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Follow How to integrate evidence into practice and policy: Knowledge translation resources for practitioners with limited.

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1 Follow us @nccmt Suivez-nous @ccnmo How to integrate evidence into practice and policy: Knowledge translation resources for practitioners with limited time and resources Maureen Dobbins, PhD CPHA May 28, 2014 Funded by the Public Health Agency of Canada | Affiliated with McMaster University

2 Follow us @nccmt Suivez-nous @ccnmo 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 2

3 Follow us @nccmt Suivez-nous @ccnmo 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. 3

4 Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 4

5 Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 5

6 Follow us @nccmt Suivez-nous @ccnmo What are methods and tools? 6 A process or series of steps to organize a Knowledge Translation activity Dissemination framework Method An instrument to carry out the steps of a Knowledge Translation activity Dissemination checklist Tool

7 Follow us @nccmt Suivez-nous @ccnmo 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 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 7

8 Follow us @nccmt Suivez-nous @ccnmo 8

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10 10 Evidence-Informed Public Health Clearly define the question or problem

11 Follow us @nccmt Suivez-nous @ccnmo Define the question PICO P population I intervention C comparison O outcome (T) time 11

12 Follow us @nccmt Suivez-nous @ccnmo 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 12

13 Follow us @nccmt Suivez-nous @ccnmo 13

14 Follow us @nccmt Suivez-nous @ccnmo 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 14

15 SPIDER: Spinning a Web for Retrieval 15 Cooke A et al. Qual Health Res 2012;22:1435-1443 Copyright © by SAGE Publications

16 Follow us @nccmt Suivez-nous @ccnmo Small Group: 16

17 Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health Efficiently search for research evidence 17

18 Follow us @nccmt Suivez-nous @ccnmo 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 18

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20 Recommended tool: www.Healthevidence.org www.Healthevidence.org 20

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22 Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health Critically and efficiently appraise the research methods 22

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24 Follow us @nccmt Suivez-nous @ccnmo Recommended Tools Critically 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 http://www.nccmt.ca/registry/view/eng/97.html 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 24

25 Follow us @nccmt Suivez-nous @ccnmo 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 25

26 Follow us @nccmt Suivez-nous @ccnmo Small Group: 26

27 Follow us @nccmt Suivez-nous @ccnmo 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)?” 27

28 Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health Interpret information; understand how to prioritize conflicting results 28

29 Follow us @nccmt Suivez-nous @ccnmo New Multimedia Resource Relative 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 29

30 Follow us @nccmt Suivez-nous @ccnmo New Registry Tool Institute for Work & Health (2013) What Researchers Mean By… http://mixedmethodsappraisaltoolpublic.pbworks.com/w/ page/24607821/FrontPage Try it: Interpret research evidence to inform program and policy development 30

31 31 https://www.iwh.on.ca/what- researchers-mean-by

32 Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 32

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34 34 www.nccmt.ca/registry/view/eng/24.html

35 Follow us @nccmt Suivez-nous @ccnmo New Online Learning Module Assessing the Applicability and Transferability of Evidence 35

36 Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health Decide whether (and plan how) to implement the change in practice or policy 36

37 Follow us @nccmt Suivez-nous @ccnmo Recommended Tool Scientist Knowledge Translation Planning Template TM Barwick (2013) Scientist Knowledge Translation Planning Template TM http://melaniebarwick.com/document/KT-Template.pdf 37

38 38

39 Follow us @nccmt Suivez-nous @ccnmo Small Group: 39

40 Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health Assess the effectiveness of the change in practice or policy 40

41 Follow us @nccmt Suivez-nous @ccnmo 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.pdfhttp://rnao.ca/sites/rnao- ca/files/RNAO_ToolKit_2012_rev4_FA.pdf 41

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43 Follow us @nccmt Suivez-nous @ccnmo 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 43

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46 Follow us @nccmt Suivez-nous @ccnmo New Online Learning Modules Implementing KT Strategies in Public Health Evaluating KT Strategies in Public Health 46

47 Follow us @nccmt Suivez-nous @ccnmo For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.cawww.nccmt.ca Contact: nccmt@mcmaster.canccmt@mcmaster.ca 4747

48 Follow us @nccmt Suivez-nous @ccnmo 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!

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