1 Workshop/Breakout Title Workshop/Breakout Speaker(s) Identifying Evidence-Based Resources in Public Health Sharon Telleen, Ph.D. Hathy Simpson, MPH

2 Identifying Evidence-Based Practices in Public Health  Sharon Telleen, Ph.D., Research Associate Professor, University of Illinois at Chicago.  Hatheway Simpson, MPH, Public Health Project Coordinator, University of Massachusetts Medical School Library.

3 Evidence-Based Practice for Public Health Project Partners in Information Access for the Public Health Workforce Project

4 Evidence-Based Practice for Public Health Project Lamar Soutter Library University of Massachusetts Medical School Funded by the Centers for Disease Control and Prevention and the Association of Teachers of Preventive Medicine

5 National Library of Medicine Regional Medical Library  National Network of Libraries of Medicine, New England Region Maple Avenue, Shrewsbury, MA  University of Massachusetts Medical School 55 Lake Avenue, Worcester, MA

6 Objectives  Overview of evidence-based public health resources  Identify one portal access  Develop a search pathway

7  “the conscientious, explicit, and judicious use of current best evidence in making decisions about  the care of communities and populations in the domain of health protection, disease prevention, health maintenance and improvement.” Source: Jenicek M. Epidemiology, evidenced-based medicine, and evidence-based public health. J Epidemiol. Dec 1997;7(4): Evidence-Based + Public Health

8 Public Health: Health of Populations Clinical Medicine: Health of Individuals

9 The Public Health Workforce Epidemiologists Statisticians Environmental Engineers Animal Control Officers Sanitarians Food Scientists Industrial Hygienists Health Care Administrators Health Economists Politicians Social Workers Mental Health Workers Substance Abuse Counselors Doctors Nurses Teachers Disaster Relief Workers Nutritionists Lab Technicians Librarians

10 General Public Health Epidemiology Biostatistics Vital Statistics & Surveillance Environmental Health Occupational Health Health Services Administration Social & Behavioral Sciences Health Promotion & Education Community Health Maternal & Child Health Public Health Nursing Disaster Control & Emergency Services Communicable Diseases HIV/AIDS Nutrition Chronic Diseases Public Health Laboratory Sciences Public Health Informatics Global Health Identified Knowledge Domains Public Health

11 Why EBPH?  Need credible filtered information to make informed decisions.  Research evidence is valued.  So much information, too little time!

12 Evidence for Public Health Practice and Policy Decisions  “I make a lot of decisions about how money is going to be spent, and I would like to always be able to back it up and say that this is proven, or evidence-based.”  Politicians need evidence to make decisions about public health programs.

13 Evidence-Based Public Health Decisions for Public Health Practice Interventions Programs Policies Social values, Politics, Economics $ Expertise, Knowledge Best Evidence from Research

14 RCTs Cohort Studies Case-Control Studies Descriptive Studies, Case Series & Reports Ideas, Editorials, Opinions Systematic Reviews & Meta-analyses Evidence Pyramid Adapted from: The Medical Research Library of Brooklyn,

15 Evidence Matrix Research Question Qualitative ResearchSurvey Case- control Studies Cohort Studies Quasi- Experimental Studies Non Experimental EvaluationsRCTs Systematic Reviews Effectiveness Process of Service Delivery Salience Safety Acceptability Cost Effectiveness Appropriateness Satisfaction with the Service Adapted from Muir Gray JM. Evidence-based healthcare. London: Churchill Livingstone, 1996; Petticrew M, Roberts H. Journal of Epidemiology and Community Health, 2003

16 Sources of Public Health Evidence Journal literature Books Conference proceedings & abstracts Dissertations & theses Unpublished scientific papers Government reports Policy statements, laws & regulations Surveillance data Newsletters Teleconferences & webcasts Alert systems Listservs Internet sources Expert knowledge & opinion

17 Information Continuum Research Support for Information Different sources for different info needs Reports of Emerging Health Threats Emerging Practices Established Reference Information Evidence-based Guidelines Meta-analyses and Systematic Reviews Published Research Reports MinimumMaximum

18 1.Define the public health problem. 2.Search and find the best evidence. 3.Critically appraise the evidence for validity and relevance. 4.Apply the evidence to practice. 5.Evaluate the results. Evidence-Based Public Health Process Adopted from: Source: Sackett DL, Rosenberg WM. The need for evidence-based medicine. J R Soc Med. Nov 1995;88(11): Sibbald WJ. Some opinions on the future of evidence-based medicine. Crit Care Clin. 1998;14(3):

