Evidence map›Paper›PMID 39036537›Full record

ArticleLearning health systems2024

Precision feedback: A conceptual model.

Zach Landis-Lewis, Allison M Janda, Hana Chung, Patrick Galante, Yidan Cao, Andrew E Krumm

Abstract read
In one paragraph

Article in Learning health systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Precision feedback: A conceptual model.Learning health systems · 2024
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zach Landis-LewisDepartment of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-9117-9338
Allison M JandaDepartment of Anesthesiology University of Michigan Ann Arbor Michigan USA.
Hana ChungSchool of Information University of Michigan Ann Arbor Michigan USA.
Patrick GalanteDepartment of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
Yidan CaoDepartment of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.
Andrew E KrummDepartment of Learning Health Sciences University of Michigan Ann Arbor Michigan USA.

Funding

University of Michigan Anesthesiology Post-Doctoral Research Training ProgramT32GM103730 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Chad M Brummett, SACHIN KHETERPAL · 2014 to 2026
$1.9M
A scalable service to improve health care quality through precision audit and feedbackR01LM013894 · NLM · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LANDIS-LEWIS, ZACHARY · 2021 to 2024
$1.3M
PHEnylephrine versus NOrepinephrine in Major NONcardiac surgery (PHENOMeNON): Foundational Studies for a Pragmatic Randomized Clinical Trial.K23HL166685 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Allison Mary Janda · 2023 to 2026
$689k
A knowledge-based message tailoring systemK01LM012528 · NLM · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LANDIS-LEWIS, ZACHARY · 2017 to 2019
$523k
NIGMS NIH HHS T32 GM103730NLM NIH HHS K01 LM012528NLM NIH HHS R01 LM013894
6 · The paper itself

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.

Indexed as

audit and feedbackcoachinghealthcare qualitylearningperformance improvement

Identifiers

PMID39036537
PMCPMC11257058

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.