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Workshop/Breakout Title Workshop/Breakout Speaker(s)

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

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Workshop/Breakout Title Workshop/Breakout Speaker(s)

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

  2. Identifying Evidence-Based Practices in Public Health • Sharon Telleen, Ph.D., Research Associate Professor, University of Illinois at Chicago. Email: telleen@uic.edu • Hatheway Simpson, MPH, Public Health Project Coordinator, University of Massachusetts Medical School Library. Email: Hathy.Simpson@umassmed.edu

  3. Evidence-Based Practice for Public Health Projecthttp://library.umassmed.edu/ebpph Partners in Information Access for the Public Health Workforce Projecthttp://PHPartners.org

  4. Evidence-Based Practice for Public Health Projecthttp://library.umassmed.edu/ebpph 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

  5. National Library of MedicineRegional Medical Library • National Network of Libraries of Medicine, New England Region http://nnlm.gov/ner 222 Maple Avenue, Shrewsbury, MA 01545 • University of Massachusetts Medical School http://library.umassmed.edu55 Lake Avenue, Worcester, MA 01655

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

  7. 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.

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

  9. 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 The Public Health Workforce

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

  14. Evidence Pyramid Systematic Reviews & Meta-analyses Adapted from: The Medical Research Library of Brooklyn, http://servers.medlib.hscbklyn.edu/ebm/2100.htm

  15. Evidence Matrix Adapted from Muir Gray JM. Evidence-based healthcare. London: Churchill Livingstone, 1996; Petticrew M, Roberts H. Journal of Epidemiology and Community Health, 2003

  16. 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 Sources of Public Health Evidence

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

  18. Evidence-Based Public Health Process • Define the public health problem. • Search and find the best evidence. • Critically appraise the evidence for validity and relevance. • Apply the evidence to practice. • Evaluate the results. • Adopted from: • Source: Sackett DL, Rosenberg WM. The need for evidence-based medicine. J R Soc Med. Nov 1995;88(11):620-624. • Sibbald WJ. Some opinions on the future of evidence-based medicine. Crit Care Clin. 1998;14(3):549-558.

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

  20. Forming a Searchable Public Health QuestionPICO 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:http://library.umassmed.edu/ebpph

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

  24. Evidence-Based Guidelines • Guide to Community Preventive Serviceshttp://www.thecommunityguide.org • National Guidelines Clearinghousehttp://www.guideline.gov

  25. Tobacco Use Prevention & Control

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

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

  28. http://www.guideline.gov/ National Guideline Clearinghouse

  29. National Guideline Clearinghouse

  30. National Guideline Clearinghouse

  31. Systematic Reviews • Cochrane Reviews of Relevance to Health Promotion and Public Healthhttp://www.vichealth.vic.gov.au/cochrane/activities/reviews.htm • Health-Evidence.ca http://health-evidence.ca

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

  33. Cochrane Review Abstract

  34. Cochrane Review Abstract

  35. heath-evidence.ca

  36. heath-evidence.ca

  37. health-evidence.ca search tool

  38. Systemic Reviews http://heath-evidence.ca

  39. Pre-formulated Searches • Healthy People 2010 Partners in Information Access Project http://PHPartners.org/hp

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

  41. Public Health Best Practices • Model Practices Database (NACCHO) http://archive.naccho.org/modelPractices • Promising Practices Network on Children, Families and Communities http://www.promisingpractices.net/default.asp

  42. Model Practices Database http://archive.naccho.org/modelPractices

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