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Building Capacity to Assess the Evidence for Health Policy Strategies Colleen Barbero American Evaluation Association October 19, 2013
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Co-authors: Siobhan Gilchrist, Columbus Technologies Michael W. Schooley, Centers for Disease Control and Prevention Dr. Douglas A. Luke, Washington University in St. Louis Dr. Amy A. Eyler, Washington University in St. Louis Dr. Jamie F. Chriqui, University of Illinois at Chicago
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What is Evidence-Based Public Health? Image Source: http://library.downstate.edu/EBM2/2100.htm. Accessed October 17, 2012.
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How Evidence-Based Are Policies? Image Source: http://www.cdc.gov/dhdsp/pubs/docs/CHW_State_Laws.pdf. Accessed October 13, 2013.
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Evidence-Based Policy Interventions
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Project Goals
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1) Assess the strength of the evidence basis for chronic disease policy interventions
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Project Goals 1) Assess the strength of the evidence basis for chronic disease policy interventions 2) Identify policy interventions with the most potential for public health impact
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Presentation Outline Image Source: http://ucwbling.chicagolandwritingcenters.org/help-how-do-i-give-a-presentation-five-takeaways-from-the-cmwrs- workshop/. Accessed October 14, 2013.
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Presentation Outline Present approach for assessing policy evidence
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Presentation Outline Present approach for assessing policy evidence Share results from field pilot
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Presentation Outline Present approach for assessing policy evidence Share results from field pilot Discuss next steps for translation and dissemination
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Policy Evidence Assessment Approach Image Source: http://www.formula.com/services/mcsi.htm
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Policy Evidence Assessment Approach
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What Counts As Policy Evidence?
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Assessing Policy Evidence Quality Image Source: http://www.cpredi.com/quality/. Accessed October 14, 2013.
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Assessing Policy Evidence Quality Tool #1: Evidence Quality Assessment Tool
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Assessing Policy Evidence Quality Tool #1: Evidence Quality Assessment Tool What it does: Rates the quality of an evidence base for a public health policy intervention
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Evidence Quality Tool Domains
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Study Design - scientific rigor Evidence Quality Tool Domains
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Study Design - scientific rigor Source - credibility Evidence Quality Tool Domains
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Study Design - scientific rigor Source - credibility Practice and Theory Basis - derived from practice and theory Evidence Quality Tool Domains
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Study Design - scientific rigor Source - credibility Practice and Theory Basis - derived from practice and theory R esearch Basis - derived from research Evidence Quality Tool Domains
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Assessing Evidence of Policy Public Health Impact Image Source: http://www.cloudave.com/10287/implementing-enterprise-2-0-at-penn-state-university-part-five-impact-future- plans-and-lessons/. Accessed October 14, 2013.
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Assessing Evidence of Policy Public Health Impact Tool #2: Evidence of Public Health Impact Assessment Tool
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Assessing Evidence of Policy Public Health Impact Tool #2: Evidence of Public Health Impact Assessment Tool What it does: Rates the potential public health impact of a policy intervention according to the evidence
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Evidence of Public Health Impact Tool Domains
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Health Impact - health or health-related Evidence of Public Health Impact Tool Domains
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Health Impact - health or health-related Reach - broad or narrow? Evidence of Public Health Impact Tool Domains
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Health Impact - health or health-related Reach - broad or narrow? Equity - impact on disparate groups Evidence of Public Health Impact Tool Domains
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Health Impact - health or health-related Reach - broad or narrow? Equity - impact on disparate groups Efficiency - best use of resources? Evidence of Public Health Impact Tool Domains
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Health Impact - health or health-related Reach - broad or narrow? Equity - impact on disparate groups Efficiency - best use of resources? Transferability - effectiveness across settings Evidence of Public Health Impact Tool Domains
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Evidence Quality
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Evidence of Public Health Impact
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Evidence Quality and Evidence of Public Health Impact
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Emerging
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Promising Impact
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Promising Quality
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Best
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Evidence-Based Interventions
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Public Access Defibrillation Defibrillation
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Field Pilot Image Source: http://lisacullen.com/2012/11/12/i-sold-a-tv-pilot-heres-how-it-happened. Accessed October 16, 2013.
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Field Pilot Purpose = evaluate how usable and useful the approach is for primary and secondary intended users in the field
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Field Pilot Purpose = evaluate how usable and useful the approach is for primary and secondary intended users in the field Primary users = public health policy researchers and evaluators
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Field Pilot Purpose = evaluate how usable and useful the approach is for primary and secondary users in the field Primary users = public health policy researchers and evaluators Secondary users = public health practitioners
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Researcher/Evaluator Feedback Image Source: http://www.mphi.org/serviceofferingsubarea.aspx?id=45. Accessed October 14, 2013.
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Researcher/Evaluator Feedback
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Violence and Injury Prevention Results
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Practitioner Feedback Image Source: http://www.achievecommunities.org/. Accessed October 14, 2013.
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Practitioner Feedback
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Image Source: http://mwerickson.files.wordpress.com/2011/05/taking-the-next-step-graphic.jpg. Accessed October 14, 2013.
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Next steps Publish approach
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Next steps Publish approach Partner with practitioners to complete assessments
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Next steps Publish approach Partner with practitioners to complete assessments Host educational webinar
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Next steps Publish approach Partner with practitioners to complete assessments Host educational webinar Develop web-based tool
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Questions? For more information please contact: Colleen Barbero Telephone: 314-935-3783 E-mail: cbarbero@brownschool.wustl.educbarbero@brownschool.wustl.edu
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