NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

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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..
The Applicability & Transferability
(A&T) Tool
Presenters:
Stephanie Bale
Donna Ciliska
Melanie Hood
Shannon Dowdall-Smith
December 9, 2015
1:00 – 2:30 PM ET

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during the webinar
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2
Q&A
Participant Side
Panel in WebEx

After Today
The PowerPoint presentation (in English and French)
and English audio recording will be made available.
These resources are available at:
PowerPoint: http://www.slideshare.net/NCCMT/
Audio Recording:
https://www.youtube.com/user/nccmt/videos
3

Poll Question #1
How many people are watching today’s
session with you?
1. Just me
2. 2 to 3
3.4 to 5
4. More than 5
4

Your profession?
Put a √ on your answer (or RSVP via email)
/
Epidemiologist Management (director,
supervisor, etc.)
Allied health
professionals (nurse,
dietician, dental
hygenist, etc.)
Librarian Physician / Dentist Other
5

The Applicability & Transferability Tool
http://www.nccmt.ca/resources/search/24
Episode 21
6

Poll Question #2
Where are you from?
1. BC
2. AB
3. SK
4. MB
5. ON
6. QC
7. NB
8. NS
9. PEI
10. NL
11. YK
11. NWT
12. NU
13. Outside
Canada
7

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
8

National Collaborating Centre for
Methods and Tools
• dedicated to improving access to, and use of,
methods and tools that support moving
research evidence into decisions related to
public health practice, programs, and policy in
Canada.
9

Poll Question #3
What sector are you from?
1. Public Health Practitioner
2. Health Practitioner (Other)
3. Education
4. Research
5. Provincial/Territorial/Government/Ministry
6. Municipality
7. Policy Analyst (NGO, etc.)
8. Other
10

Donna Ciliska, RN, PhD
Senior Knowledge Translation
Advisor
National Collaborating Centre
for Methods and Tools
McMaster University
Presenters
11

Melanie Hood, MsC R. Kin
Health Promoter
Health Promotion Division
Sudbury & District Health Unit
at the Sudbury & District Health
Unit
Presenters
12

Stephanie Bale, MPH
Health Promoter
Health Promotion Division at
the Sudbury & District Health
Unit
Presenters
13

Shannon Dowdall-Smith, RN, PhD
Manager, Control of Infectious
Diseases/Vaccine Preventable
Disease/Tuberculosis
Clinical & Family Services Division
at the Sudbury & District Health
Unit
Presenters
14

What is the A&T Tool
The tool provides a systematic process and
criteria to assess the applicability and
transferability of research evidence to practice
decisions in your local setting
15

Poll Question #4
How familiar are you with the A&T Tool?
A. I am not familiar with the A&T Tool
B. I have heard of the A&T Tool
C. I have used the A&T Tool
16

Why was the A&T Tool developed?
• To help public health professionals use
evidence to better channel scarce public health
resources into the best available programs and
services for local delivery
• To support the Adapt step in process of
Evidence-Informed Public Health (EIPH)
17

Follow us @nccmt Suivez-nous @ccnmo 18
Steps in the process of Evidence-
Informed Public Health

Model for Evidence-Informed
Public Health

How was the A&T Tool developed?
• Literature review (1996-2006; updated 2007)
identified criteria for deciding if/how evidence can
be transferred to local setting
• Buffett, C., Ciliska, D., & Thomas, H. (2007). Can I use this evidence in
my program decision? Assessing applicability and transferability of
evidence. Hamilton, ON: National Collaborating Centre for Methods
and Tools (NCCMT).
• Relevant work was synthesized into a list of 21
questions to assess applicability (feasibility) and
transferability (generalizability) of evidence
20

• In 2011, original tool was updated based on
user feedback
• Two new versions created
• A. Starting a new intervention
• B. Stopping an existing intervention
21

Applicability
• “Can the intervention we found work for us?”
• Other terms
• feasibility, plausibility, acceptability
• Looks at how the intervention process could be
implemented in the local setting
22

