{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T12:22:29Z","timestamp":1783686149669,"version":"3.55.0"},"reference-count":83,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>Antimicrobial resistance (AMR) is recognized as one of the most urgent global health threats, demanding coordinated, multisectoral responses under the OH framework. Among the multidisciplinary tasks aimed at collectively tackling the AMR crisis, surveillance, research and education stand as major priorities. Education is a strategic pillar of the World Health Organization Global Action Plan, yet a comprehensive synthesis of educational initiatives explicitly grounded in One Health (OH) remains limited. Previous reviews have examined AMR educational interventions focusing on specific strategies, regions, professional groups, or pedagogical tools, but without an OH perspective. This review is the first to comprehensively synthesize educational programmes that explicitly integrate OH principles across different educational levels, target audiences, and learning settings. It also examines the pedagogical strategies used to promote AMR awareness, prevention, and responsible antimicrobial use. A structured literature search (2015\u20132025) was conducted in Scopus and complemented by institutional sources and citation tracking. Educational initiatives incorporating OH principles, addressing multiple sectors, or promoting interdisciplinary AMR education were narratively synthesized. School-based programmes (e.g., e-Bug, ISGlobal initiatives, Ambientech); public awareness and community education via national strategies such as PRAN; programmes for university students; professional training, and continuing education (e.g., ESCMID, AMR EDUCare); and international online platforms including FAO e-learning programmes and the OH Workforce Academy were examined. Programmes were analysed according to target population, pedagogical approach, sectoral integration, and evaluation methods. Active and experiential methodologies, such as service-learning (e.g., Tiny Earth, MicroMundo) game-based learning, gamification, and interdisciplinary and systems thinking-based learning, consistently enhance knowledge acquisition, systems thinking skills, and awareness of cross-sectoral AMR transmission pathways. Despite all these initiatives, studies on knowledge, perceptions and attitudes about AMR point to clear errors and deficiencies. Key gaps, such as inconsistent curriculum integration, limited integration of environmental dimension and scarce rigorous impact evaluations, persist. Strengthening OH-oriented AMR education requires policy-level curriculum inclusion, cross-sector collaboration, standardized competencies, and robust evaluation frameworks. Embedding education within national AMR strategies is essential to fostering sustained behavioural change and preserving antimicrobial effectiveness across human, animal, and environmental systems.<\/jats:p>","DOI":"10.3390\/antibiotics15070677","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:43:34Z","timestamp":1783683814000},"page":"677","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Antibiotics: One Health Education for Tackling Antimicrobial Resistance"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8755-4051","authenticated-orcid":false,"given":"Beatriz","family":"Robredo","sequence":"first","affiliation":[{"name":"OneHealth-UR Research Group, Area of Didactics of Experimental Sciences, Department of Agriculture and Food, University of La Rioja, 26006 Logro\u00f1o, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2014). Global Action Plan on Antimicrobial Resistance, World Health Organization."},{"key":"ref_2","unstructured":"O\u2019Neill, J. (2014). Antimicrobial resistance: Tackling a crisis for the health and wealth of nations. The Review on Antimicrobial Resistance, Wellcome Trust."},{"key":"ref_3","unstructured":"(2026, February 01). Plan Nacional Frente a La Resistencia a Los Antibi\u00f3ticos (PRAN). Available online: https:\/\/resistenciaantibioticos.es."},{"key":"ref_4","unstructured":"World Health Organization (2023). Antimicrobial Resistance, World Health Organization. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/antimicrobial-resistance."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1016\/S1473-3099(13)70318-9","article-title":"Antibiotic resistance-the need for global solutions","volume":"13","author":"Laxminarayan","year":"2013","journal-title":"Lancet Infect. Dis."