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NCCMT Webinar: Infectious Disease-Focused Methods and Tools to Support Evidence-Informed Decision-Making

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This webinar on evidence-informed decision-making, delivered jointly by NCCMT and NCCID, draws on the National Collaborating Centre for Methods and Tools (NCCMT) seven-step process, with reference to how methods and tools for each step can apply to infectious disease prevention.

The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.

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NCCMT Webinar: Infectious Disease-Focused Methods and Tools to Support Evidence-Informed Decision-Making

  1. 1. 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. Infectious Disease-Focused Methods and Tools to Support Evidence-Informed Decision-Making Susan Snelling, PhD Senior Knowledge Translation Specialist, NCCMT Margaret Haworth-Brockman, MSc Senior Program Manager, NCCID June 9, 2016
  2. 2. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #1 2 How many people are watching today’s webinar with you? a) Just me b) 1 to 3 c) 4 to 5 d) 6 to 10 e) More than 10
  3. 3. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Housekeeping • TC line will be muted during the webinar 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 Q&A 3
  4. 4. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Housekeeping Experiencing feedback? • Click Audio Broadcast at the bottom of the Participants panel to join or leave the audio broadcast. 4
  5. 5. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #2 5 Where are you connecting from today? a) BC b) AB c) SK d) MB e) ON f) QC g) NB h) NS i) PEI j) NL k) YK l) NWT m) NU n) Outside Canada
  6. 6. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 6 Outline of Today’s Webinar • Introduction to NCCMT and NCCID • A model for evidence-informed decision making • Steps in the process of evidence-informed public health With reference to methods & tools relevant for infectious diseases public health practitioners, including approaches that work for social determinants & tuberculosis
  7. 7. Follow us @nccmt Suivez-nous @ccnmo @centreinfection National Collaborating Centre for Methods and Tools (NCCMT) Vision • The effectiveness and efficiency of Canada’s public health system will be guided by the production, sharing and use of high quality evidence. Mission • The NCCMT will enhance evidence-informed public health practice and policy in Canada by providing leadership and expertise in supporting the uptake of what works in public health into practice. 7
  8. 8. Follow us @nccmt Suivez-nous @ccnmo @centreinfection What is Evidence-Informed Public Health? … the process of distilling and disseminating the best available evidence from research, context and experience, and using that evidence to inform and improve public health policy and practice. 8
  9. 9. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #3 9 What sector are you from? a) Public Health Practitioner b) Health Practitioner (Other) c) Education d) Research e) Federal/Provincial/Territorial Government f) Municipality g) Non-Governmental Organization h) Other
  10. 10. Follow us @nccmt Suivez-nous @ccnmo @centreinfection NCCMT Registry of Methods and Tools Resources to support use of research evidence in public health http://www.nccmt.ca/resources/registry A free, searchable, online collection of knowledge translation methods and tools for public health • Summary statements • Web links (when available) to Methods and Tools 10
  11. 11. NCCMT Registry of Methods of Tools for Knowledge Translation 11
  12. 12. Follow us @nccmt Suivez-nous @ccnmo @centreinfection What are methods and tools? A process or series of steps to organize a Knowledge Translation activity Dissemination framework Method An instrument to carry out the steps of a Knowledge Translation activity Dissemination checklist Tool 12
  13. 13. Follow us @nccmt Suivez-nous @ccnmo @centreinfection National Collaborating Centre for Infectious Diseases We help public health practitioners find, understand and use infectious disease research and evidence. Integration of evidence and other information to improve public health policy & practice Connections & collaborations for improved exchange 13
  14. 14. Follow us @nccmt Suivez-nous @ccnmo @centreinfection A Model for Evidence-Informed Decision-Making in Public Health 14
  15. 15. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Stages in the process of Evidence-Informed Public Health 15
  16. 16. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Scenario: Setting the Stage for Evidence Use on an Infectious Disease • Understanding the dynamics of TB in the inner-city & appropriate screening • Outreach to at-risk populations How can the steps of Evidence- Informed Public Health be applied to this scenario? 16
  17. 17. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 17 Evidence-Informed Public Health Clearly define the question or problem
  18. 18. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Define the question PICO P population I intervention C comparison O outcome 18
