health-evidence.ca  Collaborative capacitydevelopment workshops to  promote local evidence- informed decision making      ...
Disclosure Information   Funding for Health Evidence has been received from the following:   For the project being present...
Kara DeCorby, Project Coordinator         Heather Husson Project Manager                          •   Tel: (905) 525-9140 ...
Who are we?                                    PROFESSIONAL DEVELOPMENT  ASSESSMENTS                              & EDUCAT...
Objective        To plan, promote, and deliver evidence-        informed decision making (EIDM) workshops        for publi...
Planning       Initially aimed at Fall 2009       Delivered April – May 2010       Prototype curriculum customized for    ...
Host Health Units        Chatham-Kent Public Health        Sudbury District Health Unit        Haliburton, Kawartha, Pine ...
Workshop Goals        What is EIDM? Why do EIDM?        Anatomy of a systematic review        Finding good evidence (sourc...
A Model for EIDM in Public Health
EIDM Process                                                                Decision                                      ...
Define the Research Question Define the question   Population (or situation)   Intervention (or exposure)   Comparison (or...
Example school health team in a public health unit and theYou are are on the                   Scenariolead contact with a...
Search for Research Evidence Search for evidence              DiCenso, Bayley, & Haynes, 2009
Systematic Review  A synthesis or summary of single  studies  A formalized scientific process  Multiple reviewers involved
Summary Statements
Free Text SearchesFree-textsearch boxhealth-evidence.ca: A Canadian resource facilitating access and use of review-level e...
Enhancing Free Text SearchesExpandsearches byincludingrelated termshealth-evidence.ca: A Canadian resource facilitating ac...
Keyword SearchesSubmit keywordsearches byselecting•Focus of Review•Review Type•PopulationCharacteristics•InterventionLocat...
Critical Appraisal  Appraise the quality - systematic review Quality checklist:   Good research question   Comprehensive s...
Interpret the evidence  Interpret  What are the main conclusions?  What are the actionable messages?  How reliable are the...
Applying the Evidence Assess applicability What about my context should I consider in developing actionable strategies?  A...
Evaluation        88 of 137 participated (64%)   Most important/useful?   What will you take away to work on further?   Fo...
What was the most   important/useful thing learned?         Tools and resources         PICO         Searching         Cri...
What will you take away to   work on further?         Health-evidence.ca         A&T tool         Framework for searchable...
Did the format and setting meet   your needs?         Enjoyed mix of lecture and small group         Need to ensure room s...
Suggestions for improvement?         Longer session         More definition of terms         More discussion of challenges...
Thank you to health unit staff:   Cathy Bennett, Melissa Brown, & Laura Zetler - Chatham-Kent      Public Health   Isabell...
Thank you to participating HU:   Brant County, City of Hamilton, Elgin St.     Thomas, Halton Region, Hastings and     Pri...
Questions? Contact us!health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annu...
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Collaborative capacity development workshops to promote local evidence-informed decision making

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Presented at the 9th Annual Cochrane Canada Symposium 2011 Early Exposure to Cochrane: Accessible, Credible, Practical, February 16, 2011

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Collaborative capacity development workshops to promote local evidence-informed decision making

