Introduction: What Do We Mean by “Evidence-Based?” Insert your name, title, and organization in the box provided.

Activity 1: Let’s Get To Know Each Other What is your name? Where are you from? Who do you work for? Share one interesting fact about yourself. You can modify this icebreaker with different questions. For example, if the participants all work for a single organization, you may modify the second question to ask what department individuals work for. You can also add questions such as: What motivates you? Depending on the size of the group, have participants introduce themselves at their tables or to the entire group. Ask participants to stand up (if introducing themselves to the entire group) or go around the table and say who they are, where they are from, who they work for, and perhaps something that people would be interested to learn about them or how they became involved in the program.

Objectives Be familiar with fellow module participants. Understand what evidence-based means, what evidence-based programs are, and why they are important to use in health interventions. Be familiar with the structure of the tutorial.

What do you think of when you hear the term “evidence-based”? Question What do you think of when you hear the term “evidence-based”? Ask participants to take 1–2 minutes to write down their responses to this question. Follow up by asking for volunteers to share their responses. Afterwards, post the definition. Tell the group that they will learn more about evaluation in module 5. If you are not planning on doing module 5, refer them to the appropriate handouts. The group will also learn about information collection in Module 2: Environmental Scan, also known as Getting To Know Your Audience Better. Most available evidence-based programs have been shown to be effective in the populations and settings in which they were studied. Adopting or adapting a research-tested intervention program is more successful than creating a new program for the same population delivered in the same setting. Evidence-based programs are also more cost effective. They shorten the development process and duration, reduce the formative research needed, and help narrow evaluation procedures.

Answer An evidence-based program has been: Implemented with a group Evaluated Found to be effective.

What Is Evidence? Surveillance Data Systematic Reviews of Multiple Intervention Studies An Intervention Research Study Program Evaluation Word of Mouth Personal Experience OBJECTIVE SUBJECTIVE

Why the Fuss? More Federal funders are requiring program planners to use evidence-based programs. Some consider evidence that is proven through research (explicit). Some consider evidence that is derived from experience or practice (tacit). The best evidence may be a combination of research and practice.

Your Experience What has your experience been with evidence-based programs? Where have you heard of them before? Have any of you used these programs in the past?

Advantages to Evidence-Based Programs What are advantages to evidence-based programs? Effective in the study populations Cost effective Shorten the time it takes to develop a program Reduce the time it takes to research a community Help narrow the evaluation.

Evidence-Based Program Barriers Using evidence-based programs limits my creativity. Evidence-based programs take too much time and/or money. Regarding the second barrier, time and money: You will learn how to pick an evidence-based program that fits within your budget and manpower in Module 3: Finding an Evidence-Based Program. If you are not planning on doing module 3, refer the group to the instruction and handouts to review at their leisure.

Evidence-Based Program Barriers, cont. Evidence-based programs are too scientific. My community is unique. An evidence-based program will not be as appropriate as if I developed the program myself. In response to concerns that evidence-based programs are too scientific: You will learn the basics on how to evaluate your adapted evidence-based program in module 5. If you do not plan to conduct the evaluation portion of the module, direct the group to the instructions and handouts from this section.

Evidence-Based Program Barriers, cont. I do not know what evidence-based programs are or where to find them.

Level 1 Programs Funded by peer-reviewed grant Published in peer-reviewed journal Part of systematic review Strategies from Community Guide See Handout #2: Evidence-Based Practice

Level 2 Programs Funded by peer-reviewed grant Published in peer-reviewed journal Part of systematic review Strategies from systematic reviews but NOT Community Guide

Level 2 Programs Published in peer-reviewed journal but NOT funded by peer-reviewed grant Part of a systematic review Strategies from Community Guide

Level 3 Programs Published in a peer-reviewed journal but NOT funded by a peer-reviewed grant Part of a systematic review Strategies from systematic reviews but NOT by Community Guide

Level 4 Programs Funded by peer-reviewed grant Published in a peer-reviewed journal Strategies from single study but NOT in systematic review

Level 5 Programs Published in a peer-reviewed journal but NOT funded by peer-reviewed grant Strategies from single study but NOT part of systematic review

Terminology Theory-based Best practices Evidence-based Research-tested See Handout #3: Important Terminology

Activity: Tutorial Expectations Please write down one or two things that you would like to learn during our time together. How could you use this information for your health program? Ask the group to take out a piece of paper for the expectations exercise. Give them 1–2 minutes to answer the two questions. Afterwards instruct them to hold onto this paper to review after completing all of the modules in the tutorial. This activity will help us determine whether or not we are fulfilling the participants’ needs.

Adaptation Tutorial Structure Five modules Each module includes: Lecture Handouts Group/individual activities A case study. Modify this slide to reflect what modules you are going to implement with the group.

Questions?