TY  - JOUR
AU  - Landis-Lewis, Zach
AU  - Andrews, Chris A
AU  - Gross, Colin A
AU  - Friedman, Charles P
AU  - Shah, Nirav J
PY  - 2024
DA  - 2024/6/11
TI  - Exploring Anesthesia Provider Preferences for Precision Feedback: Preference Elicitation Study
JO  - JMIR Med Educ
SP  - e54071
VL  - 10
KW  - audit and feedback
KW  - dashboard
KW  - motivation
KW  - visualization
KW  - anesthesia care
KW  - anesthesia
KW  - feedback
KW  - engagement
KW  - effectiveness
KW  - precision feedback
KW  - experimental design
KW  - design
KW  - clinical practice
KW  - motivational
KW  - performance
KW  - performance data
AB  - Background: Health care professionals must learn continuously as a core part of their work. As the rate of knowledge production in biomedicine increases, better support for health care professionals’ continuous learning is needed. In health systems, feedback is pervasive and is widely considered to be essential for learning that drives improvement. Clinical quality dashboards are one widely deployed approach to delivering feedback, but engagement with these systems is commonly low, reflecting a limited understanding of how to improve the effectiveness of feedback about health care. When coaches and facilitators deliver feedback for improving performance, they aim to be responsive to the recipient’s motivations, information needs, and preferences. However, such functionality is largely missing from dashboards and feedback reports. Precision feedback is the delivery of high-value, motivating performance information that is prioritized based on its motivational potential for a specific recipient, including their needs and preferences. Anesthesia care offers a clinical domain with high-quality performance data and an abundance of evidence-based quality metrics. Objective: The objective of this study is to explore anesthesia provider preferences for precision feedback. Methods: We developed a test set of precision feedback messages with balanced characteristics across 4 performance scenarios. We created an experimental design to expose participants to contrasting message versions. We recruited anesthesia providers and elicited their preferences through analysis of the content of preferred messages. Participants additionally rated their perceived benefit of preferred messages to clinical practice on a 5-point Likert scale. Results: We elicited preferences and feedback message benefit ratings from 35 participants. Preferences were diverse across participants but largely consistent within participants. Participants’ preferences were consistent for message temporality (α=.85) and display format (α=.80). Ratings of participants’ perceived benefit to clinical practice of preferred messages were high (mean rating 4.27, SD 0.77). Conclusions: Health care professionals exhibited diverse yet internally consistent preferences for precision feedback across a set of performance scenarios, while also giving messages high ratings of perceived benefit. A “one-size-fits-most approach” to performance feedback delivery would not appear to satisfy these preferences. Precision feedback systems may hold potential to improve support for health care professionals’ continuous learning by accommodating feedback preferences. 
SN  - 2369-3762
UR  - https://mededu.jmir.org/2024/1/e54071
UR  - https://doi.org/10.2196/54071
DO  - 10.2196/54071
ID  - info:doi/10.2196/54071
ER  -