Facilitating evidence uptake: development and user testing of a systematic review summary format to inform public health decision-making in German-speaking countries.

Details

Ressource 1Download: BIB_8841609A325A.pdf (785.05 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_8841609A325A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Facilitating evidence uptake: development and user testing of a systematic review summary format to inform public health decision-making in German-speaking countries.
Journal
Health research policy and systems
Author(s)
Busert L.K., Mütsch M., Kien C., Flatz A., Griebler U., Wildner M., Stratil J.M., Rehfuess E.A.
Working group(s)
Cochrane Public Health Europe
ISSN
1478-4505 (Electronic)
ISSN-L
1478-4505
Publication state
Published
Issued date
09/07/2018
Peer-reviewed
Oui
Volume
16
Number
1
Pages
59
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Systematic reviews are an important source of evidence for public health decision-making, but length and technical jargon tend to hinder their use. In non-English speaking countries, inaccessibility of information in the native language often represents an additional barrier. In line with our vision to strengthen evidence-based public health in the German-speaking world, we developed a German language summary format for systematic reviews of public health interventions and undertook user-testing with public health decision-makers in Germany, Austria and Switzerland.
We used several guiding principles and core elements identified from the literature to produce a prototype summary format and applied it to a Cochrane review on the impacts of changing portion and package sizes on selection and consumption of food, alcohol and tobacco. Following a pre-test in each of the three countries, we carried out 18 user tests with public health decision-makers in Germany, Austria and Switzerland using the 'think-aloud' method. We analysed participants' comments according to the facets credibility, usability, understandability, usefulness, desirability, findability, identification and accessibility. We also identified elements that hindered the facile and satisfying use of the summary format, and revised it based on participants' feedback.
The summary format was well-received; participants particularly appreciated receiving information in their own language. They generally found the summary format useful and a credible source of information, but also signalled several barriers to a positive user experience such as an information-dense structure and difficulties with understanding statistical terms. Many of the identified challenges were addressed through modifications of the summary format, in particular by allowing for flexible length, placing more emphasis on key messages and relevance for public health practice, expanding the interpretation aid for statistical findings, providing a glossary of technical terms, and only including graphical GRADE ratings. Some barriers to uptake, notably the participants' wish for actionable recommendations and contextual information, could not be addressed.
Participants welcomed the initiative, but user tests also revealed their problems with understanding and interpreting the findings summarised in our prototype format. The revised summary format will be used to communicate the results of Cochrane reviews of public health interventions.
Keywords
Biomedical Research, Comprehension, Decision Making, Evidence-Based Medicine, Germany, Health Policy, Humans, Information Dissemination, Language, Public Health, Review Literature as Topic, Switzerland, GRADE, Systematic review, decision-making, evidence synthesis, evidence-based public health, knowledge dissemination, knowledge translation, public health
Pubmed
Web of science
Open Access
Yes
Create date
24/07/2018 10:40
Last modification date
20/08/2019 14:47
Usage data