Journal article

Feedback GAP: study protocol for a cluster-randomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care

Noah M Ivers, Karen Tu, Jill Francis, Jan Barnsley, Baiju Shah, Ross Upshur, Alex Kiss, Jeremy M Grimshaw, Merrick Zwarenstein



BACKGROUND: Audit and feedback to physicians is commonly used alone or as part of multifaceted interventions. While it can play an important role in quality improvement, the optimal design of audit and feedback is unknown. This study explores how feedback can be improved to increase acceptability and usability in primary care. The trial seeks to determine whether a theory-informed worksheet appended to feedback reports can help family physicians improve quality of care for their patients with diabetes and/or ischemic heart disease. METHODS: Two-arm cluster trial was conducted with participating primary care practices allocated using minimization to simple feedback or enhanced feedback group...

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University of Melbourne Researchers


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Funding Acknowledgements

We would like to thank the physicians participating to date in EMRALD. Funding for the study includes: The development and testing of the intervention and the qualitative aspect of the project is supported by a Canadian Institutes of Health Research team grant, Knowledge Translation Improved Clinical Effectiveness Behavioural Research. Group (KT-ICEBeRG); EMRALD is funded by a Canadian Institutes of Health Research Team (CIHR) Grant in Cardiovascular Outcomes Research to the Canadian Cardiovascular Outcomes Research Team 2 The entire project is supported by the ICES, which is funded by an annual grant from the 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. NI is supported by a CIHR Fellowship: Transdisciplinary Understanding and Training on Research-Primary Healthcare (TUTOR-PHC). RU is supported by a CIHR Canada Research Chair in Primary Care Research. JMG is supported by a CIHR Canada Research Chair in Health Knowledge Transfer and Uptake.