Empowering Human Services Organizations to Embrace Evidence-informed Practice: International Best Practices

Human service organizations are increasingly using knowledge as a mechanism for implementing change. Knowledge emerging from many sources that may include academic publications, grey literature, and service user and practitioner wisdom contributes toward informing best practice. The question is: how do we harness this knowledge to make practice more effective? This paper synthesizes the lessons learned from eight international organizations that have made a commitment to knowledge mobilization as an important priority in their mission and operation. The paper provides a conceptual model, tools and resources to help human services organizations create strategies for building, enhancing or sustaining their knowledge mobilization efforts. The paper describes a flexible blueprint for human service organizations to leverage knowledge mobilization efforts at all levels of service delivery.

Asking about adherence - from flipping the coin to strong evidence.

In the era of antiretroviral therapy (ART) as prevention for transmission of HIV as well as treatment for HIV-positive individuals irrespective of CD4 cell counts, the importance of adherence has grown. Although adherence is not the only determinant of treatment success, it is one of the only modifiable risk factors. Treatment failure reduces future treatment options and therefore long-term clinical success as well as increases the possibility of developing drug resistant mutations. Drug-resistant strains of HIV can then be transmitted to uninfected or drug-naïve individuals limiting their future treatment options, making adherence an important public-health topic, especially in resource-limited settings. Adherence should be monitored as a part of routine clinical care; however, no gold standard for assessment of adherence exists. For use in daily clinical practice, self-report is the most likely candidate for widespread use due to its many advantages over other measurement methods, such as low cost and ease of administration. Asking individuals about their adherence behaviour has been shown to yield valid and predictive data - well beyond the mere flip of a coin. However, there is still work to be done. This article reviews the literature and evidence on self-reported adherence, identifies gaps in adherence research, and makes recommendations for clinicians on how to best utilise self-reported adherence data to support patients in daily clinical practice.

« How to Teach Evidence-Based Clinical Practice 2002 » : Rapport de la semaine de formation

Rapport de la semaine de formation "How to teach Evidence-Based Clinical Practice 2002" tenue à McMaster University du 9 au 14 juin 2002. Le rapport présente le déroulement de la semaine, les apprentissages et les applications au travail.

« How to Teach Evidence-Based Clinical Practice 2002 » à l'Université McMaster : 3 bibliothécaires participantes

Article en anglais et en français.

Meeting special needs : a practical guide to support children with dyslexia.

Manual práctico para profesionales, no especializados, con sugerencias e ideas sobre cómo trabajar con niños que tienen dislexia, y cómo asegurarse de que están plenamente integrados en el entorno. El folleto incluye: una comprensión de la dislexia; formas prácticas para ayudar y apoyar a estos niños ya que la mayoría tienen dificultades con el lenguaje, la memoria, la organización y la secuenciación; estudio de casos; un ejemplo de plan de educación individual; cómo funciona el entorno de trabajo con otros profesionales y contactos útiles.

Weather to disperse? Evidence that climatic conditions influence vertebrate dispersal

1. Dispersal is regarded as critical to the stability of existing populations and the spread of invading species, but empirical data on the effect of travelling conditions during the transfer phase are rare. We present evidence that both timing and distance of ex-natal dispersal in buzzards (Buteo buteo) are strongly affected by weather. 2. Dispersal was recorded more often when the wind changed to a more southerly direction from the more common westerly winds, and when minimum temperatures were lower. The effect of wind direction was greatest in the winter and minimum temperature was most important in the autumn. Poor weather did not appear to initiate dispersal. 3. Dispersal distance was most strongly correlated with maximum temperature during dispersal and wind direction in the following 5-day period. Combined with the sex of the buzzard these three variables accounted for 60% of the variation in dispersal distance. 4. These results are important for conservationists who manage species recovery programs and wildlife managers who model biological invasions.

'Marvin the Mouse'; can he assist police to elicit evidence from young children?

This study investigated the usefulness of a computer program designed to assess young children's understanding of words that may be relevant to an investigative interview about assault. Forty-one police officers conducted two interviews with five- to six-year-old children (one was conducted with the program and one without). The program's effectiveness was based on the interviewers' ratings of the usefulness of the program as well as three independent indices of interviewer-child rapport. Overall, the police officers perceived the program to be an extremely useful pre-interview assessment. However, the program had little impact on the officers' style of questioning and the nature of the children's responses. The implications of these findings are discussed.