Jan 22, 2015

Computer-supported feedback message tailoring: theory-informed adaptation of clinical audit and feedback for learning and behavior change

Implementation Science : IS
Zach Landis-LewisRebecca S Jacobson

Abstract

Evidence shows that clinical audit and feedback can significantly improve compliance with desired practice, but it is unclear when and how it is effective. Audit and feedback is likely to be more effective when feedback messages can influence barriers to behavior change, but barriers to change differ across individual health-care providers, stemming from differences in providers' individual characteristics. The purpose of this article is to invite debate and direct research attention towards a novel audit and feedback component that could enable interventions to adapt to barriers to behavior change for individual health-care providers: computer-supported tailoring of feedback messages. We argue that, by leveraging available clinical data, theory-informed knowledge about behavior change, and the knowledge of clinical supervisors or peers who deliver feedback messages, a software application that supports feedback message tailoring could improve feedback message relevance for barriers to behavior change, thereby increasing the effectiveness of audit and feedback interventions. We describe a prototype system that supports the provision of tailored feedback messages by generating a menu of graphical and textual messages with associ...Continue Reading

  • References43
  • Citations7

Mentioned in this Paper

Research
Physicians
Awareness
Peer
Feedback - System Communication
Supervisor
Programmed Instruction, Computerized
Adaptation
Description
Learning

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