This document includes these contents: Evidence-based practice for public health project, background of the project, process used to meet the goals, description of the project to date,... Invite you to result.
EvidenceBased Practice for Public Health Project Funded by a CDC/ATPM Cooperative Agreement Lamar Soutter Library Principal Investigator: Elaine Martin, MSLS, MA Project Coordinator: Hathy Simpson, MPH Project Consultant: Roger Luckmann, MD, MPH Overview • Rationale & background of the project • Project’s goals • Process used to meet the goals • Description of the project to date • Future plans Many EBM products have been developed for busy medical clinicians but few EBPH resources are available for public health practitioners A Definition of EBM The conscientious, explicit, judicious use of the current best evidence in making decisions about the care of individual patients (Ref: Sackett et al, 1996) Definition of EBM (cont.) EBM practice requires integrating practitioner clinical expertise with best evidence from systematic research A Definition of EBPH The conscientious, explicit, judicious use of the current best evidence in making decisions in routine PH practice, and in developing PH policies and programs (Ref: Sackett et al, 1996) Definition of EBPH (cont.) EBPH practice requires integrating practitioner expertise, accumulated PH and basic science knowledge, and regulatory requirements, with best evidence from systematic research Spectrum of Evidence Definitive clinical and epidemiologic studies of human subjects and populations Consensus of experts based on historical observation and experience in human populations Findings from basic science research extrapolated to humans Spectrum of Evidence: Clinical and Epidemiologic Studies Systematic reviews of multiple valid intervention studies One or more randomized controlled trials or other intervention studies Systematic reviews of multiple valid observational studies or evaluations One or more observational studies or evaluations Rationale for EvidenceBased Practice for Public Health Project • Increasing amount of high quality, relevant research in PH and in disciplines related to PH (medical, behavioral, social sciences) • Great need for high quality, evidencebased information by PH practitioners • Access to best evidence limited Public Health Sources Used to Identify the Knowledge Domains of Public Health Healthy People 2010 national health objectives Public health guidelines from The Guide to Community Preventive Services Ten essential services of public health from the Public Health Functions Working Group 10 Library indexes: NLM journal subject headings & MeSH; public health subject headings from the Library of Congress Example of a Public Health Knowledge Domain: Environmental Health Proposed Knowledge Domain of Public Health Environmental Health Toxicology Hazardous Materials Ecology Environmental Microbiology Environmental Monitoring Environmental Epidemiology Industrial & Land Pollution Outdoor Air Pollution Accreditation MaxcyRosenau American Journal Criteria, Council Last Public Health of Public Health, on Education for & Preventive Collection Public Health, Medicine Categories Knowledge Areas Chapters Environmental Environmental Environment Health Sciences Health Biological Factors Toxicology Physical Factors Chemical Factors Indoor Pollution Housing & Health Buildings & Health Lead Poisoning Asbestos Radon in Homes Housing & Health The Public Health Work Force, Enumeration 2000 Occupational Categories Environmental Engineer Environmental Engineer Technician Chemical Engineer Testing Technician Environmental Scientist & Specialist Environmentalist Environmental Science & Protection Technician Environmental Health Specialist Soil & Plant Scientist Hazardous Materials Specialist Toxicologist Air Pollution Engineer, Technician Air Pollution Specialist Massachusetts Dept. of Public Health, Bureaus & Programs Environmental Health Assessment Community Assessment Program Environmental Health Education Program Environmental Epidemiology Program Environmental Toxicology Program American Public Health People The Guide to Health 2010, Community Association, Focus Areas & Preventive Sections & Special Leading Health Services, Interest Groups Indicators Topics Environment Environmental Health Toxics & Waste Infrastructure & Surveillance Environmental Quality Public Health Functions Working Group, Essential Public Health Services Diagnose and Investigate Health Problems Enforce Laws and Regulations Followup of Hazards & Exposurerelated Diseases Indoor Air Quality Childhood Lead Poisoning Prevention Program Outdoor Air Quality Healthy Homes & Healthy Communities Indoor Allergens Office Building Air Quality Radon in Homes Leadbased Paint