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Health Resources Digest July 2006 EurasiaHealth Knowledge Network www.eurasiahealth.org ========================================= The Health Resources Digest is distributed free of charge as a service of the EurasiaHealth Knowledge Network/American International Health Alliance (AIHA). If this document is to be re-distributed or posted on another Web site, we request that it be posted in full/without alteration, that credit is given to the EurasiaHealth Knowledge Network as the source of the document, and if possible, a link to www.eurasiahealth.org is included in the credit notice. ============================================================= Evidence-based Public Health “Evidence based public health can be defined as a public health endeavour in which there is an informed, explicit, and judicious use of evidence that has been derived from any of a variety of science and social science research and evaluation methods”. A glossary for evidence based public health http://jech.bmjjournals.com/cgi/content/full/58/7/538 International organizations / projects The Cochrane Health Promotion and Public Health Field The Health Promotion and Public Health Field is part of the Cochrane Collaboration. The HPPH Field web site has lists of completed and in-process rigorous reviews of intervention effectiveness for many health promotion/public health issues. It also includes new training resources produced by the HPPH Field: Health Promotion and Public Health Systematic Review Handbook, and Guidelines for Health Promotion and Public Health Systematic Reviews. URL: http://www.vichealth.vic.gov.au/cochrane/welcome/index.htm CIRE - the Continuous Identification of Research Evidence CIRE is a collaborative effort of the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs (CCP). To ensure that its evidence-based family planning guidance remains current, the WHO collaborates on the CIRE system with the WHO Collaborating Centre in Reproductive Health at the CDC and the INFO Project at CCP. The system is supported by the United States Agency for International Development (USAID) and the National Institute of Child Health & Human Development (NICHD). The new articles that have been identified to date are accessible by searching the CIRE system and are also available through a regular email bulletin URL: http://www.infoforhealth.org/cire/cire_pub.pl WHO Regional Office for Europe - Health Evidence Network HEN is an information service for public health and health care decision-makers in the European Region. HEN provides: answers to policy questions in the form of evidence-based reports and summaries; and easy access to evidence and information from a number of web sites, databases and documents. You can subscribe to receive electronic updates on new reports, sources of evidence, and upcoming events. The section Related sites provides access to selected related sites, journals, gateways and portals and agencies. URL: http://www.euro.who.int/HEN The Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) The Evidence for Policy and Practice Information and Coordinating Centre (EPPI-Centre) is part of the Social Science Research Unit (SSRU), Institute of Education, University of London. The focus of the EPPI-Centre’s work is on promoting systematic reviews of research evidence, on developing methods and tools for systematic appraisal of different kinds of research studies, and on facilitating user involvement throughout the review and dissemination process. The EPPI-Centre’s work is funded by UK government departments and other national and international funding bodies. The EPPI-Centre works across the social sciences but particularly in education, public health, social care and employment. The web-site contains full-text reviews and reports, and searchable on-line databases of Health Promotion and Public Health Research. The Database of Promoting Health Effectiveness Reviews (DoPHER) is a specialised register concentrating on reviews. It currently contains over 1,700 reviews. The Trials Register of Promoting Health Interventions (TRoPHI) is a web-based database of randomised controlled trials and controlled trials (non-randomised) of Public Health and Health Promotion interventions. It currently contains over 2,300 trials. URL: http://eppi.ioe.ac.uk/EPPIWeb/home.aspx Healthwise -"Providing Answers to Your Health Questions" Healthwise researches and summarizes answers to your questions about public health programs in tuberculosis, malaria, HIV/AIDS, maternal health, child survival, and reproductive health. Healthwise focuses on the medical aspects of these problems to help enhance and inform health communication programs with expert health knowledge. Healthwise is a joint product of the Health Communication Partnership (HCP) and the INFO (Information and Knowledge for Optimal Health) Project, both based at Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs (CCP) and supported by the U.S. Agency for International Development. URL: http://www.hcpartnership.org/Healthwise/index.php National organizations/projectsE-Roadmap to Evidence-Based Public Health Practice The site from NH Institute for Health Policy & Practice provides: information about the definition and significance of evidence-based public health practice; tools to finding data-demonstrated solutions to public health problems; and learning materials on how to be an efficient and effective consumer of public health research. The site is divided into 4 main departments: EBPHP Concepts: Basic information about evidence-based public health practice including definition, importance, and resources to learn more about it; Skill-Building: Links to web-enabled resources to help you be more efficient in finding proven solutions to public health problems; Evidence: Description of and links to web-enabled