability for a shared decision-making approach. A ‘think aloud’ study helped fine-tune the tool design and Crystal Marking ensured clarity of messaging. The resulting paper-based worksheet for use at point-of-care incorporated various behaviour change techniques, such as: ’information about (and salience of) health consequences’, ‘prompts and cues’, ‘restructuring the physical (and social) environment’ and ‘credible sources’. The think aloud study confirmed the tool’s acceptability to dentists and patients, and resulted in the title: ‘Step-by-step guide to fixing your toothache.’ Further testing will be necessary to evaluate its efficacy at safely reducing dental antibiotic prescribing during urgent dental appointments in England and, with translation, to other dental contexts globally.
format	article
author	Wendy Thompson Jonathan Sandoe Sue Pavitt Tanya Walsh Lucie Byrne-Davis
author_facet	Wendy Thompson Jonathan Sandoe Sue Pavitt Tanya Walsh Lucie Byrne-Davis
author_sort	Wendy Thompson
title	Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
title_short	Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
title_full	Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
title_fullStr	Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
title_full_unstemmed	Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection
title_sort	co-developing an antibiotic stewardship tool for dentistry: shared decision-making for adults with toothache or infection
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1c2ac448c8754524823ddae957289200
work_keys_str_mv	AT wendythompson codevelopinganantibioticstewardshiptoolfordentistryshareddecisionmakingforadultswithtoothacheorinfection AT jonathansandoe codevelopinganantibioticstewardshiptoolfordentistryshareddecisionmakingforadultswithtoothacheorinfection AT suepavitt codevelopinganantibioticstewardshiptoolfordentistryshareddecisionmakingforadultswithtoothacheorinfection AT tanyawalsh codevelopinganantibioticstewardshiptoolfordentistryshareddecisionmakingforadultswithtoothacheorinfection AT luciebyrnedavis codevelopinganantibioticstewardshiptoolfordentistryshareddecisionmakingforadultswithtoothacheorinfection
_version_	1718413184284491776

Co-Developing an Antibiotic Stewardship Tool for Dentistry: Shared Decision-Making for Adults with Toothache or Infection

Ejemplares similares