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A Systematic Review Of The Public’S Knowledge And Beliefs About Antibiotic Resistance, Amanda Mccullough, Sanjoti Parekh, John Rathbone, Christopher Del Mar, Tammy Hoffmann Nov 2015

A Systematic Review Of The Public’S Knowledge And Beliefs About Antibiotic Resistance, Amanda Mccullough, Sanjoti Parekh, John Rathbone, Christopher Del Mar, Tammy Hoffmann

Amanda McCullough

OBJECTIVES The objective of this study was to systematically review quantitative and qualitative studies on the public's knowledge and beliefs about antibiotic resistance. METHODS We searched four databases to July 2014, with no language or study design restrictions. Two reviewers independently extracted data. We calculated the median (IQR) of the proportion of participants who agreed with each statement and synthesized qualitative data by identifying emergent themes. RESULTS Of 3537 articles screened, 54 studies (41 quantitative, 3 mixed methods and 10 qualitative) were included (55 225 participants). Most studied adults (50; 93% studies) and were conducted in Europe (23; 43%), Asia …


Predictors Of Adherence To Treatment In Bronchiectasis, Amanda Mccullough, Michael Tunney, J Elborn, Judy Bradley, Carmel Hughes Sep 2015

Predictors Of Adherence To Treatment In Bronchiectasis, Amanda Mccullough, Michael Tunney, J Elborn, Judy Bradley, Carmel Hughes

Amanda McCullough

Objectives: We aimed to determine if beliefs about treatment, clinical factors and quality of life predicted adherence to treatment in patients with bronchiectasis. Methods: We recruited participants with confirmed bronchiectasis to a one-year study. We calculated adherence to treatment using medication possession ratios and self-report. Baseline Beliefs about Medicines, clinical, demographic and Quality of Life Questionnaire- Bronchiectasis data were collected. We used logistic regression to determine predictors of adherence to treatment during the subsequent year. Results: Seventy-five participants were recruited. Beliefs about harm, age and total number of prescribed medications were predictors of adherence to inhaled antibiotics. Concerns about medication, …


Defining The Content And Delivery Of An Intervention To Change Adherence To Treatment In Bonchiectasis (Can-Be): A Qualitative Approach Incorporating The Theoretical Domains Framework, Behavioural Change Techniques And Stakeholder Expert Panels, Amanda Mccullough, Cristin Ryan, Brenda O'Neill, Judy Bradley, J Stuart Elborn, Carmel Hughes Sep 2015

Defining The Content And Delivery Of An Intervention To Change Adherence To Treatment In Bonchiectasis (Can-Be): A Qualitative Approach Incorporating The Theoretical Domains Framework, Behavioural Change Techniques And Stakeholder Expert Panels, Amanda Mccullough, Cristin Ryan, Brenda O'Neill, Judy Bradley, J Stuart Elborn, Carmel Hughes

Amanda McCullough

Background: Low patient adherence to treatment is associated with poorer health outcomes in bronchiectasis. We sought to use the Theoretical Domains Framework (TDF) (a framework derived from 33 psychological theories) and behavioural change techniques (BCTs) to define the content of an intervention to change patients’ adherence in bronchiectasis (Stage 1 and 2) and stakeholder expert panels to define its delivery (Stage 3).


Not In My Backyard: A Systematic Review Of Clinicians’ Knowledge And Beliefs About Antibiotic Resistance, Amanda Mccullough, John Rathbone, Sarah Parekh, Tammy Hoffmann, Chris Del Mar Aug 2015

Not In My Backyard: A Systematic Review Of Clinicians’ Knowledge And Beliefs About Antibiotic Resistance, Amanda Mccullough, John Rathbone, Sarah Parekh, Tammy Hoffmann, Chris Del Mar

Amanda McCullough

Exercise and physical activity are important components in both the management and treatment of type 2 diabetes. Exercise promotes multiple beneficial effects for diabetics; however, some studies have shown that when some individuals undergo an exercise program, this can cause behavioural compensatory responses. Therefore, we investigated whether an aerobic exercise program influences sedentary behavior (SB) and moderate-vigorous physical activity (MVPA) in type 2 diabetics. Eight volunteers (51.1±8.2 years; 4 men) underwent an exercise program (3 d.wk-1, 50– 60% of VO2 peak, 30–60 min) for 8 weeks. SB and MVPA were measured by triaxial accelerometers pre- and post-exercise intervention. Cardiorespiratory fitness, …


Antibiotic Resistance: What Can Be Done In Primary Care To Alleviate The Crisis?, Malene Hansen, Amanda Mccullough, Tammy Hoffman, Mieke Van Driel, Chris Del Mar Feb 2015

Antibiotic Resistance: What Can Be Done In Primary Care To Alleviate The Crisis?, Malene Hansen, Amanda Mccullough, Tammy Hoffman, Mieke Van Driel, Chris Del Mar

Amanda McCullough

Numerous opportunities are available in primary care for alleviating the crisis of increasing antibiotic resistance. Preventing patients from developing an acute respiratory infection (ARI) will obviate any need for antibiotic use downstream. Hygiene measures such as physical barriers and hand hygiene, and possibly vaccination and exercise, may be effective. Also, a large range of complementary and alternative medicines (e.g. zinc, vitamin C and probiotics) are proposed for preventing and treating ARIs, but evidence for efficacy is scarce. General practitioners’ (GPs) attitudes towards antibiotic prescribing are a major factor in the prescribing for ARIs. Professional interventions with educational components are effective, …


Written Information For Patients On The Use Of Antibiotics In Acute Upper Respiratory Infections In Primary Care, Jack O'Sullivan, Robert Harvey, Amanda Mccullough, Paul Glasziou Feb 2015

Written Information For Patients On The Use Of Antibiotics In Acute Upper Respiratory Infections In Primary Care, Jack O'Sullivan, Robert Harvey, Amanda Mccullough, Paul Glasziou

Amanda McCullough

To determine the effect of patient information on antibiotic use in patients presenting to primary care settings with URTIs