},{"key":"ref_6","first-page":"521","article-title":"Antimicrobial resistance: A One Health perspective","volume":"Volume 6","author":"Schwarz","year":"2018","journal-title":"Antimicrobial Resistance in Bacteria from Livestock and Companion Animals"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1038\/s41564-019-0503-9","article-title":"Defining and combating antibiotic resistance from One Health and global health perspectives","volume":"4","author":"Coque","year":"2019","journal-title":"Nat. Microbiol."},{"key":"ref_8","first-page":"743","article-title":"Antimicrobial resistance: One Health approach","volume":"15","year":"2022","journal-title":"Vet. World"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1093\/trstmh\/trw048","article-title":"Antibiotic resistance is the quintessential One Health issue","volume":"110","author":"Robinson","year":"2016","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_10","unstructured":"(2022). One Health High-Level Expert Panel (OHHLEP). One Health: A new definition for a sustainable and healthy future. PLoS Pathog., 18."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e398","DOI":"10.1016\/S2542-5196(18)30186-4","article-title":"Anthropological and socioeconomic factors contributing to global antimicrobial resistance: A univariate and multivariable analysis","volume":"2","author":"Collignon","year":"2018","journal-title":"Lancet Planet. Health"},{"key":"ref_12","first-page":"fux053","article-title":"Environmental factors influencing the development and spread of antibiotic resistance","volume":"42","author":"Kristiansson","year":"2018","journal-title":"FEMS Microbiol. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Jesumirhewe, C., Odufuye, T.O., Ariri, J.U., Adebiyi, A.T., Sanusi, A.T., St\u00f6ger, A., Daza-Prieto, B., Allerberger, F., Cabal-Rosel, A., and Ruppitsch, W. (2024). Genetic characterization of antibiotic-resistant Staphylococcus spp. and Mammaliicoccus sciuri from healthy humans and poultry in Nigeria. Antibiotics, 13.","DOI":"10.3390\/antibiotics13080733"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Rybak, B., Jarzembowski, T., Daca, A., Krawczyk, B., and Piechowicz, L. (2025). Genetic determinants and biofilm properties useful in estimation of UTI pathogenicity of the Escherichia coli strains isolated from free-living birds. Antibiotics, 14.","DOI":"10.3390\/antibiotics14010032"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fusaro, C., Miranda-Madera, V., Serrano-Silva, N., Bernal, J.E., R\u00edos-Montes, K., Gonz\u00e1lez-Jim\u00e9nez, F.E., Ojeda-Ju\u00e1rez, D., and Sarria-Guzm\u00e1n, Y. (2024). Antibiotic-resistant bacteria isolated from street foods: A systematic review. Antibiotics, 13.","DOI":"10.3390\/antibiotics13060481"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Drane, K., Sheehan, M., Whelan, A., Ariel, E., and Kinobe, R. (2024). The role of wastewater treatment plants in dissemination of antibiotic resistance: Source, measurement, removal and risk assessment. Antibiotics, 13.","DOI":"10.3390\/antibiotics13070668"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Moza, A.-C., Bucur, I.-M., Imre, K., Popa, S.A., Grigoreanu, A.A., Plotuna, A.-M., Ivan, A.A., Mederle, N.G., T\u00eerziu, A.-T., and T\u00eerziu, E. (2026). Phenotypic antimicrobial resistance of some bacterial strains isolated from red foxes (Vulpes vulpes) in Western Romania. Antibiotics, 15.","DOI":"10.3390\/antibiotics15020167"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"D\u00edez de los R\u00edos, J., P\u00e1rraga-Ni\u00f1o, N., Navarro, M., Serra-Pladevall, J., Vilamala, A., Arqu\u00e9, E., Bald\u00e0, M., Blanco, T.N., Pedro-Botet, L., and Mascar\u00f3, O. (2025). Environmental dispersion of multiresistant Enterobacteriaceae in aquatic ecosystems in an area of Spain with a high density of pig farming. Antibiotics, 14.","DOI":"10.20944\/preprints202507.0362.v1"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Touati, A., Ibrahim, N.A., Mairi, A., Kirat, H., Basher, N.S., and Idres, T. (2025). One Health at risk: Plasmid-mediated spread of mcr-1 across clinical, agricultural, and environmental ecosystems. Antibiotics, 14.","DOI":"10.3390\/antibiotics14050506"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Veloo, Y., Syed Abu Thahir, S., Zakaria, Z., Abdul Rahman, S., Mansor, R., and Rajendiran, S. (2025). A scoping review unveiling antimicrobial resistance patterns in the environment of dairy farms across Asia. Antibiotics, 14.","DOI":"10.3390\/antibiotics14050436"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"dlad130","DOI":"10.1093\/jacamr\/dlad130","article-title":"Gamification as an educational tool to address antimicrobial resistance: A systematic review","volume":"5","author":"Nowbuth","year":"2023","journal-title":"JAC-Antimicrob. Resist."