An EIDM journey: Help is out there!

An EIDM Journey Help is out there!

Presenters Today
Megan Ward, MD MHSc CCFP FRCP(C): Associate Medical Officer of Health, Peel Public Health
Bev Bryant, BScN, Med: Manager Education and Research, Peel Public Health
Lori Greco, MHSc: Knowledge Broker, health-evidence.ca
Jessie McGowan, PhD : Health and Library Consultant, Toronto; Adjunct Professor, Departments of Medicine and Family Medicine, University of Ottawa; Associate Editor, Journal of Clinical Epidemiology

Peel Public Health
1.3 million population
Mississauga, Brampton and Caledon
624 FTE
Annual growth of 30,000
Ethnically diverse

Vision:
Broad application of EIDM processes among Peel Public Health staff at all levels over the next ten years, resulting in the systematic inclusion of research evidence into decision making.

The REAL VISION
Striding into Dr Mowat ’s Office!
Peel Public Health reports are a MUST read!

CHSRF Survey
Library services lacking profoundly
Time/skill to follow an evidence informed process
Question formulation, search, critical appraisal skills, synthesis and applicability
No consistent requirement for use of evidence

But:
Strong support from Senior Management
Strategic priority

Missing Components
Library services, especially reference
Access to and knowledge of high quality information, especially pre-processed and pre-appraised
Building workforce capacity and skill
Process of bringing evidence to practice questions

For Today
Our focus is on the first two
with a taste of training!

Library Needs assessment
Lack of access to information
Databases
On line and print journals
Search expertise
Low reference service capacity
Lack of skills
“ Work-Arounds”
Low use

But, there was some awareness:
Preference and value pre-processed and pre-appraised literature
Value of evidence-based philosophies
Demand for more training

Two years later: Library
Two reference librarians
Appropriate databases and access
Improved web-presence
High demand for service
Beginning ‘PUSH’ activities
Library as knowledge hub

Two (or more) Years Later: EIDM
Staff to critical appraisal training
Process for ‘rapid review’ of the evidence
Increasing access to pre-processed and pre-appraised sites

One of the helpers along the way: Health-Evidence.ca

Pre-processed literature
Examples:
Guidelines
Policy briefs
Overviews
Systematic reviews
Pre-processed DiCenso, Bayley, & Haynes, 2009 Synopses of single studies Single studies Syntheses Synopses of syntheses Summaries Systems

Synthesized Research
Value:
Summarize the existing best information to give a picture of what is currently known
Saves time of reading individual studies
More reliable results than individual studies
Respond to a large scope of questions to provide guidance in practice
Work has been done for you!

Methods
Rigorous scientific methods:
Develop question
Identify criteria for included studies
Search for literature
Apply inclusion, quality criteria
Analytic synthesis of findings
Draw conclusions
Practice implications (guidelines, policy briefs)

Maureen Dobbins
Director
The Health Evidence Team Paula Robeson Knowledge Broker Heather Husson Project Manager Kara DeCorby, Project Coordinator Lori Greco Knowledge Broker Daiva Tirilis Research Assistant Lyndsey McRae Research Assistant Robyn Traynor Research Assistant / Coordinator

Health-evidence.ca

Other Health Evidence Services
Facilitated Evidence Review
Literature Searching & Instruction
Mentoring & Brokering Support

More help along the way: Library Services Consultation

6S Hierarchy

Canadian context

Here ’s the interactive part:
Anatomy of a systematic review
Four simple questions
Example of pre-processed literature
Where to find pre-appraised literature

Reflections:
Your organization
Where are you on the journey?
Is there a small step you can take?
Is there help that you can access?
Some resources for help…

Help:
Health evidence.ca:
http://health-evidence.ca/
Canadian Virtual Health Library:
Welcome to the Canadian Virtual Health Library! | CVHL

More help:
Donna Ciliska with NCCMT
National Collaborating Centre for Methods and Tools
CHSRF Assessment Tool
Is research working for you? CHSRF - Self-Assessment Tool

More Help on Pre-appraised:
Sources of pre-appraised evidence
NCCs http://www.nccph.ca/en/home.aspx
CDC comm guide http://www.thecommunityguide.org/index.html
Public health + http://www.nccmt.ca/tools/public_health_plus-eng.html
NICE http://www.nice.org.uk/
Cochrane library http://www.thecochranelibrary.com/view/0/index.html
Campbell collaboration http://www.campbellcollaboration.org/

The following links provide help on the steps of bringing evidence to a practice question
Taken from Peel Public Health’s Library Website: Public Health: Peel Health Library

Conceptual Model
Worksheet : Peel Health Library: Step 1 – Developing a Conceptual Model
CDC Community Guide
Every guideline has a framework
The Community Guide - Diabetes Prevention and Control

Question and Search
Plain language and PICOT format:
Sources of pre-appraised evidence
Health evidence.ca http://health-evidence.ca/
NCCs http://www.nccph.ca/en/home.aspx
CDC comm guide http://www.thecommunityguide.org/index.html
Public health + http://www.nccmt.ca/tools/public_health_plus-eng.html
NICE http://www.nice.org.uk/
Cochrane library http://www.thecochranelibrary.com/view/0/index.html
Campbell collaboration http://www.campbellcollaboration.org/

Critical Appraisal
Healthevidence.ca review tool
http://health-evidence.ca/tools
CASP tools
http://www.sph.nhs.uk/what-we-do/public-health-workforce/resources/critical-appraisals-skills-programme
AGREE II tool
http://www.agreetrust.org/resource-centre/training/introduction/

Data Extraction
Peel Public Health Tool
Adapted from NCCMT
Table, template
Peel Health Library: Tools for Rapid Reviews

Applicability and Transferability
NCCMT website
http://www.nccmt.ca/
http://www.nccmt.ca/pubs/2007_12_AT_tool_v_nov2007_ENG.pdf
Stop a program
Start a program

Report Structure
CHSRF 1:2: 20 (1:3:25)
http://www.chsrf.ca/publicationsandresources/pastseries/communicationnotes/10-06-01/d497a465-5398-4ec8-addf-d7cbf86b1e43.aspx

Manager’s Checklist
Our tool
http://www.peelregion.ca/health/library/manager-checklist.asp

Contact Information
Megan Ward: [email_address]
Jessie McGowan: jmcgowan@uottawa.ca
Lori Greco: [email_address]
Bev Bryant: [email_address]

An EIDM journey: Help is out there!

by Health Evidence on Aug 04, 2011

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An EIDM journey: Help is out there! Presentation Transcript