follow us @nccmt suivez-nous @ccnmo how to integrate evidence into practice and policy: knowledge...
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How to integrate evidence into practice and policy: Knowledge translation resources for practitioners with limited time and resources
Maureen Dobbins, PhD CPHAMay 28, 2014
Funded by the Public Health Agency of Canada | Affiliated with McMaster University
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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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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.
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A Model for Evidence-Informed Decision-Making in Public Health
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Stages in the process of
Evidence-Informed Public Health
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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
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Try the Registry of Methods and Tools
Resources to support use of research evidence in public health
o http://www.nccmt.ca/registry/about-eng.html
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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Evidence-Informed Public Health
Clearly define the question or problem
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Define the question
PICO
P population
I intervention
C comparison
O outcome
(T) time
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Recommended Tool
Health-evidence.ca (2009)• Developing an Efficient Search Strategy Using PICO
http://www.healthevidence.org/practice-tools.aspx#PT2
Try it: Develop an evidence-search question using the PICO format
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New Registry Tool
Cooke, A., Smith, D. & Booth, A. (2012)• Beyond PICO: the SPIDER tool for qualitative
evidence synthesis
http://www.ncbi.nlm.nih.gov/pubmed/22829486
Try it: Develop effective search strategies of qualitative and mixed-methods research
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SPIDER: Spinning a Web for Retrieval
Cooke A et al. Qual Health Res 2012;22:1435-1443
Copyright © by SAGE Publications
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Small Group:
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Stages in the process of
Evidence-Informed Public Health
Efficiently search for research evidence
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New Registry Tool
National Collaborating Centre for Methods and Tools (2013)
• Search Pyramids
http://www.nccmt.ca/learningcentre/index.php#main2.html
Try it: Quickly find high quality research evidence on different public health topics
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Evidence-Informed Public Health
Critically and efficiently appraise the research methods
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Recommended ToolsCritically Appraising Practice Guidelines: The AGREE II Instrument
http://www.nccmt.ca/registry/view/eng/100.html
Tools to Assess the Methodological Quality of Systematic Reviews: AMSTAR
http://www.nccmt.ca/registry/view/eng/97.html
Critical Appraisal Skills Programme: Checklists
http://www.casp-uk.net/
Free, downloadable checklists for:• Randomised Controlled Trials• Systematic Reviews• Cohort Studies• Case-Control Studies• Qualitative Studies• Economic Evaluations• Diagnostic Studies• Clinical Prediction Rules
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New Registry Tool
Pluye et al. (2011)• Mixed Methods Appraisal Tool
http://mixedmethodsappraisaltoolpublic.pbworks.com/w/page/24607821/FrontPage
Try it: Appraise the quality of reviews that include quantitative and qualitative and/or mixed methods evidence
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Small Group:
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Additional Resources
• Refer to NCCMT’s online learning modules for additional practice: • http://www.nccmt.ca/modules/index-eng.html
• Week-long course at McMaster University: “What is Evidence-Informed Decision Making (EIDM)?”
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Evidence-Informed Public Health
Interpret information; understand how to prioritize
conflicting results
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New Multimedia ResourceRelative Risk: it’s easy to calculate and interpret
o http://www.nccmt.ca/resources/multimedia-eng.html
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New Registry Tool
Institute for Work & Health (2013)• What Researchers Mean By…
http://mixedmethodsappraisaltoolpublic.pbworks.com/w/page/24607821/FrontPage
Try it: Interpret research evidence to inform program and policy development
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https://www.iwh.on.ca/what-researchers-mean-by
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A Model for Evidence-Informed Decision-Making in Public Health
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www.nccmt.ca/registry/view/eng/24.html
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New Online Learning ModuleAssessing the Applicability and Transferability of Evidence
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Evidence-Informed Public Health
Decide whether (and plan how) to implement
the change in practice or policy
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Recommended Tool
Scientist Knowledge Translation Planning TemplateTM
• Barwick (2013) Scientist Knowledge Translation Planning TemplateTM
http://melaniebarwick.com/document/KT-Template.pdf
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Small Group:
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Evidence-Informed Public Health
Assess the effectiveness of the change in practice or policy
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New Registry Tool
Registered Nurses' Association of Ontario. (2012). Toolkit: Implementation of Best Practice Guidelines (2nd ed.)
• http://rnao.ca/sites/rnao-ca/files/RNAO_ToolKit_2012_rev4_FA.pdf
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New Registry Tool
Health-evidence.ca. (2009). Improving Future Decisions: Optimizing the Decision Process from Lessons Learned
• http://www.healthevidence.org/practice-tools.aspx#PT7
Try it: Identify strengths and gaps in decision making processes at the team or organizational level
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New Online Learning Modules
Implementing KT Strategies in Public Health
Evaluating KT Strategies in Public Health
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For more information about the National Collaborating Centre for Methods and Tools:
NCCMT website www.nccmt.ca
Contact: [email protected]
4747
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We’re evaluating our videos at CPHA!
You’re invited! Where: Rosedale Room, 4th Floor
When: Wednesday, May 28th all day Sessions will run every half hour from 8:30 am to 4:30 pm.
Participation will take approximately 15 minutes.
All participants will be entered in a draw to win a $50 gift card!