Reporting and design elements of audit and feedback interventions: a secondary review

Autor: Heather, Colquhoun, Susan, Michie, Anne, Sales, Noah, Ivers, J M, Grimshaw, Kelly, Carroll, Mathieu, Chalifoux, Kevin, Eva, Jamie, Brehaut
Rok vydání: 2015
Předmět:
Zdroj: BMJ qualitysafety. 26(1)
ISSN: 2044-5423
Popis: Audit and feedback (AF) is a frequently used intervention aiming to support implementation of research evidence into clinical practice with positive, yet variable, effects. Our understanding of effective AF has been limited by poor reporting and intervention heterogeneity. Our objective was to describe the extent of these issues.Using a secondary review of AF interventions and a consensus-based process to identify modifiable AF elements, we examined intervention descriptions in 140 trials of AF to quantify reporting limitations and describe the interventions.We identified 17 modifiable AF intervention elements; 14 were examined to quantify reporting limitations and all 17 were used to describe the interventions. Clear reporting of the elements ranged from 56% to 97% with a median of 89%. There was considerable variation in AF interventions with 51% for individual providers only, 92% targeting behaviour change and 79% targeting processes of care, 64% performed by the provider group and 81% reporting aggregate patient data.Our process identified 17 AF design elements, demonstrated gaps in reporting and helped understand the degree of variation in AF interventions.
Databáze: OpenAIRE