Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study.

Snider, MDH ; Boyd, MR ; et al.

In: Implementation science communications, Jg. 4 (2023-08-14), Heft 1, S. 94

Online academicJournal

Zugriff:

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.

Titel:	Using audit and feedback to guide tailored implementations of measurement-based care in community mental health: a multiple case study.
Autor/in / Beteiligte Person:	Snider, MDH ; Boyd, MR ; Walker, MR ; Powell, BJ ; Lewis, CC
Link:	View record at Springer (Volltext)
Zeitschrift:	Implementation science communications, Jg. 4 (2023-08-14), Heft 1, S. 94
Veröffentlichung:	[London] : BioMed Central, [2020]-, 2023
Medientyp:	academicJournal
ISSN:	2662-2211 (electronic)
DOI:	10.1186/s43058-023-00474-8
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Implement Sci Commun] 2023 Aug 14; Vol. 4 (1), pp. 94. <i>Date of Electronic Publication: </i>2023 Aug 14. References: Adm Policy Ment Health. 2012 Sep;39(5):353-64. (PMID: 21574016) ; BMC Health Serv Res. 2005 Jul 13;5:50. (PMID: 16011811) ; Implement Sci. 2012 May 18;7:45. (PMID: 22607640) ; Implement Sci. 2006 Feb 23;1:4. (PMID: 16722571) ; Implement Sci. 2013 Dec 01;8:139. (PMID: 24289295) ; Implement Sci. 2017 Sep 29;12(1):117. (PMID: 28962632) ; J Eval Clin Pract. 2013 Apr;19(2):230-4. (PMID: 22128773) ; Adm Policy Ment Health. 2014 Mar;41(2):228-36. (PMID: 23266661) ; J Gen Intern Med. 2014 Nov;29(11):1534-41. (PMID: 24965281) ; Adm Policy Ment Health. 2011 Mar;38(2):65-76. (PMID: 20957426) ; Implement Sci. 2017 May 25;12(1):68. (PMID: 28545535) ; J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941) ; Med Care. 2009 Mar;47(3):356-63. (PMID: 19194332) ; Adm Policy Ment Health. 2018 Jan;45(1):48-61. (PMID: 27631610) ; Cochrane Database Syst Rev. 2015 Apr 29;(4):CD005470. (PMID: 25923419) ; JAMA Psychiatry. 2019 Jan 1;76(1):3-4. (PMID: 30427985) ; Front Public Health. 2019 Jan 22;7:3. (PMID: 30723713) ; Implement Sci. 2014 Jan 17;9:14. (PMID: 24438584) ; Behav Ther. 2018 Jul;49(4):525-537. (PMID: 29937255) ; BMC Res Notes. 2018 Jan 27;11(1):76. (PMID: 29374497) ; Implement Sci. 2006 Apr 28;1:9. (PMID: 16722539) ; Cogn Behav Pract. 2015 Feb;22(1):49-59. (PMID: 27330267) ; BMJ Qual Saf. 2017 Apr;26(4):279-287. (PMID: 27068999) ; Adm Policy Ment Health. 2008 Mar;35(1-2):21-37. (PMID: 17990095) ; Implement Sci. 2013 Jun 10;8:66. (PMID: 23759034) ; Implement Sci. 2015 Feb 12;10:21. (PMID: 25889199) ; Implement Sci. 2019 Apr 26;14(1):40. (PMID: 31027495) ; Cochrane Database Syst Rev. 2012 Jun 13;(6):CD000259. (PMID: 22696318) ; Implement Sci. 2015 May 19;10:70. (PMID: 25986004) ; Ann Intern Med. 2016 Mar 15;164(6):435-41. (PMID: 26903136) ; Implement Sci. 2015 Sep 07;10:127. (PMID: 26345270) Grant Information: R01 MH103310 United States MH NIMH NIH HHS; R01 MH-103310 United States MH NIMH NIH HHS Contributed Indexing: Keywords: Audit and feedback; Case study; Measurement-based care; Pattern analysis; Tailored implementation Molecular Sequence: ClinicalTrials.gov NCT02266134 Entry Date(s): Date Created: 20230814 Latest Revision: 20231123 Update Code: 20231215 PubMed Central ID: PMC10424451

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