resource to find proven solutions to public health problems; Evaluate Web-site (feedback): a short survey to evaluate and improve user-friendliness and usefulness of this web-site. The introductory tutorial shows how to use the "evidence" section of the E-Roadmap web-site to find effective strategies to address a public health problem. URL: http://www.publichealthsolutions.org/index.html Evidence-Based Practice for Public Health Project The purpose of this project is to examine the clinical EBM models and assess their effectiveness to the public health literature. The project will also identify any existing evidence-based projects in public health and assess their effectiveness. The Evidence-Based Practice for Public Health Project is funded by an award from the Association of Teachers of Preventive Medicine / Centers of Disease Control and Prevention Cooperative Agreement to the Lamar Soutter Library at the University of Massachusetts Medical School. The outcomes of the project will be: An Evidence-based Public Health Web-site; An electronic publication or database based on the preferred models(s); A training program for public health practitioners introducing them to evidence-based public health practice and literature retrieval methods. URL: http://library.umassmed.edu/ebpph/ Effective Public Health Practice Project The Effective Public Health Practice Project is based in Hamilton, Ontario, Canada. The Public Health Branch of the Ministry of Health and Long Term Care and the City of Hamilton fund the Public Health Research, Education and Development (PHRED) Program. One role of the PHRED Program is to conduct and disseminate clinically relevant public health, health promotion and primary care research, and to foster evidence-based practice and policy-making. The Effective Public Health Practice Project has interventions summarized for 35 topics to date organized under 4 areas: Health hazard investigations; Chronic disease and injuries; Family health; and Infectious disease. URL: http://www.hamilton.ca/PHCS/EPHPP Health-evidence.ca This site began as a research project intended to promote the use of research in practice by creating a registry of published systematic reviews on the effectiveness of public health interventions. Maureen Dobbins, the principal investigator, wanted the input of Canadian public health decision makers around what would be the best way to disseminate the findings of these reviews to decision makers across Canada. The main feature of this web site is an online registry of systematic reviews on the effectiveness of public health and health promotion interventions. The registry is one component of a comprehensive knowledge translation site that will support users in accessing and interpreting research evidence. The strategy will also work toward connecting users across Canada (and internationally), who work in similar areas, or have similar interests. http://health-evidence.ca/project_history.aspx Partners in Information Access for the Public Health Workforce The Partners in Information Access for the Public Health Workforce is a collaboration of U.S. government agencies, public health organizations and health science libraries. It helps the public health workforce find and use information effectively to improve and protect the public's health. Project activities include: a.. developing tools and other resources for the public health workforce in information access and management, grant writing, needs assessment, and training; b.. sponsoring meetings, workshops, and satellite broadcasts geared toward improving content of and access to information needed by public health professionals and the information professionals who work with them; c.. developing distance learning materials and fostering partnerships for distance learning initiatives; providing ongoing information on funding opportunities and training available to public health professionals; d.. exhibiting at national meetings of public health professionals; e.. and funding projects to train and provide outreach to public health professionals. “Public Health Information and Data: A Training Manual” supports instruction provided to members of the public health workforce on issues related to information access and management. This manual is intended primarily for librarians and others who may be responsible for developing training events. There are no copyright restrictions on the manual's contents, and instructors are free to adapt or duplicate any portion. “Public Health Information and Data Tutorial” provides instruction for members of the public health workforce on issues related to information access and management. This tutorial is based on “Public Health Information and Data: A Training Manual”. The tutorial area has different sections with Learning Objectives, Supported Competencies, case studies, and exercises. URL: http://phpartners.org Promoting and Facilitating Evidence-Based Public Health and Health Promotion The aim of this project was to enable the use and synthesis of evidence in Australian public health and health promotion policy, practice and research. This PHERP three year project has been implemented by a consortium between the University of Sydney, the Cochrane Health Promotion and Public Health Field, and La Trobe University. The project has developed a number of high quality training materials, now freely available. These materials focus on using and synthesizing evidence in public health and health promotion policy, practice and research settings. This project finished 31 Dec 2005, however, the materials developed on the use and synthesis of evidence in Australian public health and health promotion policy, practice and research will remain available on the Web-site. URL: http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/pherp-innovations-31.htm The Community guide