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Evidence-Based Public Health Practice: Using Research and Data to Improve Your Programs Week 2, Part 1: Step 3 of 6--Use the research literature to guide program development. Helena VonVille Library Director University of Texas School of Public Health.
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Evidence-Based Public Health Practice: Using Research and Data to Improve Your ProgramsWeek 2, Part 1: Step 3 of 6--Use the research literature to guide program development Helena VonVille Library Director University of Texas School of Public Health This project has been funded in part with Federal funds from the National Library of Medicine National lnstitutes of Health, Department of Health and Human Services, under Contract No NO1-LM-6-3505.
Week 2, Part 1: Use the research • Types of research literature • Access to the research literature • Evaluation of the literature
Step 3: Use the Research • Types of resources available • Research syntheses • Systematic reviews & meta-analyses • Guidelines & Best Practices • Original research literature • Other • Conference proceedings • How much time do you have?
Sources of Research: Systematic Reviews • What is a systematic review? • SRs use scientific methodology to evaluate interventions • Prevention, treatment and rehabilitation • Replicable • Include aims • Often use PICO to frame question • May include meta-analyses • http://www.sph.uth.tmc.edu/library/default.aspx?id=2909
Sources of Research:Systematic Reviews • Cochrane Reviews • EPPI-Centre: • Search for Health Promotion Reviews • Evidence Reports (AHRQ) • Campbell Collaboration • Education, crime and justice, and social welfare • TheCommunityGuide.org
Sources of Research: Guidelines & Best Practices • Using What Works (NCI) • Evaluated & vetted research • Clinical Practice Guidelines (Agency for Healthcare Research and Quality) • National Guideline Clearinghouse • Promising Practices Network
Sources of Research:Original Research Literature • Journal literature • Not always research based! • Professional magazines • Can be a good way to find solutions that address your needs • Journals not always readily available
Access the Research:Original Research Literature • Access to full text articles • Through TexShare databases • Through open access journals • Through DSHS Medical and Research Library • Contact them for eligibility • http://www.dshs.state.tx.us/library/default.shtm
Access the Research:Original Research Literature • TexShare Databases • Available through local public library • Excellent FT access to journals • No cost to you • Proxy server used for remote access • IT may block for security reasons
Sources of Research:Original Research Literature • Favorite databases • Academic Search Complete (articles) • Medline (abstracts) • Health Source: Nursing & Consumer (articles) • NetLibrary (e-books) • What is available? • Houston Public Library databases
Terms to help you search • Intervention-type terms: • "health education" or "health promotion" or "health attitude*” or "health behavior*" or "health program*“ or “health knowledge” or intervention* • Combine with your topic • Add in your population!
Evaluation of the Research Literature • Who is/are the author/s? • Researchers? Practitioners? • Do they report conflicts of interest or funding sources? • What kind of an article is it? • Research? How I done good? Case report? • What are the questions being asked?
Evaluation of the Research Literature • Is the research theory based? • Did they use an appropriate theory? • Did they use an appropriate methodology and did they use it correctly? • Do they report their statistical findings? • Are their calculations correct? • Is it generalizable to your population? • Was their population similar to yours?
How to Read a paper: BMJ seriesT. Greenhalgh, BMJ • Deciding what the paper is about • http://www.bmj.com/cgi/content/full/315/7102/243 • Assessing the methodology • http://www.bmj.com/cgi/content/full/315/7103/305 • Statistics for non-statisticians, Pt. 1 • http://www.bmj.com/cgi/content/full/315/7104/364 • Statistics for non-statisticians, Pt. 2 • http://www.bmj.com/cgi/content/full/315/7105/422
How to Read a paper: BMJ seriesT. Greenhalgh, BMJ • Drug trials • http://www.bmj.com/cgi/content/full/315/7106/480 • Diagnostic or screening tests • http://www.bmj.com/cgi/content/full/315/7107/540 • Economic analyses • http://www.bmj.com/cgi/content/full/315/7108/596 • Systematic Reviews & Meta-analyses • http://www.bmj.com/cgi/content/full/315/7109/672 • Qualitative: • http://www.bmj.com/cgi/content/full/315/7110/740