| Titre : | Exploring veterinarians' behaviors relating to antimicrobial use in companion animals using the COM-B model of behavior change: A qualitative study |
| Auteurs : | Lucia Escati ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2023 |
| Description : | 49p. |
| Langues: | Anglais |
| Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
| Mots-clés : | Pharmacorésistance ; Médicament antibiotique ; Vétérinaire ; Prescription ; Animal ; Enquête qualitative ; Royaume Uni |
| Résumé : |
Background: Misuse and overuse of antimicrobials in different sectors, including companion animals, can accelerate the development of antimicrobial resistance (AMR), one of today’s most urgent global health challenges. Considering the role of veterinarians in the provision of animal care, it is important to understand the factors that impact on their behaviors when using antimicrobials. Such work can lead to the development of targeted and effective behavior change interventions, which are more likely to promote responsible antimicrobial use (AMU) in companion animals.
Objective: The aim of this study is to analyse the factors which are most likely to influence responsible AMU behaviors in companion animal veterinarians working in the UK. Methods: A qualitative study was conducted; 13 in-depth one-to-one interviews were performed in early 2023 with companion animal veterinarians working in any kind of practice in the UK. A thematic analysis was undertaken following both a deductive and inductive approach. The identified themes and sub-themes were mapped to the TDF domains and COM-B model, which are theoretical frameworks of human behavior. Results: This study identifies barriers and enablers influencing responsible AMU of companion animal veterinarians. Barriers identified include: the lack of adequate training, ease of administration of the different formulations, pressure from companion animal owners or employers, fear of the consequences of not prescribing antimicrobials, and the need to educate companion animal owners on AMR and responsible AMU. Factors acting as enablers of responsible AMU include: veterinarians having a good understanding of AMR and its consequences, acknowledging their role in this global health challenge, receiving positive peer support, and having access to information and alternatives to antimicrobials. The type of practices and its policies, as well as the access to laboratory testing and concerns for animal welfare could act either way as a barrier or as a driver depending on the context and specific situation. Conclusion: Applying the theoretical frameworks to understand behaviors has revealed opportunities for empowering veterinarians’ involvement in supporting responsible AMU. The factors and recommendations presented in this research have positive implications as they could be used to identify interventions for promoting responsible AMU in the future. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/lucia_escati.pdf |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 096533 | MPH23/0019 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |