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Spotlight Webinar: Rapid Review Guidebook

Rapid reviews in public health

As public health organizations across Canada adopt and implement evidence-informed approaches to public health decision-making, there is a need for up to date evidence that can be applied to local contexts. While the most rigorous approach is to find or do a systematic review, timelines and resources often dictate a rapid review of the literature. Rapid reviews are tailored for a shorter timeline, but still use rigorous and transparent methodology to ensure that the best available research evidence is used in decision making.

How can the Rapid Review Guidebook help you?

The NCCMT has developed a Rapid Review Guidebook that details each step in the rapid review process, with notes on how to tailor the process given resource limitations. The Guidebook also includes a guide to writing the final report, with details on how to structure the report and what to include in each section.

Click here to access the method: http://www.nccmt.ca/knowledge-repositories/search/308

There is a 'Links to Supporting Rapid Review Tools' resource available to assist in the rapid review process: https://www.slideshare.net/NCCMT/rapid-review-guidebook-links-to-supporting-tools

The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.

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Spotlight Webinar: Rapid Review Guidebook

  1. 1. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.. Rapid Review Guidebook Presenter: Maureen Dobbins, RN, PhD February 13, 2018 1:00 – 2:30 PM EST
  2. 2. Follow us @nccmt Suivez-nous @ccnmo 2 Housekeeping Use Chat to post comments and/or questions during the webinar • ‘Send’ questions to All (not privately to ‘Host’) Connection issues • Recommend using a wired Internet connection (vs. wireless), • WebEx 24/7 help line • 1-866-229-3239 Participant Side Panel in WebEx Chat
  3. 3. Follow us @nccmt Suivez-nous @ccnmo 3 After Today The PowerPoint presentation (in English and French) and English audio recording will be made available. These resources will be available at: http://www.nccmt.ca/previous-webinars
  4. 4. Follow us @nccmt Suivez-nous @ccnmo 4 How many people are watching today’s session with you? Poll Question #1 A. Just me B. 1-3 C. 4-5 D. 6-10 E. >10
  5. 5. 5 Rapid Review Guidebook http://www.nccmt.ca/knowledge-repositories/search/308
  6. 6. NCC Infectious Diseases Winnipeg, MB NCC Methods and Tools Hamilton, ON NCC Healthy Public Policy Montreal, QC NCC Determinants of Health Antigonish, NS NCC Aboriginal Health Prince George, BC NCC Environmental Health Vancouver, BC 6
  7. 7. Registry of Methods and Tools Online Learning Opportunities WorkshopsMultimedia Public Health+ Networking and Outreach NCCMT Products and Services 7
  8. 8. Follow us @nccmt Suivez-nous @ccnmo 8 Poll Question #2 How familiar are you with the method or tool we are discussing today? A. I am not familiar with the method or tool B. I have heard of the method or tool C. I have used the method or tool
  9. 9. Follow us @nccmt Suivez-nous @ccnmo 9 Poll Question #3 I find rapid reviews to be helpful in informing program planning decisions A. Very helpful B. Somewhat helpful C. Not at all helpful D. Don’t know
  10. 10. Follow us @nccmt Suivez-nous @ccnmo 10 Presenters Maureen Dobbins, RN, PhD Scientific Director, The National Collaborating Centre for Methods and Tools, and Health Evidence™
  11. 11. Follow us @nccmt Suivez-nous @ccnmo Objectives • Define rapid reviews • Describe each step • Question and answer 11
  12. 12. Follow us @nccmt Suivez-nous @ccnmo Rapid Reviews (definition) Rapid reviews are a form of knowledge synthesis in which components of the systematic review process are simplified or omitted to produce information in a timely manner [Khangura 2012] 12
  13. 13. Follow us @nccmt Suivez-nous @ccnmo Why Rapid Reviews are Conducted • Timelines • Resources • Recently completed systematic review not available 13
