dc.contributor.author	Sinnott, Carol
dc.contributor.author	Kelly, Martina A.
dc.contributor.author	Bradley, Colin P.
dc.contributor.funder	National Institute for Health Research
dc.contributor.funder	Health Service Executive
dc.contributor.funder	Health Research Board
dc.date.accessioned	2017-09-26T11:39:23Z
dc.date.available	2017-09-26T11:39:23Z
dc.date.issued	2017
dc.description.abstract	Background: Chart-stimulated recall (CSR) is a case-based interviewing technique, which is used in the assessment of clinical decision-making in medical education and professional certification. Increasingly, clinical decision-making is a concern for clinical research in primary care. In this study, we review the prior application and utility of CSR as a technique for research interviews in primary care. Methods: Following Arksey & O'Malley's method for scoping reviews, we searched seven databases, grey literature, reference lists, and contacted experts in the field. We excluded studies on medical education or competence assessment. Retrieved citations were screened by one reviewer and full texts were ordered for all potentially relevant abstracts. Two researchers independently reviewed full texts and performed data extraction and quality appraisal if inclusion criteria were met. Data were collated and summarised using a published framework on the reporting of qualitative interview techniques, which was chosen a priori. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines informed the review report. Results: From an initial list of 789 citations, eight studies using CSR in research interviews were included in the review: six from North America, one from the Netherlands, and one from Ireland. The most common purpose of included studies was to examine the influence of guidelines on physicians' decisions. The number of interviewees ranged from seven to twenty nine, while the number of charts discussed per interview ranged from one to twelve. CSR gave insights into physicians' reasoning for actions taken or not taken; the unrecorded social and clinical influences on decisions; and discrepancies between physicians' real and perceived practice. Ethical concerns and the training and influence of the researcher were poorly discussed in most of the studies. Potential pitfalls included the risk of recall, selection and observation biases. Conclusions: Despite the proven validity, reliability and acceptability of CSR in assessment interviews in medical education, its use in clinical research is limited. Application of CSR in qualitative research brings interview data closer to the reality of practice. Although further development of the approach is required, we recommend a role for CSR in research interviews on decision-making in clinical practice.	en
dc.description.sponsorship	Health Service Executive (National SpR Academic Fellowship Programme (NSAFP/2011/3)	en
dc.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	583
dc.identifier.citation	Sinnott, C., Kelly, M. A. and Bradley, C. P. (2017) 'A scoping review of the potential for chart stimulated recall as a clinical research method', BMC Health Services Research, 17(1), 583 (11pp). doi: 10.1186/s12913-017-2539-y	en
dc.identifier.doi	10.1186/s12913-017-2539-y
dc.identifier.issn	1472-6963
dc.identifier.journaltitle	BMC Health Services Research	en
dc.identifier.uri	https://hdl.handle.net/10468/4806
dc.identifier.volume	17
dc.language.iso	en	en
dc.publisher	Biomed Central Ltd	en
dc.relation.uri	https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2539-y
dc.rights	© 2017, the Authors. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.	en
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Chart stimulated recall	en
dc.subject	Scoping review	en
dc.subject	Qualitative research	en
dc.subject	General practice	en
dc.subject	Decision making	en
dc.subject	Primary care physicians	en
dc.subject	Qualitative interviews	en
dc.subject	Understand patients	en
dc.subject	Medical education	en
dc.subject	Competence	en
dc.subject	Patient	en
dc.subject	Needs	en
dc.subject	Consultations	en
dc.subject	Experiences	en
dc.subject	Protocol	en
dc.title	A scoping review of the potential for chart stimulated recall as a clinical research method	en
dc.type	Article (peer-reviewed)	en

A scoping review of the potential for chart stimulated recall as a clinical research method

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