0
Critical Reading Made Easy:
effectiveness and experience
Linda Ward
Clinical Librarian / Deputy Librarian
Education Centre...
Presentation outline
 Format and content of
Critical Reading Made Easy (CRME)
 Librarian CPD
 Who has participated
 Ev...
CRME: format
 Workshops
A series of six workshops introducing research
methods and tools to help appraise:
Clinical Trial...
CRME: content
 Research methods and levels of evidence
 The Checklists
 The questions
 The article
Primary Research
Experimental
observational
Secondary
Research
For qualitative studies?
No consensus about the relative ri...
Judging the quality of research
 JAMA articles
http://www.cche.net/user
 Checklists e.g. CASP
A framework for thinking a...
Three questions
 Valid?
Is the methodology appropriate to answer the question.
Is it carried out in a sound way, eliminat...
Librarian CPD
 ScHARR training
 Personal research & interest
leading to pre-2002 sessions (RCTs & Systematic reviews)
 ...
Who has participated?
 Workshop programme
Approximately 100 staff since 2002, representing a
range of clinical specialtie...
Evaluation 1
 Evaluation following sessions
has been very positive
“Excellent and interesting, even for a beginner like m...
Future developments
 LEicestershire Appraisal Forum (LEAF)
Regular group to evaluate locally relevant
research and develo...
Evaluation 2
 Recent questionnaire to workshop attendees
2002-2004: Response rate 15% (12/82)
 Overall very positive vie...
The evidence base
 Systematic review of critical appraisal teaching
Parkes et al. 2001. A cautious
“Critical appraisal te...
Opportunities for librarians 1
 Start small
 Work in partnership with clinical staff - sharing
knowledge and skills
 CA...
Opportunities for librarians 2
 Marketing
 Individual email effective but no longer possible
 Intranet
 Posters / flye...
Opportunities for librarians 3
 Demand for support in other related areas e.g.
SPSS
Endnote / Reference Manager
 Care ne...
Useful references
 Critical Appraisal Skills Programme. Evidence-based health care: an open learning resource for
health ...
Upcoming SlideShare
Loading in...5
×

Critical reading made easy: effectiveness and experience

1,612

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,612
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
32
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Critical reading made easy: effectiveness and experience"