  14. 14. Follow us @nccmt Suivez-nous @ccnmo Step 0 - Planning • Decide on the topic/issue to be addressed • Identify relevant stakeholders to be involved • Choose a project leader(s) • Identify roles • Define the public health topic • Review what is currently known about the topic Summarize in ½ - 1 page 14
  15. 15. Follow us @nccmt Suivez-nous @ccnmo Step 1 - Define • Identify type of question (effectiveness, causation/association, diagnosis, lived experience, economic) • Depending on type of question use: • PICO • PECO • PS • Progress Plus (determinants of health framing) 15
  16. 16. Step 1 - Supporting Tools Health Evidence™ tool for developing a question 16 https://healthevidence.org/documents/practice-tools/HETools_DevelopingEfficientSearchStrategyUsingPICO_January2018.doc
  17. 17. Step 1 - Supporting Tools Using an equity perspective 17http://methods.cochrane.org/equity/projects/evidence-equity/progress-plus
  18. 18. Follow us @nccmt Suivez-nous @ccnmo Step 2 - Search and Relevance • Develop efficient and effective search strategy • Follow 6S Pyramid • Document search results • Save search strategies • Download results to reference management software • Develop inclusion criteria • Note reasons for exclusion 18
  19. 19. Step 2 – Supporting Tools 6S Pyramid 19 http://www.nccmt.ca/about/eiph/search
  20. 20. Step 2 – Supporting Tools Levels of Evidence Tool 20 https://healthevidence.org/documents/practice-tools/HETools_Levels&SourcesPublicHealthEvidence_Jan2018.doc
  21. 21. Step 2 – Supporting Tools Tracking Search Results Tool 21https://www.healthevidence.org/documents/practice-tools/HETools_ResourcesGuideTrackYourSearch_Jan2018.DOC
  22. 22. Step 2 – Supporting Tools 22 Flowchart of Search and Results https://healthevidence.org/documents/practice- tools/HETools_KeepingTrackSearchResultsFlowchart_Jan2018.ppt
  23. 23. Step 2 – Supporting Tools Online Learning Module on Searching 23http://www.nccmt.ca/learningcentre/EN/index.php
  24. 24. Follow us @nccmt Suivez-nous @ccnmo Step 3 – Critical Appraisal • Identify level of evidence (guideline, systematic review, single study) • Choose appropriate appraisal tool for level of evidence • Complete tutorials/online modules if needed • 2 raters independently rate each article/ compare results and come to consensus 24
  25. 25. Step 3 – Supporting Tools Practice Guidelines: AGREE II Tool 25www.agreetrust.org/agree-ii
  26. 26. Step 3 – Supporting Tools Systematic Reviews: Health EvidenceTM Tool 26 https://www.healthevidence.org/documents/our-appraisal-tools/QA_Tool&Dictionary_10Nov16.pdf
  27. 27. Step 3 – Supporting Tools Systematic Reviews: AMSTAR Tool 27 www.amstar.ca/Amstar_Checklist.php
  28. 28. Step 3 – Supporting Tools Systematic Reviews: CASP Tool 28http://docs.wixstatic.com/ugd/dded87_7e983a320087439e94533f4697aa109c.pdf
  29. 29. Step 3 – Supporting Tools Single Studies: Collection of CASP Tools 29www.casp-uk.net/casp-tools-checklists
  30. 30. Follow us @nccmt Suivez-nous @ccnmo Step 4 – Synthesis • Data extraction • Summarizing results • Formalizing conclusions 30
  31. 31. Follow us @nccmt Suivez-nous @ccnmo Step 4 - Supporting Tools What is the effectiveness of family or community-based interventions to decrease sedentary behaviour? 3 age groups: Children 5-13; Adolescents 14-18; Adults 18-50 Participants Author (Year) Quality Interventions Outcomes Measured (how measured, tools used) Years Study Design Results Sub Population Differences Children 5-13 DeMattia (2007) Strong (7) Outcomes should focus on decrease in sedentary B or increase in PA, so did prelim relevance screening based on what looked like it would meet that criteria Connelly (2007) Strong (7) Provision/making PA compulsory Salmon (2007) *also adolescents Strong (7) Promoting PA participation (focus mostly school setting but 57 interventions total are evaluated and some are family) Flynn (2006) *also adolescents Strong (10) Flodmark (2006) *also adolescents Moderate (6) Campbell (2001) Moderate (5) 31
