Search Results (2)

Antimicrobial resistance (AMR) is a critical global health threat, partly driven by the overuse of antimicrobials in livestock production. Addressing this issue requires targeted interventions to influence behavioral drivers behind AMU practices. Behavior change techniques (BCTs) offer a structured approach to designing such interventions, yet their application in reducing AMU on farms remains underexplored. This scoping review systematically maps the current applications of the Behavior Change Techniques Taxonomy version 1 (BCTTv1) in interventions aimed at reducing AMU in livestock, while also identifying gaps in the literature and opportunities for future research. A comprehensive search across academic databases identified 23 relevant studies. Findings revealed the use of 37 BCTs, with commonly applied techniques including goal setting, instruction on behavior, credible sources, problem-solving, feedback on behavior, and self-monitoring. While some studies explicitly referenced BCTs, many applied them implicitly, without alignment with standardized frameworks. Intervention outcomes were influenced by contextual factors including financial, logistical, cultural, and technical challenges. This review underscores the importance of explicitly integrating and systematically reporting BCTs to enhance transparency, replicability, and scalability. Future interventions should adopt tailored, context-specific approaches to address regional and sectoral challenges, ultimately contributing to global efforts in combating AMR through improved antimicrobial stewardship. Full article

Background: Over recent years, the Middle East, and especially Saudi Arabia, has faced multiple changes, including structural-demographic and economic shifts. This has led to massive changes in the population’s lifestyle, including more unhealthy diets and increases in physical inactivity. As a result, accelerating rates of chronic diseases, including type 2 diabetes mellitus (T2DM) are a major public health concern. Current diabetes care in Saudi Arabia focuses on increasing the awareness of patients through various approaches, mainly based on health education, which is found to be suboptimal and ineffective for improving long-term outcomes. This study aims to assess the feasibility and acceptability of using a client-centred approach called health coaching that supports, enables, and engages T2DM patients to take the central role of controlling their own conditions by developing new crucial skills. Methods: A mixed methods randomised controlled feasibility study of health coaching will be used. Participants (n = 30) are adults with T2DM with poorly controlled diabetes (A1C ≥7) who can read and write in Arabic. Eligible participants are randomly allocated to either an intervention or control group for 12 weeks. COM-B model and Behaviour Change Technique Taxonomy version 1 (BCTTv1) guide the intervention curriculum. Predetermined progression criteria will be used to determine whether to proceed to a larger trial or not. Outcomes will be measured at baseline and 3 months. The study’s primary aim is to assess the process of eligibility, recruitment, retention and completion rates, acceptability and suitability of intervention and the time to complete each procedure. The preliminary efficacy of health coaching is the secondary outcome that includes different measurements, such as HbA1c, blood pressure, body mass index (BMI), waist circumference, weight, patients’ self-efficacy, and diabetes self-management. Discussion: This is the first study to explore the feasibility, acceptability, and preliminary efficacy of health coaching that used the Capability, Opportunity, Motivation, Behaviour (COM-B) model and BCTTv1 as guidance to develop the intervention for adults with T2DM in Saudi Arabia. The findings of this study will be used to inform the larger RCT trial if it is shown to be feasible and acceptable. Full article