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NCCMT Webinar: Healthy Weights focused Methods and Tools to Support Evidence Informed Decision Making

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This webinar on evidence-informed decision-making (EIDM) draws on The National Collaborating Centre for Methods and Tools (NCCMT)'s seven-step process, with reference to methods and tools for each step that are specific to healthy weights.

The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada. Visit the NCCMT website (www.nccmt.ca) or contact nccmt@mcmaster.ca for more information.

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NCCMT Webinar: Healthy Weights focused Methods and Tools to Support Evidence Informed Decision Making

  1. 1. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada. Healthy Weights-Focused Methods and Tools to Support Evidence-Informed Decision-Making Susan Snelling, PhD Senior Knowledge Translation Specialist May 26, 2016
  2. 2. Follow us @nccmt Suivez-nous @ccnmo Poll Question #1 2 How many people are watching today’s webinar with you? a) Just me b) 1 to 3 c) 4 to 5 d) 6 to 10 e) More than 10
  3. 3. Follow us @nccmt Suivez-nous @ccnmo Housekeeping • TC line will be muted during the webinar Use Q&A to post comments / questions during the webinar • ‘Send’ questions to All (not privately to ‘Host’) Connection issues • Recommend using a wired Internet connection (vs. wireless), • WebEx 24/7 help line: 1-866-229-3239 Q&A
  4. 4. Follow us @nccmt Suivez-nous @ccnmo Housekeeping Experiencing feedback? • Click Audio Broadcast at the bottom of the Participants panel to join or leave the audio broadcast.
  5. 5. Follow us @nccmt Suivez-nous @ccnmo Poll Question #2 5 Where are you connecting from today? a) BC b) AB c) SK d) MB e) ON f) QC g) NB h) NS i) PEI j) NL k) YK l) NWT m) NU n) Outside Canada
  6. 6. Follow us @nccmt Suivez-nous @ccnmo Outline of Today’s Webinar • Introduction to NCCMT • A model for evidence- informed decision making • Steps in the process of evidence-informed public health With reference to methods and tools relevant for chronic disease (specifically healthy weight promotion) practitioners that can be found in the NCCMT Registry of Methods and Tools 6
  7. 7. Follow us @nccmt Suivez-nous @ccnmo National Collaborating Centre for Methods and Tools (NCCMT) Vision • The effectiveness and efficiency of Canada’s public health system will be guided by the production, sharing and use of high quality evidence. Mission • The NCCMT will enhance evidence-informed public health practice and policy in Canada by providing leadership and expertise in supporting the uptake of what works in public health into practice. 7
  8. 8. Follow us @nccmt Suivez-nous @ccnmo What is Evidence-Informed Public Health? … the process of distilling and disseminating the best available evidence from research, context and experience, and using that evidence to inform and improve public health policy and practice. 8
  9. 9. Follow us @nccmt Suivez-nous @ccnmo Poll Question #3 9 What sector are you from? a) Public Health Practitioner b) Health Practitioner (Other) c) Education d) Research e) Federal/Provincial/Territorial Government f) Municipality g) Non-Governmental Organization h) Other
  10. 10. Follow us @nccmt Suivez-nous @ccnmo NCCMT Registry of Methods and Tools Resources to support use of research evidence in public health http://www.nccmt.ca/resources/registry A free, searchable, online collection of knowledge translation methods and tools for public health • Summary statements • Web links (when available) to Methods and Tools 10
  11. 11. 11
  12. 12. Follow us @nccmt Suivez-nous @ccnmo What are methods and tools? A process or series of steps to organize a Knowledge Translation activity Dissemination framework Method An instrument to carry out the steps of a Knowledge Translation activity Dissemination checklist Tool 12
  13. 13. Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 13
  14. 14. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 14
  15. 15. Follow us @nccmt Suivez-nous @ccnmo Scenario: Setting the Stage for Evidence Use • Working on healthy weights promotion focused on children • Concern about weight stigma and weight bias • Opportunity to work with early childhood education settings How can the steps of Evidence-Informed Public Health be applied to this scenario? 15
  16. 16. Follow us @nccmt Suivez-nous @ccnmo 16 Evidence-Informed Public Health Clearly define the question or problem
