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NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

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The Applicability and Transferability Tool helps you determine whether the evidence you find can be applied to your own local situation. Find the A&T tool on the NCCMT website: http://www.nccmt.ca/resources/publications/9

NCCMT is one of six NCCs for Public Health in Canada. More on the NCCs at www.nccph.ca. Production of this webinar has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

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NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

  1. 1. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.. The Applicability & Transferability (A&T) Tool Presenters: Stephanie Bale Donna Ciliska Melanie Hood Shannon Dowdall-Smith December 9, 2015 1:00 – 2:30 PM ET
  2. 2. Follow us @nccmt Suivez-nous @ccnmo Use Q&A to post comments / questions during the webinar • ‘Send’ questions to All (not privately to ‘Host’) Connection issues • Recommend using a wired Internet connection (vs. wireless), • WebEx 24/7 help line • 1-866-229-3239 Housekeeping 2 Q&A Participant Side Panel in WebEx
  3. 3. Follow us @nccmt Suivez-nous @ccnmo After Today The PowerPoint presentation (in English and French) and English audio recording will be made available. These resources are available at: PowerPoint: http://www.slideshare.net/NCCMT/ Audio Recording: https://www.youtube.com/user/nccmt/videos 3
  4. 4. Follow us @nccmt Suivez-nous @ccnmo Poll Question #1 How many people are watching today’s session with you? 1. Just me 2. 2 to 3 3.4 to 5 4. More than 5 4
  5. 5. Follow us @nccmt Suivez-nous @ccnmo Your profession? Put a √ on your answer (or RSVP via email) / Epidemiologist Management (director, supervisor, etc.) Allied health professionals (nurse, dietician, dental hygenist, etc.) Librarian Physician / Dentist Other 5
  6. 6. Follow us @nccmt Suivez-nous @ccnmo The Applicability & Transferability Tool http://www.nccmt.ca/resources/search/24 Episode 21 6
  7. 7. Poll Question #2 Where are you from? 1. BC 2. AB 3. SK 4. MB 5. ON 6. QC 7. NB 8. NS 9. PEI 10. NL 11. YK 11. NWT 12. NU 13. Outside Canada 7
  8. 8. NCC Infectious Diseases Winnipeg, MB NCC Methods and Tools Hamilton, ON NCC Healthy Public Policy Montreal, QC NCC Determinants of Health Antigonish, NS NCC Aboriginal Health Prince George, BC NCC Environmental Health Vancouver, BC 8
  9. 9. Follow us @nccmt Suivez-nous @ccnmo National Collaborating Centre for Methods and Tools • dedicated to improving access to, and use of, methods and tools that support moving research evidence into decisions related to public health practice, programs, and policy in Canada. 9
  10. 10. Poll Question #3 What sector are you from? 1. Public Health Practitioner 2. Health Practitioner (Other) 3. Education 4. Research 5. Provincial/Territorial/Government/Ministry 6. Municipality 7. Policy Analyst (NGO, etc.) 8. Other 10
  11. 11. Follow us @nccmt Suivez-nous @ccnmo Donna Ciliska, RN, PhD Senior Knowledge Translation Advisor National Collaborating Centre for Methods and Tools McMaster University Presenters 11
  12. 12. Follow us @nccmt Suivez-nous @ccnmo Melanie Hood, MsC R. Kin Health Promoter Health Promotion Division Sudbury & District Health Unit at the Sudbury & District Health Unit Presenters 12
  13. 13. Follow us @nccmt Suivez-nous @ccnmo Stephanie Bale, MPH Health Promoter Health Promotion Division at the Sudbury & District Health Unit Presenters 13
  14. 14. Follow us @nccmt Suivez-nous @ccnmo Shannon Dowdall-Smith, RN, PhD Manager, Control of Infectious Diseases/Vaccine Preventable Disease/Tuberculosis Clinical & Family Services Division at the Sudbury & District Health Unit Presenters 14
  15. 15. Follow us @nccmt Suivez-nous @ccnmo What is the A&T Tool The tool provides a systematic process and criteria to assess the applicability and transferability of research evidence to practice decisions in your local setting 15
  16. 16. Follow us @nccmt Suivez-nous @ccnmo Poll Question #4 How familiar are you with the A&T Tool? A. I am not familiar with the A&T Tool B. I have heard of the A&T Tool C. I have used the A&T Tool 16
  17. 17. Follow us @nccmt Suivez-nous @ccnmo Why was the A&T Tool developed? • To help public health professionals use evidence to better channel scarce public health resources into the best available programs and services for local delivery • To support the Adapt step in process of Evidence-Informed Public Health (EIPH) 17
  18. 18. Follow us @nccmt Suivez-nous @ccnmo 18 Steps in the process of Evidence- Informed Public Health
  19. 19. Follow us @nccmt Suivez-nous @ccnmo Model for Evidence-Informed Public Health
  20. 20. Follow us @nccmt Suivez-nous @ccnmo How was the A&T Tool developed? • Literature review (1996-2006; updated 2007) identified criteria for deciding if/how evidence can be transferred to local setting • Buffett, C., Ciliska, D., & Thomas, H. (2007). Can I use this evidence in my program decision? Assessing applicability and transferability of evidence. Hamilton, ON: National Collaborating Centre for Methods and Tools (NCCMT). • Relevant work was synthesized into a list of 21 questions to assess applicability (feasibility) and transferability (generalizability) of evidence 20
  21. 21. Follow us @nccmt Suivez-nous @ccnmo • In 2011, original tool was updated based on user feedback • Two new versions created • A. Starting a new intervention • B. Stopping an existing intervention 21
  22. 22. Follow us @nccmt Suivez-nous @ccnmo Applicability • “Can the intervention we found work for us?” • Other terms • feasibility, plausibility, acceptability • Looks at how the intervention process could be implemented in the local setting 22
  23. 23. Follow us @nccmt Suivez-nous @ccnmo Applicability: Factors Applicability considers: • Political acceptability • Social acceptability • Resources • Organizational capacity 23
