2,990 results match your criteria makers evidence-based

Evidence-based practice by physiotherapists in UAE: Investigating behavior, attitudes, awareness, knowledge and barriers.

PLoS One 2021 18;16(6):e0253215. Epub 2021 Jun 18.

Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.

Evidence-based practice (EBP) is an important factor determining the quality of healthcare. The field of physiotherapy is still limited by indirect access in several countries including the United Arab Emirates (UAE) which creates added pressure to justify the merit in its practitioner's capabilities. This study explores the behavior, attitudes, awareness and knowledge towards EBP among practicing physiotherapists in the UAE. Read More

View Article and Full-Text PDF

Communication vs evidence: What hinders the outreach of science during an infodemic? A narrative review.

Integr Med Res 2021 Dec 17;10(4):100731. Epub 2021 May 17.

Professor, Master's in Science Communication, University of Padua, Padua, Italy.

Background: The COVID-19 pandemic is placing significant pressure on national and international health organizations and the measures taken to combat it are having many impacts beyond health. At the same time, misleading communication practices and what has been called an "infodemic" by the World Health Organization have been hampering the uptake of coronavirus-related scientific information. Moreover, public awareness about the dangers of the infodemic remains poor, and misinformation may lead to hazardous behaviours. Read More

View Article and Full-Text PDF
December 2021

Academic-Policy Partnerships in Evidence-Based Practice Implementation and Policy Maker Use of Child Mental Health Research.

Psychiatr Serv 2021 Jun 18:appips202000582. Epub 2021 Jun 18.

Department of Child and Adolescent Psychiatry, New York University Langone Health, New York City (Cervantes, Seag, Hoagwood, Horwitz); Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Nelson, Purtle).

Objective: Strategies are needed to improve policy makers' evidence-informed decision making and the availability of evidence-based, state-supported services. This study examined whether academic-policy partnerships could promote these outcomes.

Methods: Data from two national surveys of state mental health agency representatives were used to compare barriers to implementation of evidence-based practices (EBPs) and policy makers' use of child mental health research in states with strong academic-policy partnerships in workforce training or in program implementation/evaluation (IE) with barriers in states with no or limited partnerships in these areas. Read More

View Article and Full-Text PDF

Education increases decision-rule use: An investigation of education and incentives to improve decision making.

J Exp Psychol Appl 2021 Jun 17. Epub 2021 Jun 17.

Department of Psychometrics and Statistics.

Robust scientific evidence shows that human performance predictions are more valid when information is combined mechanically (with a decision rule) rather than holistically (in the decision-maker's mind). Yet, information is often combined holistically in practice. One reason is that decision makers lack the knowledge of evidence-based decision making. Read More

View Article and Full-Text PDF

The Shadow Pandemic of Alcohol Use during COVID-19: A Canadian Health Leadership Imperative.

Healthc Policy 2021 05;16(4):17-24

Adjunct Professor, Royal Roads University; CEO/Director, Mind Science Consultants Inc., Victoria, BC.

Increased alcohol consumption among Canadians during the COVID-19 pandemic will impact our health systems in the short and longer term, through increased hospitalizations due to alcohol-related illness, addiction, violence and accidents. The increased stress due to involuntary unemployment, confinement and boredom during the pandemic has led to an escalation in alcohol use. It is imperative that policy makers recognize and address the inherently conflicting roles of provincial/territorial governments as regulators/retailers of alcohol and funders of healthcare and prioritize the development and implementation of an evidence-based framework to mitigate the increased population health risks of alcohol-related harms. Read More

View Article and Full-Text PDF

Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders.

J Subst Abuse Treat 2021 Jul 27;126:108341. Epub 2021 Feb 27.

Department of Psychiatry, Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, USA. Electronic address:

Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence-based treatments exist, but engaging mothers in treatment is difficult. Read More

View Article and Full-Text PDF

Physiotherapists' perspectives on barriers to implementation of direct access of physiotherapy services in the United Arab Emirates: A cross-sectional study.

PLoS One 2021 11;16(6):e0253155. Epub 2021 Jun 11.

Department of Physiotherapy, College of Health sciences, University of Sharjah, Sharjah, UAE.

Background: There are two primary ways of accessing physiotherapy for service users around the world. The direct access, as opposed to the indirect access which requires a referral from a general physician, has several merits including better quality, timeliness, cost effectiveness of treatment and better probability of preventing acute conditions from turning into chronic ailments. Despite these benefits, several countries including the UAE, do not allow direct access to physiotherapists. Read More

View Article and Full-Text PDF

Policy options to increase motivation for improving evidence-informed health policy-making in Iran.

