Stewards TTSH

Stewards TTSH We are a team within TTSH researching on the socio-behavioural aspects of appropriate antibiotic use.

The "SteWARdS" in our name is shorthand for the goal our team of researchers are working towards. It represents: Steering towards the wise use of antimicrobial through understanding and addressing the determinants in Singapore.

As   comes to an end, we are reminded that our work as researchers isn’t just about data — it’s about the people, places...
24/11/2025

As comes to an end, we are reminded that our work as researchers isn’t just about data — it’s about the people, places, and moments that shape our journey.

Check out our LinkedIn article below. 👇

https://www.linkedin.com/pulse/blue-pill-vs-red-my-research-journey-stewardsttsh-9cyrc/?trackingId=33oAjsxFQdafJjLHvUJfEQ%3D%3D

Author: Goh Jedrek A couple of months ago, I was faced with a difficult decision that would redefine my understanding of antibiotic research. I could have stayed in the office to analyse survey data and compile weekly reports about antibiotic resistance – the blue pill of academic comfort that had...

This year's   theme is a powerful reminder that safeguarding our present and protecting future generations begins with s...
20/11/2025

This year's theme is a powerful reminder that safeguarding our present and protecting future generations begins with strong evidence and collective action against AMR.

On 12 Nov, the Communicable Diseases Agency (CDA) launched Singapore's second National Strategic Action Plan on AMR (NSAPv2). The NSAPv2 was jointly developed by CDA, National Environmental Agency, National Parks Board, Singapore Food Agency and PUB, Singapore's National Water Agency.

We are honoured that our research has provided important insights that guided the development of the national plan. Of the 36 references cited in the plan, 8 were publications from our group. We are heartened to note that the initiatives in NSAPv2's Core Strategy 1 on Communication and Education include:

- Taking a One Health approach to develop educational initiatives that address both personal and pet antibiotic usage

- Exploring innovative channels to deliver educational messages to younger adults

- Engaging the community to co-design and implement solutions to improve appropriate antibiotic usage

(https://www.cda.gov.sg/public/antimicrobial-resistance/singapore-s-national-strategic-action-plans-on-amr)

📚 Explore our publications here: sites.google.com/view/stewards-ttsh-publications/home

Antibiotics are for everyone, our past and our future generations, right? If antibiotics are dead, we will be in big trouble”: Building on community values for public engagement on appropriate use of antibiotics in Singapore.

🌏 WAAW 2025: Act Now, Protect Our Present, Secure Our Future AMR is a growing global threat, and the time to act is now....
18/11/2025

🌏 WAAW 2025: Act Now, Protect Our Present, Secure Our Future

AMR is a growing global threat, and the time to act is now. This WAAW, we chose the Red Pill - confronting the reality of AMR by engaging with experts and staying at the forefront of research.

Over the past two weeks, we attended:

1) WAAW
2) Singapore Antimicrobial Resistance Research Symposium 2025
3) One Health- AMR Symposium

Connecting with experts in the field, sharing ideas, and assessing the latest evidence reinforces the urgent need to act now, protect our present and secure our future.

🔬 Research Findings: 𝐒𝐡𝐚𝐫𝐞𝐝 𝐃𝐞𝐜𝐢𝐬𝐢𝐨𝐧-𝐌𝐚𝐤𝐢𝐧𝐠 𝐢𝐧 𝐕𝐞𝐭𝐞𝐫𝐢𝐧𝐚𝐫𝐲 𝐂𝐥𝐢𝐧𝐢𝐜𝐬: 𝐀 𝐂𝐫𝐨𝐬𝐬-𝐒𝐞𝐜𝐭𝐢𝐨𝐧𝐚𝐥 𝐒𝐭𝐮𝐝𝐲 𝐄𝐱𝐚𝐦𝐢𝐧𝐢𝐧𝐠 𝐄𝐟𝐟𝐞𝐜𝐭𝐬 𝐨𝐧 𝐀𝐩𝐩𝐫𝐨𝐩𝐫𝐢...
12/11/2025

🔬 Research Findings: 𝐒𝐡𝐚𝐫𝐞𝐝 𝐃𝐞𝐜𝐢𝐬𝐢𝐨𝐧-𝐌𝐚𝐤𝐢𝐧𝐠 𝐢𝐧 𝐕𝐞𝐭𝐞𝐫𝐢𝐧𝐚𝐫𝐲 𝐂𝐥𝐢𝐧𝐢𝐜𝐬: 𝐀 𝐂𝐫𝐨𝐬𝐬-𝐒𝐞𝐜𝐭𝐢𝐨𝐧𝐚𝐥 𝐒𝐭𝐮𝐝𝐲 𝐄𝐱𝐚𝐦𝐢𝐧𝐢𝐧𝐠 𝐄𝐟𝐟𝐞𝐜𝐭𝐬 𝐨𝐧 𝐀𝐩𝐩𝐫𝐨𝐩𝐫𝐢𝐚𝐭𝐞 𝐀𝐧𝐭𝐢𝐛𝐢𝐨𝐭𝐢𝐜 𝐏𝐫𝐞𝐬𝐜𝐫𝐢𝐛𝐢𝐧𝐠 𝐚𝐧𝐝 𝐕𝐚𝐥𝐮𝐞-𝐃𝐫𝐢𝐯𝐞𝐧 𝐅𝐚𝐜𝐭𝐨𝐫𝐬 𝐈𝐧𝐟𝐥𝐮𝐞𝐧𝐜𝐢𝐧𝐠 𝐈𝐭

Our research team recruited 41 veterinarians across Singapore to examine how shared decision-making (SDM) is associated with appropriate antibiotic prescribing for pet cats and dogs, and what are the factors that would promote SDM.

