Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/181896
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dc.contributor.authorGuo, Huilingen_US
dc.contributor.authorLye, David C.en_US
dc.contributor.authorNg, Tat Mingen_US
dc.contributor.authorSomani, Jyotien_US
dc.contributor.authorKwa, Andrea Lay Hoonen_US
dc.contributor.authorChung, Jasmine Shiminen_US
dc.contributor.authorChow, Angelaen_US
dc.date.accessioned2024-12-30T02:12:01Z-
dc.date.available2024-12-30T02:12:01Z-
dc.date.issued2024-
dc.identifier.citationGuo, H., Lye, D. C., Ng, T. M., Somani, J., Kwa, A. L. H., Chung, J. S. & Chow, A. (2024). Hospitalised patients as stewards of their own antibiotic therapy: a qualitative analysis informing the strategic design of interventions to encourage shared decision-making in tertiary hospital settings in Singapore. Frontiers in Public Health, 12, 1347764-. https://dx.doi.org/10.3389/fpubh.2024.1347764en_US
dc.identifier.issn2296-2565en_US
dc.identifier.urihttps://hdl.handle.net/10356/181896-
dc.description.abstractBackground: Shared decision-making (SDM) on antibiotic therapy may improve antibiotic use in tertiary hospitals, but hospitalised patients are apprehensive about being involved in it. Understanding the facilitators and barriers to SDM can inform the design and implementation of interventions to empower these patients to engage in SDM on their antibiotic therapies. Methods: We conducted qualitative interviews with 23 adult patients purposively sampled with maximum variation from the three largest tertiary-care hospitals in Singapore (April 2019─October 2020). Thematic analysis was conducted using the Theoretical Domains Framework and Capability, Opportunity, Motivation, Behaviour (COM-B) model to identify areas for intervention. Results: Hospitalised patients lacked comprehensive knowledge of their antibiotic therapies and the majority did not have the skills to actively query their doctors about them. There was a lack of opportunities to meet and interact with doctors, and patients were less motivated to engage in SDM if they had a self-perceived paternalistic relationship with doctors, trusted their doctors to provide the best treatment, and had self-perceived poor knowledge to engage in SDM. To empower these patients, they should first be educated with antibiotic knowledge. Highlighting potential side effects of antibiotics could motivate them to ask questions about their antibiotic therapies. Environment restructuring, as facilitated by nurses and visual cues to nudge conversations, could create opportunities for interactions and motivating patients into SDM on their antibiotic therapies. Conclusion: Education and environmental restructuring should be explored to empower hospitalised patients to engage in SDM on their antibiotic therapies.en_US
dc.description.sponsorshipNational Medical Research Council (NMRC)en_US
dc.language.isoenen_US
dc.relationNMRC/HSRG/0083/2017en_US
dc.relation.ispartofFrontiers in Public Healthen_US
dc.rights© 2024 Guo, Lye, Ng, Somani, Kwa, Chung and Chow. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_US
dc.subjectMedicine, Health and Life Sciencesen_US
dc.titleHospitalised patients as stewards of their own antibiotic therapy: a qualitative analysis informing the strategic design of interventions to encourage shared decision-making in tertiary hospital settings in Singaporeen_US
dc.typeJournal Articleen
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en_US
dc.contributor.organizationTan Tock Seng Hospitalen_US
dc.contributor.organizationSaw Swee Hock School of Public Health, NUSen_US
dc.contributor.organizationNational Centre for Infectious Diseases, Singaporeen_US
dc.contributor.organizationYong Loo Lin School of Medicine, NUSen_US
dc.identifier.doi10.3389/fpubh.2024.1347764-
dc.description.versionPublished versionen_US
dc.identifier.pmid39145162-
dc.identifier.scopus2-s2.0-85201235821-
dc.identifier.volume12en_US
dc.identifier.spage1347764en_US
dc.subject.keywordsAntibiotic prescribingen_US
dc.subject.keywordsAntimicrobial resistanceen_US
dc.description.acknowledgementThe author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the National Medical Research Council Singapore, Health Services Research Grant (NMRC/ HSRG/0083/2017).en_US
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