Journal article

A multidimensional approach to assessing intervention fidelity in a process evaluation of audit and feedback interventions to reduce unnecessary blood transfusions: a study protocol

Fabiana Lorencatto, Natalie J Gould, Stephen A McIntyre, Camilla During, Jon Bird, Rebecca Walwyn, Robert Cicero, Liz Glidewell, Suzanne Hartley, Simon J Stanworth, Robbie Foy, Jeremy M Grimshaw, Susan Michie, Jill J Francis



BACKGROUND: In England, NHS Blood and Transplant conducts national audits of transfusion and provides feedback to hospitals to promote evidence-based practice. Audits demonstrate 20% of transfusions fall outside guidelines. The AFFINITIE programme (Development & Evaluation of Audit and Feedback INterventions to Increase evidence-based Transfusion practIcE) involves two linked, 2×2 factorial, cluster-randomised trials, each evaluating two theoretically-enhanced audit and feedback interventions to reduce unnecessary blood transfusions in UK hospitals. The first intervention concerns the content/format of feedback reports. The second aims to support hospital transfusion staff to plan their resp..

View full abstract

University of Melbourne Researchers


Awarded by National Institute for Health Research (NIHR)

Awarded by National Institute for Health Research

Funding Acknowledgements

This paper summarises independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-1210-12010). The views expressed are those of the authors and do not necessarily those of the NHS, the NIHR or the Department of Health. All authors' contributions to this study are funded by this grant. Jeremy Grimshaw holds a Canada Research Chair in Health Knowledge Transfer and Uptake.