  24. 24. Follow us @nccmt Suivez-nous @ccnmo Transferability • “Will it work for us? Can we expect similar results?” • Other terms • generalizability, external validity • Examines whether the intervention can achieve similar outcomes in the local setting 24
  25. 25. Follow us @nccmt Suivez-nous @ccnmo Transferability: Factors Transferability considers: • Magnitude of health issue in local setting • Magnitude of the reach and cost effectiveness of the intervention • Characteristics of target population 25
  26. 26. Follow us @nccmt Suivez-nous @ccnmo How do I use the A&T Tool? Prior to using the tool: • Defined a question/issue • Searched for, found and appraised research evidence relevant to your question • Synthesized the evidence to form recommendation(s) 26
  27. 27. Follow us @nccmt Suivez-nous @ccnmo • Select stakeholders who will be involved in the decision. Collaborate on the remaining steps. • Orient group members to the process; establish timelines • Choose assessment criteria from the tool that are most important/relevant to your issue and context • Decide if/how final scoring will be done (e.g.,1-5 rating for each question; sum individual ratings; discussion and consensus on each criteria) • Document the process you use 27
  28. 28. Applicability & Transferability of Evidence Tool (A&T Tool) Presented by: Stephanie Bale, Melanie Hood, and Shannon Dowdall-Smith Sudbury & District Health Unit
  29. 29. Background: How the review came about • SDHU’s Evidence-Informed Practice Working Group (EIPWG) • Practice-based questions • Academic Detailing • Postnatal Support
  30. 30. Practice-Based Question: Postnatal Support Research question: Are postnatal classes an effective method of promoting child and family health, and if so, how can they be effectively implemented?
  31. 31. Rapid Review: Postnatal Support Supportive Evidence • Evidence supported the benefit of postnatal classes • Evidence offered suggestions on successful implementation Recommendations • Further investigation is required prior to implementation
  32. 32. Practice-Based Question: Academic Detailing Research Question: What types of clinician practice behaviour does academic detailing/educational outreach visits effectively influence and what is required for effective implementation in a public health setting?
  33. 33. Rapid Review: Academic Detailing • Evidence from the rapid review suggested that academic detailing could be a useful communication tool – but key success factors would need to be considered • Should the SDHU use Academic Detailing as a strategy to influence clinician practice behaviour?
  34. 34. Use of NCCMT’s A&T Tool • Applicability and transferability was explored through discussions with key management and staff at the health unit, guided by NCCMT’s A&T Tool • Adapted the tool to fit with the specific topic/question at hand • Selected questions that were relevant to the research question • Re-worded the questions to be specific to the subject matter
  35. 35. Use of NCCMT’s A&T Tool Benefits • Ensured consistency between meetings with different groups of staff • Focused the discussion and kept it on-track • Ensured all important aspects were considered and discussed • Practical and easy to use Discussions were summarized into a final report, including recommendations to assist with decision-making
  36. 36. Rapid Review: Outcomes • An academic detailing program is under development, taking into consideration the findings and recommendations from the rapid review and A&T process • A pilot program of postnatal classes was attempted for approximately 6 months in partnership with a local Best Start Hub, unfortunately they were cancelled due to lack of uptake
  37. 37. Copyright Copyright for this document belongs to the Sudbury & District Health Unit. This document should not be reproduced, in part, or in whole, without written permission. Written requests to reproduce this document, in part, or in whole, should be directed to the Sudbury & District Health Unit. When permission to reproduce this document is granted, please ensure that the Sudbury & District Health Unit is credited. ©Sudbury & District Health Unit, 2015
  38. 38. Poll Question #5 What are your next steps? I plan to … A. access the A&T Tool. B. read the NCCMT summary of the A&T Tool. C. consider using the A&T Tool. D. tell a colleague about the A&T Tool. 38
  39. 39. 39 Supporting awareness and uptake of cancer prevention knowledge in practice Funded by the Canadian Institutes of Health Research Announcing: Implementation of a research project to build capacity among Canadian public health professionals to use research evidence in program planning decisions. Timeline: 18 months (Fall’15 to Spring’17) Intervention: Receive concise actionable messages based on high-quality systematic review evidence via: Twitter, webinars, and/or tailored email messages. Participants will be surveyed at baseline and follow-up. Now recruiting: Individual public health professionals across Canada working in the areas of: - Tobacco/Alcohol use - Sun safety - Healthy eating - Physical activity More info: Click here http://kt.healthevidence.org to access the Participant Information Form (Consent). If you decide to participate, you will have the option to continue to a 20 min online survey to begin your participation. Complete the survey for a chance to win an iPad Air 2 64GB! For more information, contact Research Coordinator, Olivia Marquez at marqueos@mcmaster.ca or 905-525-9140 ext. 20464
  40. 40. Follow us @nccmt Suivez-nous @ccnmo • Use Q&A to post comments and/or questions • ‘Send’ questions to All (not privately to ‘Host’) Q&A Participant Side Panel in WebExYour Comments/Questions 40
  41. 41. Your Feedback is Important Please take a few minutes to share your thoughts on today’s webinar. Your comments and suggestions help to improve the resources we offer and plan future webinars. The short survey is available at: https://nccmt.co1.qualtrics.com/SE/?SID=SV _8kcNZREDtwRFq0R 41
  42. 42. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada. For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca

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