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Translating research into policy and practice:
An exploratory study of Neglected Tropical Diseases (NTD)
recommendations i...
• Translating research into policy and practice is a complex process that spans over the
generation of scientific evidence...
• Do publications of Brazilian researchers on neglected
tropical diseases (NTD) report evidence for action? Is
it measurab...
Objective
• Develop a method to evaluate the report of evidence
in NTD by Brazilian researchers, regarding the type of
res...
National research output Scopus &
Scielo 2012-2016
Chagas disease
(275 articles)
“Implications” to research,
public health...
Methodology
Abstract screening
Prescriptive
Language
Tentative
Language
Minimal Advice Audience Specified
should,
must,
re...
Results
National research output - Chagas disease
271 publications with at least one
author affiliated to a Brazilian
inst...
Results
Publications presenting recommendations in the
Abstracts Recommendations to
Public Health and Practice
were less f...
• Among 271 Brazilian publications on Chagas disease, 48,9% of publications abstracts
contained some Implications messages...
• The subsets of words were found in 41,2% of 272 abstracts. The presence of prescriptive
language was present in 84% of p...
Results
• The author’s editorial choices to
disseminate and inform
recommendations were most
frequently specialized Brazil...
Title Year Journal Message
Autochthonous transmission of Chagas
disease in Rio de Janeiro State, Brazil: a clinical
and ec...
• In this pilot test, the screening method proved to be an efficient tool to identify
and recover recommendation messages ...
Acknowledgments
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Translating research into policy and practice: An exploratory study of Neglected Tropical Diseases (NTD) recommendations in Brazilian scientific publications

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Pôster apresentado no CRICS10, no eixo temático de Políticas, estratégias e decisões informadas por evidências

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Translating research into policy and practice: An exploratory study of Neglected Tropical Diseases (NTD) recommendations in Brazilian scientific publications

