A systematic review of electronic audit and feedback: intervention effectiveness and use of behaviour change theory

Implementation Science : IS
Timothy TutiSabine N van der Veer

Abstract

Audit and feedback is a common intervention for supporting clinical behaviour change. Increasingly, health data are available in electronic format. Yet, little is known regarding if and how electronic audit and feedback (e-A&F) improves quality of care in practice. The study aimed to assess the effectiveness of e-A&F interventions in a primary care and hospital context and to identify theoretical mechanisms of behaviour change underlying these interventions. In August 2016, we searched five electronic databases, including MEDLINE and EMBASE via Ovid, and the Cochrane Central Register of Controlled Trials for published randomised controlled trials. We included studies that evaluated e-A&F interventions, defined as a summary of clinical performance delivered through an interactive computer interface to healthcare providers. Data on feedback characteristics, underlying theoretical domains, effect size and risk of bias were extracted by two independent review authors, who determined the domains within the Theoretical Domains Framework (TDF). We performed a meta-analysis of e-A&F effectiveness, and a narrative analysis of the nature and patterns of TDF domains and potential links with the intervention effect. We included seven studi...Continue Reading

References

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Citations

Jan 19, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Melanie D WhittingtonChristian D Helfrich
Nov 7, 2019·The Journal of Continuing Education in the Health Professions·Sanjeev SockalingamDavid Wiljer
Nov 7, 2018·Journal of Innovation in Health Informatics·Richard WilliamsNiels Peek
Jan 14, 2020·Journal of Women's Health·Paniz CharkhchiRuth C Carlos
Apr 25, 2020·BMC Medical Research Methodology·Dahee LeeZach Landis-Lewis
Apr 25, 2019·Implementation Science : IS·Wouter T GudeNiels Peek
Aug 8, 2020·Antimicrobial Resistance and Infection Control·J KeizerJ E W C van Gemert-Pijnen
Jan 19, 2021·Journal of Patient Experience·James D HarrisonAndrew D Auerbach
Jan 23, 2021·International Journal of Environmental Research and Public Health·Michel JuarezPeter Rohloff
Oct 16, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Steve Van Den BulckPatrik Vankrunkelsven
May 13, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ian Bennett-BrittonChris Salisbury
Jul 11, 2020·Clinical Oncology : a Journal of the Royal College of Radiologists·M BartonK Spencer

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Software Mentioned

EPOC
Ovid
Review Manager
Cochrane
PRISMA

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