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The McMaster Optimal Aging Portal: 
A one stop shop to find out what to do to age optimally 
Maureen Dobbins1, Brian Haynes, John Lavis, Anthony Levinson, Parminder Raina 
1 Professor and Scientific Director, National Collaborating Centre for Methods and Tools, McMaster University 
CAG2014: Landscapes of Aging 
Critical Issues, Emerging Possibilities 
Niagara Falls, ON October 18, 2014
Who is the Portal for? 
Why?
What Are the Needs of 
Aging Canadians? 
โ€ข Stay active, healthy and engaged 
โ€ข Age in home or community 
To do so, seniors need immediate access 
to credible information 
5
Living Longer, Living Well 
Systemic barrier to integrating care for older adults 
โ€œWe do little to empower older adults and caregivers with the 
information they need to navigate the system.โ€ 
Recommended action to support aging in place 
โ€œInvest more in health promotion and prevention in older 
adults.โ€ 
S. Sinha, โ€œReport 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,โ€ December, 2012 
6
McMaster University 
A Knowledge Hub for Optimal Aging 
7
Best Evidence/ 
Evidence Summaries 
McMaster 
Web Resource Ratings 
Optimal Aging Portal 
Components 
Email Alerts 
Search & Browse Blog Posts
Contributors - Researchers 
Anthony Levinson John Lavis Maureen Dobbins Parminder Raina Brian Haynes
Key 
Content 
Evidence Summaries, Web Resource Ratings, 
Blog Posts and Email Alerts
Evidence Summaries 
What are they? 
Key messages from scientific research 
Written in plain language 
Why are they useful? 
Translated from research jargon 
Ready to be acted on
Web Resource Ratings 
What are they? 
Evaluations of health resources on the internet 
Why are they useful? 
Help you know which web-based resources to 
trust/not to trust
Blog Posts 
What are they? 
Commentaries on what the research means 
Why are they useful? 
Translated from research jargon 
Presented in article format
Content for professionals 
What is there? 
Best evidence databases for: 
Clinicians 
Public health professionals 
Policymakers 
Why are they useful? 
See what the pros use 
Outsmart your healthcare team
Email alerts 
What are they? 
Lists of new content recently added to Portal 
Weekly or monthly email you opt in for 
Why are they useful? 
Click on hyperlink in email to view content of 
interest 
Keeps you up to date with new research 
Tailored to your needs and preferences
Finding 
Content 
Browse and Search
Browse topics 
What is the browse function? 
Look for Evidence Summaries, Web Resource 
Ratings and Blog Posts by topic 
Why is it useful? 
Weโ€™ve categorized the content for you 
Explore an area of interest
Resource
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 citizen information types 
and professionals
Vitamins
Search tips and caveats 
Start search using broad, general terms 
โ€œdiabetesโ€, โ€œexerciseโ€, โ€œdepressionโ€ 
If too many results, refine your search terms 
โ€œexercise and fallsโ€, โ€œdiabetes and heart diseaseโ€ 
Check for results across databases
Assessing Quality of 
Content 
Evidence Rater 
Web Resource Rater
Evidence Rater: Contributing Platforms 
Contents 
โ€ข McMaster PLUS for clinical evidence (โ€˜my healthโ€™) 
โ€ข Health Evidence for public health evidence (โ€˜our healthโ€™) 
โ€ข Health Systems Evidence for health systems evidence (โ€˜our systemโ€™) 
Each re-coded to identify evidence relevant to 60+, health promotion & 
disease prevention, etc. and re-programmed to establish a common 
platform 
38
Evidence Rater: Functionality 
Federated search optimized by role (citizen, clinician, public health 
practitioner or policymaker) 
Search results sorted by quality, relevance using a 
Evidence summaries 
Links to scientific abstracts, full text 
Supplemented by PubMed Clinical Queries when no or limited results 
Complemented by โ€˜integrated resourcesโ€™ (e.g., Medline Plus) and by 
prompts for other types of evidence and other roles 
Supported by an evidence service for which users set the topics, 
relevance and flow 
39
40
Web Resource Rater: Overview 
Quality-rated, consumer-friendly health information 
relevant to older adults and their caregivers 
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
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. 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. Less than 5 years of age
Web Resource Rater: Quality Criteria 
Included web resources are rated for quality by 
two independent raters assessing: 
A. Use of scientific research 
B. Whether it is clear who developed the resource and how 
C. Ease of use 
A โ€˜five-starโ€™ overall rating is generated, weighted to 
favour web resources that use research evidence
Web Resource Rater: Indexing 
Type of product 
Categories 
Health conditions 
Healthcare delivery 
Healthy aging practice 
Keywords 
Actionable Message 
44
Web Resource Rater: User Experience 
Star rating (/5) 
Actionable message 
Keywords extracted from the 
web resource 
Browse menu indexing
Web Resource Rater: New Content 
Continually search for new websites 
Monthly โ€˜harvestingโ€™ of web resources from 
included websites (100/mth) 
Priority topics identified by experts
Examples: 
Professional and Citizen searches
Professional Search: Clinician
Professional Search: Clinician
Professional Search: Clinician
Professional Search: Public Health
Professional Search: Public Health
Professional Search: Policymaker
Professional Search: Policymaker
Citizen Search 
Citizen examples below
Citizen Search
Citizen Search
Citizen Search
Citizen Search
Citizen Search
Citizen Search
Citizen Search
Social Media 
A journalist can follow OAP on Twitter to get 
ideas and content for news stories with our 
โ€˜Hitting the headlinesโ€™ service showcasing the 
best available research evidence when a topic 
emerges suddenly in the news. 
@Mac_AgingNews
Time to Practice 
Identify important/relevant topics 
Practice searching the portal
Registration 
& Help
Help 
What is the help content? 
Information and explanations about Portal features by topic 
Where can I find it?
Contact Information 
Dr. Maureen Dobbins, RN, PhD 
dobbinsm@mcmaster.ca 
905-525-9140 ext. 20455 
68 
www.mcmasteroptimalaging.org

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The McMaster Optimal Aging Portal: A one stop shop to find out what to do to age optimally

  • 1. The McMaster Optimal Aging Portal: A one stop shop to find out what to do to age optimally Maureen Dobbins1, Brian Haynes, John Lavis, Anthony Levinson, Parminder Raina 1 Professor and Scientific Director, National Collaborating Centre for Methods and Tools, McMaster University CAG2014: Landscapes of Aging Critical Issues, Emerging Possibilities Niagara Falls, ON October 18, 2014
  • 2.
  • 3.
  • 4. Who is the Portal for? Why?
  • 5. What Are the Needs of Aging Canadians? โ€ข Stay active, healthy and engaged โ€ข Age in home or community To do so, seniors need immediate access to credible information 5
  • 6. Living Longer, Living Well Systemic barrier to integrating care for older adults โ€œWe do little to empower older adults and caregivers with the information they need to navigate the system.โ€ Recommended action to support aging in place โ€œInvest more in health promotion and prevention in older adults.โ€ S. Sinha, โ€œReport 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,โ€ December, 2012 6
  • 7. McMaster University A Knowledge Hub for Optimal Aging 7
  • 8. Best Evidence/ Evidence Summaries McMaster Web Resource Ratings Optimal Aging Portal Components Email Alerts Search & Browse Blog Posts
  • 9. Contributors - Researchers Anthony Levinson John Lavis Maureen Dobbins Parminder Raina Brian Haynes
  • 10. Key Content Evidence Summaries, Web Resource Ratings, Blog Posts and Email Alerts
  • 11. Evidence Summaries What are they? Key messages from scientific research Written in plain language Why are they useful? Translated from research jargon Ready to be acted on
  • 12.
  • 13.
  • 14. Web Resource Ratings What are they? Evaluations of health resources on the internet Why are they useful? Help you know which web-based resources to trust/not to trust
  • 15.
  • 16. Blog Posts What are they? Commentaries on what the research means Why are they useful? Translated from research jargon Presented in article format
  • 17.
  • 18.
  • 19. Content for professionals What is there? Best evidence databases for: Clinicians Public health professionals Policymakers Why are they useful? See what the pros use Outsmart your healthcare team
  • 20.
  • 21.
  • 22. Email alerts What are they? Lists of new content recently added to Portal Weekly or monthly email you opt in for Why are they useful? Click on hyperlink in email to view content of interest Keeps you up to date with new research Tailored to your needs and preferences
  • 23.
