NCCMT Webinar: Mental Health-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 mental health practice. The National Collaborating Centre for Methods and Tools (NCCMT) is one of six National Collaborating Centres for Public Health in the country with a collective mandate to strengthen public health in Canada. Visit the NCCMT website (www.nccmt.ca) or contact nccmt@mcmaster.ca for more information.
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NCCMT Webinar: Mental Health-Focused Methods and Tools to Support Evidence-Informed Decision-Making
- 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. Mental Health-Focused Methods and Tools to Support Evidence-Informed Decision-Making Susan Snelling, PhD Senior Knowledge Translation Specialist March 29, 2016
- 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) 2 to 3 c) 4 to 5 d) More than 5
- 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. 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. 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. 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 mental health practitioners that can be found in the NCCMT Registry of Methods and Tools 6
- 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. 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. Follow us @nccmt Suivez-nous @ccnmo Poll Question #3 9 What sector are you from? a) Public Health Practitioner b) Mental Health Practitioner c) Health Practitioner (Other) d) Education e) Research f) Federal/Provincial/Territorial Government g) Municipality h) Non-Governmental Organization i) Other
- 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
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- 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. Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 13
- 14. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 14
- 15. Follow us @nccmt Suivez-nous @ccnmo Scenario: Setting the Stage for Evidence Use • Working with homeless populations who experience mental illness • Interested in structural or social interventions to improve health How can the steps of Evidence-Informed Public Health be applied to this scenario? 15
- 16. Follow us @nccmt Suivez-nous @ccnmo 16 Evidence-Informed Public Health Clearly define the question or problem
- 17. 17 Defining a Population Mental Health Framework for Public Health http://www.ncchpp.ca/docs/2014_SanteMentale_EN.pdf
- 18. Follow us @nccmt Suivez-nous @ccnmo Define the question PICO P population I intervention C comparison O outcome 18
- 19. Follow us @nccmt Suivez-nous @ccnmo Define the question: Apply our scenario PICO P population: homeless; high risk I intervention: structural or social C comparison: not specified O outcome: change in health 19
- 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. Follow us @nccmt Suivez-nous @ccnmo 21
- 22. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 22 Efficiently search for research evidence
- 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/index.php#main2.html • Pre-populated with good sites for finding mental health-related evidence. • Start at the top for the most synthesized evidence. • Saves time • Systematic approach to searching 23
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- 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. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 37 Critically and efficiently appraise the research methods
- 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. 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. 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)?” May 2 – May 6, 2016 • http://ccebn.mcmaster.ca/workshop 40
- 41. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 41 Interpret information; understand how to prioritize conflicting results
- 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. 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. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 45 Adapt the information to the local community
- 46. Follow us @nccmt Suivez-nous @ccnmo A Model for Evidence-Informed Decision-Making in Public Health 46
- 47. Recommended Tools: Adapt - Applicability and Transferability of Evidence 47 http://www.nccmt.ca/resources/search/227 http://www.nccmt.ca/resources/search/24
- 48. Follow us @nccmt Suivez-nous @ccnmo Online Learning Module Assessing the Applicability and Transferability of Evidence 48
- 49. Follow us @nccmt Suivez-nous @ccnmo Tips for “Adapt” 49 • 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?
- 50. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 50 Decide whether (and plan how) to implement the change in practice or policy
- 51. Follow us @nccmt Suivez-nous @ccnmo Recommended Method: Innovation to Implementation: A Mental Health Commission of Canada Knowledge Translation Guide http://www.nccmt.ca/resources/search/212 51
- 52. Follow us @nccmt Suivez-nous @ccnmo Steps in MHCC ‘Innovation to Implementation’ Model 52
- 53. Follow us @nccmt Suivez-nous @ccnmo Evidence-Informed Public Health 53 Assess the effectiveness of the change in practice or policy
- 54. Follow us @nccmt Suivez-nous @ccnmo 54 Recommended Method: Evaluation Approach in MHCC ‘Innovation to Implementation’ Model http://www.nccmt.ca/resources/search/212
- 55. 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. 55
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- 57. 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. 57
- 58. Follow us @nccmt Suivez-nous @ccnmo Stages in the process of Evidence-Informed Public Health 58
- 59. Follow us @nccmt Suivez-nous @ccnmo Poll Question #4 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. 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
- 61. 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 61
- 62. 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_8GM lC5h5KveWRTf
- 63. Follow us @nccmt Suivez-nous @ccnmo Join NCCMT for our next webinar NCCMT Spotlight on Methods & Tools: A Tool for Sharing Best Practices PRESENTER: Lisa Mwaikambo, Program Officer II, Knowledge for Health (K4Health) Johns Hopkins Bloomberg School of Public Health DATE: Wednesday, March 30, 2016 TIME: 1:00-2:30 pm https://health-evidence.webex.com/health- evidence/onstage/g.php?MTID=e43dee34d0b5945ed41deccb 15ac8a0fb Interested in sharing best practices within your organization? Not exactly sure what is a best practice within your organization? Unsure how to share best practices internally throughout your organization? Join us for a webinar on the Tool for Sharing Best Practices.