  17. 17. Follow us @nccmt Suivez-nous @ccnmo Define the question PICO P population I intervention C comparison O outcome 17
  18. 18. Follow us @nccmt Suivez-nous @ccnmo Frameworks can help when defining the question 18 http://www.aacorn.org/AbouComm-2517.html
  19. 19. Follow us @nccmt Suivez-nous @ccnmo Define the question: Apply our scenario PICO P population: children 0-5 years in ECE setting I intervention: intended to improve healthy weight, diet, physical activity C comparison: no intervention or usual care O outcome: change in BMI, eating habits, or physical activity 19
  20. 20. Follow us @nccmt Suivez-nous @ccnmo Recommended Tool: Define Developing an Efficient Search Strategy Using PICO http://www.nccmt.ca/resources/search/138 Use it to develop an evidence-search question using the PICO format. 20
  21. 21. Follow us @nccmt Suivez-nous @ccnmo 21
  22. 22. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 22 Efficiently search for research evidence
  23. 23. Follow us @nccmt Suivez-nous @ccnmo Recommended Tool: Search NCCMT Search Pyramids http://www.nccmt.ca/resources/search/181 http://www.nccmt.ca/learningcentre/EN/index.php • Pre-populated with good sites for finding evidence related to ‘healthy habits’ for adults and for children. • Start at the top for the most synthesized evidence. • Saves time • Systematic approach to searching 23
  24. 24. 24http://www.nccmt.ca/resources/search/181
  25. 25. Follow us @nccmt Suivez-nous @ccnmo National Guideline Clearinghouse 25
  26. 26. Follow us @nccmt Suivez-nous @ccnmo 26
  27. 27. 27http://www.nccmt.ca/resources/search/181
  28. 28. 28 Recommended Tool: Search www.healthevidence.org
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  35. 35. 35http://www.nccmt.ca/resources/search/181
  36. 36. Follow us @nccmt Suivez-nous @ccnmo Tips for “Search” • Choose the highest possible level on the Pyramid • Pre-appraised sources make your search more efficient • NCCMT online module on Searching through Learning Centre 36
  37. 37. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 37 Critically and efficiently appraise the research methods
  38. 38. Follow us @nccmt Suivez-nous @ccnmo Recommended Tools: Appraise Critically Appraising Practice Guidelines: The AGREE II Instrument http://www.nccmt.ca/registry/view/eng/100 Tools to Assess the Methodological Quality of Systematic Reviews: AMSTAR http://www.nccmt.ca/registry/view/eng/97 Critical Appraisal Skills Programme: Checklists http://www.nccmt.ca/resources/search/87 38
  39. 39. Follow us @nccmt Suivez-nous @ccnmo Tips for “Appraise” • Appraise is a filtering step, looking for sources of bias • Answers the question: is this research/review of good enough quality that I should read further? • All research has flaws! But some flaws are more serious than others. 39
  40. 40. Follow us @nccmt Suivez-nous @ccnmo Additional Resources • Refer to NCCMT’s online learning modules for additional practice: • http://www.nccmt.ca/professional-development/modules • Week-long course at McMaster University: “What is Evidence-Informed Decision Making (EIDM)?” • http://ccebn.mcmaster.ca/workshop.html 40
  41. 41. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 41 Interpret information; understand how to prioritize conflicting results
  42. 42. Follow us @nccmt Suivez-nous @ccnmo Recommended Tool: Synthesize Briefing Note: Decisions, Rationale and Key Findings Summary http://www.nccmt.ca/resources/search/137 Use it to create briefing notes to inform decision- makers. Use ‘actionable messages’ to inform program and policy development. 42
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  44. 44. Follow us @nccmt Suivez-nous @ccnmo Tips for “Synthesize” • Bring good quality evidence together to determine results and implications • If results ‘conflict’, prefer sources that are highest quality, most recent, most relevant to your question • Identify actionable findings that can guide decisions 44
  45. 45. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 45 Adapt the information to the local community
  46. 46. Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 46
  47. 47. Follow us @nccmt Suivez-nous @ccnmo Frameworks can help when adapting 47 http://www.aacorn.org/AbouComm-2517.html
  48. 48. Recommended Tools: Adapt - Applicability and Transferability of Evidence 48 http://www.nccmt.ca/resources/search/227 http://www.nccmt.ca/resources/search/24 http://www.nccmt.ca/resources/search/78
