@Article{信息:doi 10.2196 / /公共健康。3381，作者=“Kaphle, Sangya and Matheke-Fischer, Michael and Lesh, Neal”，标题=“绩效反馈对印度中邦社区卫生工作者动机和绩效的影响:随机对照试验”，期刊=“JMIR公共卫生监测”，年=“2016”，月=“12月”，日=“07”，卷=“2”，数=“2”，页=“e169”，关键词=“社区卫生工作者;绩效反馈;动机;支持监督;背景:小规模社区卫生工作者(CHW)项目在资源匮乏的环境中提供基本卫生服务并加强卫生系统。本文的重点是通过向与移动健康项目合作的社区卫生工作者提供个人反馈，以改善5岁以下儿童的营养不良状况，从而提高社区卫生工作者的绩效。目的:本文旨在评估在印度中央邦的五个地区，为使用移动健康平台的社区卫生工作者提供绩效反馈和支持性监督，以减少营养不良的即时和保留效果。我们期望他们收到反馈的指标对CHW性能有积极的影响。在CHW未收到反馈的指标上的表现预计不会改变。 Methods: In a randomized controlled trial, 60 CHWs were randomized into three treatment groups based on overall baseline performance ranks to achieve balanced treatment groups. Data for each treatment indicator were analyzed with the other two treatments acting as the control. In total, 10 CHWs were lost to follow-up. There were three performance indicators: case activity, form submissions, and duration of counseling. Each group received weekly calls to provide performance targets and discuss their performance on the specific indicator they were allocated to as well as any challenges or technical issues faced during the week for a 6-week period. Data were collected for a further 4 weeks to assess intertemporal sustained effects of the intervention. Results: We found positive and significant impacts on duration of counseling, whereas case activity and number of form submissions did not show significant improvements as a result of the intervention. We found a moderate to large effect (Glass's delta=0.97, P=.004) of providing performance feedback on counseling times in the initial 6 weeks. These effects were sustained in the postintervention period (Glass's delta=1.69, P<.001). The counseling times decreased slightly from the intervention to postintervention period by 2.14 minutes (P=.01). Case activity improved for all CHWs after the intervention. We also performed the analysis by replacing the CHWs lost to follow-up with those in their treatment groups with the closest ranks in baseline performance and found similar results. Conclusions: Calls providing performance feedback are effective in improving CHW motivation and performance. Providing feedback had a positive effect on performance in the case of duration of counseling. The results suggest that difficulty in achieving the performance target can affect results of performance feedback. Regardless of the performance information disclosed, calls can improve performance due to elements of supportive supervision included in the calls encouraging CHW motivation. ", issn="2369-2960", doi="10.2196/publichealth.3381", url="http://publichealth.www.mybigtv.com/2016/2/e169/", url="https://doi.org/10.2196/publichealth.3381", url="http://www.ncbi.nlm.nih.gov/pubmed/27927607" }