{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T18:30:40Z","timestamp":1772476240806,"version":"3.50.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Gelderland Care Network for Antimicrobial resistance and Infection prevention","award":["331619"],"award-info":[{"award-number":["331619"]}]},{"name":"Academic Alliance Fund","award":["PI-00416"],"award-info":[{"award-number":["PI-00416"]}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","award":["62050035"],"award-info":[{"award-number":["62050035"]}],"id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although self-administered outpatient parenteral antimicrobial therapy (S-OPAT) has several advantages over nurse-administered therapy, it remains underused. A comprehensive understanding of the determinants of S-OPAT\u2014the factors that hinder or promote its use\u2014is essential to improve the quality of care and increase uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review aimed to identify and synthesize determinants influencing the entire S-OPAT patient care pathway, from the offer of S-OPAT to its acceptance, training and performance, considering the perspectives of healthcare professionals, patients and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We systematically searched PubMed, Embase, PsycINFO and CINAHL for original articles published between January 2000 and July 2024 on determinants influencing decision-making and experiences regarding S-OPAT and other self-administered intravenous therapies. Determinants were thematically analysed to construct overarching themes. This review was registered in PROSPERO (CRD42022311294).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 23 studies reporting behavioural determinants (11 on S-OPAT), a total of 238 determinants were identified to influence the offer, acceptance, training and performance of self-administration. A limited number of studies explored determinants influencing the offer of S-OPAT and the caregiver\u2019s perspective. The overarching themes included stakeholders\u2019 cognitions or affect, collaboration and communication, context, resources and skills and capabilities, which influenced all steps in the patient care pathway. Many determinants were identified regarding cognitions or affect and collaboration and communication, stressing the importance of considering stakeholders\u2019 opinions on self-administration and improving transmural collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review revealed key behavioural determinants shaping the success of S-OPAT. Targeting these factors can overcome implementation barriers and improve access, caregiver engagement and quality of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jac\/dkaf490","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T12:28:21Z","timestamp":1766406501000},"source":"Crossref","is-referenced-by-count":1,"title":["Factors promoting or hindering self-administered outpatient parenteral antimicrobial therapy: a systematic literature review"],"prefix":"10.1093","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5385-6764","authenticated-orcid":false,"given":"Hester H","family":"Stoorvogel","sequence":"first","affiliation":[{"name":"Radboud University Medical Center, Department of Internal Medicine , Nijmegen ,","place":["The Netherlands"]},{"name":"IQ Health Science Department, Radboud University Medical Center , Postbus 9101, route 462, Nijmegen 6500 HB ,","place":["The Netherlands"]},{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlijn","family":"Damst\u00e9","sequence":"additional","affiliation":[{"name":"IQ Health Science Department, Radboud University Medical Center , Postbus 9101, route 462, Nijmegen 6500 HB ,","place":["The Netherlands"]},{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carin W","family":"Dansen","sequence":"additional","affiliation":[{"name":"Woman, Mother and Child Center, Maastricht University Medical Center+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlies E","family":"Van Wolfswinkel","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, Infectious Diseases & Infection Prevention, Maastricht University Medical Center+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heiman F L","family":"Wertheim","sequence":"additional","affiliation":[{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]},{"name":"Department of Medical Microbiology, Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeroen A","family":"Schouten","sequence":"additional","affiliation":[{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]},{"name":"Department of Intensive Care Medicine, Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Richel","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Department of Internal Medicine , Nijmegen ,","place":["The Netherlands"]},{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2397-0125","authenticated-orcid":false,"given":"Jaap","family":"Ten Oever","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Department of Internal Medicine , Nijmegen ,","place":["The Netherlands"]},{"name":"Radboudumc Community for Infectious Diseases (RCI), Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlies E J 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