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Meta-analysis/ systematic review of multiple controlled studies . Individual experimental study. Individual quasi-experimental/Evaluation study. Individual non-experimental study . Case study/Report. Conventional literature review/Opinion of respected authorities.

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slide1

Meta-analysis/systematic review of multiple controlled studies

Individual experimental study

Individual quasi-experimental/Evaluation study

Individual non-experimental study

Case study/Report

Conventional literature review/Opinion of respected authorities

Unevaluated "best practice" or "model program"

Not research but relevant to EBP

  • Design and Development of an Evidence Database
  • for Social Care of the Aged
  • Elizabeth Taylor, MLIS, The New York Academy of Medicine Library, Peri Rosenfeld, PhD, Formerly with the New York Academy of Medicine, now with The Visiting Nurse Service of New York City.

BACKGROUND

EBPD INTERFACE

METHODS

  • The New York Academy of Medicine (NYAM) is an independent, non-partisan, non-profit institution whose mission is to improve the health of people living in cities.
  • NYAM’s Social Work Leadership Institute (SWLI) works to ensure that America's older adults and their caregivers get the care they need. The goals are to:
    • increase the number of social workers trained to work with the aging population;
    • advance the field of aging care through research and best practices;
    • forge multidisciplinary alliances to advocate on behalf of older adult care and their caregivers; and
    • promote policy that will encourage care coordination for older adults.
  • The Center for Aging Policy (CAP) is an initiative of SWLI at NYAM. CAP was founded in 2005 by funding from The Atlantic Philanthropies. CAP pursues public policy solutions to ensure that there is a strong workforce of social workers with geriatric training to support health and social service needs of America's growing older population.
  • LITERATURE SEARCH AND REVIEW PROCESS
  • Search question:
  • What outcomes measures exist on social work practices?
  • Has changed as the database developed
  • Not confined to the elderly
  • Attempt to focus on care coordination
  • Social Work Abstracts, SocIndex Fulltext, Sociological collection, PsycINFO, CINAHL, PubMed.
  • Bibliographic management software used to manage results
  • EBD team originally examined over 2000 abstracts and selected appropriate articles according to:
    • Measure
    • Outcome
    • Social Work
    • Intervention
  • 190+ articles were selected for further review.
  • Each article is evaluated for level of evidence and indexed by 2 reviewers.
  • Final evaluation by third reviewer.
  • DATABASE DEVELOPMENT
  • Database designer – MySQL
  • Identification of criteria for review and search interface including
  • Interventions/outcomes
  • Level of evidence
  • Subjects
  • Development of online interface for reviewers.
  • Import of 100+ articles from bibliographic manager.
  • On-going evaluation and development of search capabilities.

FUTURE DIRECTIONS

  • Increase the number of Advisory Group members, who are examining these issues:
        • Purpose
          • Mission statement
        • Audience
          • Policy makers
          • Practitioners
        • Niche
          • Do not duplicate other efforts (Campbell or Cochrane).
  • Revise and refine searching, according to future focus of the EBPD.
  • Revise and define review criteria; interventions, outcomes, evidence levels.
  • Improve search interface; add Boolean capabilities.
  • Write procedure manual, including search help.
  • Track usage.
  • Include review articles and meta-analyses.
  • Include grey literature. The EBPD links to the NYAM Library’s Grey Literature Report that already includes relevant material.

SOCIAL WORK EVIDENCE PYRAMID

http://aspe.hhs.gov/daltcp/reports/2006/SWsupply.pdf

THE EVIDENCE BASED PRACTICE DATABASE (EBPD)

Based on principles of evidence-based healthcare, the goal of this database is to make easily available a body of literature showing the effectiveness of social work interventions and treatments that can be used by interested parties, including advocacy groups, policy makers, social workers and students, to support leadership roles for social workers and educational programs for training geriatric social workers.

It is designed to focus on the needs of the elderly, but currently includes studies of effectiveness in all age groups.

EBPD TEAM

Patricia Volland, MSW, MBA Sarah Sisco, MSSW, MPH

Jeannine Melly, MPH Karen Olsen

Crissy Liu, MSSW/MPA Candidate Alissa Yarknoy

The Social Work Leadership Institute Evidence Database can be found at

http://socialworkleadership.org/nsw/cap/ebp.php

Based on: Agency for Healthcare Research and Quality, 2002; Grading of Recommendations Assessment, Development and Evaluation Working Group, 2004; Stetler, C. 2001; Weightman, A. et al., 2005