The McMaster Optimal Aging Portal is a website that provides evidence summaries, ratings of health websites, blog posts, and email alerts about aging optimally. The portal aims to help older Canadians stay active, healthy, and engaged by providing them easy access to credible aging-related information. It synthesizes research evidence into plain language summaries on topics like exercise, nutrition, and chronic disease. Users can browse or search across content for both citizens and healthcare professionals. The portal also rates the quality of health websites to help users identify trustworthy online resources.
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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
5. What Are the Needs of
Aging Canadians?
โข Stay active, healthy and engaged
โข Age in home or community
To do so, seniors need immediate access
to credible information
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6. Living Longer, Living Well
Systemic barrier to integrating care for older adults
โWe 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
โInvest more in health promotion and prevention in older
adults.โ
S. Sinha, โReport 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
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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
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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.
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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
26. Browse topics
What is the browse function?
Look for Evidence Summaries, Web Resource
Ratings and Blog Posts by topic
Why is it useful?
Weโve categorized the content for you
Explore an area of interest
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
36. Search tips and caveats
Start search using broad, general terms
โdiabetesโ, โexerciseโ, โdepressionโ
If too many results, refine your search terms
โexercise and fallsโ, โdiabetes and heart diseaseโ
Check for results across databases
38. Evidence Rater: Contributing Platforms
Contents
โข McMaster PLUS for clinical evidence (โmy healthโ)
โข Health Evidence for public health evidence (โour healthโ)
โข Health Systems Evidence for health systems evidence (โour systemโ)
Each re-coded to identify evidence relevant to 60+, health promotion &
disease prevention, etc. and re-programmed to establish a common
platform
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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 โintegrated 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
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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 โfive-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
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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 โharvestingโ of web resources from
included websites (100/mth)
Priority topics identified by experts
63. Social Media
A journalist can follow OAP on Twitter to get
ideas and content for news stories with our
โHitting 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
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
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www.mcmasteroptimalaging.org
Editor's Notes
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 โoptimal 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
Video โ located in H/Common/Optimal Aging Portal/ โOAP-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/
John: Can the central element be changed to โMcMaster Optimal Aging Portalโ if thatโs 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.
SW: Maureen, this is what AL has in his presentation instead of previous slide
Example: browse โAlzheimerโs and Dementiaโ
Example: browse โAlzheimerโs and Dementiaโ
Citizen search if you are registered as a Citizen.
Profile listed as โPublic Health Professionalโ directs you to PH search, etc. (will show more in examples)
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)
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
This is what a user sees when they get a WR for a search result
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
A physician caring for a retiree diagnosed with hypertension (high blood pressure)
If too many results, doctor can narrow search by adding another search term (eg. Hypertension AND medication)
Or use the pull-down menu to specify a category (eg. Treatment = 16 evidence summaries)
A public health department is assessing whether walking groups increase physical activity in seniors.
TOP PH SEARCHES FOR LAST MONTH:
physical exercise
ageism
social participation
A policymaker is wanting to inform a funding decision for a telehealth program.
Can specify search to implementationโฆ consumer-targeted telehealth programs
TOP SEARCHES FOR LAST MONTH:
healthy brain
seniors technology
paleo
The retiree who was recently diagnosed with high blood pressure
Could browse the topic:
Click on โHigh blood pressure - Hypertension
The retiree who was recently diagnosed with high blood pressure
Could browse the topic:
Click on โHigh blood pressure โ Hypertensionโฆ
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.
The retiree who was recently diagnosed with high blood pressure
Could search the topic:
The retiree who was recently diagnosed with high blood pressure
Could search the topic: โHigh blood pressureโ
Default is Evidence Summaries
The retiree who was recently diagnosed with high blood pressure
Could search the topic: โHigh 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 hereโฆ?]
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: โHigh blood pressure AND dietโ
Default is Evidence Summaries โ 5 results
The retiree who was recently diagnosed with high blood pressure
Could also do a general search the topic: โhigh blood pressureโ. Same results as the browse, but presented differently.
Alter search to specify Web Resources
The retiree who was recently diagnosed with high blood pressure
Could search the topic: โHigh blood pressureโ
Alter search to specify Web Resources = 18 web resources that are rated by the quality of the information they provide.
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
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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