  19. 19. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Define the question: Apply our scenario PICO P population: inner-city residents I intervention: screening C comparison: no intervention or usual care O outcome: diagnosed patients in care 19
  20. 20. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended Tool: Define Developing an Efficient Search Strategy Using PICO http://www.nccmt.ca/resources/search/138 Use it to develop an evidence-search question using the PICO format. 20
  21. 21. Follow us @nccmt Suivez-nous @ccnmo 21
  22. 22. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 22 Stages in the process of Evidence-Informed Public Health Efficiently search for research evidence
  23. 23. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended Tool: Search NCCMT Search Pyramids http://www.nccmt.ca/resources/search/181 http://www.nccmt.ca/learningcentre/EN/index.php • Pre-populated with good sites for finding evidence in public health, and for certain specific topics. • Start at the top for the most synthesized evidence. • Saves time • Systematic approach to searching 23
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  25. 25. Recommended Tool: Search 25
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  27. 27. 27 Recommended Tool: Search www.healthevidence.org
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  32. 32. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Tips for “Search” • Choose the highest possible level on the Pyramid • Pre-appraised sources make your search more efficient • NCCMT online module on Searching through Learning Centre 32
  33. 33. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 33 Evidence-Informed Public Health Critically and efficiently appraise the research methods
  34. 34. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended Tools: Appraise 34 Critically Appraising Practice Guidelines: The AGREE II Instrument http://www.nccmt.ca/registry/view/eng/100 Tools to Assess the Methodological Quality of Systematic Reviews: AMSTAR http://www.nccmt.ca/registry/view/eng/97 Critical Appraisal Skills Programme: Checklists http://www.nccmt.ca/resources/search/87 Considering Sex and Gender in Research and Practice http://sgba-resource.ca/en/ http://pwhce.ca/risingToTheChallenge.htm
  35. 35. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Tips for “Appraise” • Appraise is a filtering step, looking for sources of bias • Answers the question: is this research/review of good enough quality that I should read further? • All research has flaws! But some flaws are more serious than others. 35
  36. 36. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Additional Resources • Refer to NCCMT’s online learning modules for additional practice: http://www.nccmt.ca/professional-development/modules • Week-long course at McMaster University: “What is Evidence-Informed Decision Making (EIDM)?” http://ccebn.mcmaster.ca/workshop 36
  37. 37. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 37 Evidence-Informed Public Health Interpret information; understand how to prioritize conflicting results
  38. 38. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended Tool: Synthesize Briefing Note: Decisions, Rationale and Key Findings Summary http://www.nccmt.ca/resources/search/137 Use it to create briefing notes to inform decision- makers. Use ‘actionable messages’ to inform program and policy development. 38
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  40. 40. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Tips for “Synthesize” • Bring good quality evidence together to determine results and implications • If results ‘conflict’, prefer sources that are highest quality, most recent, most relevant to your question • Identify actionable findings that can guide decisions 40
  41. 41. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 41 Evidence-Informed Public Health Adapt the information to the local community
  42. 42. Follow us @nccmt Suivez-nous @ccnmo @centreinfection A Model for Evidence-Informed Decision-Making in Public Health 42
  43. 43. Recommended Tools: Adapt - Applicability and Transferability of Evidence 43 http://www.nccmt.ca/resources/search/227 http://www.nccmt.ca/resources/search/24
  44. 44. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Online Learning Module Assessing the Applicability and Transferability of Evidence 44
  45. 45. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Tips for “Adapt” 45 • In developing a local approach, consider: • Research evidence • Stakeholder perspectives • Media coverage – what’s going on in community • Political context • Local and regional data reports • Financial and human resources • How can you adapt potential interventions to be appropriate for your community?
  46. 46. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 46 Evidence-Informed Public Health Decide whether (and plan how) to implement the change in practice or policy
  47. 47. Recommended Tool: Implement Outreach Planning Checklist Get the app: http://bit.ly/1UfwcrU 47
  48. 48. Follow us @nccmt Suivez-nous @ccnmo @centreinfection 48 Evidence-Informed Public Health Assess the effectiveness of the change in practice or policy