  1. 1. Critical Reading Made Easy: effectiveness and experience Linda Ward Clinical Librarian / Deputy Librarian Education Centre Library Leicester General Hospital
  2. 2. Presentation outline  Format and content of Critical Reading Made Easy (CRME)  Librarian CPD  Who has participated  Evaluation & Future plans  The evidence base  Opportunities for librarians
  3. 3. CRME: format  Workshops A series of six workshops introducing research methods and tools to help appraise: Clinical Trials, Systematic Reviews, Qualitative studies, (CASP) Guidelines (AGREE), Patient information (DISCERN)  Overviews Research methods and introduction to CASP  One : One
  4. 4. CRME: content  Research methods and levels of evidence  The Checklists  The questions  The article
  5. 5. Primary Research Experimental observational Secondary Research For qualitative studies? No consensus about the relative rigour of different methods Levels of evidence Systematic reviews & Meta- analyses Randomised controlled trials Cohort studies Case control studies Case series and case reports Quality For quantitative studies
  6. 6. Judging the quality of research  JAMA articles http://www.cche.net/user  Checklists e.g. CASP A framework for thinking about the quality of research NHS Critical Appraisal Skills Programme http://www.phru.nhs.uk/casp/appraisa.htm
  7. 7. Three questions  Valid? Is the methodology appropriate to answer the question. Is it carried out in a sound way, eliminating bias and confounding?  Reliable? Are the results real or because of chance? Introducing / revisiting probability or p-values and confidence intervals. Interpretation of odds ratio diagrams  Applicable? Will the results help locally?
  8. 8. Librarian CPD  ScHARR training  Personal research & interest leading to pre-2002 sessions (RCTs & Systematic reviews)  CASPfest & CASP workshops e.g. Training the Trainer  Sheffield Evidence Appraisals From ShEBaNg (ShEAFS) http://www.shef.ac.uk/~scharr/ir/sheafs/  CASP training week  MSC Health Services Research
  9. 9. Who has participated?  Workshop programme Approximately 100 staff since 2002, representing a range of clinical specialties, health professions and organisations  Overview sessions presented to: Neonatal postgraduate teaching programme O&G research and evidence programme Medical house officer teaching programme Neonatal Unit multidisciplinary Journal Club Staff in genetics, family planning, surgery, renal nursing and mental health pharmacy
  10. 10. Evaluation 1  Evaluation following sessions has been very positive “Excellent and interesting, even for a beginner like myself” “A very helpful ‘revisiting’” “Came away learning lots” “Now understand confidence intervals” “Made trials understandable”  Supporting workplace research, education and clinical practice Generated ideas for qualitative research proposal Supported staff doing research modules evaluating RCTs e.g. of escitalopram vs citalopram for major depression – mental health pharmamcist
  11. 11. Future developments  LEicestershire Appraisal Forum (LEAF) Regular group to evaluate locally relevant research and develop appraisal skills  LEicestershire Appraisal Forum Locally Appraised Topics (LEAFLETs) Appraisal summaries on the Intranet as an educational / EBM tool.
  12. 12. Evaluation 2  Recent questionnaire to workshop attendees 2002-2004: Response rate 15% (12/82)  Overall very positive views of sessions  A majority have used CASP or similar checklists since  Most report being ‘fairly confident’ in appraisal skills  A majority would make time to attend the proposed LEAF and could see value in LEAFLETs. Of those who couldn’t attend, barriers were time & geography.  Basis to take the LEAF forward
  13. 13. The evidence base  Systematic review of critical appraisal teaching Parkes et al. 2001. A cautious “Critical appraisal teaching has a positive affect on participants’ knowledge” Generalisable? “Highlighted the poor evidence in this area but it is not evidence for stopping critical appraisal teaching”  Skills, attitudes and behaviour? The holy grail: impact on patient care
  14. 14. Opportunities for librarians 1  Start small  Work in partnership with clinical staff - sharing knowledge and skills  CASP checklists are new to most  Don’t assume participants have high levels of knowledge. Be adaptable  Have a good stats dictionary handy  Put statistics in their place
  15. 15. Opportunities for librarians 2  Marketing  Individual email effective but no longer possible  Intranet  Posters / flyers  Word of mouth  Structured postgraduate teaching  Journal clubs
  16. 16. Opportunities for librarians 3  Demand for support in other related areas e.g. SPSS Endnote / Reference Manager  Care needed not to overstretch ourselves  But librarians need to develop their roles, not least because of national developments e.g. NLH, NCC, e-journals & document delivery
  17. 17. Useful references  Critical Appraisal Skills Programme. Evidence-based health care: an open learning resource for health care practitioners. Oxford. CASP, 2002.  Critical Appraisal Skills Programme. Evidence-based health care workbook: including the Evidence-based Health Care CD-ROM. Oxford. CASP and HCLU, 1999.  Crombie, Iain K. The pocket guide to critical appraisal. London; BMJ Publishing, 1996.  eBMJ. How to read a paper. http://bmj.com/collections/read.shtml. Accessed 08/08/04  Guyatt G. Rennie D. (eds). Users’ guides to the medical literature: a manual for evidence-based clinical practice. sl. American medical Association, 2002.  Pereira-Maxwell, F. A-Z of medical statistics: a companion for critical appraisal. 1998.  Parkes J, Hyde C, Deeks J, Milne R. Teaching critical appraisal skills in health care settings (Cochrane Review). In: The Cochrane Library, Issue 3, 2004. Chichester, UK: John Wiley & Sons Ltd.
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×