𝐊𝐞𝐲 𝐟𝐢𝐧𝐝𝐢𝐧𝐠𝐬:
- The effectiveness of SDM in promoting appropriate antibiotic prescribing appears to be condition-specific in vet clinics.
- Vets who 1) perceived that their vet clinic values the prioritisation of pet owner satisfaction over appropriate antibiotic prescribing, 2) had the capacity to build relationships and communicate with owners on antibiotic prescribing, and 3) believed in collaborative communication and SDM with owners on antibiotic prescribing, were more likely to engage in SDM.
- Overall, aligning AMR-related values between vet clinics and vets to enable effective communication with pet owners can promote SDM, potentially driving appropriate antibiotic prescribing for pet cats and dogs subsequently.

𝐒𝐭𝐮𝐝𝐲 𝐢𝐦𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬:
This research sheds light on a unique antibiotic stewardship approach in vet clinics. Encouraging the prioritisation of owner experience and satisfaction could yield an indirect benefit of driving effective communication with owners to promote SDM on antibiotic prescribing.
Better time and resource planning could allow vets to have the capacity to build relationships and communicate with owners on antibiotic prescribing, hence promoting SDM.
In combination with previous research findings, vets could take initiative in investigating owner’s feeding concerns and delivering training and advice to owners on antibiotic administration methods, to better involve pet owners in discussions related to antibiotic prescribing.

📕: https://doi.org/10.3390/antibiotics14111139

Background: Shared decision-making (SDM) can improve appropriate antibiotic prescribing in human primary care clinics, but little is known about it in the veterinary setting. This study examines the association between SDM and antibiotic prescribing for cats and dogs in veterinary clinics, then dete...

🎉 Heartiest congratulations to Dr Angela Chow, our Principal Investigator and Senior Consultant on this well-deserved re...
31/10/2025

🎉 Heartiest congratulations to Dr Angela Chow, our Principal Investigator and Senior Consultant on this well-deserved recognition.🏆

This achievement reflects the dedication to clinical excellence and innovation that drives our healthcare forward.

🎉 What an amazing experience at  This year's theme is "Is More Tech Actually More in Health?" and our research team made...
10/10/2025

🎉 What an amazing experience at

This year's theme is "Is More Tech Actually More in Health?" and our research team made us incredibly proud by securing awards in the Best Poster Award (Allied Health) category.

Special congratulations goes to:
Guo Huiling - Bronze Award Winner 🥉
Seema Aithal - Silver Award Winner 🥈

The entire team also had the opportunity to share their work at the Poster Village, engaging with fellow researchers and healthcare professionals.

Thanks to SHBC for connecting healthcare leaders and researchers, and to our team for their continued excellence in allied health research.

💡New Protocol Alert: Using Social Influencers for Public Health Education on Antibiotic Use and Antimicrobial Resistance...
30/09/2025

💡New Protocol Alert: Using Social Influencers for Public Health Education on Antibiotic Use and Antimicrobial Resistance

📕Read the full protocol here:
https://doi.org/10.1186/s12889-025-24338-z

Happy 60th Birthday, Singapore!
09/08/2025

Happy 60th Birthday, Singapore!

🔬 New Research Alert: 𝐊𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐞, 𝐚𝐭𝐭𝐢𝐭𝐮𝐝𝐞𝐬, 𝐚𝐧𝐝 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞𝐬 𝐨𝐟 𝐚𝐧𝐭𝐢𝐛𝐢𝐨𝐭𝐢𝐜 𝐮𝐬𝐞 𝐚𝐧𝐝 𝐚𝐧𝐭𝐢𝐦𝐢𝐜𝐫𝐨𝐛𝐢𝐚𝐥 𝐫𝐞𝐬𝐢𝐬𝐭𝐚𝐧𝐜𝐞 𝐟𝐨𝐫 𝐩𝐞𝐭 𝐜𝐚𝐭𝐬 𝐚𝐧...
11/07/2025

🔬 New Research Alert: 𝐊𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐞, 𝐚𝐭𝐭𝐢𝐭𝐮𝐝𝐞𝐬, 𝐚𝐧𝐝 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞𝐬 𝐨𝐟 𝐚𝐧𝐭𝐢𝐛𝐢𝐨𝐭𝐢𝐜 𝐮𝐬𝐞 𝐚𝐧𝐝 𝐚𝐧𝐭𝐢𝐦𝐢𝐜𝐫𝐨𝐛𝐢𝐚𝐥 𝐫𝐞𝐬𝐢𝐬𝐭𝐚𝐧𝐜𝐞 𝐟𝐨𝐫 𝐩𝐞𝐭 𝐜𝐚𝐭𝐬 𝐚𝐧𝐝 𝐝𝐨𝐠𝐬 𝐢𝐧 𝐒𝐢𝐧𝐠𝐚𝐩𝐨𝐫𝐞: 𝐀 𝐜𝐫𝐨𝐬𝐬-𝐬𝐞𝐜𝐭𝐢𝐨𝐧𝐚𝐥 𝐬𝐭𝐮𝐝𝐲

Read the full study here: https://doi.org/10.1016/j.ijantimicag.2025.107489

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