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Pintor, E., G\u00f3mez-Ramos, A., and Sanz-Valero, J. (2023). Antibiotic infographics available on the internet: Documentary quality, purpose, and appropriateness as educational tools on antimicrobial resistance. Antibiotics, 12.","DOI":"10.3390\/antibiotics12030462"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Fuller, W., Kapona, O., Aboderin, A.O., Adeyemo, A.T., Olatunbosun, O.I., Gahimbare, L., and Ahmed, Y.A. (2023). Education and awareness on antimicrobial resistance in the WHO African region: A systematic review. Antibiotics, 12.","DOI":"10.3390\/antibiotics12111613"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"dlad058","DOI":"10.1093\/jacamr\/dlad058","article-title":"Antimicrobial stewardship in veterinary medicine: A review of online resources","volume":"5","author":"Allerton","year":"2023","journal-title":"JAC-Antimicrob. Resist."},{"key":"ref_25","first-page":"1","article-title":"Tackling AMR from a multidisciplinary perspective: A primer from education and psychology","volume":"26","author":"Carrilero","year":"2023","journal-title":"Int. Microbiol."},{"key":"ref_26","unstructured":"FAO, UNEP, WHO, and WOAH (2026, May 29). One Health Joint Plan of Action (2022\u20132026), Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240059139."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s13756-021-00931-w","article-title":"Surveillance of antimicrobial resistance in low- and middle-income countries: A scattered picture","volume":"10","author":"Iskandar","year":"2021","journal-title":"Antimicrob. Resist. Infect. Control"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Rabinowitz, P.M., Natterson-Horowitz, B.J., Kahn, L.H., Kock, R., and Pappaioanou, M. (2017). Incorporating One Health into medical education. BMC Med. Educ., 17.","DOI":"10.1186\/s12909-017-0883-6"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1093\/trstmh\/trx050","article-title":"Antimicrobial resistance: A One Health perspective","volume":"111","author":"Kahn","year":"2017","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1080\/09500693.2017.1390795","article-title":"Defining contagion literacy: A Delphi study","volume":"39","author":"Kilstadius","year":"2017","journal-title":"Int. J. Sci. Educ."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1080\/09500693.2018.1564084","article-title":"Students\u2019 model-based explanations about natural selection and antibiotic resistance through socio-scientific issues-based learning","volume":"41","author":"Peel","year":"2019","journal-title":"Int. J. Sci. Educ."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1080\/00219266.2017.1368687","article-title":"Insights from introducing natural selection to novices using animations of antibiotic resistance","volume":"52","author":"Bohlin","year":"2018","journal-title":"J. Biol. Educ."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1080\/00219266.2017.1285802","article-title":"Simulating phase variation: A practical approach to teaching mutation and diversity","volume":"52","author":"Wanford","year":"2018","journal-title":"J. Biol. Educ."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1080\/00219266.2021.1979631","article-title":"Antimicrobial resistance as a nexus between teaching and research","volume":"57","author":"Robredo","year":"2023","journal-title":"J. Biol. Educ."