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What is the McMaster Optimal Aging Portal and How is it Relevant to Public Health?
1. What is the McMaster Optimal Aging Portal
and how is it relevant to public health?
Maureen Dobbins
Professor and Scientific Director, National Collaborating Centre for Methods and Tools, McMaster University
Health Evidence Webinar Series
January 21 1:00-2:30pm EDT
2. Poll Question #1
How often do your older clients (aged 50+) use
the internet to get health information?
A. Everyday
B. Once per week or more
C. Once per month or more
D. Less than once per month
12. Evidence Summaries
What are they?
Key messages from scientific research
Written in plain language
Why are they useful?
Translated from our jargon
Ready to be acted on
13.
14.
15. Web Resource Ratings
What are they?
Evaluations of health resources on the internet
Why are they useful?
Help you know which web-based resources are
based on scientific research
16.
17. Web Resource Rater: Overview
Three stages of Web Resource Rating:
1. Assessing inclusion of websites
2. Assessing inclusion of web resources from
included websites
3. Assessing quality of included web resources
18. Web Resource Rater: Inclusion Criteria
Websites must be:
A. Not directly funded by a
company trying to sell you a
product or service
B. Relevant to optimal aging
C. Intended for citizens, or include
content intended for citizens
D. Free access
Web resources must be:
A. Not directly funded by a
company trying to sell you a
product or service
B. Relevant to optimal aging
C. Intended for citizens
D. Less than 5 years of age
19. Web Resource Rater: Quality Criteria
Included web resources are rated for quality by two
independent raters assessing:
• Evidence-based: Is this information reliable, based on scientific research?
• Transparency: Is it clear who developed the resource and how?
• Usability: Is the information easy to understand and easy to use?
A ‘five-star’ overall rating is generated, weighted to favour
web resources that use research evidence
20. Web Resource Rater
Browse related topics
Direct link to the article
Summary message
Star rating (/5)
View rating criteria
21. Blog Posts
What are they?
Commentaries on what the research means
Why are they useful?
Translated from our jargon
Presented in article format
25. Content for professionals
What is it?
Best evidence databases for:
Clinicians
Public health professionals
Policymaker
Why is it useful?
Easy access to the latest aging research, rated for quality
Base your health care advice on solid evidence
26.
27.
28. Email alerts
What are they?
Lists of new content recently added to Portal
Sign up for weekly or monthly emails
Why are they useful?
Links in email take you directly to content
Keeps you up to date with new research
29.
30. @Mac_AgingNews Twitter feed
What is it?
Outreach through the media about aging issues
Daily tweets about NEWS ‘hitting the headlines’ and related
EVIDENCE from the McMaster Optimal Aging Portal
Why is it useful?
News outlets cover lots of stories, emphasis usually on drama not substance.
Access to trustworthy evidence behind issues or advice in the news
Reliable answers to questions from your clients or patients
30
33. Browse topics
What is the browse function?
Look for Evidence Summaries, Web Resource
Ratings and Blog Posts by topic
Why is it useful?
We’ve categorized the content for you
Explore an area of interest
39. Search topics
What is the search function?
Enter search terms and search across citizen content
Also see results for professionals
Why is it useful?
Find more specific content
View relevant results for all types of content
54. Search tips
Start your search using broad, general terms
“diabetes”, “exercise”, “depression”
If too many results, refine your search terms
“exercise and falls”, “diabetes and heart disease”
Check for results across databases
Objective:
Participants will learn how to use the Web Resource Ratings feature of the Portal to sort through the masses of health-related information on the internet in order to identify only the most high-quality, trustworthy and reliable information about optimal aging.
What are the needs of aging Canadians?
Stay active, healthy and engaged
Age in home or community
To do so, seniors need easy access to understandable and
credible information
***
Systemic barrier to integrating care for older adults
“We do little to empower older adults and caregivers with the information they need to navigate the system.”
Recommended action to support aging in place
“Invest more in health promotion and prevention in older adults.”
From: S. Sinha, “Report submitted to the Minister of Health and Long-Term Care and the Minister Responsible for Seniors on recommendations to inform a Seniors Strategy for Ontario,” December, 2012
(Healthy senior: Healthy aging)
Wants more info about these topics in order to stay healthy as she ages.
(Frail senior: risk prevention and management of chronic conditions)
Nurse / PHP assisting Norman as he re-adjusts to life at home after being discharged from hospital after a fall.
Include?
Delete?
Contents
McMaster PLUS for clinical evidence (‘my health’)
Health Evidence for public health evidence (‘our health’)
Health Systems Evidence for health systems evidence (‘our system’)
Each re-coded to identify evidence relevant to 60+, health promotion & disease prevention, etc. and re-programmed to establish a common platform
Bolded words have scroll-over definitions (eg. “randomized controlled trials” here)
Web Resource Ratings main page
All excluded websites listed on: http://www.mcmasteroptimalaging.org/citizens/web-resource-rater/excluded-websites
Examples of websites that have not met the inclusion criteria:
Doctor Oz show: website is funded by a company trying to sell you a product or service
EvidenceUpdates from BMJ – website is not freely-accessible (requires login)
American Academy of Family Physicians – website is not relevant to optimal aging for a citizen audience (targets physicians)
This is what a user sees when they get a WR for a search result
Article includes bottom line and links to related content (next slide)
Bottom of blog posts = links to related content (eg here: exercise and dementia)
PHP main page
Media focus on drama (dramatic findings from a new study, dramatic events with no mention of related scientific research), not substance
Recent example re: health benefits of vitamin D
Look at webinar ppt for screen shots here
Browse topics main page
(not a complete list of health conditions here)
Wants more info about these topics in order to stay healthy as she ages.
Linda: interest in exercise and vitamins
Browse “Complementary and alternative medicine”
Browse topics specific to exercise and vitamins = complementary and alternative medicine
Citizen search if you are registered as a Citizen.
Default is Evidence Summaries. Choose from these, or select Web Resource ratings.
As her PHP, you can look up the evidence around benefits of vitamins to talk about with Linda.
She can also look at these at home.
Nurse / PHP assisting Norman as he re-adjusts to life at home after being discharged from hospital after a fall.
Browse: fall and injury prevention
TOP PH SEARCHES FOR LAST MONTH:
exercise
dementia
Arthritis
Falls
diabetes
Auto fill to help guide or narrow your search
PHP articles from HE database of systematic reviews, rated for quality
PHP Systematic Reviews: Abstracts searchable on OAP
Links from abstracts to full-text article (save to your files or email to others)
Pub-Med link (side-bars with related content, other articles which cited this one, etc)
Some = Plain language summary or Evidence Summary (useful for quick overview of the issue, explaining or forwarding to your patients/client groups)
Evidence summaries based on these systematic reviews
(could also check WRRs and Blog posts from here… no slides to show this)
Example of an Evidence Summary
We could ask one additional question of whether they will recommend the portal to family and/or friends