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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

Follow us @nccmt Suivez-nous @ccnmo 2

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


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.


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


Stages in the process of

Evidence-Informed Public Health


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


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

http://www.nccmt.ca/registry/about-eng.html

http://www.nccmt.ca/registry/about-eng.html



Clearly define the question or problem


Define the question

PICO

P population

I intervention

C comparison

O outcome

(T) time


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



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



SPIDER: Spinning a Web for Retrieval

Cooke A et al. Qual Health Res 2012;22:1435-1443

Copyright © by SAGE Publications


Small Group:


Stages in the process of


Efficiently search for research evidence


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

http://www.nccmt.ca/learningcentre/index.php#main2.html

Recommended tool: www.Healthevidence.org

20

http://www.healthevidence.org/



Critically and efficiently appraise the research methods


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


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









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





Small Group:


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)?”

http://www.nccmt.ca/modules/index-eng.html



Interpret information; understand how to prioritize

conflicting results


New Multimedia ResourceRelative Risk: it’s easy to calculate and interpret

o http://www.nccmt.ca/resources/multimedia-eng.html

http://www.nccmt.ca/resources/multimedia-eng.html

http://www.nccmt.ca/resources/multimedia-eng.html


New Registry Tool

Institute for Work & Health (2013)• What Researchers Mean By…


Try it: Interpret research evidence to inform program and policy development




https://www.iwh.on.ca/what-researchers-mean-by





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

www.nccmt.ca/registry/view/eng/24.html


New Online Learning ModuleAssessing the Applicability and Transferability of Evidence



Decide whether (and plan how) to implement

the change in practice or policy


Recommended Tool

Scientist Knowledge Translation Planning TemplateTM

• Barwick (2013) Scientist Knowledge Translation Planning TemplateTM

http://melaniebarwick.com/document/KT-Template.pdf




Small Group:



Assess the effectiveness of the change in practice or policy


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

http://rnao.ca/sites/rnao-ca/files/RNAO_ToolKit_2012_rev4_FA.pdf

http://rnao.ca/sites/rnao-ca/files/RNAO_ToolKit_2012_rev4_FA.pdf


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





New Online Learning Modules

Implementing KT Strategies in Public Health

Evaluating KT Strategies in Public Health


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

NCCMT website www.nccmt.ca

Contact: [email protected]

4747

http://www.nccmt.ca/

mailto:[email protected]


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!

follow us @nccmt suivez-nous @ccnmo how to integrate evidence into practice and policy: knowledge...

Documents

evidenceinformed practice

adapting evidence

public health policy

incorporate research

best available evidence

nccmt suiveznous

critical appraisal of

high quality evidence