Health Res Policy Syst 2021 Jun 7;19(1):91. Epub 2021 Jun 7.

McMaster Health Forum and Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Background: Current incentive programmes are not sufficient to motivate researchers and policy-makers to use research evidence in policy-making. We conducted a mixed-methods design to identify context-based policy options for strengthening motivations among health researchers and policy-makers to support evidence-informed health policy-making (EIHP) in Iran.

Methods: This study was conducted in 2019 in two phases. Read More

View Article and Full-Text PDF

Development of an Implementation Process Model: a Delphi study.

BMC Health Serv Res 2021 Jun 7;21(1):558. Epub 2021 Jun 7.

Institute for Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, ON, M5T 3M6, Canada.

Background: There is general scarcity of research on key elements of implementation processes and the factors which impact implementation success. Implementation of healthcare interventions is a complex process. Tools to support implementation can facilitate this process and improve effectiveness of the interventions and clinical outcomes. Read More

View Article and Full-Text PDF

One CGIAR and the Integrated Agri-food Systems Initiative: From short-termism to transformation of the world's food systems.

PLoS One 2021 4;16(6):e0252832. Epub 2021 Jun 4.

International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico.

Agri-food systems are besieged by malnutrition, yield gaps, and climate vulnerability, but integrated, research-based responses in public policy, agricultural, value chains, and finance are constrained by short-termism and zero sum thinking. As they respond to current and emerging agri-food system challenges, decision makers need new tools that steer toward multi-sector, evidence-based collaboration. To support national agri-food system policy processes, the Integrated Agri-food System Initiative (IASI) methodology was developed and validated through case studies in Mexico and Colombia. Read More

View Article and Full-Text PDF

Methodological guidance for the conduct of mixed methods systematic reviews.

JBI Evid Implement 2021 Jun;19(2):120-129

College of Nursing, Midwifery and Healthcare, University of West London, London, England.

Objective: The objective of this paper is to outline the updated methodological approach for conducting a JBI mixed methods systematic review with a focus on data synthesis, specifically, methods related to how data are combined and the overall integration of the quantitative and qualitative evidence.

Introduction: Mixed methods systematic reviews provide a more complete basis for complex decision-making than that currently offered by single method reviews, thereby maximizing their usefulness to clinical and policy decision-makers. Although mixed methods systematic reviews are gaining traction, guidance regarding the methodology of combining quantitative and qualitative data is limited. Read More

View Article and Full-Text PDF

Allocation of Scarce Resources in a Pandemic: Rapid Systematic Review Update of Strategies for Policy Makers.

J Clin Epidemiol 2021 May 25. Epub 2021 May 25.

RAND Corporation, 1776 Main Street Santa Monica, CA 90401, USA. Electronic address:

Objective: In pandemics like COVID-19, the need for medical resources quickly outpaces available supply. Policymakers need strategies to inform decisions about allocating scarce resources.

Study Design And Setting: We updated a systematic review on evidence-based approaches and searched databases through May 2020 for evaluation of strategies for policymakers. Read More

View Article and Full-Text PDF

Research effort devoted to regulating and supporting ecosystem services by environmental scientists and economists.

PLoS One 2021 28;16(5):e0252463. Epub 2021 May 28.

Department of Biology, University of Ottawa, Ottawa, Ontario, Canada.

The economic valuation of ecosystem services in part reflects the desire to use conventional economic tools (markets and economic instruments) to conserve ecosystem services. However, for regulating and supporting ecosystem services that depend on ecosystem structure and function, estimation of economic value requires estimates of the current level of underlying ecological functions first. This primary step is in principle, the job of environmental scientists, not economists. Read More

View Article and Full-Text PDF

Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study.

BMJ Open 2021 05 24;11(5):e040043. Epub 2021 May 24.

Andalusian School of Public Health, Granada, Spain

Introduction: Asset-based community development (ABCD) is a strategy aimed at strengthening communities of interest through the identification and enhancement of those protective resources (also called 'health assets') that contribute to improve population health. Although primary care is specially well placed to contribute to ABCD by facilitating patients' access to community health assets, the implementation of ABCD approaches is limited, in part due to training deficiencies amongst general practitioners. In this study, we will develop a training programme on ABCD aimed at general practice trainees and evaluate its implementation and scale-up in Andalusia, Spain. Read More

View Article and Full-Text PDF

The Effectiveness of Post-exercise Stretching in Short-Term and Delayed Recovery of Strength, Range of Motion and Delayed Onset Muscle Soreness: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Front Physiol 2021 5;12:677581. Epub 2021 May 5.

Human Performance Laboratory, Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile.

