Effect of Real-Time Feedback Devices on Primary Care Patient Experience Scores: A Cluster-Randomized Trial

Patient experience is a critical measure for ambulatory primary care, although it is unclear how to best improve patient experience scores. This study aimed to determine whether use of a real-time feedback (RTF) device improved patient experience scores in a cluster-randomized trial. The primary outcomes were change from baseline in 9 Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) question and domain scores most closely related to the RTF questions asked in a linear mixed effects model. There were no observed statistically significant intervention-related differences in CG-CAHPS scores in any of the 9 CG-CAHPS questions or domains ( P = .12-.99). In intervention clinics, there were no statistically significant correlation between CG-CAHPS top box scores and RTF device scores ( P = .23-.98). Clinics in an urban primary care network randomized to receive RTF devices did not significantly improve related CG-CAHPS question or domain scores nor were those scores correlated with RTF device scores. More research is needed to identify effective interventions to improve ambulatory primary care patient experience.

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Effectiveness of medicines review with web-based pharmaceutical treatment algorithms in reducing potentially inappropriate prescribing in older people in primary care: a cluster randomized trial (OPTI-SCRIPT study protocol)

Trials ◽

10.1186/1745-6215-14-72 ◽

2013 ◽

Vol 14 (1) ◽

pp. 72 ◽

Cited By ~ 18

Author(s):

Barbara Clyne ◽

Marie C Bradley ◽

Susan M Smith ◽

Carmel M Hughes ◽

Nicola Motterlini ◽

...

Keyword(s):

Primary Care ◽

Older People ◽

Randomized Trial ◽

Inappropriate Prescribing ◽

Cluster Randomized Trial ◽

Potentially Inappropriate Prescribing ◽

Pharmaceutical Treatment ◽

Web Based ◽

Treatment Algorithms ◽

Cluster Randomized

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Protocol of a cluster randomized trial to investigate the impact of a type 2 diabetes risk prediction model on change in physical activity in primary care

BMC Endocrine Disorders ◽

10.1186/s12902-018-0299-2 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Esther Jacobs ◽

Miguel Tamayo ◽

Joachim Rosenbauer ◽

Matthias B. Schulze ◽

Oliver Kuss ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Primary Care ◽

Prediction Model ◽

Randomized Trial ◽

Risk Prediction ◽

Cluster Randomized Trial ◽

Cluster Randomized ◽

The Impact

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Results from the CLUES study: a cluster randomized trial for the evaluation of cardiovascular guideline implementation in primary care in Spain

BMC Health Services Research ◽

10.1186/s12913-018-2863-x ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

Arritxu Etxeberria ◽

Idoia Alcorta ◽

Itziar Pérez ◽

Jose Ignacio Emparanza ◽

Elena Ruiz de Velasco ◽

...

Keyword(s):

Primary Care ◽

Randomized Trial ◽

Guideline Implementation ◽

Cluster Randomized Trial ◽

Cluster Randomized

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Mental health care integration and primary care patient experience in the Veterans Health Administration

Healthcare ◽

10.1016/j.hjdsi.2021.100587 ◽

2021 ◽

Vol 9 (4) ◽

pp. 100587

Author(s):

Lucinda B. Leung ◽

Danielle Rose ◽

Rong Guo ◽

Catherine E. Brayton ◽

Lisa V. Rubenstein ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Patient Experience ◽

Primary Care Patient ◽

Veterans Health Administration ◽

Care Patient ◽

Veterans Health ◽

Health Administration ◽

Care Integration

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Effect of real-time feedback during cardiopulmonary resuscitation training on quality of performances: A prospective cluster-randomized trial

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907918825016 ◽

2019 ◽

Vol 27 (4) ◽

pp. 187-196

Author(s):

So Yeon Joyce Kong ◽

Kyoung Jun Song ◽

Sang Do Shin ◽

Young Sun Ro ◽

Helge Myklebust ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Randomized Trial ◽

Real Time ◽

Cluster Randomized Trial ◽

Group Model ◽

Feedback Group ◽

Resuscitation Training ◽

Objective Feedback ◽

Cluster Randomized

Background: The evidence supporting delivery of quality cardiopulmonary resuscitation is growing and significant attention has been focused on improving bystander cardiopulmonary resuscitation education for laypeople. The aim of this randomized trial was to assess the effectiveness of instructor’s real-time objective feedback during cardiopulmonary resuscitation training compared to conventional feedback in terms of trainee’s cardiopulmonary resuscitation quality. Methods: We performed a cluster-randomized trial of community cardiopulmonary resuscitation training classes at Nowon District Health Community Center in Seoul. Cardiopulmonary resuscitation training classes were randomized into either intervention (instructor’s objective real-time feedback based on the QCPR Classroom device) or control (conventional, instructor’s judgment-based feedback) group. The primary outcome was total cardiopulmonary resuscitation score, which is an overall measure of chest compression quality. Secondary outcomes were individual cardiopulmonary resuscitation performance parameters, including compression rate, depth, and release. Generalized linear mixed models were used to analyze the outcome data, accounting for both random and fixed effects. Results: A total of 149 training sessions (2613 trainees) were randomized into 70 intervention (1262 trainees) and 79 control (1351 trainees) groups. Trainees in the QCPR feedback group significantly increased overall cardiopulmonary resuscitation score performance compared with those in the conventional feedback group (model-based mean Δ increment from baseline to session 5: 11.2 (95% confidence interval 9.2–13.2) and 8.0 (6.0–9.9), respectively; p = 0.02). Individual parameters of compression depth and release also showed higher improvement among trainees in QCPR group with positive trends (p < 0.08 for both). Conclusion: This randomized trial suggests beneficial effect of instructor’s real-time objective feedback on the quality of layperson’s cardiopulmonary resuscitation performance.

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