health evidence: a canadian resource for facilitating evidence-informed public health decision...
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CHNET-Works! Fireside Chat, February 11, 2010TRANSCRIPT
Welcome to Fireside Chats
Health Evidence: A Canadian resource for facilitating evidence-informed public health decision making
Thursday, 11February 2010, 01:00 PM — 02:30 PM (Eastern Time)
Advisors on Tap:Maureen Dobbins RN, PhD
Associate Professor, McMaster University School of NursingPaula Robeson, RN MScN
CHNET-Works! Hosts weekly Fireside ChatsPopulation Health Improvement Research Network, University of Ottawa
www.chnet-works.ca
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Advisors on Tap• Maureen Dobbins RN, PhD
Associate Professor, McMaster University School of NursingCareer scientist of the Ontario Ministry of Health and Long-Term Care.
• Her research is focused on understanding knowledge translation and exchange among public health decision makers in Canada.
– identification of barriers and facilitators to research utilization;
– understanding the information needs of public health decision makers at the local, provincial and federal level; evaluating the use of systematic reviews in provincial policies;
– exploring where research evidence fits into the decision-making process; evaluating the impact of knowledge transfer strategies,
– exploring knowledge brokering in public health units in Ontario.
• Paula Robeson, RN MScNKnowledge Broker with Health Evidence,
• Paula’s role involves tailored approaches to individual and organizational capacity development for evidence-informed public health decision making.
• Health Evidence: offers a suite of resources and services to Canadian public health decision makers.
Today’s chat..
In collaboration with Health-Evidence.ca ....
• Real practice-based issues to illustrate how health-evidence promotes quick and easy access to public health effectiveness evidence
• A demonstration of how to navigate the site and content
• How health-evidence.ca has helped local public health units with their decision making in practical ways
• Answer questions about how to use review evidence in decision making, from searching to interpretation
Health EvidenceA Canadian resource for facilitating
evidence-informed public health decision making
Maureen Dobbins RN, PhD
& the Health Evidence team
Our Funders
February 11, 2010 Fireside Chat
Why health-evidence.ca?
• Saves time
• Filtered, quality-rated, searchable
• Summarizes key findings and draws practical implications
February 11, 2010 Fireside Chat
Search Strategy
• Electronic search of 7 online databases: MEDLINE, EMBASE, CINAHL, PsycINFO, Sociological Abstracts, SPORTDiscus and BIOSIS
• Handsearching of >20 main journals
• Reference lists
February 11, 2010 Fireside Chat
Transparent Process
Relevance tool
Keywording tool
Quality assessment tool & dictionary
Summary statement template
February 11, 2010 Fireside Chat
We do the quality assessment for you…
February 11, 2010 Fireside Chat
Help links to quality assessment dictionary
Succinct, practical summaries
February 11, 2010 Fireside Chat
Page one: context
February 11, 2010 Fireside Chat
Page two: results and what they mean
Searching health-evidence.ca
February 11, 2010 Fireside Chat
Features available
February 11, 2010 Fireside Chat
Access your saved searches
Filter results sets
Submit free-text searches
Features available
February 11, 2010 Fireside Chat
Submit keyword searches by selecting •Focus of Review•Review Type•Population Characteristics•Intervention Location•Intervention Strategies
AND, OR, NOT Search Options
February 11, 2010 Fireside Chat
Modify keywordsearch strategy by changing Boolean operators
Enhanced Free Text Searching
February 11, 2010 Fireside Chat
Expand searches by including related terms
What your results will look like
February 11, 2010 Fireside Chat
Print results
Sort results by column headings
Identify reviews with summary statements
Saving Searches
• Save up to 50 searches to a user account
February 11, 2010 Fireside Chat
Linking to Full Text Articles
February 11, 2010 Fireside Chat
Full text links available for:• 607 free access
journal articles • 335 Cochrane articles
Info on organizational subscriptions are available via PubMed LinkOut links for all reviews published in peer-reviewed journals
See ‘Related Links’ section in article display
Additional Resources
• Tools to support EIDM– Practical tools to help you use research evidence in
decision making
• Workshops & Educational Opportunities
• Evidence Related to CD Prevention
• Links to resources to support EIDM
February 11, 2010 Fireside Chat
Searching on health-evidence.caExample 1
• I am interested in program planning around infant feeding – where do I go from here?
sample health-evidence.ca user inquiry
February 11, 2010 Fireside Chat
Searching on health-evidence.ca
STEP 1: Develop a clear question
• Population
• Intervention
• Comparison/Control
• Outcomes (PICO)
February 11, 2010 Fireside Chat
Searching on health-evidence.ca
For example:• Population: Infants
• Intervention: Infant feeding methods
• Comparison/Control: Not applicable in this case
• Outcomes: Growth & development
Question: What is the effectiveness of different infant feeding programs on infant growth and development?
February 11, 2010 Fireside Chat
Searching on health-evidence.ca
STEP 2: Search using the keyword tree:
• Focus of Review – Nutrition – Parenting, Infants and Children
• Population Characteristics – Age Groups
• Infants (0-1)
February 11, 2010 Fireside Chat
65 results
Searching on health-evidence.ca
STEP 3: Filter results set
– Limit to ‘strong’ results (41 results)
– Limit to specific publication dates
– Further narrow search strategy
February 11, 2010 Fireside Chat
February 11, 2010 Fireside Chat
Finding a Summary Statement
You can limit your search for results with summary statements
Link to English & French summaries in ‘Summary Statements’ section of article display
• How do I find review literature on mould in schools?
sample health-evidence.ca user request
February 11, 2010 Fireside Chat
Searching on health-evidence.caExample 2
Searching on health-evidence.ca
STEP 1: Develop a clear question
• Population: school-aged children & school staff
• Intervention: this is what we are seeking
• Comparison/Control group: usual practice
• Outcomes: mould reduction
Question: What interventions are effective in reducing mould in schools?
February 11, 2010 Fireside Chat
Searching on health-evidence.ca
STEP 2: Search using the keyword tree• Focus of Review
– Environmental Health• Mould
– Intervention Location• School
February 11, 2010 Fireside Chat
Search returned 0 results
Searching on health-evidence.ca
February 11, 2010 Fireside Chat
STEP 3: Refine search strategy
Broaden search. Remove parameter ‘intervention location = school’ to retrieve all possible reviews pertaining to mould
Search returned 1 result
Searching on health-evidence.ca
STEP 3: Refine search strategy (continued)
• Expand search to include single studies – Search health databases,
– Use other available evidence databases / search engines:• NurseONE www.nurseone-inf-fusion.ca
• PEN – Practice-based Evidence in Nutrition www.dieteticsatwork.com/pen
• Cochrane Library www.thecochranelibrary.com/
• PubMed www.ncbi.nlm.nih.gov
Information on provincial initiatives available from health-evidence.ca
February 11, 2010 Fireside Chat
Other Health Evidence Services
Facilitated Evidence Review
Literature Searching & Instruction
Mentoring & Brokering Support
February 11, 2010 Fireside Chat
Maureen Dobbins, Director• Tel: 905 525-9140 ext 22481• E-mail: [email protected]
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
Kathryn SpoelstraResearch Assistant
The Health Evidence Team
Questions?
Thanks for joining in!
For more information about CHNET-Works! and future Fireside Chats
www.chnet-works.ca