The JPIAMR Primary Care Antibiotic Audit and Feedback Network (PAAN): An international collaboration on best practices for the delivery of antibiotic prescribing feedback to community clinicians using behavioural science


Research Network: 2021-01-01 - 2022-12-31
Total sum awarded: €200 000

Antibiotic overuse is contributing to rising rates of antimicrobial resistance. Audit and feedback (A&F) can be an effective tool to modify prescribing behaviour. Jurisdictions are, or will be, implementing community antibiotic A&F, as part of broader antimicrobial stewardship programs, which will benefit from tools and resources to optimize their effectiveness. New research that builds on existing knowledge to advance the field of A&F is needed. Important questions remain surrounding optimal data for antibiotic A&F, methods to optimize the delivery of that data to clinicians, tools that can facilitate incorporation of data into practice, and how such programs can be effectively sustained over time. We propose assembling an international network of experts from fields of antimicrobial stewardship, primary care, and implementation science. The experts have been selected to bring diversity in expertise, geographical locations, career stages, and genders. The overall objectives of the network are to provide best practice resources on conducting A&F interventions on antibiotic use in primary care, as well as define research priorities to advance this field forward. In addition, we will leverage an existing international network, the A&F MetaLab, to establish a learning community to facilitate longevity and ongoing collaboration and contribution to the JPIAMR-VRI network. We will achieve our objectives through video-conferencing throughout the project cycle with 2-3 multi-day in-person meetings over two years. However, due to the current COVID-19 pandemic we will build in a virtual contingency plan. A modified Delphi method will be used. Outputs from this network will include a systematic review, best practice resources and tool-kits, and a paper outlining research priorities. These will be organized into publishable peer-reviewed manuscripts as part of a broader dissemination and knowledge translation plan that leverages existing stakeholder networks.

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  • Kevin Schwartz, University of Toronto, Canada (Coordinator)
  • Eilidh Duncan, University of Aberdeen, United Kingdom (Observer)
  • Fabiana Lorencatto, University College London, United Kingdom (Observer)
  • Heiner Bucher, Basel Institute for Clinical Epidemiology and Biostatistics, Switzerland (Observer)
  • Jamie Brehaut, University of Ottawa, Canada (Observer)
  • Jan Clarkson, University of Dundee, United Kingdom (Observer)
  • Jeremy Grimshaw, Ottawa Hospital Research Institute, Canada (Observer)
  • Lars Bjerrum, University of Copenhagen, Denmark (Observer)
  • Lars Hemkens, University of Basel, Switzerland (Observer)
  • Marina Davoli, Department of Epidemiology, Rome, Lazio Region, Italy, Italy (Observer)
  • Michael Hallsworth, Behavioral Insights Team, USA (Observer)
  • Noah Ivers, Women’s College Hospital, Canada (Observer)
  • Monica Taljaard, Ottawa Hospital Research Institute, Canada (Observer)
  • Nick Francis, University of Southampton, United Kingdom (Observer)
  • Pablo Alonso, Institute of Research of Hospital de la Santa Creu i Sant Pau (IR-HSCSP), Spain (Observer)
  • Pär-Daniel Sundvall, Västra Götaland och Regionala Strama Södra Älvsborgs Sjukhus, Sweden (Observer)
  • Paul Little, University of Southampton, United Kingdom (Observer)
  • Pia Touboul Lundgren, Nice University Hospital, France (Observer)
  • Roberto Grilli, Azienda Sanitaria Locale-IRCCS of Reggio Emilia, Italy (Observer)
  • Ronny Gunnarsson, Västra Götaland och Regionala Strama Södra Älvsborgs Sjukhus, Sweden (Observer)
  • Sigurd Høye, University of Oslo, Norway (Observer)
  • Theo Verheij, University Medical Centre Utrecht, Netherlands (Observer)
  • Morten Lindbaek, University of Oslo, Norway (Observer)
  • Benjamin Brown, University of Manchester, United Kingdom (Observer)
  • Carl Llor, IDIAP Jordi Gol and Gurina Foundation, Spain (Observer)
  • Celine Pulcini, Université de Lorraine, France (Observer)
  • Christopher Butler, University of Oxford, United Kingdom (Observer)
  • Craig R Ramsay, University of Aberdeen, United Kingdom (Observer)
  • Denise O'Connor, Monash University, Australia (Observer)