Evidence-Based Public Evidence-Based Public Health Practice: Health Practice: Using Research Using Research and Data to Improve Your Programsand Data to Improve Your ProgramsWeek 2, Part 1: Step 3 of 6--Use the Week 2, Part 1: Step 3 of 6--Use the research literature to guide program research literature to guide program developmentdevelopment
Helena VonVilleLibrary DirectorUniversity of Texas School of Public Health
This project has been funded in part with Federal funds from the National Library of Medicine National lnstitutes of Health, Department of Health and Human Services, under Contract No NO1-LM-6-3505.
Week 2, Part 1: Use the researchWeek 2, Part 1: Use the research
Types of research literatureAccess to the research literature
Evaluation of the literature
Step 3: Use the ResearchStep 3: Use the Research
Types of resources available◦Research syntheses Systematic reviews & meta-analyses
◦Guidelines & Best Practices◦Original research literature◦Other Conference proceedings
How much time do you have?
Sources of Research: Sources of Research: Systematic ReviewsWhat is a systematic review?
◦SRs use scientific methodology to evaluate interventions Prevention, treatment and rehabilitation Replicable Include aims
Often use PICO to frame question
May include meta-analyses http://www.sph.uth.tmc.edu/library/default.aspx?id=
2909
Cochrane ReviewsEPPI-Centre:
◦Search for Health Promotion Reviews
Evidence Reports (AHRQ) Campbell Collaboration
◦Education, crime and justice, and social welfare
TheCommunityGuide.org
Sources of Research:Sources of Research:Systematic Reviews
Sources of Research: Sources of Research: Guidelines & Best Practices
Using What Works (NCI)Evaluated & vetted research
◦Clinical Practice Guidelines (Agency for Healthcare Research and Quality) National Guideline Clearinghouse
◦Promising Practices Network
Sources of Research:Sources of Research:Original Research LiteratureOriginal Research LiteratureJournal literature
◦Not always research based! Professional magazines
◦Can be a good way to find solutions that address your needs
◦Journals not always readily available
Access the Research:Access the Research:Original Research LiteratureOriginal Research LiteratureAccess to full text articles
◦Through TexShare databases◦Through open access journals◦Through DSHS Medical and Research LibraryContact them for eligibility http://www.dshs.state.tx.us/library/default.shtm
Access the Research:Access the Research:Original Research LiteratureOriginal Research LiteratureTexShare Databases
◦Available through local public library
◦Excellent FT access to journals◦No cost to you◦Proxy server used for remote access IT may block for security reasons
Sources of Research:Sources of Research:Original Research LiteratureOriginal Research LiteratureFavorite databases
◦Academic Search Complete (articles)
◦Medline (abstracts)◦Health Source: Nursing & Consumer (articles)
◦NetLibrary (e-books)What is available?
◦Houston Public Library databases
Terms to help you searchTerms to help you search
◦Intervention-type terms:◦"health education" or "health promotion" or "health attitude*” or "health behavior*" or "health program*“ or “health knowledge” or intervention*
◦Combine with your topic◦Add in your population!
Evaluation of the Research Evaluation of the Research LiteratureLiteratureWho is/are the author/s?
◦Researchers? Practitioners?◦Do they report conflicts of interest or
funding sources?What kind of an article is it?
◦Research? How I done good? Case report?
What are the questions being asked?
Evaluation of the Research Evaluation of the Research LiteratureLiteratureIs the research theory based?
◦Did they use an appropriate theory?Did they use an appropriate
methodology and did they use it correctly?
Do they report their statistical findings?◦Are their calculations correct?
Is it generalizable to your population?◦Was their population similar to yours?
How to Read a paper: BMJ How to Read a paper: BMJ seriesseriesT. Greenhalgh, BMJT. Greenhalgh, BMJDeciding what the paper is about
◦ http://www.bmj.com/cgi/content/full/315/7102/243
Assessing the methodology◦ http://www.bmj.com/cgi/content/full/315/7103/305
Statistics for non-statisticians, Pt. 1◦ http://www.bmj.com/cgi/content/full/315/7104/364
Statistics for non-statisticians, Pt. 2◦ http://www.bmj.com/cgi/content/full/315/7105/422
How to Read a paper: BMJ How to Read a paper: BMJ seriesseriesT. Greenhalgh, BMJT. Greenhalgh, BMJDrug trials
◦ http://www.bmj.com/cgi/content/full/315/7106/480
Diagnostic or screening tests◦ http://www.bmj.com/cgi/content/full/315/7107/540
Economic analyses◦ http://www.bmj.com/cgi/content/full/315/7108/596
Systematic Reviews & Meta-analyses◦ http://www.bmj.com/cgi/content/full/315/7109/672
Qualitative: ◦ http://www.bmj.com/cgi/content/full/315/7110/740
Questions?Questions?