Identifying Evidence-Based Resources in Public Health
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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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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
Identifying Evidence-Based Practices in Public Health

  • Sharon Telleen, Ph.D., Research Associate Professor, University of Illinois at Chicago. Email: [email protected]

  • Hatheway Simpson, MPH, Public Health Project Coordinator, University of Massachusetts Medical School Library. Email: [email protected]


Evidence based practice for public health project http library umassmed edu ebpph

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

Partners in Information Access for the Public Health Workforce Projecthttp://PHPartners.org


Evidence based practice for public health project http library umassmed edu ebpph1

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


National library of medicine regional medical library
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


Objectives
Objectives

  • Overview of evidence-based public health resources

  • Identify one portal access

  • Develop a search pathway


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.


Public health health of populations
Public Health: Health of Populations

Clinical Medicine: Health of Individuals


The public health workforce

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


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


Why ebph
Why EBPH?

  • Need credible filtered information to make informed decisions.

  • Research evidence is valued.

  • So much information, too little time!


Evidence for public health practice and policy decisions
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.


Evidence based public health
Evidence-Based Public Health

Best Evidence

from

Research

Social values,

Politics,

Economics

$

Expertise,

Knowledge

  • Decisions for Public Health Practice

  • Interventions

  • Programs

  • Policies


Evidence Pyramid

Systematic Reviews & Meta-analyses

Adapted from: The Medical Research Library of Brooklyn, http://servers.medlib.hscbklyn.edu/ebm/2100.htm


Evidence matrix
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


Sources of public health evidence

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


Information continuum
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


Evidence based public health process
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.


Define the public health problem

Convert the information needs

into focused questions


Forming a searchable public health question pico
Forming a Searchable Public Health QuestionPICO

P - Population

I - Intervention

C - Comparison

O - Outcome


Search and find the best evidence

Critically appraise the evidence

for validity and relevance


Evidence based resources for public health practice
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


Ebpph project web site http library umassmed edu ebpph
EBPPH Project Web Site: http://library.umassmed.edu/ebpph


Evidence based guidelines
Evidence-Based Guidelines

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

  • National Guidelines Clearinghousehttp://www.guideline.gov



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



http://www.guideline.gov/ Preventive Medicine

National Guideline Clearinghouse




Systematic reviews
Systematic Reviews Preventive Medicine

  • 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


Cochrane systematic reviews
Cochrane Systematic Reviews Preventive Medicine

  • Abstracts Available for Free Online Access

  • Full-text of Reviews by Subscription Only


Cochrane Review Abstract Preventive Medicine


Cochrane review abstract
Cochrane Review Abstract Preventive Medicine


Heath evidence ca
heath-evidence.ca Preventive Medicine


Heath evidence ca1
heath-evidence.ca Preventive Medicine


Health evidence ca search tool
health-evidence.ca search tool Preventive Medicine


Systemic reviews http heath evidence ca
Systemic Reviews Preventive Medicinehttp://heath-evidence.ca


Pre formulated searches
Pre-formulated Searches Preventive Medicine

  • Healthy People 2010 Partners in Information Access Project http://PHPartners.org/hp


Healthy people 2010 information access project http phpartners org hp
Healthy People 2010 Information Access Project Preventive Medicinehttp://phpartners.org/hp


Public health best practices
Public Health Best Practices Preventive Medicine

  • Model Practices Database (NACCHO) http://archive.naccho.org/modelPractices

  • Promising Practices Network on Children, Families and Communities http://www.promisingpractices.net/default.asp


Model practices database http archive naccho org modelpractices
Model Practices Database Preventive Medicinehttp://archive.naccho.org/modelPractices


Model and Promising Practices Preventive Medicine


Example of Model Practice Preventive Medicine



Promising Practices Network on Children, Families and Communities

Big Brothers Big Sisters of America


Public health databases
Public Health Databases Communities

  • Evidence-Based Practice for Public Health Project – Bibliographic Databases http://library.umassmed.edu/ebpph/dblist.cfm

  • Maternal and Child Health Library http://www.mchlibrary.info

  • PubMed (MEDLINE) http://pubmed.gov


Evidence-Based Practice for Public Health Project – Bibliographic Databaseshttp://library.umassmed.edu/ebpph/dblist.cfm


PubMed Bibliographic Databaseshttp://pubmed.gov


Details of pubmed search
Details of PubMed Search Bibliographic Databases

Mapped to Medical Subject Heading (MeSH)

teen pregnancy = pregnancy in adolescence


PubMed Limits Bibliographic Databases


History of PubMed Search Session Bibliographic Databases


Public health journals
Public Health Journals Bibliographic Databases

  • Public Health Journals http://library.umassmed.edu/ebpph/journallist.cfm

  • Maternal & Child Health Journals http://library.umassmed.edu/ebpph/journalsKNaction.cfm

  • Free Public Health Journals http://library.umassmed.edu/ebpph/freephjournals.cfm


Free public health journal
Free Public Health Journal Bibliographic Databases


Additional public health information sources
Additional Public Health Information Sources Bibliographic Databases

  • Health Data and Statistics

  • Legislation and Policy

  • Government Reports

  • Meeting Abstracts & Conference Proceedings

  • News in Public Health

  • Listservs


Public health web portal http phpartners org
Public Health Web Portal: Bibliographic Databaseshttp://PHPartners.org


List of partners
List of Partners Bibliographic Databases


Public health web portal http phpartners org1
Public Health Web Portal: Bibliographic Databaseshttp://PHPartners.org

Health Data & Statistics



Maternal child health data sources
Maternal & Child Health Data Sources Bibliographic Databases

  • Child Trends Data Bank http://www.childtrendsdatabank.org

  • National Survey of Children’s Health Data Resource Center http://nschdata.org


Public health web portal http phpartners org2
Public Health Web Portal: Bibliographic Databaseshttp://PHPartners.org

Legislation and Policy


Maternal child health policy resources
Maternal & Child Health Policy Resources Bibliographic Databases

  • Maternal and Child Health Policy Research Centerhttp://www.mchpolicy.org

  • AMCHP Legislative Center

    http://www.amchp.org/legislative/index.php


Maternal and Child Health Policy Research Center Bibliographic Databases

http://www.mchpolicy.org



Maternal and Child Health Policy Research Center Bibliographic Databases

State Medicaid Coverage of Selected Services

Important to Children in the Absence of the EPSDT Mandate, 2005


AMCHP Legislative Center Bibliographic Databases

http://www.amchp.org/legislative/index.php



Public health web portal http phpartners org3
Public Health Web Portal: Bibliographic Databaseshttp://PHPartners.org

Public Health News Resources

Conferences & Meetings


Phpartners org suggest a link
PHPartners.org Suggest a Link Bibliographic Databases


Public Health Web Portal: Bibliographic Databaseshttp://PHPartners.org



Training and resources from the national network of libraries of medicine http nnlm gov
Training and Resources from the Bibliographic DatabasesNational Network of Libraries of Medicinehttp://nnlm.gov


Search pathway
Search Pathway Bibliographic Databases

  • Evidence-Based Guidelines

  • Systematic Reviews

  • Pre-formulated Searches

  • Best Practices

  • Bibliographic Databases

  • Journals

  • Health Data & Statistics

  • Legislation & Policy

  • Government Reports


Easy access to evidence based public health resources
Easy Access to Bibliographic DatabasesEvidence-Based Public Health Resources

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

  • Partners in Information Access for the Public Health Workforce Projecthttp://PHPartners.org


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