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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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slide1

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
slide7

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
slide10
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
slide14

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.
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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

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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

evidence based guidelines
Evidence-Based Guidelines
  • Guide to Community Preventive Serviceshttp://www.thecommunityguide.org
  • National Guidelines Clearinghousehttp://www.guideline.gov
slide30

http://www.guideline.gov/

National Guideline Clearinghouse

systematic reviews
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
cochrane systematic reviews
Cochrane Systematic Reviews
  • Abstracts Available for Free Online Access
  • Full-text of Reviews by Subscription Only
pre formulated searches
Pre-formulated Searches
  • 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 Projecthttp://phpartners.org/hp
public health best practices
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
model practices database http archive naccho org modelpractices
Model Practices Database http://archive.naccho.org/modelPractices
slide54

Promising Practices Network on Children, Families and Communities

Big Brothers Big Sisters of America

public health databases
Public Health Databases
  • 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
slide56
Evidence-Based Practice for Public Health Project – Bibliographic Databaseshttp://library.umassmed.edu/ebpph/dblist.cfm
details of pubmed search
Details of PubMed Search

Mapped to Medical Subject Heading (MeSH)

teen pregnancy = pregnancy in adolescence

public health journals
Public Health Journals
  • 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
additional public health information sources
Additional Public Health Information Sources
  • Health Data and Statistics
  • Legislation and Policy
  • Government Reports
  • Meeting Abstracts & Conference Proceedings
  • News in Public Health
  • Listservs
maternal child health data sources
Maternal & Child Health Data Sources
  • Child Trends Data Bank http://www.childtrendsdatabank.org
  • National Survey of Children’s Health Data Resource Center http://nschdata.org
maternal child health policy resources
Maternal & Child Health Policy Resources
  • Maternal and Child Health Policy Research Centerhttp://www.mchpolicy.org
  • AMCHP Legislative Center

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

slide90

Maternal and Child Health Policy Research Center

State Medicaid Coverage of Selected Services

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

slide91

AMCHP Legislative Center

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

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

Public Health News Resources

Conferences & Meetings

training and resources from the national network of libraries of medicine http nnlm gov
Training and Resources from the National Network of Libraries of Medicinehttp://nnlm.gov
search pathway
Search Pathway
  • 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 Evidence-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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