Presented June 11, 2013 during Oral Session 29 of the Canadian Public Health Association 2013 Annual Conference (Ottawa, Ontario; Canada)

1. Maureen Dobbins, PhD
Kara DeCorby, MSc
Lori Greco, MHSc
Robyn Traynor, MSc
Partnerships for Health
System Improvement
Facilitating evidence-informed Public
Health decision making

2. PHSI Program
● Integrated KT program
● Collaborative partnerships between
researchers & decision-makers
● Applied research – findings of interest to
broader health care system
Background
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

3. Funding & Partners
CPHA 2013
Monday June 11th
Background -- Objectives -- Methods -- Results -- Conclusions
*CIHR FRN: 101867
*

4. Study Purpose
● To enhance capacity for & facilitate contexts
conducive to EIDM
Research Questions
1. What is the impact of a KT strategy on
knowledge, capacity & behaviour for
EIDM?
2. What contextual factors facilitate /
impede impact?
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

5. Methods
Case Study
● Three cases: Ontario health departments
● Tailored KT intervention, involving/delivered by a
Knowledge Broker (KB)
Data Collection
● Quantitative & qualitative; triangulation
● Three time points: baseline, interim, follow-up
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

6. Health Department Partners
Case A
Context
• Large, diverse population served
• Strong MOH/AMOH vision for EIDM
• EIDM strategic priority
• Resources committed for EIDM
Intervention
• Sept 2010 – Jun 2012
• KB on site, 2 d/wk
Mentored Rapid Review teams
Provided training in EIDM skills & methods
Participated in EIDM-related events (meetings,
journal clubs, presentations)
One-on-one consulting (outside of teams)
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

7. Case B
Context
• Large, urban centre served
• MOH committed to EIDM
• Manager „champions‟ supporting project
• EIDM strategic priority
Intervention
• Apr 2011 – Feb 2013
• KB combination of on/off-site: 2 d/wk
Mentored staff teams
Provided training in EIDM skills & methods
Participated in workshops & meetings
Advised Senior Management Team
Health Department Partners
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

8. Case C
Context
• Medium-size, mixed urban/rural population
served
• Commitment from MOH and executive
members.
Intervention
• Apr 2011 – Dec 2012
• KB available off-site*: 2 d/wk (*on-site 2 d/mon)
Mentored staff teams
Provided training in EIDM skills & methods
Participated in workshops & meetings
Advised RKEC on developing department-wide
Policy/Procedure for EIDM and EIDM Guidebook
Health Department Partners
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

9. Define the
question
Search for
evidence
Appraise
the quality
Interpret
Assess
applicability
Decision
CPHA 2013
Monday June 10th
Background -- Objectives -- Methods -- Results -- Conclusions
Steps of EIDM

10. Case A Case B Case C
• 18 Rapid Reviews
• All-staff EIDM training
provided
• KB facilitated /
contributed to Critical
Appraisal Club.
• Presentations of
research to staff
colleagues & Senior
Management
• 5 questions/reviews
• Additional divisional
training delivered (e.g.
half-day workshops)
• Presentations to
Senior Management
• Abstracts submitted to
present research
• 5 questions/reviews
• EIDM Policy &
Procedure developed
& approved
• RKEC presentations
• All-staff training
delivered
Total Activities
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

11. Results
EIDM Skills & Knowledge
● Improved ability to:
Identify where to begin a literature search
Apply study results to a given scenario
Identify strengths/weaknesses of quality assessment
● No change (or decline in) ability to:
Simply state study results in plain language
Judge the strength of a search strategy
Interpret clinical meaningfulness of study results
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

12. ● Knowledge
● Skills
● Critical consumer
● Program decisions
● Organizational structures
Impact
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

13. ● Time
● Competing priorities
● Management support
● Library services
● Choosing priority issues
● Limited engagement
● Slow progress
Challenges
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

14. ● Senior management support
● Internal “champion”
● Communication
● Prioritize project
● Flexibility
● Establish partner engagement
Lessons Learned
Background -- Objectives -- Methods -- Results -- Conclusions
CPHA 2013
Monday June 11th

15. Visit us online…
www.healthevidence.org
info@healthevidence.org
Or contact us…
CPHA 2013
Monday June 11th