Substandard Housing NLM, Journal Subject Headings NLM, Medical Subject Headings Library of Congress Subject Headings Public Health Environmental Health Ecology Pollution Toxicology Pesticides Poisoning Xenobiotics Environmental Health Environmental Medicine Environmental Microbiology Air Microbiology Food Microbiology Soil Microbiology Water Microbiology Environmental Pollution Environmental Monitoring Disorders of Environmental Origin Environmental Health Environmental Toxicology Environmentally Induced Diseases Environmental Engineering Environmental Monitoring Environmental Testing Enforcement of Clean Air Standards Air Pollution Air Pollution Air Pollution, Indoor Housing Housing & Health Asbestos Abatement Lead Abatement We Identified 17 (with their subdomains) Public Health Knowledge Domains • • • • • • • • • Epidemiology (6) Biostatistics (6) Vital Statistics & Surveillance (7) Environmental Health (13) Occupational Health (3) Health Services Administration (15) Social & Behavioral Sciences (8) Health Promotion & Education (4) Community Health (18) (includes Maternal & Child Health) • Public Health Nursing (3) • Disaster Control & Emergency Services (4) • Communicable Diseases (16) • HIV/AIDS (4) • Chronic & Noncommunicable Diseases & Conditions (18) • Public Health Laboratory Sciences (5) • Public Health Informatics (5) • Global, International Health The Next Step in the Process: What is the literature associated with the identified knowledge domains of public health? –Identify public health journals Process Used to Identify Public Health Journals • Used ISI’s Journal Citation Reports to identify top public health journals by impact factor • Created a list of public health journals using three sources: CDC Information Center: list of the most frequently requested journals Healthy People 2010 Information Access Project: list of the most frequently cited journals from formulated search strategies Journals identified through the MLA’s Core Public Health Journal Project Public Health Journals Identified List of the top 25 journals by impact factor in the subject category: “Public, Environmental, and Occupational Health” List of 698 public health journals – Available online? – Free or by subscription only? – If free: Internet link (URL)? The Next Step What public health literature is associated for the identified knowledge domains of public health? – Match journal titles with knowledge domains Example of a Public Health Knowledge Domain: Maternal and Child Health Public Health Knowledge Domain: Maternal and Child Health Some associated journals: – – – – – – – – – – Maternal and Child Health Journal American Journal of Obstetrics and Gynecology Paediatric and Perinatal Epidemiology Archives of Disease in Childhood Archives of Pediatrics and Adolescent Medicine Child Abuse and Neglect Child: Care, Health and Development The Future of Children Journal of Child and Family Studies Pediatrics International Accomplishments To Date • Identified the knowledge domains of public health • Identified public health journals • Created project website • In progress: Match identified knowledge domains with public health journals The Project’s Website http://library.umassmed.edu/ebpph Future Goals for the Next Year • Determine the information needs of public health workers vs. clinical workers • Identify the characteristics of clinical EBM products • Can any of the characteristics be applied to a model for evidencebased public health? • What is our definition of evidencebased public health? Future Goals for the Next Year Continued • Would public health workers use the product? • What features would public health workers want? • Choose sample public health knowledge domains to test evidencebased model(s) for public health practice EvidenceBased Practice for Public Health Project Personnel Principal Investigator: Elaine Martin, MSLS, MA Project Coordinator: Hathy Simpson, MPH Project Consultant: Roger Luckmann, MD, MPH Project Consultant: Sharon Telleen, PhD Technical Advisor: Jocelyn Rankin, PhD ... What features would? ?public? ?health? ?workers want? • Choose sample? ?public? ?health? ?knowledge domains to test evidencebased model(s)? ?for? ?public? ?health? ? practice EvidenceBased? ?Practice? ?for? ?Public? ? Health? ?Project? ?Personnel... Collection categories of the American Journal of? ?Public? ? Health Public? ?health? ?occupational categories Massachusetts Department of Public? ?Health American? ?Public? ?Health? ? Association (APHA) Public? ?Health? ?Sources Used to Identify the ... Domains of? ?Public? ?Health Healthy People 2010 national health? ?objectives Public? ?health? ?guidelines from The Guide to Community Preventive Services Ten essential services of? ?public? ? health? ?from the? ?Public? ?Health? ?