andré tomlin - new ways to engage with research evidence: 6 top tips for #npnr2015
TRANSCRIPT
New ways to engage with research evidence
André TomlinMinervation Ltd
National Elf Service
André Tomlin• Information Scientist• 20 years: Evidence-based healthcare• 17 years: Mental health• Setting: NHS, Academic, Commercial• 1998-2002: University of Oxford
Department of Psychiatry• 2002-present: MD of Minervation Ltd• 2011-present: The Mental Elf & the
National Elf Service
www.nationalelfservice.net/mental-health/new-ways-to-engage-with-research-evidence-6-top-tips-for-npnr15
/
#NPNR2015
EvidenceBased
PracticeWhy aren’t we doing it?
Glasziou & Haynes. The paths from research to improved health outcomes. Evid Based Nurs 2005;8:36-38
• Physicians’ use of vaccine guidelines:– 90% aware, 67% agree, 46% adopt & 35% adhere
• Even with high rates of transfer between stages, there may be little impact on patient outcomes
• 80% transfer at each of 7 stages would result in only a 21% patient usage (0.87 = 0.21).
White Paper, May 2015:Keeping up to date with reliable
mental health research
We already know that• Health professionals need evidence more
often than they get it • Giving clinicians access to evidence reduces
errors and improves outcomes• Time for reading research tends to decrease
as people move further away from their training
• Accessibility, usability and reliability are the key to providing effective evidence resources
I fell into an avalanche, it covered up my soul
Keeping up to date: an impossibility
1973
1983 1993 2003 2013
183 685 1,998 5,764 14,980The number of mental health systematic reviews, meta-analyses and randomised controlled trials indexed on PubMed.
Keeping up to date: an impossibility
1973
1983 1993 2003 2013
0.6% 1.6% 3.2% 5.7% 8.2%The % of mental health studies on PubMed that are systematic reviews, meta-analyses and randomised controlled trials.
Keeping up to date: an impossibility
1973
1983 1993 2003 2013
3 11 33 96 249The number of high quality mental health treatment papers you’d have to read every day to keep up to date.
“Doctors are overwhelmed by information, but can’t
find information when they need it.”
- Richard Smith, Editor, BMJ, 2008
EBP was supposed to solve this!BUT• New evidence-based guidelines, databases and
journals crop up every month• We are now overloaded with better quality
information, although pay-walls still get in the way• We often lack the time, motivation and skill to use
evidence in practice
White paper conclusions• Currency of our knowledge degrades over time. • Research is inaccessible to the majority who
don’t have the skills to appraise/use it. • It’s impossible to keep up to date with reliable
mental health research by reading it all. • We need accessible, usable and reliable
summaries of new evidence.• Blogs and social media can help us find, use
and discuss relevant evidence.
We need new ways to engage with research evidence
New ways to engage with research evidence
• Get motivated• Be sociable• Read critically• Share your knowledge• Join expert discussions• Embrace digital
Get motivated
Get motivatedTime andspace
Accessto theevidence
Skillsand
literacy
Ability toact
Be sociable
Be sociable• It’s essential for building relationships,
networks & skills• Connect with a broad group of people (avoid
filter bubbles)• Public engagement with research
(communicating outside your bubble)• Social media, especially Twitter
Why use social media?Keeping up to date
Following publications, organisations and individuals. Side-stepping traditional media.
Networking
Forming relationships & engaging in a conversation with these people.
Promoting evidence
Putting reliable evidence into the ring with the ‘click bait’ and ‘infotainment’.
Read critically
Read critically• Let’s acknowledge uncertainty• CASP: If you don’t know, say so!• Critical appraisal checklists for SRs, RCTs,
Cohort, Case control, Qualitative, Diagnostic, Economic evaluations, Clinical prediction rule
• #WeCATS will bring this skillset to the masses!
Share your knowledge
Share your knowledgeTRADITIONAL• Publish• Conferences• Media
NEW• Public engagement• Social media• Personal blog• Join a blogging platform• Instantly start a debate!• Crowd-source
your peer review
“Blogging helps me think critically; not just when I blog, but whenever and
whatever I read!”
Mark Smith, IAPT therapist & Mental Elf contributor
Join expert discussions
Evidence-Based Mental Health- Google hangouts- #EBMHchat
National Elf Service- Campfires- #ElfCampfire
Impact factor, Antipsychotics, Mood disorders in youth, Mindfulness
Smoking and schizophrenia, Suicide prevention in young people
Embrace digital
Embrace digital
• Digital NativesPeople born after 1980
• Digital ImmigrantsPeople born before 1980
The future’s digital
“Compared to many other service sectors, mental health services – and the NHS more broadly – are seriously behind the curve.”
Podcasts & videos
• Lancet Psychiatry• JAMA Psychiatry• Psychiatric Services• American Journal of
Psychiatry
• Patient experiences on Health Talk & Youth Health Talk
• VICE documentaries• U Can Cope film• Mind Media Awards
(Play excerpt: 00:33-03:17)https://youtu.be/Lp3pFjKoZl8?t=33s
Research: something we did to patients
Evidence: something we did to professionals
Keep up to date, connect with experts & manage your CPD
Our ethos• Open and welcoming• Fun and
approachable brand• Incentivizing people
to learn• Creating an
audit trail for CPD
• Evidence-based research• Critical appraisal & clinical
commentaries• Mobile technology• Gamification
[email protected]@Mental_Elf