  49. 49. Follow us @nccmt Suivez-nous @ccnmo Online Learning Module Assessing the Applicability and Transferability of Evidence 49
  50. 50. Follow us @nccmt Suivez-nous @ccnmo Tips for “Adapt” 50 • In developing a local approach, consider: • Research evidence • Stakeholder perspectives • Media coverage – what’s going on in community • Political context • Local and regional data reports • Financial and human resources • How can you adapt potential interventions to be appropriate for your community?
  51. 51. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 51 Decide whether (and plan how) to implement the change in practice or policy
  52. 52. Follow us @nccmt Suivez-nous @ccnmo http://www.nccmt.ca/resources/search/81 52 Recommended Tool: Implement
  53. 53. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 53 Assess the effectiveness of the change in practice or policy
  54. 54. Follow us @nccmt Suivez-nous @ccnmo Recommended Tool: Evaluate Improving Future Decisions: Optimizing the Decision Process from Lessons Learned http://www.nccmt.ca/resources/search/194 Use it to evaluate your use of evidence in making decisions. A reflective practice tool. 54
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  56. 56. Follow us @nccmt Suivez-nous @ccnmo Tips for “Evaluate” Determine how effective you were at using an evidence-informed approach: • What process did you follow? • What can you learn from your process? • How could you improve your use of evidence? • How will you know if people are using the evidence? Have they changed their practice? • Was the intervention adapted effectively at your local level? You may need to gather baseline data before you start if you want to assess change. 56
  57. 57. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 57
  58. 58. Follow us @nccmt Suivez-nous @ccnmo Poll Question #4 58 How familiar are you with the methods and tools described today? a) I am not familiar with any of the methods/tools b) I have heard of one or more of the methods/tools c) I have used one or more of the methods/tools
  59. 59. Follow us @nccmt Suivez-nous @ccnmo Poll Question #5 59 In your experience, which step in Evidence-Informed Public Health is the most challenging to do well? a) Define b) Search c) Appraise d) Synthesize e) Adapt f) Implement g) Evaluate
  60. 60. Follow us @nccmt Suivez-nous @ccnmo Poll Question #6 60 To what extent will the methods or tools described today be useful in your practice? a) Very useful b) Somewhat useful c) Not at all useful d) Don’t know
  61. 61. Follow us @nccmt Suivez-nous @ccnmo Poll Question #7 61 What are your next steps? (Check all that apply) a) Access a method/tool referenced in the presentation b) Read an NCCMT summary about a method/tool described today c) Consider using the methods/tools in practice d) Tell a colleague about the methods/tools
  62. 62. Follow us @nccmt Suivez-nous @ccnmo • Use Q&A to post comments and/or questions • ‘Send’ questions to All (not privately to ‘Host’) Q&A Your Comments/Questions
  63. 63. Follow us @nccmt Suivez-nous @ccnmo Availability of the Slides and Audio Recording • The PowerPoint presentation (in English and French) and English audio recording will be available at: • PowerPoint: http://www.slideshare.net/nccmt • Audio Recording: https://www.youtube.com/user/nccmt 63
  64. 64. Follow us @nccmt Suivez-nous @ccnmo Join NCCMT for our next webinar NCCMT Spotlight on Methods & Tools: Equity-Integrated Population Health Status Reporting Action Framework Presenters: Lesley Dyck, Knowledge Translation Specialist, NCCDH & Susan Snelling, Senior Knowledge Translation Specialist, NCCMT DATE: Tuesday, June 7, 2016 TIME: 1:00-2:30 pm https://health-evidence.webex.com/health- evidence/onstage/g.php?MTID=eddc558722a11817e6f8d01502ef27d83 Interested in sharing best practices within your organization? Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? Join us for a webinar to learn how the Equity-Integrated Population Health Status Reporting Action Framework can help you.
  65. 65. Follow us @nccmt Suivez-nous @ccnmo Your Feedback is Important Please take a few minutes to share your thoughts on today’s webinar. https://nccmt.co1.qualtrics.com/SE/?SID=SV_eJ26 mrXyYJ68L0V
  66. 66. Follow us @nccmt Suivez-nous @ccnmo For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca 6666

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