Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study
Abstract Background Audit and feedback (A&F) is an implementation strategy that can facilitate implementation tailoring by identifying gaps between desired and actual clinical care. While there are several theory-based propositions on which A&F components lead to better implementation outcom...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-023-00474-8 |
| _version_ | 1797452493198721024 |
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| author | Mira D. H. Snider Meredith R. Boyd Madison R. Walker Byron J. Powell Cara C. Lewis |
| author_facet | Mira D. H. Snider Meredith R. Boyd Madison R. Walker Byron J. Powell Cara C. Lewis |
| author_sort | Mira D. H. Snider |
| collection | DOAJ |
| description | Abstract Background Audit and feedback (A&F) is an implementation strategy that can facilitate implementation tailoring by identifying gaps between desired and actual clinical care. While there are several theory-based propositions on which A&F components lead to better implementation outcomes, many have not been empirically investigated, and there is limited guidance for stakeholders when applying A&F in practice. The current study aims to illustrate A&F procedures in six community mental health clinics, with an emphasis on reporting A&F components that are relevant to theories of how feedback elicits behavior change. Methods Six clinics from a larger trial using a tailored approach to implement measurement-based care (MBC) were analyzed for feedback content, delivery mechanisms, barriers to feedback, and outcomes of feedback using archival data. Pattern analysis was conducted to examine relations between A&F components and changes in MBC use. Results Several sites utilized both aggregate and individualized data summaries, and data accuracy concerns were common. Feedback cycles featuring individual-level clinician data, data relevant to MBC barriers, and information requested by data recipients were related to patterns of increased MBC use. Conclusions These findings support extant theory, such as Feedback Intervention Theory. Mental health professionals wishing to apply A&F should consider establishing reciprocal feedback mechanisms on the quality and amount of data being received and adopting specific roles communicating and addressing data quality concerns. Trial registration ClinicalTrials.gov Identifier: NCT02266134. |
| first_indexed | 2024-03-09T15:08:29Z |
| format | Article |
| id | doaj.art-0f740f0f3cab45c993f87f63d7872c8e |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-03-09T15:08:29Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-0f740f0f3cab45c993f87f63d7872c8e2023-11-26T13:29:03ZengBMCImplementation Science Communications2662-22112023-08-014111310.1186/s43058-023-00474-8Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case studyMira D. H. Snider0Meredith R. Boyd1Madison R. Walker2Byron J. Powell3Cara C. Lewis4Department of Psychology, West Virginia UniversityDepartment of Psychology, University of California Los AngelesCenter for Health Equity Research, University of North CarolinaCenter for Mental Health Services Research, Brown School, Washington University in St. LouisKaiser Permanente Washington Health Research InstituteAbstract Background Audit and feedback (A&F) is an implementation strategy that can facilitate implementation tailoring by identifying gaps between desired and actual clinical care. While there are several theory-based propositions on which A&F components lead to better implementation outcomes, many have not been empirically investigated, and there is limited guidance for stakeholders when applying A&F in practice. The current study aims to illustrate A&F procedures in six community mental health clinics, with an emphasis on reporting A&F components that are relevant to theories of how feedback elicits behavior change. Methods Six clinics from a larger trial using a tailored approach to implement measurement-based care (MBC) were analyzed for feedback content, delivery mechanisms, barriers to feedback, and outcomes of feedback using archival data. Pattern analysis was conducted to examine relations between A&F components and changes in MBC use. Results Several sites utilized both aggregate and individualized data summaries, and data accuracy concerns were common. Feedback cycles featuring individual-level clinician data, data relevant to MBC barriers, and information requested by data recipients were related to patterns of increased MBC use. Conclusions These findings support extant theory, such as Feedback Intervention Theory. Mental health professionals wishing to apply A&F should consider establishing reciprocal feedback mechanisms on the quality and amount of data being received and adopting specific roles communicating and addressing data quality concerns. Trial registration ClinicalTrials.gov Identifier: NCT02266134.https://doi.org/10.1186/s43058-023-00474-8Audit and feedbackTailored implementationMeasurement-based careCase studyPattern analysis |
| spellingShingle | Mira D. H. Snider Meredith R. Boyd Madison R. Walker Byron J. Powell Cara C. Lewis Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study Implementation Science Communications Audit and feedback Tailored implementation Measurement-based care Case study Pattern analysis |
| title | Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study |
| title_full | Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study |
| title_fullStr | Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study |
| title_full_unstemmed | Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study |
| title_short | Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study |
| title_sort | using audit and feedback to guide tailored implementations of measurement based care in community mental health a multiple case study |
| topic | Audit and feedback Tailored implementation Measurement-based care Case study Pattern analysis |
| url | https://doi.org/10.1186/s43058-023-00474-8 |
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