Journal article
Feedback GAP: Pragmatic, cluster-randomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care
NM Ivers, K Tu, J Young, JJ Francis, J Barnsley, BR Shah, RE Upshur, R Moineddin, JM Grimshaw, M Zwarenstein
Implementation Science | BMC | Published : 2013
Abstract
Background: Audit and feedback to physicians is a commonly used quality improvement strategy, but its optimal design is unknown. This trial tested the effects of a theory-informed worksheet to facilitate goal setting and action planning, appended to feedback reports on chronic disease management, compared to feedback reports provided without these worksheets. Methods: A two-arm pragmatic cluster randomized trial was conducted, with allocation at the level of primary care clinics. Participants were family physicians who contributed data from their electronic medical records. The 'usual feedback' arm received feedback every six months for two years regarding the proportion of their patients me..
View full abstractGrants
Awarded by Ontario Ministry of Health and Long-Term Care
Funding Acknowledgements
We would like to thank the physicians participating to date in EMRALD. The conduct and analysis of this trial was supported by a grant from the Canadian Institutes of Health Research (CIHR)-funding reference number, 111218. The development of the intervention and the embedded qualitative study was supported by a team grant from CIHR, Knowledge Translation Improved Clinical Effectiveness Behavioral Research. Group (KT-ICEBeRG). This study is supported by the ICES, which is funded by an annual grant from the Ontario Ministry of Health and Long Term Care (MOHLTC). The opinions, results, and conclusions reported in this article are those of the authors and are independent from the funding sources. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred. NMI is supported by fellowship awards from CIHR and from the University of Toronto. REU is supported by a Canada Research Chair in Primary Care Research. JMG is supported by a Canada Research Chair in Health Knowledge Transfer and Uptake.