Evidence-based recommendations for programs and policies to promote population health. The Community Guide is being developed by the non-federal Task Force on Community Preventive Services (the Task Force), whose members are appointed by the Director of the Centers for Disease Control and Prevention (CDC). “The Guide to Community Preventive Services (Community Guide) serves as a filter for scientific literature on specific health problems that can be large, inconsistent, uneven in quality, and even inaccessible. The Community Guide summarizes what is known about the effectiveness, economic efficiency, and feasibility of interventions to promote community health and prevent disease. The Task Force on Community Preventive Services makes recommendations for the use of various interventions based on the evidence gathered in the rigorous and systematic scientific reviews of published studies conducted by the review teams of the Community Guide. The findings from the reviews are published in peer-reviewed journals and also made available on this Internet Web-site”. The recently published book “The Guide to Community Preventive Services: What Works to Promote Health?” is now available for free to download in PDF format. URL: http://www.thecommunityguide.org/ Gateways/ Resource Collections Public Health Digital Library. This library presents quality and evidence-based public health information, guidelines and best practices resources. The Digital Library initiative is the result of a partnership between Public Health - Seattle & King County and the University of Washington Health Sciences Libraries, funded by the Grace and Harold Sewell Memorial Fund. Some of the key features of the Public Health Digital Library include: a.. Article & publication search: Databases and search tools to locate health articles b.. Health statistics and data: Online tools for locating and using public health data and reports c.. Open access and full text eJournals: Links to journals that do not restrict access only to subscribers and instructions on finding full text articles d.. Evidence-based Web-sites: Resources with a focus on evidenced-based public health e.. Grants & funding: Web0sites for the grant seeker and the grant writer f.. Topics A - Z: Annotated links to a wide range of high quality public health oriented Web-sites g.. Guidelines & best practices: Practice recommendations and guidelines for the public health professional h.. Training opportunities: Resources on searching the Internet, evaluating Web-sites, continuing education and training, keeping current, and knowledge management URL: http://www.metrokc.gov/health/library/index.htm The Public Health electronic Library (PHeL) The National electronic Library for Health (NeLH) is a gateway to seventy electronic resources to aid knowledge based decision making. It provides access to a collection of specialist libraries, and partner libraries which include the Public Health electronic Library (PHeL). PHeL was developed by the Health Development Agency on behalf of the Department of Health. On 1 April 2005 the Health Development Agency joined the National Institute for Clinical Excellence to become the new National Institute for Health and Clinical Excellence (known as NICE). The site is currently maintained by NICE. The “Evidence” section contains evidence material from public health organizations A new National Library for Public Health will be commissioned as part of the National Library for Health (NLH). The PHeL Web-site will remain accessible to users while the new National Library for Public Health is being developed. URL: http://www.phel.gov.uk/ Training Materials EBPHN: Access to Electronic Health Information Training materials in public health nursing: TOT program, online learning modules, links to Web-based resources on evidence-based public health practice. The tutorial is made up of six training modules that were developed by librarians in order to enhance the search skills of public health nurses as they search for evidence-based public health nursing. Each module takes no more than 30 minutes; The assessment for each module should take from 15 to 30 minutes to complete. URL: http://www.uic.edu/depts/lib/projects/ebphn/ An Introduction to Evidence-Based Public Health “Evidence-Based Public Health (EBPH) is an approach to public health practice that has evolved, in part, from advances in the field of Evidence-Based Medicine. This lecture begins with a public health case presentation to set the stage. It then traces the development of EBPH and describes its application, in practice. The intent of this presentation is to present an initial overview of EBPH”. (Uploading date: January 01, 2005) URL: http://www.pitt.edu/~SUPER1/lecture/lec18061/index.htm Journals Evidence-based Healthcare and Public Health (formerly Evidence-based Healthcare) Provides health managers and policy makers with the best evidence available about the financing, organization, and management of healthcare and public health. For each issue, key articles are selected from over 70 journals in the field and reviewed in the form of a structured abstract and expert commentary. Title discontinued as of 2006. URL: http://www.sciencedirect.com/science/journal/17442249 International Journal for Quality in Health Care The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment and nursing care research, as well as clinical research related to quality of care. The journal is part of The Developing Countries Oxford Online Collection which is available for free to not-for-profit organizations from qualifying countries whose mission involves education and / or health URL: http://intqhc.oxfordjournals.org/ International Journal of Technology Assessment in Health Care Journal covering the development, evaluation, diffusion and use of health technology, as well as its impact on