  1. 1. Translating research into policy and practice: An exploratory study of Neglected Tropical Diseases (NTD) recommendations in Brazilian scientific publications Authors: Bruna Fonseca Fabio Zicker Priscila Albuquerque
  2. 2. • Translating research into policy and practice is a complex process that spans over the generation of scientific evidence up to the identification of its possible use as information for policy, decision-making and action. • There is a large gap between the volume of knowledge generated through research and its real use in providing appropriate insights and guidance to health managers, policy makers and general practice. • Therefore, accessing clear messages on quality and well-structured abstracts through a validated methodology, should provide evidence on the potential use of these recommendations for action. Background Adapted from ahuri.edu.au
  3. 3. • Do publications of Brazilian researchers on neglected tropical diseases (NTD) report evidence for action? Is it measurable? Proposition
  4. 4. Objective • Develop a method to evaluate the report of evidence in NTD by Brazilian researchers, regarding the type of research, editorial choice and message directed to action and / or recommendation.
  5. 5. National research output Scopus & Scielo 2012-2016 Chagas disease (275 articles) “Implications” to research, public health or for practice Integration of databases, duplicate cleanup and data processing was done using the VantagePoint® data-mining software. (271 articles) “Actionable messages” NTD research output, involving Brazilian authors, categorized according to the type of research conducted Methodology The publications were retrieved in PubMed using the PubMed ID (PMID) number obtained from Scopus and were categorized based on MeSH. PubMed coverage of Scopus publications ranged from 85%. The identification of national research output was based on articles with at least one author affiliation to a Brazilian institution. Abstract screening based on a set of words
  6. 6. Methodology Abstract screening Prescriptive Language Tentative Language Minimal Advice Audience Specified should, must, recommend may, speculate, potentially, suggest consider, inform physician, nurse, technician, veterinary, clinician The messages were classified as: • “Actionable messages” if they were action-oriented and specified the actor and/or the target; • “Implications to research, public health or for practice” if no actionable message was clearly stated but a need for action was identified.
  7. 7. Results National research output - Chagas disease 271 publications with at least one author affiliated to a Brazilian institution (2012-2016) Type of research Type of message Practice Public Health Research
  8. 8. Results Publications presenting recommendations in the Abstracts Recommendations to Public Health and Practice were less frequent in Basic Science publications
  9. 9. • Among 271 Brazilian publications on Chagas disease, 48,9% of publications abstracts contained some Implications messages (22,8% of publications related to research, 18,8% to practice and 7,4 to public health). • Actionable messages were retrieved in 10% of Chagas disease abstracts, 7% of them presenting actionable messages focused on public health. • Actionable messages in the abstracts were more frequently when the topic of the publication focused on Health Policy and Systems Research (messages related to public health-14,3%) and implications messages were frequently found in Clinical Research type publications (practice - 27,1%). Results Proportion of publications presenting recommendations in the Abstracts
  10. 10. • The subsets of words were found in 41,2% of 272 abstracts. The presence of prescriptive language was present in 84% of public health actionable messages, while 81% of implications for research messages presented tentative language. The presence of this set of words in the abstracts, proved to be an efficient tool to identify and recovery recommendation messages in the abstracts, with a discriminatory specificity varying from 50 to 84%. Results Prescriptive & Tentative languages Research Public Health Practice Implication Actionable Message Implication Actionable Message Implication Actionable Message Subset of words 0,81 0 0,50 0,84 0,61 0,56 No subset 0,19 0 0,50 0,16 0,39 0,44
  11. 11. Results • The author’s editorial choices to disseminate and inform recommendations were most frequently specialized Brazilian society journals indexed abroad, reporting recommendations to public health and practice. • The Journal of the Institute of Tropical Medicine of São Paulo (14,3% of publications containing recommendations) was the most frequently journal chosen among Brazilian authors on Chagas disease output.
  12. 12. Title Year Journal Message Autochthonous transmission of Chagas disease in Rio de Janeiro State, Brazil: a clinical and eco-epidemiological study. 2015 BMC Infect Dis The autochthonous vectorial transmission of CD occurs in RJ, probably due to wild cycles of T. cruzi and sylvatic vectors, such as T. vitticeps. Therefore, the health authorities should evaluate if RJ should be included in the original endemic area of CD and CD should be included in the diagnostic work out of cardiomyopathy of patients born in RJ. Moreover, control and educational measures should be put into place in the risk areas. Mortality due to Chagas disease in Brazil according to a specific cause. 2014 Am J Trop Med Hyg The mortality rate caused by a compromised digestive tract increased in all regions. Despite the control of transmission by vector and blood transfusions, CD should remain on the list of priority diseases for the public health service in Brazil, and surveillance actions cannot be interrupted. Surveillance, health promotion and control of Chagas disease in the Amazon Region - Medical attention in the Brazilian Amazon Region: a proposal 2015 Mem Inst Oswaldo Cruz We recommend that epidemiological surveillance of Chagas disease in the Brazilian Amazon Region and Pan-Amazon region should be implemented through continuous monitoring of the human population that lives in the area, their housing, the environment and the presence of triatomines. The monitoring should be performed with periodic seroepidemiological surveys, semi-annual visits to homes by health agents and the training of malaria microscopists and healthcare technicians to identify Trypanosoma cruzi from patients’ samples and T. cruzi infection rates among the triatomines caught. We recommend health promotion and control of Chagas disease through public health policies, especially through sanitary education regarding the risk factors for Chagas disease. Finally, we propose a healthcare system through base hospitals, intermediate-level units in the areas of the Brazilian Amazon Region and air transportation, considering the distances to be covered for medical care. Examples of Actionable messages for Public Health
  13. 13. • In this pilot test, the screening method proved to be an efficient tool to identify and recover recommendation messages in the abstracts. • Stating recommendations for action as directly, unambiguously and consistently as possible could be helpful in translating results into the most appropriate actions. • This method to recovery recommendations will be applied to the others priorities NTD (Dengue, Hanseniasis, Leishmaniasis, Malaria, Schistosomiasis, Tuberculosis), established by the Ministry of Health (MoH), to validate this recommendation recovery method. • As future perspectives, the use of Natural Language Processing (NLP) should be applied as a tool to automate the search process and messages and recommendations clusterization. Conclusions
  14. 14. Acknowledgments

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