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Seeking best practices: a conceptual framework for planning and improving evidence-based practices.

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This study introduces a framework to evaluate public health practices by assessing their impact and evidence quality. It aims to guide the development of best practices through a continuum of evidence-based approaches.

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Area of Science:

  • Public Health
  • Health Services Research
  • Evidence-Based Practice

Background:

  • Identifying and building an evidence base for best practices in public health is crucial for program effectiveness.
  • Existing frameworks may not fully integrate practice impact with evidence quality.
  • There is a need for a common lexicon to assess and strengthen public health interventions.

Purpose of the Study:

  • To develop and present a conceptual framework for evaluating and advancing public health practices.
  • To provide criteria for assessing the public health impact and quality of evidence for interventions.
  • To foster dialogue and strengthen the evidence base for public health programs.

Main Methods:

  • Iterative development of a framework based on literature review and expert input.
  • The framework comprises two interrelated components: public health impact and quality of evidence.
  • Public health impact is defined by five elements: effectiveness, reach, feasibility, sustainability, and transferability.

Main Results:

  • A conceptual framework with two components: public health impact (5 elements) and quality of evidence (4 levels).
  • A continuum of evidence-based practice emerges, categorized into four stages: emerging, promising, leading, and best.
  • The framework integrates impact and quality criteria for assessing and strengthening public health practice.

Conclusions:

  • The proposed framework offers a common lexicon and criteria for evaluating public health practices.
  • It facilitates the ongoing development, refinement, and evaluation of practices to build a robust evidence base.
  • This work aims to advance dialogue among practitioners and decision-makers to strengthen public health programs and strategies.