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Developing a Questionnaire Evaluating Knowledge, Attitudes and Behaviors on Audit & Feedback among General

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This study developed a questionnaire to measure general practitioners' knowledge, attitudes, and behaviors regarding Audit and Feedback (A&F). The validated survey will assess A&F effectiveness in healthcare quality improvement initiatives.

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Area of Science:

  • Healthcare Quality Improvement
  • Medical Education Research
  • Health Services Research

Background:

  • Audit and Feedback (A&F) is a common healthcare quality improvement strategy.
  • Understanding factors influencing A&F effectiveness is crucial.
  • A validated tool is needed to assess healthcare professionals' perspectives on A&F.

Purpose of the Study:

  • To develop and validate a questionnaire measuring general practitioners' (GPs) knowledge, attitudes, and behaviors towards Audit and Feedback (A&F).
  • To create a reliable instrument for assessing A&F-related perceptions in primary care settings.

Main Methods:

  • A scoping review identified relevant items and domains from existing instruments.
  • A multidisciplinary expert panel refined the questionnaire items.
  • A pilot study with 15 GPs assessed the survey's acceptability, relevance, and accuracy.

Main Results:

  • The scoping review yielded 126 items across knowledge, attitudes, and behaviors domains.
  • The final 36-item questionnaire was developed, comprising 8 knowledge, 19 attitude, and 9 behavior items.
  • Pilot testing indicated good acceptability and accuracy, with high positive response rates.

Conclusions:

  • The developed methodology effectively created a robust survey instrument.
  • The questionnaire is suitable for administration before and after A&F interventions.
  • This tool will facilitate the assessment of baseline characteristics and changes related to A&F implementation.