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Precision feedback: A conceptual model.
Landis-Lewis, Zach; Janda, Allison M; Chung, Hana; Galante, Patrick; Cao, Yidan; Krumm, Andrew E.
Afiliación
  • Landis-Lewis Z; Department of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
  • Janda AM; Department of Anesthesiology University of Michigan Ann Arbor Michigan USA.
  • Chung H; School of Information University of Michigan Ann Arbor Michigan USA.
  • Galante P; Department of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
  • Cao Y; Department of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
  • Krumm AE; Department of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
Learn Health Syst ; 8(3): e10419, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39036537
ABSTRACT

Introduction:

When performance data are provided as feedback to healthcare professionals, they may use it to significantly improve care quality. However, the question of how to provide effective feedback remains unanswered, as decades of evidence have produced a consistent pattern of effects-with wide variation. From a coaching perspective, feedback is often based on a learner's objectives and goals. Furthermore, when coaches provide feedback, it is ideally informed by their understanding of the learner's needs and motivation. We anticipate that a "coaching"-informed approach to feedback may improve its effectiveness in two ways. First, by aligning feedback with healthcare professionals' chosen goals and objectives, and second, by enabling large-scale feedback systems to use new types of data to learn what kind of performance information is motivating in general. Our objective is to propose a conceptual model of precision feedback to support these anticipated enhancements to feedback interventions.

Methods:

We iteratively represented models of feedback's influence from theories of motivation and behavior change, visualization, and human-computer interaction. Through cycles of discussion and reflection, application to clinical examples, and software development, we implemented and refined the models in a software application to generate precision feedback messages from performance data for anesthesia providers.

Results:

We propose that precision feedback is feedback that is prioritized according to its motivational potential for a specific recipient. We identified three factors that influence motivational potential (1) the motivating information in a recipient's performance data, (2) the surprisingness of the motivating information, and (3) a recipient's preferences for motivating information and its visual display.

Conclusions:

We propose a model of precision feedback that is aligned with leading theories of feedback interventions to support learning about the success of feedback interventions. We plan to evaluate this model in a randomized controlled trial of a precision feedback system that enhances feedback emails to anesthesia providers.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Learn Health Syst Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Learn Health Syst Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos