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Health Evidence: A Canadian resource for facilitating evidence-informed public health decision making

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Health Evidence: A Canadian resource for facilitating evidence-informed public health decision making

  1. 1. Welcome to Fireside Chats Health Evidence: A Canadian resource for facilitating evidence-informed public health decision making Thursday, 11February 2010, 01:00 PM — 02:30 PM (Eastern Time) Advisors on Tap: Maureen Dobbins RN, PhD Associate Professor, McMaster University School of Nursing Paula Robeson, RN MScN CHNET-Works! Hosts weekly Fireside Chats Population Health Improvement Research Network, University of Ottawa www.chnet-works.ca
  2. 2. Housekeeping Telephone:  If your line is ‘bad’ – hang up and call back in  Do not put us on hold  Participant lines muted during presentations and open lines for questions/discussions  *6 to mute/unmute  Help eliminate background noise (please do not breathe into phone during open lines)  Recording notice Visual Presentation: from our computer to yours.....  Via Bridgit software (see Fireside Chat Instructions)  There may be a few seconds delay in transmission  If difficulties/disconnection (firewalls):  use the back up PowerPoint Presentation posted on www.chnet-works.ca  (see access instruction email) Posting questions/comments: • Bridgit – text chat feature on the tool bar (far right icon: person with a blue shirt) • or email: animateur@chnet-works.ca
  3. 3. Advisors on Tap • Maureen Dobbins RN, PhD Associate Professor, McMaster University School of Nursing Career scientist of the Ontario Ministry of Health and Long-Term Care. • Her research is focused on understanding knowledge translation and exchange among public health decision makers in Canada. – identification of barriers and facilitators to research utilization; – understanding the information needs of public health decision makers at the local, provincial and federal level; evaluating the use of systematic reviews in provincial policies; – exploring where research evidence fits into the decision-making process; evaluating the impact of knowledge transfer strategies, – exploring knowledge brokering in public health units in Ontario. • Paula Robeson, RN MScN Knowledge Broker with Health Evidence, • Paula’s role involves tailored approaches to individual and organizational capacity development for evidence-informed public health decision making. • Health Evidence: offers a suite of resources and services to Canadian public health decision makers.
  4. 4. Today’s chat.. In collaboration with Health-Evidence.ca .... • Real practice-based issues to illustrate how health-evidence promotes quick and easy access to public health effectiveness evidence • A demonstration of how to navigate the site and content • How health-evidence.ca has helped local public health units with their decision making in practical ways • Answer questions about how to use review evidence in decision making, from searching to interpretation
  5. 5. Health Evidence A Canadian resource for facilitating evidence-informed public health decision making Maureen Dobbins RN, PhD & the Health Evidence team
  6. 6. Our Funders February 11, 2010 Fireside Chat
  7. 7. Why health-evidence.ca? • Saves time • Filtered, quality-rated, searchable • Summarizes key findings and draws practical implications February 11, 2010 Fireside Chat
  8. 8. Search Strategy • Electronic search of 7 online databases: MEDLINE, EMBASE, CINAHL, PsycINFO, Sociological Abstracts, SPORTDiscus and BIOSIS • Handsearching of >20 main journals • Reference lists February 11, 2010 Fireside Chat
  9. 9. Transparent Process Relevance tool Keywording tool Quality assessment tool & dictionary Summary statement template February 11, 2010 Fireside Chat
  10. 10. We do the quality assessment for you… Help links to quality assessment dictionary February 11, 2010 Fireside Chat
  11. 11. Succinct, practical summaries Page one: context February 11, 2010 Fireside Chat
  12. 12. Page two: results and what they mean February 11, 2010 Fireside Chat
  13. 13. Searching health-evidence.ca February 11, 2010 Fireside Chat
  14. 14. Features available Access your saved searches Submit free-text searches Filter results sets February 11, 2010 Fireside Chat
  15. 15. Features available Submit keyword searches by selecting •Focus of Review •Review Type •Population Characteristics •Intervention Location •Intervention Strategies February 11, 2010 Fireside Chat
  16. 16. AND, OR, NOT Search Options Modify keyword search strategy by changing Boolean operators February 11, 2010 Fireside Chat
