Evidence should be accessible as well as relevant

Falshaw, M; Carter, Y H; Gray, Richard W.

doi:10.1136/bmj.321.7260.567

Cited by 9 publications

(3 citation statements)

References 7 publications

(2 reference statements)

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“…The nature of what was really measured was rather imprecise. Few studies considered explicative covariates such as the type of practice or the sources of evidence used by the practitioners [8]. A number of trials testing tools or strategies supposed to reduce the gap have also been reported [9–11].…”

Section: Introductionmentioning

confidence: 99%

How to measure non‐consistency of medical practices with available evidence in therapeutics: a methodological framework

Boissel

Nony

Amsallem³

et al. 2005

Fundamemntal Clinical Pharma

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Since the early 1980s many studies showed a gap between available evidence and medical practice. They were designed to assess the real impact of randomized clinical trials on the practice of medicine. Their results substantiated a knowledge translation problem. However, they were qualitative findings, i.e. a gap exists or not, although the problem is quantitative (how large is the gap?) and has several components that should be documented according to the objective of the study. In this article, we explored the components and the various contexts in which the measure of the distance between practice and knowledge is considered. All these features should be taken into account for a more accurate and relevant assessment of the distance.

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Section: Introductionmentioning

confidence: 99%

How to measure non‐consistency of medical practices with available evidence in therapeutics: a methodological framework

Boissel

Nony

Amsallem³

et al. 2005

Fundamemntal Clinical Pharma

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“…Moreover, the fact that fellow winemakers are seen as a frequent source and disseminator of information is in no way unique in the broader context of practitioners. Medical practitioners also heavily rely on their medical colleagues for information and advice [12][13][14][15][16]. Asking colleagues is often the quickest way for busy practitioners to acquire relevant information, and also provides a sense of reassurance or direction in instances of uncertainty, apart from allowing a practitioner immediate access to the context-specific knowledge of others.…”

Section: Discussionmentioning

confidence: 99%

Use of scientific research by South African winemakers

Boshoff¹

2014

JCOM

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The study investigated the extent to which transmission and cognition, the first two stages in the research use process, are accomplished for winemakers. “Transmission-cognition” was operationalized as the frequency of engagement with information sources considered to be carriers of scientific research. The study also investigated the prominence of four types of research use among winemakers (conceptual, symbolic, instrumental and persuasive) together with their inter-relationship. Conceptual use of scientific information was reported by 90% of winemakers and is a precursor to the other types of research use. Findings are discussed with reference to knowledge creep and the dissemination of scientific research through central winemakers acting as nodes in social networks.

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“…Even when outside researchers do present research results to local decision-makers, there is little pressure on health management to implement recommended changes, as the researchers will soon depart. In contrast, where research is conducted by or in partnership with the local health programme, then results are often immediately accessible and decision-makers more accountable [44,45]. The rapid, even simultaneous, introduction of research findings in practice was a noted benefit of operational research.…”

Section: Discussionmentioning

confidence: 99%

Research that influences policy and practice – characteristics of operational research to improve malaria control in Mpumalanga Province, South Africa

Dürrheim

Speare

Harries³

2002

Malar J

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BackgroundMuch communicable disease control research has had little impact on local control programme policy and practice for want of an operational component. The operational research model – the systematic search for knowledge on interventions, tools or strategies that enhance programme effectiveness – is gaining recognition as an appropriate method for addressing perplexing questions within public health programmes.MethodsA series of operational research studies were conducted to refine malaria diagnosis in Mpumalanga Province, South Africa between 1995 and 1999. The grounded theory approach was used with groups of experienced Masters of Public Health students in South Africa and Australia to analyse a compilation of these studies for determining positive and negative attributes of operational research that affect its ability to influence communicable disease control policy and practice.ResultsThe principal positive attributes of the operational research studies were high local relevance, greater ability to convince local decision-makers, relatively short lag-time before implementation of findings, and the cost-effective nature of this form of research. Potential negative features elicited included opportunities forfeited by using scarce resources to conduct research and the need to adequately train local health staff in research methodology to ensure valid results and accurate interpretation of findings.ConclusionsOperational research effectively influenced disease control policy and practice in rural South Africa, by providing relevant answers to local questions and engaging policy-makers. This resulted in accelerated inclusion of appropriate measures into a local communicable disease control programme.

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Evidence should be accessible as well as relevant

Cited by 9 publications

References 7 publications

How to measure non‐consistency of medical practices with available evidence in therapeutics: a methodological framework

How to measure non‐consistency of medical practices with available evidence in therapeutics: a methodological framework

Use of scientific research by South African winemakers

Research that influences policy and practice – characteristics of operational research to improve malaria control in Mpumalanga Province, South Africa

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