Post-exercise (i.e., cool-down) stretching is commonly prescribed for improving recovery of strength and range of motion (ROM) and diminishing delayed onset muscular soreness (DOMS) after physical exertion. Read More

View Article and Full-Text PDF

Implementation Road Map of Health Technology Assessment in Middle-Income Countries: The Case of Jordan.

Value Health Reg Issues 2021 May 17;25:126-134. Epub 2021 May 17.

Semmelweis University, Center for Health Technology Assessment, Budapest, Hungary; Syreon Research Institute, Budapest, Hungary.

Objectives: Health technology assessment (HTA) can increase the appropriateness and transparency of pricing and reimbursement decisions. Jordan is still in the early phase of its HTA implementation, although the country has very limited public resources for the coverage of healthcare technologies. The study objective was to explore and validate priorities in the HTA road map for Jordan and propose to facilitate the preferred HTA status. Read More

View Article and Full-Text PDF

Is a hospital quality policy based on a triad of accreditation, public reporting and inspection evidence-based? A narrative review.

Int J Qual Health Care 2021 May;33(2)

Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Kapucijnenvoer 35, 3rd floor, box 3001, Leuven, Vlaams-Brabant 3000, Belgium.

Background: Since 2009, hospital quality policy in Flanders, Belgium, is built around a quality-of-care triad, which encompasses accreditation, public reporting (PR) and inspection. Policy makers are currently reflecting on the added value of this triad.

Methods: We performed a narrative review of the literature published between 2009 and 2020 to examine the evidence base of the impact accreditation, PR and inspection, both individually and combined, has on patient processes and outcomes. Read More

View Article and Full-Text PDF

Adapting Coordinated Specialty Care in the Post-COVID-19 Era: Study Protocol for an Integrative Mixed-methods Study.

Res Sq 2021 Apr 26. Epub 2021 Apr 26.

Coordinated Specialty Care (CSC) programs provide evidence-based services for young people with a recent onset of a psychotic disorder. OnTrackNY is a nationally recognized model of CSC treatment in New York state. In 2019, OnTrackNY was awarded a hub within the Early Psychosis Intervention Network (EPINET) to advance its learning health care system (LHS). Read More

View Article and Full-Text PDF

Efficacy and feasibility of deep brain stimulation for patients with depression: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 May;100(20):e26044

Institute of Psychology.

Background: Previous meta-analyses have examined the clinical efficacy and acceptability of deep brain stimulation (DBS) compared with sham therapy or paired active therapy. However, the absence of head-to-head clinical trials with some treatment comparisons creates uncertainty for decision makers. Thus, to provide new evidence-based medical evidence for clinical treatment, we undertook a meta-analysis to assess the efficacy and safety of DBS in patients with depression based on high-quality randomized controlled studies. Read More

View Article and Full-Text PDF

Rapid reviews: the pros and cons of an accelerated review process.

Eur J Cardiovasc Nurs 2021 May 19. Epub 2021 May 19.

School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

Although systematic reviews are the method of choice to synthesize scientific evidence, they can take years to complete and publish. Clinicians, managers, and policy-makers often need input from scientific evidence in a more timely and resource-efficient manner. For this purpose, rapid reviews are conducted. Read More

View Article and Full-Text PDF

Implementation research for taking tobacco control policies to scale in India: a realist evaluation study protocol.

BMJ Open 2021 05 18;11(5):e050859. Epub 2021 May 18.

Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, The Netherlands.

Introduction: There are ongoing policies and programs to reduce tobacco use and minimise the associated health burden in India. However, there are several challenges in practice leading to different outcomes across Indian states. Inadequate understanding of how national tobacco control policies achieve their results under varied circumstances obstruct the implementation and scaling up of effective strategies. Read More

View Article and Full-Text PDF

Choosing Wisely Brazil: top 5 low-value practices that should be avoided in musculoskeletal physical therapy.

Physiotherapy 2021 Mar 6;112:9-15. Epub 2021 Mar 6.

Escola Bahiana de Medicina, Bahia, Brazil.

Background: The Choosing Wisely initiative aims to promote discussions among healthcare professionals and patients about low-value, or potentially harmful, health practices.

Objectives: To describe the process of development of the Brazilian Choosing Wisely list for musculoskeletal physical therapy.

Methods: The Brazilian Choosing Wisely list was developed in accordance with the recommendations of the American Board of Internal Medicine. Read More

View Article and Full-Text PDF

Cochrane collaborates with the World Health Organization to establish a package of rehabilitation interventions based on the best available evidence.

Eur J Phys Rehabil Med 2021 May 18. Epub 2021 May 18.

World Health Organization, Geneve, Switzerland.

