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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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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: [email protected]
Kara DeCorby, Project Coordinator• Tel: (905) 525-9140 ext. 20461• E-mail: [email protected]
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!