  49. 49. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended Tool: Evaluate Improving Future Decisions: Optimizing the Decision Process from Lessons Learned http://www.nccmt.ca/resources/search/194 Use it to evaluate your use of evidence in making decisions. A reflective practice tool. 49
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  51. 51. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Tips for “Evaluate” Determine how effective you were at using an evidence-informed approach: • What process did you follow? • What can you learn from your process? • How could you improve your use of evidence? • How will you know if people are using the evidence? Have they changed their practice? • Was the intervention adapted effectively at your local level? You may need to gather baseline data before you start if you want to assess change. 51
  52. 52. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Stages in the process of Evidence-Informed Public Health 52
  53. 53. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #4 53 How familiar are you with the methods and tools described today? a) I am not familiar with any of the methods/tools b) I have heard of one or more of the methods/tools c) I have used one or more of the methods/tools
  54. 54. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Recommended tool: Evidence- Informed Decision Making Checklist http://www.nccmt.ca/resources/search/237 54  EIDM Phases & Steps File Path / Link to Saved Location on: (insert name of your network here)  1. Define question  Was a clear answerable search question developed? What was the question? P I C O  2. Search for relevant evidence  Was a comprehensive search strategy employed to find the best available evidence to address this question? PICO search terms table (See: Developing an Efficient Search Strategy Using PICO)  Years searched: Pyramid results (See: Levels & Sources of Public Health Evidence) Search results (See: Keeping Track of Search Results: A Flowchart) References saved in reference management software database (e.g. Reference Manager / RefWorks) What relevance criteria were used to determine evidence for quality assessment: Primary Titles and abstracts as found in reference management database  Save as separate reference management database. Secondary Relevance assessment of full document versions  Save as separate reference management database. How many papers remained following relevance assessment(s)? (See: Flowchart, above)  3. Appraise  Was quality assessment conducted on relevant evidence? How many papers remained after quality assessment? (See: Flowchart, above)  4. Synthesize  What were the results of the review of the evidence? What were the actionable messages from the evidence?  5. Adapt.  NCCMT’s Applicability and Transferability tool;  AHRQ’s Will It Work Here? A Decisionmaker's Guide to Adopting Innovations  6. Implement.  7. Evaluate.
  55. 55. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #5 55 To what extent will the methods or tools described today be useful in your practice? a) Very useful b) Somewhat useful c) Not at all useful d) Don’t know
  56. 56. Follow us @nccmt Suivez-nous @ccnmo @centreinfection • Use Q&A to post comments and/or questions • ‘Send’ questions to All (not privately to ‘Host’) Q&A Your Comments/Questions 56
  57. 57. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Poll Question #6 57 What are your next steps? (Check all that apply) a) Access a method/tool referenced in the presentation b) Read an NCCMT summary about a method/tool described today c) Consider using the methods/tools in practice d) Tell a colleague about the methods/tools
  58. 58. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Availability of the Slides and Audio Recording • The PowerPoint presentation (in English and French) and English audio recording will be available at: • PowerPoint: http://www.slideshare.net/nccmt • Audio Recording: https://www.youtube.com/user/nccmt 58
  59. 59. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Your Feedback is Important Please take a few minutes to share your thoughts on today’s webinar. https://nccmt.co1.qualtrics.com/SE/?SID=SV_8vlZ Fs7Dme2pwm9 59
  60. 60. Follow us @nccmt Suivez-nous @ccnmo @centreinfection Join NCCMT for our next webinar Topic-Specific Methods and Tools to Support Evidence-Informed Decision-Making: Resources for Practitioners Working in Injury Prevention PRESENTER: Susan Snelling, Senior Knowledge Translation Specialist, NCCMT DATE: Wednesday, June 22 2016 TIME: 1:00-2:30 pm https://health-evidence.webex.com/health- evidence/onstage/g.php?MTID=e5709e2b84fb3c8d00298494 074d1b533 Do you work in the injury prevention field? Join us for a webinar to learn about a process for evidence- informed decision-making, and methods and tools that are specific to injury prevention. Remember to share information about this webinar with your colleagues who work in the injury prevention field! 60
  61. 61. Follow us @nccmt Suivez-nous @ccnmo For more information about the National Collaborating Centre for Methods and Tools: 61 NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca For more information about the National Collaborating Centre for Infectious Diseases: www.nccid.ca nccid@umanitoba.ca

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