The World Health Organization (WHO) and Cochrane have been collaborating since long time. As a part of "Rehabilitation 2030: a call for action", WHO's Department of Noncommunicable Diseases is developing a Package of Rehabilitation Interventions (PRI) which provides a set of prioritized evidence-based interventions, along with resource requirements for their delivery. Cochrane Rehabilitation were asked to contribute to the methodological development of the PRI, with particular involvement in the initial phases of the evidence selection and extraction. Read More

View Article and Full-Text PDF

What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 2: A strategic plan to activate dissemination.

Pain Pract 2021 May 17. Epub 2021 May 17.

School of Rehabilitation, University of Shebrooke, Sherbrooke, Quebec, Canada.

Low back pain (LBP) is the leading cause of disability worldwide among all musculoskeletal disorders despite an intense focus in research efforts. Researchers and decision makers have produced multiple clinical practice guidelines for the rehabilitation of LBP, which contain specific recommendations for clinicians. Adherence to these recommendations may have several benefits, such as improving the quality of care for patients living with LBP, by ensuring that the best evidence-based care is being delivered. Read More

View Article and Full-Text PDF

Strategies and interventions that foster clinical leadership among registered nurses: a scoping review protocol.

JBI Evid Synth 2021 May 6. Epub 2021 May 6.

Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada Health Sciences Library, Memorial University of Newfoundland, St. John's, NL, Canada.

Objective: The objective of this scoping review is to identify and describe strategies and interventions aimed at fostering registered nurses' clinical leadership in any clinical setting, identify the theories and/or frameworks that guide registered nurses' clinical leadership development, and describe the types of research conducted on this topic.

Introduction: Registered nurse clinical leaders may be defined as staff nurses in clinical settings who influence and coordinate patients, families, and health care team members for the purpose of integrating care for positive patient outcomes. They have been described as expert clinicians, effective decision-makers, and relationship-focused professionals who build trust among patients, families, and health care colleagues to ensure the best possible patient care. Read More

View Article and Full-Text PDF

Assessment of Prostate-Specific Antigen Screening: An evidence-based report by the German Institute for Quality and Efficiency in Health Care.

BJU Int 2021 May 7. Epub 2021 May 7.

Evidence Foundation, Cleveland Heights, OH, USA.

Context: Prostate-specific antigen (PSA) testing increases prostate cancer diagnoses and reduces long-term disease-specific mortality, but also results in overdiagnoses and treatment-related harms.

Objective: To systematically assess the benefits and harms of population-based PSA screening and the potential net benefit to inform health policy decision-makers in Germany.

Evidence Acquisition: We performed a protocol-guided comprehensive literature search according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Read More

View Article and Full-Text PDF

Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review.

Cochrane Database Syst Rev 2020 09 15;9:CD013574. Epub 2020 Sep 15.

Cochrane Austria, Department for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, Austria.

Background: Coronavirus disease 2019 (COVID-19) is a rapidly emerging disease classified as a pandemic by the World Health Organization (WHO). To support the WHO with their recommendations on quarantine, we conducted a rapid review on the effectiveness of quarantine during severe coronavirus outbreaks.

Objectives: To assess the effects of quarantine (alone or in combination with other measures) of individuals who had contact with confirmed or suspected cases of COVID-19, who travelled from countries with a declared outbreak, or who live in regions with high disease transmission. Read More

View Article and Full-Text PDF
September 2020

How to disseminate national recommendations for physical activity: a qualitative analysis of critical change agents in Germany.

Health Res Policy Syst 2021 May 6;19(1):78. Epub 2021 May 6.

Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Engler-Bunte-Ring 15, 76131, Karlsruhe, Germany.

Background: Physical activity recommendations are reached by only a small part of the population. A common problem is that research findings on public health-related topics such as physical activity promotion are oftentimes not translated into practice. The involvement of relevant stakeholders, such as change agents (role models, decision-makers, and/or knowledge mediators), is a common strategy to implement physical activity recommendations in specific settings, as they have the necessary knowledge of contextual factors. Read More

View Article and Full-Text PDF

Evaluation of the Quality of Perinatal Trials: Making the GRADE.

Neonatology 2021 May 4:1-6. Epub 2021 May 4.

Department of Child Health, Queen's University, Belfast, United Kingdom.

Background: Assessing the quality of clinical research is a key evidence-based practice skill. Clinicians, guideline producers, policy makers, service commissioners, and families need to have a sense of the validity, applicability, and certainty of research evidence when determining how it should inform their decision-making and practice.

Methods: We consider the various methodological and study design factors that contribute to the validity and applicability of clinical research findings. Read More

View Article and Full-Text PDF