An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics

Abstract Veterinarians primarily engage pet owners in shared decision-making (SDM) to enhance treatment outcomes and owner satisfaction, but not specifically for antibiotic stewardship. This study aims to understand how SDM occurs and how to better involve pet owners in appropriate antibiotic prescr...

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Main Authors: Huiling Guo, Zoe Jane-Lara Hildon, Timothy Chua, Boon Han Teo, Angela Chow
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-04881-w
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author Huiling Guo
Zoe Jane-Lara Hildon
Timothy Chua
Boon Han Teo
Angela Chow
author_facet Huiling Guo
Zoe Jane-Lara Hildon
Timothy Chua
Boon Han Teo
Angela Chow
author_sort Huiling Guo
collection DOAJ
description Abstract Veterinarians primarily engage pet owners in shared decision-making (SDM) to enhance treatment outcomes and owner satisfaction, but not specifically for antibiotic stewardship. This study aims to understand how SDM occurs and how to better involve pet owners in appropriate antibiotic prescribing for their pets. This is a concurrent mixed methods study, anchoring on survey data collected from 1080 pet cat/dog owners (March─December 2023) supplemented by qualitative insights from 19 veterinarians (January─July 2022). Statistical and thematic analyses were performed. Of those who received antibiotics for their pet during the last veterinary consultation (N = 415), only 22.7% engaged in SDM with their veterinarians on antibiotic prescribing. Pet owners with high degree of control and empowerment to interact with veterinary professionals were more likely to do so. Veterinarians were capable of engaging pet owners in SDM; exploring owners’ needs and feeding concerns was key. Pet owners trusted veterinarians’ final antibiotic decisions and desired appropriate antibiotic prescriptions from them, alongside training and advice on how best to medicate their pets with antibiotics. Proactive exploration of pet owners’ needs and concerns, and providing pet owners with necessary training and advice, can enhance antibiotic stewardship for pet cats and dogs.
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spelling doaj-art-4901c1dc03a54eb2b4d1ad4e8fb168a42025-08-20T03:03:36ZengNature PortfolioScientific Reports2045-23222025-07-011511810.1038/s41598-025-04881-wAn exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinicsHuiling Guo0Zoe Jane-Lara Hildon1Timothy Chua2Boon Han Teo3Angela Chow4Department of Epidemiology and Preventive Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng HospitalSaw Swee Hock School of Public Health, National University Health System, National University of SingaporeBeecroft Animal Specialist & Emergency HospitalSingapore Veterinary AssociationDepartment of Epidemiology and Preventive Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng HospitalAbstract Veterinarians primarily engage pet owners in shared decision-making (SDM) to enhance treatment outcomes and owner satisfaction, but not specifically for antibiotic stewardship. This study aims to understand how SDM occurs and how to better involve pet owners in appropriate antibiotic prescribing for their pets. This is a concurrent mixed methods study, anchoring on survey data collected from 1080 pet cat/dog owners (March─December 2023) supplemented by qualitative insights from 19 veterinarians (January─July 2022). Statistical and thematic analyses were performed. Of those who received antibiotics for their pet during the last veterinary consultation (N = 415), only 22.7% engaged in SDM with their veterinarians on antibiotic prescribing. Pet owners with high degree of control and empowerment to interact with veterinary professionals were more likely to do so. Veterinarians were capable of engaging pet owners in SDM; exploring owners’ needs and feeding concerns was key. Pet owners trusted veterinarians’ final antibiotic decisions and desired appropriate antibiotic prescriptions from them, alongside training and advice on how best to medicate their pets with antibiotics. Proactive exploration of pet owners’ needs and concerns, and providing pet owners with necessary training and advice, can enhance antibiotic stewardship for pet cats and dogs.https://doi.org/10.1038/s41598-025-04881-wAntimicrobial resistanceCompanion animalsVeterinary clinicsAntibiotic prescribingShared decision-making
spellingShingle Huiling Guo
Zoe Jane-Lara Hildon
Timothy Chua
Boon Han Teo
Angela Chow
An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
Scientific Reports
Antimicrobial resistance
Companion animals
Veterinary clinics
Antibiotic prescribing
Shared decision-making
title An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
title_full An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
title_fullStr An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
title_full_unstemmed An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
title_short An exploratory mixed methods study on shared decision-making and antibiotic prescribing for pet cats and dogs in Singapore veterinary clinics
title_sort exploratory mixed methods study on shared decision making and antibiotic prescribing for pet cats and dogs in singapore veterinary clinics
topic Antimicrobial resistance
Companion animals
Veterinary clinics
Antibiotic prescribing
Shared decision-making
url https://doi.org/10.1038/s41598-025-04881-w
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