the organization and management of health care systems and public health. In addition to general essays and research reports, regular columns on technology assessment reports and thematic sections are published. It is an official journal of the Health Technology Assessment International. TOCs, abstracts and selected journal issues are available for free. URL: http://journals.cambridge.org/action/displayJournal?jid=THC Journal of Evaluation in Clinical Practice The Journal of Evaluation in Clinical Practice is an international scholarly journal which is concerned with the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are articles on all aspects of clinical effectiveness and efficiency. Free online access to this journal is available within institutions in the developing world through the HINARI . URL: http://www.blackwellpublishing.com/journal.asp?ref=1356-1294 Articles A glossary for evidence based public health// J Epidemiol Community Health 2004;58:538-545 “This glossary seeks to define and explain some of the main concepts underpinning evidence based public health. It draws on the published literature, experience gained over several years analysis of the topic, and discussions with public health colleagues, including researchers, practitioners, policy makers, and students”. URL: http://jech.bmjjournals.com/cgi/content/full/58/7/538 Kemm J. The limitations of 'evidence-based' public health// Journal of Evaluation in Clinical Practice, Volume 12 Issue 3 - June 2006 “…This paper examines how the concept of the 'evidence-based' approach has transferred from clinical medicine to public health and has been applied to health promotion and policy making. In policy making evidence has always been interpreted broadly to cover all types of reasoned enquiry and after some debate the same is now true for health promotion. Taking communities rather than individuals as the unit of intervention and the importance of context means that frequently randomized controlled trials are not appropriate for study of public health interventions”. URL: http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2753.2006.00600.x Siddiqi K; Newell JN. Bringing Evidence into Practice in Low-Resource Settings (Editorial)// Bulletin of the World Health Organization, December 2005, 83 (12) “There is growing recognition of the need to maximize efforts to bring evidence into practice in low-resource settings, following increased realization that the gap between evidence and practice in developing countries results in ineffective treatments that drain limited resources in health systems. However, in poorer health systems, bringing evidence into practice is proving exceedingly challenging for reasons only partially understood”. URL: http://www.who.int/bulletin/volumes/83/12/882.pdf LaPelle NR, Luckmann R, Simpson EH, Martin ER. Identifying strategies to improve access to credible and relevant information for public health professionals: a qualitative study //BMC Public Health. 2006 Apr 5;6:89. “A hypothetical ideal model for information organization and delivery was developed based on informants' stated information needs and preferred means of delivery. Features of the model were endorsed by the subjects who reviewed it. Many critical information needs of PH practitioners are not being met efficiently or at all. We propose a dual strategy of: 1) promoting incremental improvements in existing information delivery systems based on the expressed preferences of the PH users of the systems and 2) the concurrent development and rigorous evaluation of new models of information organization and delivery that draw on successful resources already operating to deliver information to clinical medical practitioners”. URL: http://www.pubmedcentral.gov/picrender.fcgi?artid=1456961&blobtype=pdf Grading evidence and recommendations for public health interventions: developing and piloting a framework. UK Health Development Agency, 2005 “…The objective of this work was to develop a practical scale of grades of recommendation for public health interventions, adapted from the current National Institute for Clinical Excellence (NICE) methodology….” URL: http://www.publichealth.nice.org.uk/page.aspx?o=503422 ============================================================= Related EurasiaHealth Knowledge Network links: Changing the Influenza Immunization Policy in Romania: Is It Worthwhile? URL: http://www.eurasiahealth.org/eng/health/resources/81437/ Program of Early Detection of Breast Cancer URL: http://www.eurasiahealth.org/eng/health/resources/81350/ Appropriate Frequency of Arterial Hypertension Screening for Different Age Groups URL: http://www.eurasiahealth.org/eng/health/resources/81440/ Effectiveness of School Programs in Prevention of Smoking URL: http://www.eurasiahealth.org/eng/health/resources/81495/ ============================================================= Health Resources Digest Forthcoming Topics [Provisional] Critical Appraisal Tools; Electronic Patient Records; Copyright Issues on the Internet; Medical Calculators If you have a suggestion for a Digest topic, or would like to contribute information about Internet resources, then please contact ibra@zadar.net ============================================================= Compiled by Irina Ibraghimova, Coordinator, Medical and Information Resources American International Health Alliance ibra@zadar.net Back issues of the Health Resources Digest are archived at http://www.eurasiahealth.org/eng/misc/publication3/ For More Information... Please contact the EurasiaHealth Knowledge Network: * if you would like to subscribe to EURASIAMEDINFO by e-mail * if you would like more information about the EurasiaHealth Knowledge Network Richard Custer, Research Associate, Information and Communication Technology Programs, American International Health Alliance rcuster@mindspring.com