Trial reportQuality management in health care
Appreciative Inquiry for quality improvement in primary care practices.
Trial report in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review and narrative synthesis of the impact of Appreciative Inquiry in healthcare.BMJ open quality · 2022Pooled it
- Outcomes, mechanisms and contextual factors of positive psychology interventions for health workers: a systematic review of global evidence.Human resources for health · 2021Pooled it
- The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review.Implementation science : IS · 2020Pooled it
- Systematic review of interventions to improve the psychological well-being of general practitioners.BMC family practice · 2016Pooled it
- Health management committee strengthening and community mobilisation through women's groups to improve trained health worker attendance at birth in rural Nepal: a cluster randomised controlled trial.BMC pregnancy and childbirth · 2020Trial
- The effect of surveillance and appreciative inquiry on puerperal infections: a longitudinal cohort study in India.PloS one · 2014Trial
- Community mobilization in Mumbai slums to improve perinatal care and outcomes: a cluster randomized controlled trial.PLoS medicine · 2012Trial
- From Burnout to Buy-In: Using Appreciative Inquiry to Build Engagement Within a Hospital Medicine Group.Journal of general internal medicine · 2026Article
- Co-designing the disability awareness toolkit for disability-inclusive and accessible health and post-GBV clinical services in South Africa.International journal for equity in health · 2025Article
- Implementation strategies for large scale quality improvement initiatives in primary care settings: a qualitative assessment.BMC primary care · 2023Article
- Building Positive Organizations: A Typology of Positive Psychology Interventions.Frontiers in psychology · 2021Review
- Leading Innovative Practice: Leadership Attributes in LEAP Practices.The Milbank quarterly · 2020Article
- Learning medical professionalism - the application of appreciative inquiry and social media.Medical education online · 2019Article
- Using Appreciative Inquiry to Inform Program Evaluation in Graduate Medical Education.Journal of graduate medical education · 2018Article
- Use of Appreciative Inquiry To Engage Parents as Codesigners of a Weight Management Intervention for Adolescents.Childhood obesity (Print) · 2017Article
- Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science.Implementation science : IS · 2014Review
- Metrics for assessing improvements in primary health care.Annual review of public health · 2014Article
- Making the Random the Usual: Appreciative Inquiry/Boot Camp Translation-Developing Community-Oriented Evidence That Matters.Journal of primary care & community healthArticle
- Engagement of groups in family medicine board maintenance of certification.Journal of the American Board of Family Medicine : JABFMArticle
- Changing Our Mental and Emotional Trajectory (COMET): The Feasibility and Acceptability of a Rural Community-Based Strategy to Prevent Mental and Emotional Health Problems.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
purposeTo test the effect of an Appreciative Inquiry (AI) quality improvement strategy on clinical quality management and practice development outcomes. Appreciative inquiry enables the discovery of shared motivations, envisioning a transformed future, and learning around the implementation of a change process.
methodsThirty diverse primary care practices were randomly assigned to receive an AI-based intervention focused on a practice-chosen topic and on improving preventive service delivery (PSD) rates. Medical-record review assessed change in PSD rates. Ethnographic field notes and observational checklist analysis used editing and immersion/crystallization methods to identify factors affecting intervention implementation and practice development outcomes.
resultsThe PSD rates did not change. Field note analysis suggested that the intervention elicited core motivations, facilitated development of a shared vision, defined change objectives, and fostered respectful interactions. Practices most likely to implement the intervention or develop new practice capacities exhibited 1 or more of the following: support from key leader(s), a sense of urgency for change, a mission focused on serving patients, health care system and practice flexibility, and a history of constructive practice change.
conclusionsAn AI approach and enabling practice conditions can lead to intervention implementation and practice development by connecting individual and practice strengths and motivations to the change objective.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.