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Improving audit and feedback: A user-centred approach to designing feedback techniques for an online experiment

Seymour, V., Willis, T. A., Weller, A. , Althaf, M., Francis, J. J. ORCID: 0000-0001-5784-8895, Lorencatto, F., Wright-Hughes, A., Walwyn, R. E. A., Alderson, S. L., Brown, B. C., Brehaut, J., Colquhoun, H., Ivers, N., Presseau, J., Farrin, A. J., Foy, R. & Wilson, S. ORCID: 0000-0001-6445-654X (2025). Improving audit and feedback: A user-centred approach to designing feedback techniques for an online experiment. Health Informatics Journal, 31(1), doi: 10.1177/14604582251317101

Abstract

Objective:
Audit and feedback (A&F) programmes aim to improve patient care by providing summary data on performance to clinicians. They generally have modest, but variable, effects on patient care and questions remain about how best to provide performance feedback. It is not feasible to test all ways of providing feedback in ‘real-world’ randomised trials. Online screening experiments that screen feedback techniques prior to real-world evaluations of optimised versions offer a systematic approach. User-centred design methodologies can inform the design of such online experiments.

Methods:
We report the use of an innovative user-centred design approach to create feedback techniques for an online screening experiment and reflect on its usefulness. This approach included the involvement of patients and stakeholders.

Results and Conclusion:
We highlight lessons on ways to engage with partners, considering the feasibility of online A&F feedback delivery, fidelity, and usability. We demonstrate how the approach was implemented to co-create a set of feedback techniques for an online experiment and could also be applied to the design of other digital interventions.

Publication Type: Article
Additional Information: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). © The Author(s) 2025.
Publisher Keywords: audit and feedback, multiphase optimization strategy
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: School of Health & Medical Sciences
School of Science & Technology
School of Science & Technology > Computer Science
SWORD Depositor:
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