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Effects of specified performance criterion and performance feedback on staff behavior: a component analysis.

Samantha L Hardesty1, Louis P Hagopian2, Melissa M McIvor3

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Implementing performance feedback and criteria significantly improved clinician adherence to patient protocol reviews, enhancing staff communication in behavioral units. This targeted approach proved more effective than standard training or reduced effort interventions.

Keywords:
human servicesinpatient treatment settingnegative reinforcementperformance feedbackpromptingrule-governed behaviorstaff training

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Area of Science:

  • Behavioral Health
  • Healthcare Staff Training
  • Clinical Communication

Background:

  • Effective communication between direct care staff and clinicians is crucial in inpatient behavioral units.
  • Existing staff training interventions often lack component analysis to determine efficacy.
  • Protocol review quizzes were developed to assess staff knowledge of patient behavioral protocols.

Purpose of the Study:

  • To isolate the effects of specific staff training intervention components on communication.
  • To increase clinician adherence to scoring and discussing daily protocol reviews with direct care staff.
  • To identify the most effective intervention for improving protocol review completion rates.

Main Methods:

  • A baseline assessment measured initial clinician adherence to protocol review requirements (21%).
  • Interventions included in-service training, reduced response effort with prompting, and specified performance criteria with feedback.
  • A component analysis evaluated the necessity of performance criteria and contingencies for sustained performance.

Main Results:

  • In-service training (15%) and reduced effort interventions (28%) did not significantly improve clinician adherence.
  • The intervention combining specified performance criteria and performance feedback resulted in 86% clinician goal achievement.
  • Both performance criteria and supporting contingencies were essential for maintaining high performance levels.

Conclusions:

  • Performance feedback and specified criteria are highly effective in improving clinician engagement with protocol reviews.
  • Targeted behavioral interventions are superior to general training or effort reduction for enhancing clinical communication.
  • This study highlights the importance of performance contingencies in maintaining adherence to critical clinical processes.