NCCMT Webinar: Healthy Weights focused Methods and Tools to Support Evidence Informed Decision Making

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Funded by the Public Health Agency of Canada | Affiliated with McMaster UniversityThe views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.

Healthy Weights-Focused Methods and Tools to Support Evidence-Informed Decision-Making

Susan Snelling, PhDSenior Knowledge Translation Specialist

May 26, 2016


Poll Question #1

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a) Just meb) 1 to 3c) 4 to 5d) 6 to 10 e) More than 10


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Housekeeping

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Poll Question #2

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Where are you connecting from today?

a) BCb) ABc) SKd) MBe) ONf) QC

g) NBh) NSi) PEIj) NLk) YKl) NWT

m) NUn) Outside

Canada


Outline of Today’s Webinar

• Introduction to NCCMT

• A model for evidence-informed decision making

• Steps in the process of evidence-informed public health

With reference to methods and tools

relevant for chronic disease

(specifically healthy weight promotion) practitioners that

can be found in the NCCMT Registry of Methods and Tools

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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.

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Follow us @nccmt Suivez-nous @ccnmo 8

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.


Poll Question #3

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What sector are you from?a) Public Health Practitionerb) Health Practitioner (Other)c) Educationd) Researche) Federal/Provincial/Territorial Governmentf) Municipalityg) Non-Governmental Organizationh) Other


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



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What are methods and tools?

A process or series of steps to organize a Knowledge Translation activity

Dissemination framework

MethodAn instrument to carry out the steps of a Knowledge Translation activity

Dissemination checklist

Tool


A Model for Evidence-Informed Decision-Making in Public Health


Stages in the process of

Evidence-Informed Public Health


Scenario: Setting the Stage for Evidence Use• Working on healthy weights promotion focused

on children• Concern about weight stigma and weight bias• Opportunity to work with early childhood

education settings

How can the steps of Evidence-Informed Public Health be applied to this scenario?



Clearly define the question or problem


Define the question

PICOP populationI interventionC comparisonO outcome


Frameworks can help when defining the question

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http://www.aacorn.org/AbouComm-2517.html



Define the question: Apply our scenario

PICOP population: children 0-5 years in ECE

settingI intervention: intended to improve

healthy weight, diet, physical activityC comparison: no intervention or usual

careO outcome: change in BMI, eating habits,

or physical activity


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.

http://www.healthevidence.org/practice-tools.aspx#PT2





Efficiently search for research evidence


Recommended Tool: Search

NCCMT Search Pyramidshttp://www.nccmt.ca/resources/search/181 http://www.nccmt.ca/learningcentre/EN/index.php

• Pre-populated with good sites for finding evidence related to ‘healthy habits’ for adults and for children.

• Start at the top for the most synthesized evidence.• Saves time• Systematic approach to searching

http://www.nccmt.ca/resources/search/181

http://www.nccmt.ca/learningcentre/EN/index.php

http://www.nccmt.ca/learningcentre/EN/index.php




National Guideline Clearinghouse

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Recommended Tool: Searchwww.healthevidence.org

http://www.healthevidence.org/

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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



Critically and efficiently appraise the research methods


Recommended Tools: AppraiseCritically Appraising Practice Guidelines: The AGREE II Instrumenthttp://www.nccmt.ca/registry/view/eng/100

Tools to Assess the Methodological Quality of Systematic Reviews: AMSTARhttp://www.nccmt.ca/registry/view/eng/97

Critical Appraisal Skills Programme: Checklistshttp://www.nccmt.ca/resources/search/87

http://www.nccmt.ca/registry/view/eng/100.html

http://www.nccmt.ca/registry/view/eng/97.html




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.


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.html

http://www.nccmt.ca/professional-development/modules

http://www.nccmt.ca/professional-development/modules

http://ccebn.mcmaster.ca/workshop.html

http://ccebn.mcmaster.ca/workshop.html



Interpret information; understand how to prioritize

conflicting results


Recommended Tool: Synthesize

Briefing Note: Decisions, Rationale and Key Findings Summary


Use it to create briefing notes to inform decision-makers. Use ‘actionable messages’ to inform program and policy development.




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



Adapt the information to the local community


A Model for Evidence-Informed Decision-Making in Public Health


Frameworks can help when adapting

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Recommended Tools: Adapt- Applicability and Transferability of Evidence











Online Learning ModuleAssessing the Applicability and Transferability of Evidence


Tips for “Adapt”

• 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?



Decide whether (and plan how) to implement

the change in practice or policy



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Recommended Tool: Implement






Assess the effectiveness of the change in practice or policy


Recommended Tool: Evaluate

Improving Future Decisions: Optimizing the Decision Process from Lessons Learned


Use it to evaluate your use of evidence in making decisions.

A reflective practice tool.



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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.





Poll Question #4

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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


Poll Question #5

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In your experience, which step in Evidence-Informed Public Health is the most challenging to do well?

a) Defineb) Searchc) Appraised) Synthesize

e) Adaptf) Implement g) Evaluate


Poll Question #6

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To what extent will the methods or tools described today be useful in your practice?

a) Very usefulb) Somewhat useful c) Not at all usefuld) Don’t know


Poll Question #7

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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


• Use Q&A to post comments and/or questions

• ‘Send’ questions to All (not privately to ‘Host’)

Q&A

Your Comments/Questions


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

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http://www.slideshare.net/nccmt

https://www.youtube.com/user/nccmt

https://www.youtube.com/user/nccmt


Join NCCMT for our next webinarNCCMT Spotlight on Methods & Tools:

Equity-Integrated Population Health Status Reporting Action Framework

Presenters: Lesley Dyck, Knowledge Translation Specialist, NCCDH & Susan Snelling, Senior Knowledge Translation Specialist, NCCMT DATE: Tuesday, June 7, 2016TIME: 1:00-2:30 pmhttps://health-evidence.webex.com/health-evidence/onstage/g.php?MTID=eddc558722a11817e6f8d01502ef27d83Interested in sharing best practices within your organization?Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? Join us for a webinar to learn how the Equity-Integrated Population Health Status Reporting Action Framework can help you.


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For more information about the National Collaborating Centre for Methods and Tools:

NCCMT website www.nccmt.caContact: [email protected]

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NCCMT Webinar: Healthy Weights focused Methods and Tools to Support Evidence Informed Decision Making