- 64. 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 6464
Notas do Editor
- EIPH provides a systematic approach to incorporate research evidence in program and policy decisions. EIPH is defined as 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. Put simply, it means finding, using and sharing what works in public health.
- Where would you go to find resources to help you use research in your work? Within the Registry of Methods and Tools, we have mapped out which methods and tools could help you with each step of the wheel. -the Registry is a collection of KT resources which are relevant for public health =the purpose of the Registry is to make KT resources more accessible -we do this by: -by identifying and filtering knowledge translation resources that are relevant to public health, and -by creating summary statements of those resources to save time for practitioners -our summary statements contains web-links to methods and tools, in addition to supplemental resources that you may find helpful in using the resource
- -here’s a screenshot of the Registry - visitors can access a number of user stories about how people have used methods and tools in their work, recent updates and new resources which have been added, and browse resources in the Registry
- So why is there a distinction between methods and tools? Why is it important that there is a difference? -methods can help you to organize the approach that you use to accomplish a task through a process or series of steps -sometimes methods can help you to learn about a particular aspect of KT and how you think about it -for example, you may want to learn about knowledge management and a method would be a good place to start -tools provide a way to do a task, whether it is critical appraisal of evidence or adapting evidence to your setting -tools can include workplans, instruments, checklists, some sort of tangible product =the value add of having both methods and tools is that you can use both together to accomplish a task – for example, you may access a method on stakeholder engagement to learn why you need to reach out to your stakeholders during your project and what you hope to achieve in doing so -a tool on stakeholder engagement would help your group identify and document the steps you’ve taken in the process
- -the EIPH wheel illustrates the steps involved in evidence-informed practice -the wheel is a guide for practitioners and decision makers to determine how to address a particular issue by systematically incorporating research evidence in the decision making process -there are 7 steps in the EIPH process that starts with clearly defining the problem, Searching the research literature Appraising the evidence you find Synthesizing or summarizing the research on your issue Adapting and interpreting the findings to your local context Implementing the evidence or appropriate intervention Evaluating your implementation efforts.
- Will develop further
- Can help to have a framework to help define the kind of evidence you are searching for. This framework is drawn from a Report from our colleagues at NCCHPP. Worth noting in this framework that in terms of outcomes, you could look at mental disorder indicators and mental health indicators. This framework is presented as part of a paper looking at the two-continuum model of mental health, which present the perspective that mental health and mental disorder can co-exist – it’s possible to have various states of mental disorder and also experience varying levels of mental health. I won’t go into the two continuum model in detail, but as a scenario to follow through this webinar, I am going to posit that I am interested in finding and using research evidence that speaks to interventions to improve health among a homeless population that experiences mental illness.
- Or if a qualitative question, Population and Situation (P and S)
- -posted on the Registry of Methods and Tools
- gives useful prompts to help you come up with a searchable question
- And other pyramid topics Free access; Need to log-in
- As noted under syntheses, HE is a good source for systematic reviews of research evidence related to public health
- Not a method or tool, but another source where you may find evidence related to mental health interventions
- Second is from CRICH- an adaptation with additional health equity content – so might be very relevant for our evidence-informed decisions related to improving health in homeless populations
- Determine whether to reduce or drop services currently being offered?
- Source document: http://www.mentalhealthcommission.ca/English/node/568
- -the EIPH wheel illustrates the steps involved in evidence-informed practice -the wheel is a guide for practitioners and decision makers to determine how to address a particular issue by systematically incorporating research evidence in the decision making process -there are 7 steps in the EIPH process that starts with clearly defining the problem, Searching the research literature Appraising the evidence you find Synthesizing or summarizing the research on your issue Adapting and interpreting the findings to your local context Implementing the evidence or appropriate intervention Evaluating your implementation efforts.
- thank you for attending today’s workshop For more information about the NCCMT or to access any of the resources noted in these slides, please consult the NCCMT website or contact the Centre directly.