  32. 32. Follow us @nccmt Suivez-nous @ccnmo Step 4 – Supporting Tools 32 Applying a health equity perspective to data extraction. Image from Oxman, A. D., Lavis, J. N., Lewin, S. & Fretheim, A. (2009). SUPPORT Tools for evidence- informed health Policymaking (STP) 10: Taking equity into consideration when assessing the findings of a systematic review. Health Research Policy and Systems, 7, (S1): S10. doi: 10.1186/1478-4505-7-S1-S10
  33. 33. Step 4 – Supporting Tools To summarize results 33https://healthevidence.org/documents/practice-tools/HETools_BriefingNote_Jan2018.doc
  34. 34. Step 4 – Supporting Tools Incorporate an equity perspective 34http://www.nccmt.ca/registry/view/eng/146
  35. 35. Follow us @nccmt Suivez-nous @ccnmo Step 5 – Applicability and Transferability • Identify relevant stakeholders • Share rapid review report • Meet to discuss findings and relevant factors • Summarize discussion and add to final report 35
  36. 36. Step 5 – Supporting Tools A&T Tool 36 http://www.nccmt.ca/impact/publications/9
  37. 37. Step 5 – Supporting Tools From an equity perspective 37http://stmichaelshospitalresearch.ca/research-programs/urban-health-solutions/resources-and-reports/knowledge-translation-toolkit
  38. 38. Follow us @nccmt Suivez-nous @ccnmo Writing the Report • Key messages (1 page) • Executive Summary (2 pages) • Full report (20 pages) • Revisit every 2-3 years (depends on quantity of new evidence) • Create organizational knowledge management system for easy access 38
  39. 39. Follow us @nccmt Suivez-nous @ccnmo Final Report Sections for the full report: • Public health topic • Current knowledge • Public health policy or program question • Synthesis of findings • Implications for organization • References • Appendices (search strategy, inclusion criteria, results of search, critical appraisal results, description of included articles, data extraction tables) 39
  40. 40. Follow us @nccmt Suivez-nous @ccnmo 40 Poll Question #4 I find rapid reviews to be helpful in informing program planning decisions A. Very helpful B. Somewhat helpful C. Not at all helpful D. Don’t know
  41. 41. Follow us @nccmt Suivez-nous @ccnmo 41 Your Comments/Questions • Use Chat to post comments and/or questions • ‘Send’ questions to All (not privately to ‘Host’) Chat Participant Side Panel in WebEx
  42. 42. Follow us @nccmt Suivez-nous @ccnmo 42 Poll Question #5 Could this method or tool be useful in practice? A. Very useful B. Somewhat useful C. Not at all useful D. Don’t know
  43. 43. Follow us @nccmt Suivez-nous @ccnmo 43 Your Feedback is Important Please take a few minutes to share your thoughts on today’s webinar. Your comments and suggestions help to improve the resources we offer and plan future webinars. The short survey is available at: https://surveys.mcmaster.ca/limesurvey/index.php/ 484299?lang=en
  44. 44. Follow us @nccmt Suivez-nous @ccnmo 44 Poll Question #6 What are your next steps? (Check all that apply) A. Access the method/tool referenced in the presentation B. Read the NCCMT summary about the method/tool described today C. Consider using the method/tool in practice D. Tell a colleague about the method/tool
  45. 45. Follow us @nccmt Suivez-nous @ccnmo Share your story! • Are you using EIDM in your practice? We want to hear about it! • Email us: nccmt@mcmaster.ca • Need support for EIDM? Contact us for help! • Email us: nccmt@mcmaster.ca • We typically respond within 24 business hours 45
  46. 46. Follow us @nccmt Suivez-nous @ccnmo Webinar Series from NCCMT www.nccmt.ca/webinar-series • Spotlight on Methods and Tools • Topic-Specific Methods and Tools • Online Journal Club • Peer-to-peer Webinars 46
  47. 47. Follow us @nccmt Suivez-nous @ccnmo Funded by the Public Health Agency of Canada | Affiliated with McMaster University Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.. For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca

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