  • 24.
  • 26. Browse topics What is the browse function? Look for Evidence Summaries, Web Resource Ratings and Blog Posts by topic Why is it useful? Weโ€™ve categorized the content for you Explore an area of interest
  • 27.
  • 28.
  • 30. 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 citizen information types and professionals
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Search tips and caveats Start search using broad, general terms โ€œdiabetesโ€, โ€œexerciseโ€, โ€œdepressionโ€ If too many results, refine your search terms โ€œexercise and fallsโ€, โ€œdiabetes and heart diseaseโ€ Check for results across databases
  • 37. Assessing Quality of Content Evidence Rater Web Resource Rater
  • 38. Evidence Rater: Contributing Platforms Contents โ€ข McMaster PLUS for clinical evidence (โ€˜my healthโ€™) โ€ข Health Evidence for public health evidence (โ€˜our healthโ€™) โ€ข Health Systems Evidence for health systems evidence (โ€˜our systemโ€™) Each re-coded to identify evidence relevant to 60+, health promotion & disease prevention, etc. and re-programmed to establish a common platform 38
  • 39. Evidence Rater: Functionality Federated search optimized by role (citizen, clinician, public health practitioner or policymaker) Search results sorted by quality, relevance using a Evidence summaries Links to scientific abstracts, full text Supplemented by PubMed Clinical Queries when no or limited results Complemented by โ€˜integrated resourcesโ€™ (e.g., Medline Plus) and by prompts for other types of evidence and other roles Supported by an evidence service for which users set the topics, relevance and flow 39
  • 40. 40
  • 41. Web Resource Rater: Overview Quality-rated, consumer-friendly health information relevant to older adults and their caregivers 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
  • 42. 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. 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. Less than 5 years of age
  • 43. Web Resource Rater: Quality Criteria Included web resources are rated for quality by two independent raters assessing: A. Use of scientific research B. Whether it is clear who developed the resource and how C. Ease of use A โ€˜five-starโ€™ overall rating is generated, weighted to favour web resources that use research evidence
  • 44. Web Resource Rater: Indexing Type of product Categories Health conditions Healthcare delivery Healthy aging practice Keywords Actionable Message 44
  • 45. Web Resource Rater: User Experience Star rating (/5) Actionable message Keywords extracted from the web resource Browse menu indexing
  • 46. Web Resource Rater: New Content Continually search for new websites Monthly โ€˜harvestingโ€™ of web resources from included websites (100/mth) Priority topics identified by experts
  • 47. Examples: Professional and Citizen searches
  • 55. Citizen Search Citizen examples below
  • 63. Social Media A journalist can follow OAP on Twitter to get ideas and content for news stories with our โ€˜Hitting the headlinesโ€™ service showcasing the best available research evidence when a topic emerges suddenly in the news. @Mac_AgingNews
  • 64. Time to Practice Identify important/relevant topics Practice searching the portal
  • 66.
  • 67. Help What is the help content? Information and explanations about Portal features by topic Where can I find it?
  • 68. Contact Information Dr. Maureen Dobbins, RN, PhD dobbinsm@mcmaster.ca 905-525-9140 ext. 20455 68 www.mcmasteroptimalaging.org

Editor's Notes

  1. http://cag.conference-services.net/reports/template/onetextabstract.xml?xsl=template/onetextabstract.xsl&conferenceID=3732&abstractID=811394 The objectives of this workshop include: becoming familiar with the term โ€œoptimal agingโ€ learning what the best available evidence offers for optimal aging learning how to access research evidence and filter out low-quality information learning how to search for, use, and put into action what we learn online
  2. Video โ€“ located in H/Common/Optimal Aging Portal/ โ€˜OAP-Launch-Final-720p.movโ€™ To play, need to put video on USB, then re-insert it in this slide Alternately, MD can link to video online and play from website: http://www.mcmasteroptimalaging.org/
  3. John: Can the central element be changed to โ€˜McMaster Optimal Aging Portalโ€™ if thatโ€™s the intent of this slide? If not, I would drop it Laura: The intent is to show the breadth of expertise at McMaster related to aging. It would be appreciated by the institution if we could keep it in.
