title: Multisource feedback systems for quality improvement in the health professions: assessing occupational therapists in practice.
abstract: BACKGROUND
  The objective was to develop and psychometrically evaluate (feasibility, reliability, validity) a questionnaire-based multisource feedback (MSF) system for quality improvement (QI) for occupational therapists (OTs).
  
  
  METHODS
  Surveys were developed for assessment of OTs by clients, co-workers, and themselves, respectively, using 5-point scales with an "unable to assess" category. A sample of 238 OTs participated.
  
  
  RESULTS
  The number of respondents for the co-worker questionnaire was 2621, and for the client questionnaire it was 2881. The mean ratings ranged from 4 to 5 for each item on each scale. All of the instruments' full scales had very high Cronbach's alpha > 0.92. The factor analyses revealed a 7-factor solution (66.3% of the total variance) for the co-worker survey, and a 4-factor solution for the client questionnaire (73.2% of the variance).
  
  
  CONCLUSIONS
  An MSF system employing surveys that have high reliability, validity, and feasibility was developed to provide feedback to OTs on core competencies and skills. It is suggested that similar MSF systems are feasible for health professionals in general.
authors.affiliation: Medical Education Research Unit, Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada. violato@ucalgary.ca
authors.forename: Claudio
authors.initials: C
authors.lastname: Violato
authors.forename: Leanne
authors.initials: L
authors.lastname: Worsfold
authors.forename: Jan Miller
authors.initials: JM
authors.lastname: Polgar
mesh_terms: D002983:Clinical Competence; D005246:Feedback; D009788:Occupational Therapy / Q000592:standards*; D009864:Ontario; D011594:Psychometrics; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires / Q000592:standards*