Applicability: Factors
Applicability considers:
• Political acceptability
• Social acceptability
• Resources
• Organizational capacity
23

Transferability
• “Will it work for us? Can we expect similar
results?”
• Other terms
• generalizability, external validity
• Examines whether the intervention can achieve
similar outcomes in the local setting
24

Transferability: Factors
Transferability considers:
• Magnitude of health issue in local setting
• Magnitude of the reach and cost effectiveness
of the intervention
• Characteristics of target population
25

How do I use the A&T Tool?
Prior to using the tool:
• Defined a question/issue
• Searched for, found and appraised research
evidence relevant to your question
• Synthesized the evidence to form
recommendation(s)
26

• Select stakeholders who will be involved in the
decision. Collaborate on the remaining steps.
• Orient group members to the process; establish
timelines
• Choose assessment criteria from the tool that are
most important/relevant to your issue and context
• Decide if/how final scoring will be done (e.g.,1-5
rating for each question; sum individual ratings;
discussion and consensus on each criteria)
• Document the process you use
27

Applicability &
Transferability of Evidence
Tool (A&T Tool)
Presented by: Stephanie Bale, Melanie Hood, and Shannon
Dowdall-Smith
Sudbury & District Health Unit

Background: How the review
came about
• SDHU’s Evidence-Informed Practice Working
Group (EIPWG)
• Practice-based questions
• Academic Detailing
• Postnatal Support

Practice-Based Question:
Postnatal Support
Research question: Are postnatal classes an
effective method of promoting child and family
health, and if so, how can they be effectively
implemented?

Rapid Review: Postnatal Support
Supportive Evidence
• Evidence supported
the benefit of
postnatal classes
• Evidence offered
suggestions on
successful
implementation
Recommendations
• Further
investigation is
required prior to
implementation

Practice-Based Question:
Academic Detailing
Research Question:
What types of clinician practice behaviour does
academic detailing/educational outreach visits
effectively influence and what is required for
effective implementation in a public health
setting?

Rapid Review: Academic Detailing
• Evidence from the rapid review suggested that
academic detailing could be a useful
communication tool – but key success factors
would need to be considered
• Should the SDHU use Academic Detailing as a
strategy to influence clinician practice
behaviour?

Use of NCCMT’s A&T Tool
• Applicability and transferability was explored
through discussions with key management and
staff at the health unit, guided by NCCMT’s
A&T Tool
• Adapted the tool to fit with the specific
topic/question at hand
• Selected questions that were relevant to the
research question
• Re-worded the questions to be specific to the
subject matter

Use of NCCMT’s A&T Tool
Benefits
• Ensured consistency between meetings with
different groups of staff
• Focused the discussion and kept it on-track
• Ensured all important aspects were considered and
discussed
• Practical and easy to use
Discussions were summarized into a final report,
including recommendations to assist with
decision-making

Rapid Review: Outcomes
• An academic detailing program is under
development, taking into consideration the
findings and recommendations from the rapid
review and A&T process
• A pilot program of postnatal classes was
attempted for approximately 6 months in
partnership with a local Best Start Hub,
unfortunately they were cancelled due to lack
of uptake

Copyright
Copyright for this document belongs to the Sudbury &
District Health Unit. This document should not be
reproduced, in part, or in whole, without written
permission.
Written requests to reproduce this document, in part, or
in whole, should be directed to the Sudbury & District
Health Unit.
When permission to reproduce this document is granted,
please ensure that the Sudbury & District Health Unit is
credited.
©Sudbury & District Health Unit, 2015

Poll Question #5
What are your next steps? I plan to …
A. access the A&T Tool.
B. read the NCCMT summary of the A&T Tool.
C. consider using the A&T Tool.
D. tell a colleague about the A&T Tool.
38

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• Use Q&A to post comments
and/or questions
• ‘Send’ questions to All (not
privately to ‘Host’)
Q&A
Participant Side
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40

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://nccmt.co1.qualtrics.com/SE/?SID=SV
_8kcNZREDtwRFq0R
41

Funded by the Public Health Agency of Canada | Affiliated with McMaster University
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

NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

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