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Evidence-Based Public Health: Findings and Resources for Practice

This resource provides an introduction to evidence-based public health and an overview of evidence-based practice for public health. It highlights the best evidence from research and offers resources for decision-making in public health practice.

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Evidence-Based Public Health: Findings and Resources for Practice

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  1. Evidence-Based Public Health:Findings from a Research Project and Resources for Practice Hathy Simpson, MPH Public Health Coordinator September 13, 2006 Preventive Medicine Residency/Fellowship Program University of Massachusetts Medical School Based on EBPPH Project at the University of Massachusetts Medical School Library Past support form the Centers for Disease Control and Prevention and the Association of Teachers of Preventive Medicine; Project #TS-0734 Current support from the National Network of Libraries of Medicine, New England Region

  2. Outline • Introduction to Evidence-Based Public Health (EBPH) • Overview of Evidence-Based Practice for Public Health (EBPPH) Project & Findings • Finding EBPH Information Resources

  3. Evidence-Based + Public Health • “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):187-197.

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

  5. Evidence-Based Practice for Public Health Projecthttp://library.umassmed.edu/ebpph Dr. Elaine Martin, Principal Investigator Hathy Simpson, Project Coordinator 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 2002 - 2005

  6. Project’s Achievements • Organization & classification of Public Health Knowledge • Identification of PH journals, PH databases, & EBPH resources for practice • Project Website to disseminate findings & links to identified resources • Qualitative Research Study to determine the information needs of PH professionals • Strategies to improve access to credible & relevant PH information

  7. 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 http://library.umassmed.edu/ebpph

  8. Qualitative Studyto Identify the Information Needs of Public Health Professionals Nancy La Pelle, PhD Roger L. Luckmann, MD, MPH E. Hatheway Simpson, MPH Elaine R. Martin, DA Identifying Strategies to Improve Access to Credible and Relevant Information for Public Health Professionals: A Qualitative Study. BMC Public Health. 2006 Apr 5;6(1):89 http://www.biomedcentral.com/1471-2458/6/89

  9. Qualitative Study Methods Study Sample: 19 Professionals at the Massachusetts Department of Public Health • 12 - Bureau of Communicable Disease Control • 7 – Division of Community Health Promotion Data Collection & Analysis • Tape/transcribed key informant interviews & focus groups • Thematic analysis of data; comparison across groups

  10. Questions Asked • Type of work tasks performed requiring access to information? • Information sources currently used? • Current limitations to information access? • Preferred format and features for information access? • Desired enhancements for access?

  11. 1. Early alerts & reports 2. Emerging & promising practices 3. Evaluated practices & interventions 4. Reference Information 5. Published research & reviews 6. Evidence-based guidelines Email, news media Conferences, listservs, informal networks Reports, websites, conferences Books, websites PubMed, journals, article summaries AHRQ, Institute of Medicine Information Sources Used by Participants Different information sources for different needs

  12. Information Continuum Research Support for Information Maximum Minimum Emerging Practices Reports of Emerging Health Threats Meta-analyses and Systematic Reviews Syntheses of Knowledge on Established Threats & Practices Published Research Reports • Evidence-based • Guidelines Evaluations of New Practices Need access to all levels of the information continuum

  13. Information Needs of Public Health Professionals • Single portal access to PH information • Automatic notification of new information • Free access to EBPH resources • Access to information from multiple disciplines, beyond biomedical field • Access to grey literature & conference abstracts • Access to credible summarized information – systematic reviews & evidence-based guidelines • Training on how to access resources

  14. PH Information Access Model Newly published information in diverse disciplines of interest User-selected filters & pre- formulated search criteria Review System PH Evidence-Based Information Access Website • Journal articles • Systematic reviews • Practice guidelines • Best practices • Relevant grey literature Credible indexed info Automatic notification of newly available requested filtered information Customized user database of accessed information

  15. Meeting the Need to Access Credible Public Health Information • Evidence-Based Practice for Public Health Projecthttp://library.umassmed.edu/ebpph • Partners in Information Access for the Public Health Workforce Projecthttp://PHPartners.org

  16. Evidence-Based Practice for Public HealthProject Web Site:http://library.umassmed.edu/ebpph

  17. EBPPH Project Web Site: http://library.umassmed.edu/ebpph

  18. Guide to Community Preventive Serviceshttp://www.thecommunityguide.org

  19. Guide to Community Preventive ServicesSummary of Findings: Tobacco Use Prevention and Control

  20. National Guideline Clearinghousehttp://www.guideline.gov

  21. Health-Evidence.cahttp://health-evidence.ca

  22. heath-evidence.ca

  23. health-evidence.ca search tool

  24. health-evidence.ca search tool

  25. Healthy People 2010 Information Access Projecthttp://phpartners.org/hp

  26. History of PubMed Search Session

  27. Additional Public Health Information Sources:http://PHPartners.org • Grey literature • News • Listservs • Government reports • Statistics • Meeting abstracts • Organization websites

  28. Public Health Web Portal: http://PHPartners.org Public Health News Resources Governments Reports & Grey Literature Health Statistics Conferences & Meetings

  29. PHPartners.org: Discussion & Email Lists

  30. Public Health Web Portal: http://PHPartners.org

  31. Public Health Web Portal: http://PHPartners.org

  32. PHPartners.org: Online Public Health Tutorial

  33. PHPartners.org Suggest a Link

  34. Hathy Simpson, MPH Public Health Coordinator National Network of Libraries of Medicine New England Region Hathy.Simpson@umassmed.edu http://library.umassmed.edu/ebpph

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