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Refining Expert Recommendations for Implementing Change (ERIC) strategy surveys using cognitive interviews with

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Summary

Improving the Expert Recommendations for Implementing Change (ERIC) survey through cognitive interviews clarified implementation strategies. This enhances quality improvement efforts in healthcare settings.

Keywords:
Cognitive interviewsExpert Recommendations for Implementing ChangeImplementation practiceImplementation strategiesPractitioners

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Area of Science:

  • Implementation Science
  • Healthcare Quality Improvement
  • Health Services Research

Background:

  • The Expert Recommendations for Implementing Change (ERIC) compilation provides 73 implementation strategies across nine content areas.
  • The ERIC taxonomy is utilized for tracking implementation strategies via surveys.
  • This study aimed to refine the ERIC survey through cognitive interviews with clinicians.

Purpose of the Study:

  • To enhance the clarity and usability of the ERIC survey.
  • To identify specific areas of confusion within the ERIC implementation strategies.
  • To gather clinician feedback for survey improvement.

Main Methods:

  • Annual ERIC surveys were administered to Veterans Health Administration (VA) providers evaluating liver care since 2015.
  • Providers who completed at least three surveys participated in semi-structured cognitive interviews (Oct 2020-Oct 2021).
  • Participants identified unclear strategies regarding wording, conceptualization, and overlap before interviews.

Main Results:

  • Twelve VA providers participated in cognitive interviews.
  • "Engage Consumer" and "Support Clinicians" clusters showed high clarity.
  • The "Financial" cluster exhibited significant wording and conceptual confusion; "Adapt and Tailor to Context" strategies showed redundancy.

Conclusions:

  • Cognitive interviews revealed issues with ERIC strategy wording, conceptual distinctions, and redundancy.
  • Identified issues included wording (32%), conceptual clarity (51%), and strategy distinction (51%).
  • Improvements to the ERIC survey will aid in designing, evaluating, and replicating quality improvement initiatives in healthcare.