  1. 1. health-evidence.ca Collaborative capacitydevelopment workshops to promote local evidence- informed decision making Kara DeCorby Maureen Dobbins Lori Greco Paula Robeson
  2. 2. Disclosure Information Funding for Health Evidence has been received from the following: For the project being presented, Health Evidence received funding from the National Collaborating Center for Methods and Tools. Health units hosting the workshops being presented here did not receive any funding but provided in-kind support in the form of planning time, space, or contributions to refreshments.9th Annual Cochrane Canada Symposium, February 17, 2011
  3. 3. Kara DeCorby, Project Coordinator Heather Husson Project Manager • Tel: (905) 525-9140 ext. 20461 • Tel: (905) 525-9140 ext. 20462 • E-mail: kdecorby@health-evidence.ca • E-mail: hhusson@health-evidence.caMaureen DobbinsDirectorPaula Robeson Lori Greco Daiva Tirilis Lyndsey McRae Robyn TraynorKnowledge Broker Knowledge Broker Research Assistant Research Assistant Research Assistant / Coordinator
  4. 4. Who are we? PROFESSIONAL DEVELOPMENT ASSESSMENTS & EDUCATION CUSTOMIZED SUPPORT & CONSULTATION A SEARCHABLE ONLINE REGISTRY of quality-rated review literature to support evidence-informed decision making in public health >2,100 reviews in 21 topic areas ~5,000 registered users Electronic tailored messages sent to registered users quarterly www.health-evidence.cahealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  5. 5. Objective To plan, promote, and deliver evidence- informed decision making (EIDM) workshops for public health decision makers across Ontario in order to increase knowledge and skill to understand, and locally adapt and apply, high-quality evidence in programming and policyhealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  6. 6. Planning Initially aimed at Fall 2009 Delivered April – May 2010 Prototype curriculum customized for each set of health units 137 staff from 16 health units in Ontariohealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  7. 7. Host Health Units Chatham-Kent Public Health Sudbury District Health Unit Haliburton, Kawartha, Pine Ridge District Health Unit Wellington Dufferin Guelph Health Unithealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  8. 8. Workshop Goals What is EIDM? Why do EIDM? Anatomy of a systematic review Finding good evidence (sources, searching) Critical appraisal of review Applying evidence locallyhealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  9. 9. A Model for EIDM in Public Health
  10. 10. EIDM Process Decision Assess applicability Interpret Appraise the quality Search for evidence Define the question
  11. 11. Define the Research Question Define the question Population (or situation) Intervention (or exposure) Comparison (or group) Outcome(s) Time (when or how quickly)
  12. 12. Example school health team in a public health unit and theYou are are on the Scenariolead contact with a local school board. A board program to requireschool-based daily physical activity is being implemented and theboard has asked you to help make the case for daily physical activityto support their presentation to principals, teachers and parents. Youare aware that obesity among children is a health issue in yourjurisdiction. You would like to find out and advise the board aboutwhether the new physical activity levels will be more effective inpreventing/ decreasing obesity compared to physical activitycurrently implemented in schools.
  13. 13. Search for Research Evidence Search for evidence DiCenso, Bayley, & Haynes, 2009
  14. 14. Systematic Review A synthesis or summary of single studies A formalized scientific process Multiple reviewers involved
  15. 15. Summary Statements
  16. 16. Free Text SearchesFree-textsearch boxhealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  17. 17. Enhancing Free Text SearchesExpandsearches byincludingrelated termshealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  18. 18. Keyword SearchesSubmit keywordsearches byselecting•Focus of Review•Review Type•PopulationCharacteristics•InterventionLocation•Intervention Strategies February 11, 2010 Fireside Chat health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011
  19. 19. Critical Appraisal Appraise the quality - systematic review Quality checklist: Good research question Comprehensive search Study selection Meta-analysis or data synthesis Data and conclusions
  20. 20. Interpret the evidence Interpret What are the main conclusions? What are the actionable messages? How reliable are these based on quality? How well do they match my context?
  21. 21. Applying the Evidence Assess applicability What about my context should I consider in developing actionable strategies? Applicability Transferability Political Magnitude of the issue Social Reach and cost-effectiveness Resources Target population Expertise characteristics
  22. 22. Evaluation 88 of 137 participated (64%) Most important/useful? What will you take away to work on further? Format and setting? Suggestions for improvement?health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  23. 23. What was the most important/useful thing learned? Tools and resources PICO Searching Critical appraisalhealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  24. 24. What will you take away to work on further? Health-evidence.ca A&T tool Framework for searchable questionshealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  25. 25. Did the format and setting meet your needs? Enjoyed mix of lecture and small group Need to ensure room size adequate and screen close enough for all participantshealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  26. 26. Suggestions for improvement? Longer session More definition of terms More discussion of challenges to application in practice Offer homework to preparehealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  27. 27. Thank you to health unit staff: Cathy Bennett, Melissa Brown, & Laura Zetler - Chatham-Kent Public Health Isabelle Michel, Susan Snelling,Vicky Schwartz, & Claire Warren - Sudbury District HU Elizabeth Dickson & Anne Marie Holt – Haliburton Kawartha Pine Ridge District HU Jennifer McLeod & Andrea Roberts – Wellington Dufferin Guelph Public Healthhealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  28. 28. Thank you to participating HU: Brant County, City of Hamilton, Elgin St. Thomas, Halton Region, Hastings and Prince Edward County, Kingston Frontenac, Lennox & Addington, Lambton, North Bay Parry Sound, Porcupine, Region of Durham, Regional Municipality of Waterloo, & Simcoe Muskokahealth-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011
  29. 29. Questions? Contact us!health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence9th Annual Cochrane Canada Symposium, February 17, 2011

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