Outline  •   About the partners  •   Project background  •   Objectives  •   Methods  •   Results  •   Learning
Project Partners  Region of Peel Public Health  • West of Toronto  • 2nd largest public health unit in    Ontario  Health ...
Peel Public Health• Cities of Mississauga,  Brampton and Town of  Caledon – population  >1.25 million• Higher proportion o...
Baby-friendly Designation • Baby Friendly Community Health   Service - in June 2009:   – seven Point Plan outcome criteria...
Health Evidence Funders
Health Evidence Provide and promote access to the best   available evidence    – Registry    – Literature searches & summa...
Health Evidence• online registry –  1900 reviews• evaluated  interventions• updated  quarterly• quality-assessed• searchab...
FormulaNOthanks.ca
Next Step?
Key Message Development  Goal: To provide the best available   evidence about the health   consequences of formula feeding...
EIDM Model             National Collaborating Centre for Methods and Tools             Haynes B, DiCenso, A., Ciliska D., ...
EIDM Process                                             Assess                                             applicability ...
Objective • Determine if the available research   literature supported a claim of improved   cognitive development due to ...
Methods •   Define the question •   Search the literature •   Relevance & quality assessment •   Critical appraisal •   In...
The Question  Is breastfeeding exclusively for 6    months associated with enhanced    cognitive development outcomes in  ...
The Search • Database searches of Medline, Embase,   CINAHL (2005-2009), searches run   June 10, 2009 • Search terms were ...
Findings                   1261                  articles                             1221              40           exclu...
Findings 4 studies moderate quality 6 had serious methodological flaws Good quality evidence suggested:  - No relations...
Decision Factors • Research evidence                                              define                                  ...
Decision - Concept for the ‘IQ’ poster was deferred - Continued with infection, weight
Learning and Next Steps  • Crafting messaging to explain these    findings  • Continue to mine the literature  • For Clien...
Thank you!Peel Health                           Health Evidence  Beverley Bryant,                       Maureen Dobbins  M...
Evidence-informed decision making – process and results to inform a breastfeeding program in a public health unit in Ontario
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Evidence-informed decision making – process and results to inform a breastfeeding program in a public health unit in Ontario

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Presented at the Canadian Public Health Association Centenary Conference Public Health in Canada: Shaping the Future Together, June 16, 2010

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Evidence-informed decision making – process and results to inform a breastfeeding program in a public health unit in Ontario

  1. 1. Outline • About the partners • Project background • Objectives • Methods • Results • Learning
  2. 2. Project Partners Region of Peel Public Health • West of Toronto • 2nd largest public health unit in Ontario Health Evidence • Based at McMaster University • Dedicated to a Canadian public health system informed by the best-available evidence
  3. 3. Peel Public Health• Cities of Mississauga, Brampton and Town of Caledon – population >1.25 million• Higher proportion of children, young families and immigrants than rest of Ontario
  4. 4. Baby-friendly Designation • Baby Friendly Community Health Service - in June 2009: – seven Point Plan outcome criteria were met; 5 years to achieve – awarded by the Breastfeeding Committee for Canada, the national authority for WHO/UNICEF – Baby-friendly Initiative
  5. 5. Health Evidence Funders
  6. 6. Health Evidence Provide and promote access to the best available evidence – Registry – Literature searches & summaries – Facilitated evidence reviews Provide knowledge‐brokering services – Customized EIDM training – Mentoring and Knowledge Broker
  7. 7. Health Evidence• online registry – 1900 reviews• evaluated interventions• updated quarterly• quality-assessed• searchable by commonly-used public health terms• two page summaries
  8. 8. FormulaNOthanks.ca
  9. 9. Next Step?
  10. 10. Key Message Development Goal: To provide the best available evidence about the health consequences of formula feeding and to support informed decision-making with a comprehensive website to build efficacy and confidence to breastfeed
  11. 11. EIDM Model National Collaborating Centre for Methods and Tools Haynes B, DiCenso, A., Ciliska D., & Guyatt, G. 2005
  12. 12. EIDM Process Assess applicability Interpret Appraise the quality Search for evidence Define the questio n
  13. 13. Objective • Determine if the available research literature supported a claim of improved cognitive development due to breastfeeding.
  14. 14. Methods • Define the question • Search the literature • Relevance & quality assessment • Critical appraisal • Interpretation • Decision-making
  15. 15. The Question Is breastfeeding exclusively for 6 months associated with enhanced cognitive development outcomes in children when compared with formula feeding?
  16. 16. The Search • Database searches of Medline, Embase, CINAHL (2005-2009), searches run June 10, 2009 • Search terms were limited to results relating to humans, and English language
  17. 17. Findings 1261 articles 1221 40 excluded retrieved (design, relevance) 10 30 excluded included (quality)
  18. 18. Findings 4 studies moderate quality 6 had serious methodological flaws Good quality evidence suggested: - No relationship between breastfeeding and cognitive development when you control for maternal characteristics including IQ, socio-environmental factors
  19. 19. Decision Factors • Research evidence define question • Public health search & appraise experience, beliefs context apply • Public health credibility Evidence-informed decision • Audience assessment
  20. 20. Decision - Concept for the ‘IQ’ poster was deferred - Continued with infection, weight
  21. 21. Learning and Next Steps • Crafting messaging to explain these findings • Continue to mine the literature • For Clients: create web pages with information about findings in language that is suitable to all literacy levels and add to the FormulaNOthanks.ca website • For Staff: Ongoing EIDM training, organizational supports and opportunities
  22. 22. Thank you!Peel Health Health Evidence Beverley Bryant, Maureen Dobbins Manager of Education and Research Director Beverley.bryant@peelregion.ca dobbinsm@mcmaster.ca Angela Garrison, Lori Greco Family Health Supervisor Knowledge Broker, Angela.garrison@peelregion.ca lgreco@mcmaster.ca

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