  4. SW: Maureen, this is what AL has in his presentation instead of previous slide
  5. Example: browse โ€œAlzheimerโ€™s and Dementiaโ€
  6. Example: browse โ€œAlzheimerโ€™s and Dementiaโ€
  7. Citizen search if you are registered as a Citizen. Profile listed as โ€˜Public Health Professionalโ€™ directs you to PH search, etc. (will show more in examples)
  8. 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: http://www.lillyforbetterhealth.com/ Lilly for Better Health โ€“ website is funded by a company trying to sell you a product or service (Eli Lilly and Company, pharmaceutical) http://plus.mcmaster.ca/evidenceupdates/ EvidenceUpdates from BMJ โ€“ website is not freely-accessible (requires login) http://www.aafp.org/home.html American Academy of Family Physicians โ€“ website is not relevant to optimal aging for a citizen audience (targets physicians)
  9. Categories vs. Keywords Categories feed the browse feature of the portal and capture the most important topic(s) discussed in the web resource Keywords feed the search function on the portal and are extracted directly from the web resource. Keywords can be applied more liberally than categories and should be a comprehensive summary of topics discussed in the web resource
  10. This is what a user sees when they get a WR for a search result
  11. TOP SEARCHES FOR LAST MONTH: vision problems arthritis eye problems cataracts exercise carpal tunnel naturopathic supplements prostate cancer men health joint pain relief driving atrial type II diabetes Sugar Consumption and Heart Disease alzheimer's and dementia lemon water Incontinence female gout osteoarthritis
  12. A physician caring for a retiree diagnosed with hypertension (high blood pressure)
  13. If too many results, doctor can narrow search by adding another search term (eg. Hypertension AND medication)
  14. Or use the pull-down menu to specify a category (eg. Treatment = 16 evidence summaries)
  15. A public health department is assessing whether walking groups increase physical activity in seniors.
  16. TOP PH SEARCHES FOR LAST MONTH: physical exercise ageism social participation
  17. A policymaker is wanting to inform a funding decision for a telehealth program.
  18. Can specify search to implementationโ€ฆ consumer-targeted telehealth programs TOP SEARCHES FOR LAST MONTH: healthy brain seniors technology paleo
  19. The retiree who was recently diagnosed with high blood pressure Could browse the topic: Click on โ€˜High blood pressure - Hypertension
  20. The retiree who was recently diagnosed with high blood pressure Could browse the topic: Click on โ€˜High blood pressure โ€“ Hypertensionโ€ฆ Options to read an on-line article about salt intake, and evidence summaries about medications, diet and supplements that may or may not aid in treatment.
  21. The retiree who was recently diagnosed with high blood pressure Could search the topic:
  22. The retiree who was recently diagnosed with high blood pressure Could search the topic: โ€œHigh blood pressureโ€ Default is Evidence Summaries
  23. The retiree who was recently diagnosed with high blood pressure Could search the topic: โ€œHigh blood pressureโ€ Default is Evidence Summaries โ€“ 16 results From here, patient: Can link to the Evidence Summaries or read our blog posts about the topic Has access to what his clinician is reading (leading to more education discourse b/w clinician and patient), public health info or recent policies relating to HBP. [Highlight ratings system hereโ€ฆ?]
  24. The retiree who was recently diagnosed with high blood pressure Could specify summaries about how this diagnosis will impact his diet. Could search the topic: โ€œHigh blood pressure AND dietโ€ Default is Evidence Summaries โ€“ 5 results
  25. The retiree who was recently diagnosed with high blood pressure Could also do a general search the topic: โ€œhigh blood pressureโ€. Same results as the browse, but presented differently. Alter search to specify Web Resources
  26. The retiree who was recently diagnosed with high blood pressure Could search the topic: โ€œHigh blood pressureโ€ Alter search to specify Web Resources = 18 web resources that are rated by the quality of the information they provide.
  27. A public health nurse can advise a 66-year old man on how to best manage his diabetes. A middle aged woman thinking about her retirement wondering about the duration of daily exercise needed to stay healthy A 60-year old woman needs to identify what respite services are available in her community to take care of the her frail 85-year old mother when she is out of town ย  a 57-year old woman who had used her laptop to find out where she could obtain physiotherapy to cope with the arthritis in her knees could be prompted about whether she would like to see the available research evidence about whether physiotherapy is effective in improving outcomes among patients with arthritis of the knee