University of Dundee, UK.
Med Teach. 2011;33(9):744-9. doi: 10.3109/0142159X.2011.577287.
Multi-source feedback (MSF) aims to raise self-awareness of performance and encourage improvement. The ECO model (emotions, content, outcome) is a three-step process developed from the counselling literature to facilitate feedback acceptance and use in MSF.
The purpose of this study was to explore the acceptability, usefulness and educational impact of the model.
This was a qualitative study using interviews to explore general practice (GP) trainer and trainee experiences and perceptions of the ECO facilitation model. Interviews were conducted by telephone, recorded, transcribed and analysed using a thematic framework.
About 13 GP trainers and trainees participated in the interviews following their MSF discussions using the ECO model. They agreed that the model was useful, simple to use and engaged trainees in reflection upon their feedback and performance. Exploring emotions and clarifying content appeared integral to accepting and using the feedback. Positive feedback was often surprising. Most trainees reported performance improvements following their MSF-ECO session.
The model appeared acceptable and simple to use. Engaging the learner as a partner in the feedback discussion appeared effective. Further research is needed to fully understand the influence of each step in facilitating MSF acceptance and use, and to determine the impact of the ECO model alone upon performance outcomes compared to more traditional provision of MSF feedback.
多源反馈（MSF）旨在提高对绩效的自我意识并鼓励改进。ECO 模型（情感、内容、结果）是从咨询文献中开发的一个三步过程，旨在促进反馈的接受和在 MSF 中的使用。
本研究的目的是探讨该模型的可接受性、有用性和教育影响。
这是一项定性研究，使用访谈来探索全科医生培训师和学员对 ECO 促进模型的经验和看法。访谈通过电话进行，记录、转录并使用主题框架进行分析。
在使用 ECO 模型进行 MSF 讨论后，约有 13 名全科医生培训师和学员参加了访谈。他们一致认为该模型很有用，使用简单，并促使学员对反馈和表现进行反思。探索情感和澄清内容似乎是接受和使用反馈的关键。积极的反馈往往令人惊讶。大多数学员报告说在他们的 MSF-ECO 会议后，他们的表现有所提高。
该模型似乎是可以接受的，并且使用简单。让学习者作为反馈讨论的伙伴参与进来似乎是有效的。需要进一步研究，以充分了解促进 MSF 接受和使用的每个步骤的影响，并确定 ECO 模型对绩效结果的影响，与更传统的 MSF 反馈提供相比。