  17. 17. Enhanced Free Text Searching Expand searches by including related terms February 11, 2010 Fireside Chat
  18. 18. What your results will look like Print results Sort results by column headings Identify reviews with summary statements February 11, 2010 Fireside Chat
  19. 19. Saving Searches • Save up to 50 searches to a user account February 11, 2010 Fireside Chat
  20. 20. Linking to Full Text Articles Full text links available for: • 607 free access journal articles • 335 Cochrane articles Info on organizational subscriptions are available via PubMed LinkOut links for all reviews published in peer-reviewed journals See ‘Related Links’ section in article display February 11, 2010 Fireside Chat
  21. 21. Additional Resources • Tools to support EIDM – Practical tools to help you use research evidence in decision making • Workshops & Educational Opportunities • Evidence Related to CD Prevention • Links to resources to support EIDM February 11, 2010 Fireside Chat
  22. 22. Searching on health-evidence.ca Example 1 • I am interested in program planning around infant feeding – where do I go from here? sample health-evidence.ca user inquiry February 11, 2010 Fireside Chat
  23. 23. Searching on health-evidence.ca STEP 1: Develop a clear question • Population • Intervention • Comparison/Control • Outcomes (PICO) February 11, 2010 Fireside Chat
  24. 24. Searching on health-evidence.ca For example: • Population: Infants • Intervention: Infant feeding methods • Comparison/Control: Not applicable in this case • Outcomes: Growth & development Question: What is the effectiveness of different infant feeding programs on infant growth and development? February 11, 2010 Fireside Chat
  25. 25. Searching on health-evidence.ca STEP 2: Search using the keyword tree: • Focus of Review – Nutrition – Parenting, Infants and Children 65 results • Population Characteristics – Age Groups • Infants (0-1) February 11, 2010 Fireside Chat
  26. 26. Searching on health-evidence.ca STEP 3: Filter results set – Limit to ‘strong’ results (41 results) – Limit to specific publication dates – Further narrow search strategy February 11, 2010 Fireside Chat
  27. 27. Finding a Summary Statement You can limit your search for results with summary statements Link to English & French summaries in ‘Summary Statements’ section of article display February 11, 2010 Fireside Chat
  28. 28. Searching on health-evidence.ca Example 2 • How do I find review literature on mould in schools? sample health-evidence.ca user request February 11, 2010 Fireside Chat
  29. 29. Searching on health-evidence.ca STEP 1: Develop a clear question • Population: school-aged children & school staff • Intervention: this is what we are seeking • Comparison/Control group: usual practice • Outcomes: mould reduction Question: What interventions are effective in reducing mould in schools? February 11, 2010 Fireside Chat
  30. 30. Searching on health-evidence.ca STEP 2: Search using the keyword tree • Focus of Review – Environmental Health • Mould Search returned 0 results – Intervention Location • School February 11, 2010 Fireside Chat
  31. 31. Searching on health-evidence.ca STEP 3: Refine search strategy Broaden search. Remove parameter ‘intervention location = school’ to retrieve all possible reviews pertaining to mould Search returned 1 result February 11, 2010 Fireside Chat
  32. 32. Searching on health-evidence.ca STEP 3: Refine search strategy (continued) • Expand search to include single studies – Search health databases, – Use other available evidence databases / search engines: • NurseONE www.nurseone-inf-fusion.ca • PEN – Practice-based Evidence in Nutrition www.dieteticsatwork.com/pen • Cochrane Library www.thecochranelibrary.com/ • PubMed www.ncbi.nlm.nih.gov Information on provincial initiatives available from health- evidence.ca February 11, 2010 Fireside Chat
  33. 33. Other Health Evidence Services  Facilitated Evidence Review  Literature Searching & Instruction  Mentoring & Brokering Support February 11, 2010 Fireside Chat
  34. 34. The Health Evidence Team Maureen Dobbins, Director • Tel: 905 525-9140 ext 22481 • E-mail: dobbinsm@mcmaster.ca Kara DeCorby, Project Coordinator • Tel: (905) 525-9140 ext. 20461 Paula Robeson Lori Greco • E-mail: kdecorby@health-evidence.ca Knowledge Broker Knowledge Broker Daiva Tirilis Lyndsey McRae Kathryn Spoelstra Heather Husson Project Manager Research Assistant Research Assistant Research Assistant • Tel: (905) 525-9140 ext. 20462 • E-mail: hhusson@health-evidence.ca
  35. 35. Questions?
  36. 36. Thanks for joining in! For more information about CHNET-Works! and future Fireside Chats www.chnet-works.ca • animateur@chnet-works.ca

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