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Practice-Based Evidence in Community Guide Systematic Reviews.

Namita Vaidya1, Anilkrishna B Thota1, Krista K Proia1

  • 1At the time of study, Namita Vaidya, Anilkrishna B. Thota, Krista K. Proia, Shawna L. Mercer, and Randy W. Elder were with the Community Guide Branch, Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services (CSELS), Atlanta, GA. Sara Jamieson was with the Office of Planning, Evaluation, and Legislation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta. Paula Yoon was with the Division of Health Informatics and Surveillance, CSELS. Rachel Kaufmann was with the Office of the Director, CSELS. Stephanie Zaza was with the Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC.

American Journal of Public Health
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Summary
This summary is machine-generated.

Practice-based evidence (PBE) and research-based evidence (RBE) are both crucial for public health. The Community Guide effectively incorporates high-quality PBE, enhancing the real-world relevance of its recommendations.

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Area of Science:

  • Public Health
  • Evidence-Based Practice
  • Health Policy

Background:

  • The Guide to Community Preventive Services (The Community Guide) is a vital resource for public health decision-making.
  • Assessing the balance and quality of different evidence types is essential for effective evidence-based practice.

Purpose of the Study:

  • To evaluate the proportion and quality of practice-based evidence (PBE) versus research-based evidence (RBE) within The Community Guide.
  • To understand how PBE and RBE contributions vary across different review topics.

Main Methods:

  • Developed clear definitions distinguishing PBE (non-researcher-controlled allocation) from RBE (researcher-controlled allocation).
  • Analyzed 3,656 studies across 202 reviews published in The Community Guide since its inception.
  • Categorized studies along a continuum from PBE to RBE based on defined criteria.

Main Results:

  • Practice-based evidence (PBE) constituted 54% of studies, while research-based evidence (RBE) comprised 46%.
  • Community-based and policy reviews predominantly featured PBE, whereas health care system and programmatic reviews leaned towards RBE.
  • Most PBE and RBE studies met high-quality standards according to The Community Guide's evaluation methods.

Conclusions:

  • The significant inclusion of PBE indicates that rigorous evidence relevant to practice is being generated.
  • This integration of PBE enhances stakeholder confidence in the real-world applicability of The Community Guide's recommendations.
  • Identified limitations in some PBE studies highlight the need for improved practice-relevant study designs and reporting of external validity.