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Marvasi, M., Casillas, L., Vassallo, A., and Purchase, D. (2021). Educational activities for students and citizens supporting the One-Health approach on Antimicrobial Resistance. Antibiotics, 10.","DOI":"10.3390\/antibiotics10121519"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Alzard, S., Exintaris, B., Sarkar, M., Grieve, A., Chuang, S., Coetzee, R., and Lim, A. (2024). A global investigation into antimicrobial knowledge in medicine, pharmacy, nursing, dentistry, and veterinary undergraduate students: A scoping review to inform future planetary health multidisciplinary education. BMC Med. Educ., 24.","DOI":"10.1186\/s12909-024-06253-w"},{"key":"ref_37","first-page":"409","article-title":"Open Schooling to raise student awareness and engagement: The case of tackling Antimicrobial Resistance","volume":"25","author":"Drymiotou","year":"2025","journal-title":"J. Biol. Educ."},{"key":"ref_38","unstructured":"(2026, May 29). Ley Org\u00e1nica 3\/2020, de 29 de Diciembre, por La Que se Modifica La Ley Org\u00e1nica 2\/2006, de 3 de Mayo, de Educaci\u00f3n. Bolet\u00edn Oficial del Estado, 340, de 30 de Diciembre de 2020. Available online: https:\/\/www.boe.es\/eli\/es\/lo\/2020\/12\/29\/3."},{"key":"ref_39","first-page":"3301","article-title":"Are Secondary School Students Aware of the Pathogenicity of Microorganisms and the Problem of Antibiotic Resistance?","volume":"18","author":"Robredo","year":"2021","journal-title":"Rev. Eureka Sobre Ense\u00f1anza y Divulg. Las Cienc."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e00145-25","DOI":"10.1128\/jmbe.00145-25","article-title":"Antimicrobial resistance and One Health in the high school biology curriculum","volume":"26","author":"Nadar","year":"2025","journal-title":"J. Microbiol. Biol. Educ."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e70123","DOI":"10.1111\/1751-7915.70123","article-title":"& all members of MicroMundo Teams in Spain and Portugal. Citizen science to raise antimicrobial resistance awareness in the community: The MicroMundo Project in Spain and Portugal","volume":"18","author":"Antunes","year":"2025","journal-title":"Microb. Biotechnol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"fnae099","DOI":"10.1093\/femsle\/fnae099","article-title":"DIVULSUPERBAC: An outreach project to raise awareness of antimicrobial resistance","volume":"371","author":"Maicas","year":"2024","journal-title":"FEMS Microbiol. Lett."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1177\/00178969251360507","article-title":"The effectiveness of the service-learning method: A case study of the international \u2018Superbugs\u2019 Project","volume":"84","author":"Kupis","year":"2025","journal-title":"Health Educ. J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jhin.2019.10.011","article-title":"The drugs don\u2019t work: Evaluation of educational theatre to gauge and influence public opinion on antimicrobial resistance","volume":"104","author":"Ahmed","year":"2020","journal-title":"J. Hosp. Infect."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Swe, M.M.M., Hlaing, P.H., Phyo, A.P., Aung, H.H., Smithuis, F., Ashley, E.A., and Cheah, P.Y. (2020). Evaluation of the forum theatre approach for public engagement around antibiotic use in Myanmar. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0235625"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Zhang, Y., Kabba, J., Chang, J., Ji, W., Zhu, S., Yu, J., Xu, S., and Fang, Y. (2018). A School-Based Educational Intervention for School-Aged Children and Caregivers about Rational Use of Antibiotics in Urban Areas of Shaanxi Province: A Study Protocol for a Randomized Controlled Research. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15091912"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/1757177419862039","article-title":"Using debate to educate young people in schools about antibiotic use and resistance: A before and after evaluation using a questionnaire survey","volume":"20","author":"Young","year":"2019","journal-title":"J. Infect. Prev."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"McNulty, C.A.M., Brown, C.L., Syeda, R.B., Bennett, C.V., Schofield, B., Allison, D.G., and Francis, N. (2020). Teacher and student views on the feasibility of peer to peer education as a model to educate 16\u201318 Year Olds on Prudent Antibiotic Use\u2014A Qualitative Study. Antibiotics, 9.","DOI":"10.3390\/antibiotics9040194"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Hall, J., Jones, L., Robertson, G., Hiley, R., Nathwani, D., and Perry, M.R. (2020). \u2018The Mould that Changed the World\u2019: Quantitative and qualitative evaluation of children\u2019s knowledge and motivation for behavioral change following participation in an antimicrobial resistance musical. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0240471"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"fnaa111","DOI":"10.1093\/femsle\/fnaa111","article-title":"Teaching about antibiotic resistance to a broad audience: A multidisciplinary approach","volume":"367","author":"Kvint","year":"2020","journal-title":"FEMS Microbiol. Lett."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"10-1128","DOI":"10.1128\/jmbe.v18i1.1257","article-title":"Fitness of antibiotic-resistant bacteria in the environment: A laboratory activity","volume":"18","author":"Marvasi","year":"2017","journal-title":"J. Microbiol. Biol. Educ."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Popovich, J., Stephens, M., Celaya, H., Suwarno, S., Barclay, S., Yee, E., Dean, D.A., Farris, M., and Haydel, S.E. (2018). Building and Breaking the CellWall in Four Acts: A Kinesthetic and Tactile Role-Playing Exercise for Teaching Beta-Lactam Antibiotic Mechanism of Action and Resistance. J. Microbiol. Biol. Educ., 19.","DOI":"10.1128\/jmbe.v19i1.1462"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1128\/jmbe.v19i3.1675","article-title":"Bacterial Survivor: An Interactive Game that Combats Misconceptions about Antibiotic Resistance","volume":"19","author":"Govindan","year":"2018","journal-title":"J. Microbiol. Biol. Educ."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Fuhrmeister, E.R., Larson, J.R., Kleinschmit, A.J., Kirby, J.E., Pickering, A.J., and Bascom-Slack, C.A. (2021). Combating Antimicrobial Resistance Through Student-Driven Research and Environmental Surveillance. Front. Microbiol., 12.","DOI":"10.3389\/fmicb.2021.577821"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"104074","DOI":"10.1016\/j.ijmedinf.2020.104074","article-title":"AntibioGame\u00ae: A serious game for teaching medical students about antibiotic use","volume":"136","author":"Tsopra","year":"2020","journal-title":"Int. J. Med. Inform."},{"key":"ref_56","first-page":"19","article-title":"The importance of a One Health approach to preventing the development and spread of antibiotic resistance","volume":"366","author":"Collignon","year":"2013","journal-title":"Curr. Top. Microbiol. Immunol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1093\/jac\/dkv020","article-title":"Antibiotic research and development: Business as usual?","volume":"70","author":"Harbarth","year":"2015","journal-title":"J. Antimicrob. Chemother."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"8319","DOI":"10.1073\/pnas.1407304111","article-title":"Large-scale comparison of science teaching methods sends clear message","volume":"111","author":"Wieman","year":"2014","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_59","first-page":"9","article-title":"Service-learning: Three principles","volume":"8","author":"Sigmon","year":"1979","journal-title":"Synergist"},{"key":"ref_60","first-page":"225248","article-title":"Aprender y servir en la Universidad: Una v\u00eda c\u00edvica al desarrollo educativo","volume":"28","author":"Sotelino","year":"2016","journal-title":"Teor\u00eda Educ."},{"key":"ref_61","first-page":"2332","article-title":"Service learning: Fostering a cycle of caring in our gifted youth","volume":"15","author":"Terry","year":"2003","journal-title":"J. Second. Gift. Educ."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1111\/1540-4560.00274","article-title":"Reflection: Linking service and learning\u2014Linking students and communities","volume":"58","author":"Eyler","year":"2002","journal-title":"J. Soc. Issues"},{"key":"ref_63","first-page":"7","article-title":"Service-learning and students\u2019 personal and civic development","volume":"24","author":"Waldstein","year":"2001","journal-title":"J. Exp. Educ."},{"key":"ref_64","first-page":"1360","article-title":"Using the service-learning approach to bridge the gap between theory and practice in teacher education","volume":"25","author":"Resch","year":"2021","journal-title":"Int. J. Incl. Educ."},{"key":"ref_65","first-page":"946","article-title":"Pedagogical implications of integrating service learning in engineering education","volume":"8","author":"Palpanadan","year":"2020","journal-title":"Int. J. Recent Technol. Eng."