A tailored message campaign to improve the use of evidence in public health breast cancer prevention
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A tailored message campaign to improve the use of evidence in public health breast cancer prevention






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  • HE at McMaster Organization aims to support use of research evidence in public health policies and programs In this case we are looking at the effectiveness of a tailored message campaign for breast cancer prevention
  • KT strategies aim to improve the use of research evidence in practice – we are testing the effectiveness of tailored messages targeted to public health professionals who have responsibility for cancer prevention programs to see if these messages change practice Design: RCT – recruited health units to participate – randomized to intervention or control
  • Identified all breast cancer prevention evidence on HE.ca
  • Evidence Review – likely hundreds of single studies - 34 systematic reviews, (includes overviews, MA) Expert Panel - 16 members on the expert panel Delphi process over 4 months
  • Tailored message contained recommendation (or sub-recommendation) and links to full text of each article that supported that recommendation. On behalf of Health Evidence, thank you for your participation in the research study Do Tailored Messages Promote Evidence- Informed Decision Making in Breast Cancer Prevention, led by Dr. Maureen Dobbins, McMaster University. During this intervention phase of the study, you will receive a series of electronic messages. This is the first of 11 messages you will receive over the next 11 weeks; one message will arrive each Monday.   The messages aim to draw your attention to evidence-based recommendations related to breast cancer prevention in public health. The breast cancer prevention recommendations were developed with the guidance of an expert panel convened by Health Evidence. There are three main recommendations, each with detailed sub-recommendations.
  • In terms of what we have learned so far in looking at some of our results We invited all HU, RHA, Ministries (in the case of the Yukon territory)
  • This slide shows the number of visitors to the BCPR pages and the number of times that the recommendation pages were opened and the total number of pages viewed. Unique visitors totals 176 though there were only 113 in the intervention group – likely messages were forwarded across all 11 weeks of the intervention period, 35.5% of the intervention group opened their TM each week, but if you look at the proportion that opened at least one campaign, you can see that 79.6% (90/113) opened at least one TM
  • These are anecdotal, selected responses
  • Next: follow up survey is about half way complete. Org doc collection is just commencing, qualitative interviews will start in early July, data analysis end of July, final report mid September to mid October.

A tailored message campaign to improve the use of evidence in public health breast cancer prevention A tailored message campaign to improve the use of evidence in public health breast cancer prevention Presentation Transcript

  • A Tailored Message Campaign to Improve the Use of Evidence in Public Health Breast Cancer Prevention – Methods and Measures World Breast Cancer Conference June 10 th , 2011 Lori Greco MHSc Maureen Dobbins PhD Kara DeCorby MSc Heather Husson
  • Research Study
    • Funded by the Canadian Breast Cancer Foundation – 2008 – 2011
    • Do Tailored Messages Promote Evidence-Informed Decision Making in Breast Cancer Prevention?
    • Design: Randomized Controlled Trial
  • Methods
    • Evidence review – synthesized evidence on Health-Evidence.ca
    • Expert panel – recommendations for Public Health in Canada to reduce breast cancer risk
    • Intervention - tailored messages campaign to randomly assigned health units
    • Data collection, analysis and findings
  • Recommendation Development
    • Evidence Review
    • 34 systematic reviews
    • Expert Panel
    • Canadian researchers, policy-makers and public health professionals – 16 members
    • Three-round Delphi process to review the evidence and develop final practice recommendations
  • The Intervention
      • Intervention group:
        • Series of electronic tailored messages to appropriate program staff
        • 1 message per week for 11 weeks
    • Control group:
        • Generic electronic messages about information available on Health-evidence.ca
        • 2 messages over 11 weeks
  • Measures
    • Health unit participation
    • Invited 111 health units
      • 75 agreed (67.6%)
      • 68 still participating (61.2%)
    • Cancer prevention responsibility
    • Intervention group: 113 staff
    • Control group: 83 staff
  • Measures
    • Tailored messages
    Intervention Group Control Group Unique Visitors Average Pages/ Visit Total Page Views Unique Visitors Average Pages/ Visit Total Page Views Rec #1 115 2.57 197 7 0.0 8 Rec #2 90 2.74 137 7 0.0 7 Rec #3 88 3.05 131 9 0.0 9 ALL 176 3.76 1934 44 4.76 333
  • Measures
    • Survey – current, use of messages in practice
    • Anecdotal feedback:
    • Tailored messages very useful
    • Used messages to modify current programs
    • Read, re-read and printed each of the 11 messages, and is using them
    • Best KT study, most useful information
  • Next Steps
    • Continue with survey
    • Document collection
    • Qualitative interviews
    • Data analysis
  • Questions?
    • Contact Health Evidence:
    • www.health-evidence.ca ‘contact us’
      • Maureen Dobbins
      • Director
      • [email_address]
      • Lori Greco
      • Knowledge Broker
      • [email_address]
    …… Thank you!