# Inpatient clinicians’ approach to diagnosis of urinary tract infections in older adults using the COM-B model: a qualitative assessment

## TL;DR

This study explores why inpatient clinicians overdiagnose and overprescribe for urinary tract infections in older adults.

## Contribution

The study identifies opportunity and motivation as key factors in overdiagnosis using the COM-B model.

## Key findings

- Opportunity and motivation are important drivers for overdiagnosis in older adults.
- Understanding these factors can help implement age-friendly stewardship interventions.

## Abstract

Our interviews of inpatient clinicians (physicians, physician assistants) modeled after the Capability, Opportunity, and Motivation Model of Behavior model revealed opportunity and motivation as important drivers for overdiagnosis and overprescribing for asymptomatic bacteriuria in older adults. Understanding these barriers is an important step toward implementing age-friendly stewardship interventions.