Behavioral determinants of antibiotic resistance: The role of social information

Robert Böhm (Corresponding author), Cindy Holtmann‐Klenner, Lars Korn, Ana Paula Santana, Cornelia Betsch

Publications: Contribution to journalArticlePeer Reviewed

Abstract

The increasing development of resistant pathogens is one of the greatest global health challenges. As antibiotic overuse amplifies antibiotic resistance, antibiotic intake poses a social dilemma in which individuals need to decide whether to prosocially reduce their intake in the collective interest versus to (over)use it even in case of mild diseases. We devise a novel behavioral game paradigm to model the social dilemma of antibiotic intake. Using this new method in an incentivized laboratory experiment (N = 272 German participants), we varied whether players had mutual knowledge about their antibiotic intake. The results indicate that there was substantial antibiotic overuse in the absence of social information. Overuse decreased when social information was present. Our postexperimental survey data further suggest that social information impacts people's behavioral motivation, evaluation of the other player, and positive affect. Taken together, providing social information about people's antibiotic intake may help in reducing antibiotic overuse. On a more general level, the novel behavioral game may be adapted to study other aspects of antibiotic intake to promote prudent use of antibiotics.
Original languageEnglish
Pages (from-to)757-775
Number of pages19
JournalApplied Psychology: Health and Well-Being
Volume14
Issue number3
Early online date1 Feb 2022
DOIs
Publication statusPublished - Aug 2022

Austrian Fields of Science 2012

  • 501021 Social psychology

Keywords

  • COOPERATION
  • DECISIONS
  • IMPACT
  • ISSUES
  • MANAGEMENT
  • NORMS
  • PRIMARY-CARE
  • TRUST
  • VACCINATION
  • VALUE ORIENTATION
  • antibiotic resistance
  • antibiotics
  • health games
  • social dilemma
  • social information

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