How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists
Background. Audit and feedback (A/F) reports are one of the few knowledge translation activities that can effect change in physician behavior. In this study, we pilot-tested an endoscopist A/F report to elicit opinions about the proposed report’s usability, acceptability and usefulness, and implicat...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/4983790 |
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| _version_ | 1849306174770380800 |
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| author | Fiona Webster Jigisha Patel Kathleen Rice Nancy Baxter Lawrence Paszat Linda Rabeneck Jill Tinmouth |
| author_facet | Fiona Webster Jigisha Patel Kathleen Rice Nancy Baxter Lawrence Paszat Linda Rabeneck Jill Tinmouth |
| author_sort | Fiona Webster |
| collection | DOAJ |
| description | Background. Audit and feedback (A/F) reports are one of the few knowledge translation activities that can effect change in physician behavior. In this study, we pilot-tested an endoscopist A/F report to elicit opinions about the proposed report’s usability, acceptability and usefulness, and implications for knowledge translation. Methods. Semi-structured qualitative interviews were conducted with eleven endoscopists in Ontario, Canada. We tested an A/F report template comprising 9 validated, accepted colonoscopy quality indicators populated with simulated data. Interview transcripts were coded using techniques such as constant comparison and themes were identified inductively over several team meetings. Results. Four interrelated themes were identified: (1) overall perceptions of the A/F report; (2) accountability and consequences for poor performance; (3) motivation to change/improve skills; and (4) training for performance enhancement and available resources. The A/F report was well received; however, participants cited some possible threats to the report’s effectiveness including the perceived threat of loss of privileges or licensing and the potential for the data to be dismissed. Conclusions. Participants agreed that A/F has the potential to improve colonoscopy performance. However, in order to be effective in changing physician behavior, A/F must be thoughtfully implemented with attention to the potential concerns of its recipients. |
| format | Article |
| id | doaj-art-38b1eb44c52142b8a8ccbf2a0d474d4a |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-38b1eb44c52142b8a8ccbf2a0d474d4a2025-08-20T03:55:11ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/49837904983790How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for EndoscopistsFiona Webster0Jigisha Patel1Kathleen Rice2Nancy Baxter3Lawrence Paszat4Linda Rabeneck5Jill Tinmouth6Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaSunnybrook Health Sciences Centre, Toronto, ON, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaDepartment of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaDepartment of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaDepartment of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CanadaBackground. Audit and feedback (A/F) reports are one of the few knowledge translation activities that can effect change in physician behavior. In this study, we pilot-tested an endoscopist A/F report to elicit opinions about the proposed report’s usability, acceptability and usefulness, and implications for knowledge translation. Methods. Semi-structured qualitative interviews were conducted with eleven endoscopists in Ontario, Canada. We tested an A/F report template comprising 9 validated, accepted colonoscopy quality indicators populated with simulated data. Interview transcripts were coded using techniques such as constant comparison and themes were identified inductively over several team meetings. Results. Four interrelated themes were identified: (1) overall perceptions of the A/F report; (2) accountability and consequences for poor performance; (3) motivation to change/improve skills; and (4) training for performance enhancement and available resources. The A/F report was well received; however, participants cited some possible threats to the report’s effectiveness including the perceived threat of loss of privileges or licensing and the potential for the data to be dismissed. Conclusions. Participants agreed that A/F has the potential to improve colonoscopy performance. However, in order to be effective in changing physician behavior, A/F must be thoughtfully implemented with attention to the potential concerns of its recipients.http://dx.doi.org/10.1155/2016/4983790 |
| spellingShingle | Fiona Webster Jigisha Patel Kathleen Rice Nancy Baxter Lawrence Paszat Linda Rabeneck Jill Tinmouth How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists Canadian Journal of Gastroenterology and Hepatology |
| title | How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists |
| title_full | How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists |
| title_fullStr | How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists |
| title_full_unstemmed | How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists |
| title_short | How to Make Feedback More Effective? Qualitative Findings from Pilot Testing of an Audit and Feedback Report for Endoscopists |
| title_sort | how to make feedback more effective qualitative findings from pilot testing of an audit and feedback report for endoscopists |
| url | http://dx.doi.org/10.1155/2016/4983790 |
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