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Table 6 Clinical Performance Feedback Intervention Theory’s three propositions

From: Clinical Performance Feedback Intervention Theory (CP-FIT): a new theory for designing, implementing, and evaluating feedback in health care based on a systematic review and meta-synthesis of qualitative research

Proposition Relevant explanatory mechanism(s) Key example hypotheses*
1. Capacity limitations
Health care professionals and organisations have a finite capacity to engage with and respond to feedback; interventions that require less work, supply additional resource, or are considered worthwhile enough to justify investment, are most effective.
Relative advantage
Resource match
5. Automation
15. Usability
18. Active delivery
2. Identity and culture
Health care professionals and organisations have strong beliefs regarding how patient care should be provided that influence their interactions with feedback; those that align with and enhance these aspects are most effective.
Social influence
1. Importance
6. Accuracy
13. Benchmarking
3. Behavioural induction
Feedback interventions that successfully and directly support clinical behaviours for individual patients are most effective.
Actionability 2. Controllability
11. Timeliness
34. Problem solving
  1. *Numbers refer to Table 4. For brevity, only key example hypotheses from Table 4 are provided. Each hypothesis from Table 4 can be mapped to a specific proposition by cross-referencing its relevant mechanisms