19 Define the public health problem Convert the information needs into focused questions

20 Forming a Searchable Public Health Question PICO P - Population I - Intervention C - Comparison O - Outcome

21 Search and find the best evidence Critically appraise the evidence for validity and relevance

22 Evidence-Based Resources for Public Health Practice  Evidence-Based Guidelines  Systematic Reviews  Pre-formulated & Filtered Searches  Best & Model Practices  Public Health Bibliographic Databases  Public Health Journals Project Web Site:

23 EBPPH Project Web Site:

24 Evidence-Based Guidelines  Guide to Community Preventive Services  National Guidelines Clearinghouse

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27 Tobacco Use Prevention & Control

28 Guide to Community Preventive Services Summary of Findings: Tobacco Use Prevention and Control

29 Link to Full-Text Article from the American Journal of Preventive Medicine

30 National Guideline Clearinghouse

31 National Guideline Clearinghouse

32 National Guideline Clearinghouse

33 Systematic Reviews  Cochrane Reviews of Relevance to Health Promotion and Public Health activities/reviews.htm activities/reviews.htm  Health-Evidence.ca

34 Cochrane Systematic Reviews Abstracts Available for Free Online Access Full-text of Reviews by Subscription Only

35 Cochrane Review Abstract

36 Cochrane Review Abstract

37 heath-evidence.ca

38 heath-evidence.ca

39 health-evidence.ca search tool

40 Systemic Reviews

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43 Pre-formulated Searches  Healthy People 2010 Partners in Information Access Project

44 Healthy People 2010 Information Access Project

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49 Public Health Best Practices  Model Practices Database (NACCHO)  Promising Practices Network on Children, Families and Communities asp asp

50 Model Practices Database

51 Model and Promising Practices

52 Example of Model Practice

53 Promising Practices Network on Children, Families and Communities

54 Big Brothers Big Sisters of America Promising Practices Network on Children, Families and Communities

55 Public Health Databases  Evidence-Based Practice for Public Health Project – Bibliographic Databases cfm cfm  Maternal and Child Health Library  PubMed (MEDLINE)

56 Evidence-Based Practice for Public Health Project – Bibliographic Databases

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59 PubMed

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61 Details of PubMed Search Mapped to Medical Subject Heading (MeSH) teen pregnancy = pregnancy in adolescence

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63 PubMed Limits

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67 History of PubMed Search Session

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71 Public Health Journals  Public Health Journals llist.cfm llist.cfm  Maternal & Child Health Journals lsKNaction.cfm lsKNaction.cfm  Free Public Health Journals journals.cfm journals.cfm

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74 Free Public Health Journal

75 Additional Public Health Information Sources  Health Data and Statistics  Legislation and Policy  Government Reports  Meeting Abstracts & Conference Proceedings  News in Public Health  Listservs

76 Public Health Web Portal:

77 List of Partners

78 Public Health Web Portal: Health Data & Statistics

79 PHPartners.org: Health Data Tools & Statistics

80 Maternal & Child Health Data Sources  Child Trends Data Bank  National Survey of Children’s Health Data Resource Center

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86 Public Health Web Portal: Legislation and Policy

87 Maternal & Child Health Policy Resources  Maternal and Child Health Policy Research Center  AMCHP Legislative Center

88 Maternal and Child Health Policy Research Center

89 Maternal and Child Health Policy Research Center

90 Maternal and Child Health Policy Research Center State Medicaid Coverage of Selected Services Important to Children in the Absence of the EPSDT Mandate, 2005

91 AMCHP Legislative Center

92 PHPartners.org: Government and Other Reports

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95 Public Health Web Portal: Conferences & Meetings Public Health News Resources

96 PHPartners.org Suggest a Link

97 Public Health Web Portal:

98 PHPartners.org: Public Health Tutorial

99 Training and Resources from the National Network of Libraries of Medicine

100 Search Pathway 1.Evidence-Based Guidelines 2.Systematic Reviews 3.Pre-formulated Searches 4.Best Practices 5.Bibliographic Databases 6.Journals 7.Health Data & Statistics 8.Legislation & Policy 9.Government Reports

101 Easy Access to Evidence-Based Public Health Resources  Evidence-Based Practice for Public Health Project  Partners in Information Access for the Public Health Workforce Project