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Selecting Evidence-Based Interventions

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Selecting Evidence-Based Interventions. CHIP Learning Session # 1 • January 30,2014 Tatiana Lin, M.P.A. Sarah Hurd, M.S. Kansas Health Institute. What are Evidence-Based Intervention Strategies? .

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Selecting Evidence-Based Interventions
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  1. Selecting Evidence-Based Interventions CHIP Learning Session # 1 • January 30,2014 Tatiana Lin, M.P.A. Sarah Hurd, M.S. Kansas Health Institute

  2. What are Evidence-Based Intervention Strategies? Evidence-based practice involves making decisions on the basis of the best available scientific evidence, using data and information systems systematically, applying program-planning frameworks, engaging the community in decision making, conducting sound evaluation, and disseminating what is learned. (Brownson, et. al, 2009).

  3. What are Evidence-Based Intervention Strategies? • Programs/Policies/Interventions that have been proven to be successful in other communities • Generally ranked based on effectiveness and strength of evidence • “Seal of Approval”

  4. Why Use Evidence-Based Practices? • Don’t have to re-invent the wheel • Confidence in your approach • Not wasting resources (time AND money) • More attractive to funders • Standardization of approach across communities (allows for peer learning) • Adding to the body of evidence

  5. Ranking Criteria • Type of Evidence • Research, contextual, experiential • Level of Effectiveness • Effective, ineffective, harmful • Strength of Evidence • Statistical significance

  6. 1. Type of Evidence

  7. Level of Effectiveness/Strength of Evidence

  8. Commonly Used Terms • Strongest (gold): • Evidence-based, best practice, scientifically supported, recommended • Stronger (silver): • Effective Practice, some evidence • Strong (bronze): • Good Idea, Expert Opinion, innovative, emerging

  9. Other Terms: • Mixed Evidence/Insufficient Evidence • Evidence of Ineffectiveness/ Recommended Against

  10. Where can we find evidence-based practices? • Commonly Used Sites: • CDC Community Guide • Kansas Health Matters • County Health Rankings • NACCHO • KU Community Toolbox • Common Strengths • Reviewed by researchers/scientific groups • Covers key population health topics • Searchable Database • Provides references • Free access

  11. Key Differences • KHM • Links to national benchmarks (e.g. Healthy People 2020 • locally-relevant practices, submit your own • Includes contact information for program implementers • KHM & CHR link to data • NACCHO site has ‘structural’ practices in addition to population health interventions • KU Community Toolbox: comprehensive list of links to other sites

  12. Criteria for Interpreting Practices • What is the highest quality of evidence (strength/effectiveness) available? • How closely is the practice aligned with our: • Goal • Population • Outcome Measure • What are the resources needed? • Is there someone I can contact about the practice? • Can it be adapted to fit our needs?

  13. Evidence-Based (Exercise)

  14. Questions? • Sarah Hartsig, shartsig@khi.org • Tatiana Lin, tlin@khi.org

  15. Sources • Health Policy Institute of Ohio. Guide to Evidence-Based Prevention. 2013. • Brownson, Fielding and Maylahn. Evidence-based public health: A fundamental concept for public health practice. Annual Review of Public Health. 2009.

  16. Kansas Health Institute Information for policy makers. Health for Kansans.