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

health-evidence.caCollaborative capacity

development workshops to promote local evidence-

informed decision makingKara DeCorby

Maureen DobbinsLori Greco

Paula Robeson

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

Maureen Dobbins Director

Paula RobesonKnowledge Broker

Heather Husson Project Manager• Tel: (905) 525-9140 ext. 20462• E-mail: hhusson@health-evidence.ca

Kara DeCorby, Project Coordinator• Tel: (905) 525-9140 ext. 20461• E-mail: kdecorby@health-evidence.ca

Lori GrecoKnowledge Broker

Daiva TirilisResearch Assistant

Lyndsey McRaeResearch Assistant

Robyn TraynorResearch Assistant / Coordinator

Who are we?

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 usersElectronic tailored messages sent to registered users quarterly

www.health-evidence.ca

ASSESSMENTSPROFESSIONAL DEVELOPMENT

& EDUCATION CUSTOMIZED SUPPORT& CONSULTATION

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

ObjectiveTo 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 policy

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Planning

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Initially aimed at Fall 2009Delivered April – May 2010Prototype curriculum customized for each set of health units137 staff from 16 health units in Ontario

Host Health Units

Chatham-Kent Public Health

Sudbury District Health Unit

Haliburton, Kawartha, Pine Ridge

District Health Unit

Wellington Dufferin Guelph Health Unit

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Workshop Goals

What is EIDM? Why do EIDM?

Anatomy of a systematic review

Finding good evidence (sources, searching)

Critical appraisal of review

Applying evidence locally

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

A Model for EIDM in Public Health

EIDM Process

Define the question

Search for evidence

Appraise the quality

Interpret

Assess applicability

Decision

Define the Research Question

Define the questionPopulation (or situation)

Intervention (or exposure)

Comparison (or group)

Outcome(s)

Time (when or how quickly)

Example ScenarioYou are are on the school health team in a public health unit and the lead contact with a local school board. A board program to require school-based daily physical activity is being implemented and the board has asked you to help make the case for daily physical activity to support their presentation to principals, teachers and parents. You are aware that obesity among children is a health issue in your jurisdiction. You would like to find out and advise the board about whether the new physical activity levels will be more effective in preventing/ decreasing obesity compared to physical activity currently implemented in schools.

Search for Research EvidenceSearch 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 Searches

Free-text search box

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Enhancing Free Text Searches

Expand searches by including related terms

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Keyword Searches

February 11, 2010 Fireside Chat

Submit keyword searches by selecting •Focus of Review•Review Type•Population Characteristics•Intervention Location•Intervention Strategies

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Critical Appraisal

Quality checklist:

Good research question Comprehensive searchStudy selectionMeta-analysis or data synthesisData and conclusions

Appraise the quality - systematic review

Interpret the evidence

What are the main conclusions?What are the actionable messages?How reliable are these based on quality?How well do they match my context?

Interpret

Applying the Evidence

What about my context should I considerin developing actionable strategies?

ApplicabilityPoliticalSocialResourcesExpertise

Assess applicability

Transferability Magnitude of the issueReach and cost-effectivenessTarget population characteristics

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 evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

What was the most important/useful thing learned?

Tools and resources

PICO

Searching

Critical appraisal

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

What will you take away to work on further?

Health-evidence.ca

A&T tool

Framework for searchable questions

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

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

participants

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Suggestions for improvement?

Longer session

More definition of terms

More discussion of challenges to

application in practice

Offer homework to prepare

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Thank you to health unit staff:Cathy Bennett, Melissa Brown, & Laura Zetler - Chatham-Kent

Public HealthIsabelle Michel, Susan Snelling, Vicky Schwartz, & Claire

Warren - Sudbury District HUElizabeth Dickson & Anne Marie Holt – Haliburton Kawartha

Pine Ridge District HUJennifer McLeod & Andrea Roberts –Wellington Dufferin

Guelph Public Health

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

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 Muskoka

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

health-evidence.ca: A Canadian resource facilitating access and use of review-level evidence 9th Annual Cochrane Canada Symposium, February 17, 2011

Questions? Contact us!