Centers for Disease Control & Prevention Community Guide
1. Methods to Prioritize Systematic Reviews: The Guide to Community Preventive Services Shawna L. Mercer, M.Sc., Ph.D. Director The Guide to Community Preventive Services National Center for Health Marketing Centers for Disease Control and Prevention (CDC)
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4. The Clinical Guide and Community Guide Are Complementary
5. The Clinical and Community Guides Are Complementary Individual level Clinical settings Delivered by healthcare providers Screening, Counseling, etc. Group level Health system changes Insurance/benefits coverage Access to/provision of services Community, population-based Informational ( Group Education, Media) Behavioral, Social Environmental & Policy Change Community Guide (TFCPS Recommendations ) Clinical Guide (USPSTF Recommendations)
6. Community Guide (CG) Topics Settings Social Environment The Environment Worksites Schools Specific Conditions Risk Behaviors Vaccine-Preventable Disease Pregnancy Outcomes Violence Motor Vehicle Injuries Depression Cancer Diabetes Oral Health Obesity Tobacco Use Alcohol Abuse/Misuse Other Substance Abuse Poor Nutrition Inadequate Physical Activity Unhealthy Sexual Behaviors
23. The Guide Process: From Topic to Intervention Review(s) Topic is Selected Task Force
24. The Guide Process: The Team Topic is Selected Staff Recruits Teams Task Force Coordination Team Consultation Team
25. The Guide Process: Team Decisions Topic is Selected Staff Recruits Teams Task Force Coordination Team Consultation Team Team Decides Breadth vs Depth Team Develops Conceptual Approach Team Develops Priority List of Interventions
26. The Guide Process: Task Force Input Topic is Selected Staff Recruits Teams Task Force Coordination Team Consultation Team Team Decides Breadth vs Depth Team Develops Conceptual Approach Team Develops Priority List of Interventions Team Presents To Task Force
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28. We Remain Open to Funded Review Opportunities Priority Work List Funded Review
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45. Initial Plan Total List of Considered Topics (n=111) Additional Information High Priority Tier of Topics (n=~25) Medium Priority Tier of Topics (n=~50) Low Priority Tier of Topics (rest) Initial Vote Consensus Discussion Rank Vote Within High Priority Tier Final Consensus
46. Mid-Course Modifications Initial Vote 111 Topics 1 …… 2 …… 3 …… 4 …… 5 …… . . . . 111 Preliminary Rank Order for all 111 topics Agree on criteria for voting
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49. Initial Rank Order Led to (Lots and Lots of!!!) Consensus Discussion Initial Vote 1 …… 2 …… . …… . …… 25 or so 1 …… 2 …… 3 …… 4 …… 5 …… . . . . 111 26 ish 27 …… 28 …… . …… 50 or so 51 …… 62 …… . …… . …… 111
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51. Consensus Discussion 1 …… 2 …… . …… . …… 25 or so 26 ish 27 …… 28 …… . …… 50 or so 51 …… 62 …… . …… . …… 111 Move lower ranked Topics Up Move higher ranked Topics Down Consider to exclude from further discussion? Consider if wish to group focused topics, exclude too broad topics
52. End of Task Force Meeting High Priority Tier of Topics 25 or so ‘ Loosely ranked’ Medium Priority Tier of Topics Low Priority Tier of Topics
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54. Prioritization of Interventions for Systematic Review within Topics Topic is Selected Staff Recruits Teams Task Force Coordination Team Consultation Team Team Decides Breadth vs Depth Team Develops Conceptual Approach Team Develops Priority List of Interventions Team Presents To Task Force
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