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Mart\u00edn-S\u00e1nchez, M., Gonz\u00e1lez- G\u00f3mez, D., and Jeong, J.S. (2022). Service Learning as an Education for Sustainable Development (ESD) teaching strategy: Design, implementation, and evaluation in a STEM university course. Sustainability, 14.","DOI":"10.3390\/su14126965"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"fnad010","DOI":"10.1093\/femsle\/fnad010","article-title":"MicroMundo: An experimental educational project fostering student engagement and knowledge on antibiotics and antimicrobial resistance in secondary education","volume":"370","author":"Robredo","year":"2023","journal-title":"FEMS Microbiol. Lett."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"ar30","DOI":"10.1187\/cbe.23-06-0117","article-title":"Tiny Earth CURE Demonstrates Equitable Benefits for U.S. College Science Students","volume":"24","author":"Miller","year":"2025","journal-title":"CBE\u2014Life Sci. Educ."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"2674","DOI":"10.1093\/jac\/dkq356","article-title":"Evaluation of e-Bug, an educational pack, teaching about prudent antibiotic use and hygiene, in the Czech Republic, France and England","volume":"65","author":"Lecky","year":"2010","journal-title":"J. Antimicrob. Chemother."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1177\/1046878116632484","article-title":"A proof-of-concept study of game-based learning in higher education","volume":"47","author":"Crocco","year":"2016","journal-title":"Simul. Gaming"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"103120","DOI":"10.1109\/ACCESS.2021.3095552","article-title":"LEGO\u00ae Serious Play in Software Engineering Education","volume":"9","author":"Gordillo","year":"2021","journal-title":"IEEE Access"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1177\/07356331211064543","article-title":"Effects of game-based learning on students\u2019 achievement in science: A meta-analysis","volume":"60","author":"Lei","year":"2022","journal-title":"J. Educ. Comput. Res."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"409","DOI":"10.33225\/jbse\/26.25.409","article-title":"Multimodal representations for developing preservice teachers\u2019 systems thinking for addressing complex health issues","volume":"25","author":"Uskola","year":"2026","journal-title":"J. Balt. Sci. Educ."},{"key":"ref_74","first-page":"347","article-title":"Bringing science to life: A synthesis of the research evidence on the effects of context-based and STS approaches to science teaching","volume":"91","author":"Bennett","year":"2007","journal-title":"Sci. Educ."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1080\/09500690600702470","article-title":"On the nature of \u201ccontext\u201d in chemical education","volume":"28","author":"Gilbert","year":"2006","journal-title":"Int. J. Sci. Educ."},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Sadler, T.D. (2011). Socio-Scientific Issues in the Classroom: Teaching, Learning and Research, Springer.","DOI":"10.1007\/978-94-007-1159-4"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ. Behav. Hum. Decis. Process."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health promotion by social cognitive means","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ. Behav."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1093\/jac\/dkv310","article-title":"A systematic review of the public\u2019s knowledge and beliefs about antibiotic resistance","volume":"71","author":"McCullough","year":"2016","journal-title":"J. Antimicrob. Chemother."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.cmi.2017.08.026","article-title":"What is antimicrobial stewardship?","volume":"23","author":"Dyar","year":"2017","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Castro-S\u00e1nchez, E., Moore, L.S.P., Husson, F., and Holmes, A.H. (2016). What are the factors driving antimicrobial resistance? Perspectives from a public event in London, England. BMC Infect. Dis., 16.","DOI":"10.1186\/s12879-016-1810-x"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"e238","DOI":"10.1016\/S2542-5196(18)30124-4","article-title":"Environment: The neglected component of the One Health triad","volume":"2","author":"Essack","year":"2018","journal-title":"Lancet Planet. Health"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.procs.2015.03.050","article-title":"A definition of systems thinking: A systems approach","volume":"44","author":"Arnold","year":"2015","journal-title":"Procedia Comput. 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