In the Keep It Off randomized clinical trial we are evaluating this phone-based intervention that focuses on key weight-loss maintenance behaviors followed by continued self-monitoring, reporting of weight, feedback, and outreach in members of a Minnesota managed-care organization.
Several of the change strategies were common across participating sites (that is, audit and feedback, educational outreach, performance coaching, opinion leaders, networking meeting).
Alternative approaches including combinations of audit and feedback, educational outreach, and clinical decision support systems have garnered increasing attention as potentially effective tools to improve physician performance [ 48- 53].
Recent reviews also evaluated combined strategies like audit, feedback or outreach visits, but the information provided did not permit conclusions pertaining the effect on prescription management only [ 25- 28].
The change strategies were common across participating sites (that is, audit and feedback, educational outreach, performance coaching, opinion leaders, networking meeting), even though they could differ in details; for example, the opinion leader could be the head of the ICU or one of the regular staff doctors.
I wanted to know whether lessons learned here could ever feedback into professional outreach services.
The most frequently studied interventions were educational meetings, audit and feedback, reminders, educational outreach visits and local opinion leaders.
The intervention, informed by the needs assessment, comprises: an online tutorial; an interactive skills building workshop, a decision support protocol; performance feedback, and educational outreach.
Interventions focusing on action or education (eg, Audit and Feedback, Reminders, Educational Outreach) acted on the NPT constructs of Collective Action and Reflexive Monitoring, and reviews using them tended to report more positive outcomes.
The intervention, informed by the needs assessment, knowledge transfer best practices and the ODSF, comprises an online tutorial; an interactive skills building workshop; a decision support protocol; performance feedback, and educational outreach.
