# The Advocacy-Inquiry Rubric (AIR): a standard to build debriefing and feedback skills

**Authors:** Clément Buléon, Demian Szyld, Robert Simon, Lon Setnik, Walter J. Eppich, Mary Fey, James A. Lipshaw, Janice C. Palaganas, Jenny W. Rudolph

PMC · DOI: 10.1186/s41077-025-00381-z · 2025-11-24

## TL;DR

This paper introduces a new rubric called AIR to teach and assess a key debriefing skill called Advocacy-Inquiry, using expert consensus and usability testing.

## Contribution

The paper introduces the Advocacy-Inquiry Rubric (AIR), a novel tool for teaching and assessing a specific debriefing microskill through expert consensus and structured feedback.

## Key findings

- The AIR was developed through a four-round Delphi process involving 39 international experts.
- Three versions of the AIR were created: numeric, emoji-based, and teaching/learning versions.
- Usability and validity evidence was collected, showing the AIR's potential for structured feedback and assessment.

## Abstract

Teaching and learning debriefing and feedback skills—especially to a level of mastery—is challenging without an agreed-upon standard. There are a number of rating scales and rubrics to identify and evaluate debriefing and feedback skills that focus on an entire feedback or debriefing conversation. However, there is no rubric to assess and provide feedback on one of these conversations' most widely used microskills, the Advocacy-Inquiry technique. This study aimed to develop and preliminarily test the Advocacy-Inquiry Rubric (AIR)—a tool designed to support the teaching, coaching, and assessment of Advocacy-Inquiry, a widely used yet challenging debriefing microskill—through an international expert consensus process.

Using a four-round Delphi process, we achieved expert consensus on the behavioral markers of effective and ineffective Advocacy-Inquiry techniques. Thirty-nine experts from 13 countries identified and refined a set of key behavioral anchors for each of Advocacy-Inquiry’s five elements: Preview, Observation, Point of View, Inquiry, and Listen. These descriptors were embedded first in a seven-point numeric Behaviorally Anchored Rating Scale, then in a three-point emoji-based version, and finally in a teaching and learning version. The AIR underwent two rounds of usability testing and inter-rater testing of the emoji version. Using an interpretation-use argument approach, evidence was collected for AIR’s validity across scoring, generalization, extrapolation, and implication.

The Delphi process established descriptors for each element of Advocacy-Inquiry, categorized by proficiency level (beginner to advanced). Usability testing enhanced the AIR’s graphic layout to support both numeric ratings and formative feedback. The AIR was adapted into three tailored versions: a numeric AIR for detailed evaluation and progress tracking, an emoji AIR for peer assessment, and a teaching and learning AIR. Evidence for validity was assessed, highlighting both strengths and gaps.

AIR is an empirical rubric based on expert-derived criteria to support teaching, coaching, and assessing Advocacy-Inquiry microskills. The AIR offers a structured framework for self-, peer-, and mentor-led feedback and assessment to enhance a core skill of facilitators. By anchoring assessments in clear behavioral descriptors, the AIR aims to improve the quality of feedback and debriefing conversations. Future work should focus on rater training, reliability testing, and exploring the AIR’s impact on real-world outcomes.

The online version contains supplementary material available at 10.1186/s41077-025-00381-z.

## Full-text entities

- **Genes:** CREB3L4 (cAMP responsive element binding protein 3 like 4) [NCBI Gene 148327] {aka AIBZIP, ATCE1, CREB3, CREB4, JAL, hJAL}
- **Chemicals:** Rubric (-)

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12645724/full.md

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Source: https://tomesphere.com/paper/PMC12645724