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Objective Analysis. Effective Solutions.

RAND Europe undertook a systematic review of the evidence of effectiveness and cost effectiveness on changing the public's risk related behaviour pertaining to antimicrobial use to inform the development of a NICE public health guideline aimed at delaying antimicrobial resistance (AMR).

The review considered educational interventions targeting individuals, communities or the general public delivered via any mode. Specifically, it aimed to address:

Overall, 60 studies met the inclusion criteria; 29 related to research question 1, and 36 related to research question 2 (five studies were applicable to both). The key findings are summarised in 'Evidence Statements' in accordance with NICE guidelines. Evidence Statements provide a high level overview of the key features of the evidence including: the number of studies, the quality of evidence, and the direction of the estimated effect followed by a brief summary of each of the supporting studies. Studies are grouped into Evidence Statements by setting and intervention.

• Chapter One

  Introduction

• Chapter Two

  Methods

• Chapter Three

  Included studies

• Chapter Four

  Antibiotic knowledge and behaviour

• Chapter Five

  Infection and/or hand hygiene

• Chapter Six

  Hygiene and/or food safety

• Chapter Seven

  Discussion