146 Chapter 6 ments for which team members saw opportunities for improvement, and any ideas how to implement these improvements. During the meeting, the chair noted the ideas for improvement on flip charts. After discussing all clusters, the participants were asked to prioritize the improvement ideas. Each participant was asked to indicate three quick wins and three ideas they thought were important but would take more time to implement. The aim of the CREATE-tool is to initiate a discussion in the team that helps to identify areas for improvement. The purpose is not to reach homogeneity in the data. This phase is positive when it results in a lively team discussion in which several areas for improvement are identified. Reporting phase During the team meetings, researchers BB or ED made field notes. To gain insight into how the application of the CREATE-tool is evaluated, all participants received an online survey by email after the team meetings, and a reminder after two weeks. This survey was also hosted by Castor EDC. (17) The evaluation survey consisted of 16 questions, to be answered using a visual analog scale ranging from zero to 10 in increments of 1 (zero being the worst and 10 being very good). The questions related to 1) the content of the CREATE-tool, 2) the entire process, and 3) the added value for their work. Results Participants The data were collected in May and June 2023. A total of 50 participants, in five teams, were approached. All participated in at least one part of the study, 40 completed the CREATE-tool (80%), 40 participated in the team meetings (80%), and 38 completed the evaluation survey (76%). Six to 11 participants per team completed the CREATE-tool. Table 1 shows the characteristics of the participants.
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