Evidence & Policy

Mis-implementation of evidence-based behavioural health practices in primary care: lessons from randomised trials in Federally Qualified Health Centers
Dopp AR, Hindmarch G, Osilla KC, Meredith LS, Manuel JK, Becker K, Tarhuni L, Schoenbaum M, Komaromy M, Cassells A and Watkins KE
Implementing evidence-based practices (EBPs) within service systems is critical to population-level health improvements - but also challenging, especially for complex behavioral health interventions in low-resource settings. "Mis-implementation" refers to poor outcomes from an EBP implementation effort; mis-implementation outcomes are an important, but largely untapped, source of information about how to improve knowledge exchange.
Translating and disseminating a localised economic model to support implementation of the 'Ending the HIV Epidemic' initiative to public health policymakers
Abrams MP, Weiner J, Piske M, Enns B, Krebs E, Zang X, Nosyk B and Meisel ZF
Despite significant progress in HIV treatment and prevention, the US remains far from its goal of 'Ending the HIV Epidemic' by 2030. Economic models using local data can synthesise the evidence to help policymakers allocate HIV resources efficiently, but persistent research-to-practice gaps remain. Little is known about how to facilitate the use of economic modelling data among local public health policymakers in real-world settings.
Contextual influences on the role of evidence in e-cigarette recommendations: a multi-method analysis of international and national jurisdictions
Smith MJ, Katikireddi SV, Skivington K and Hilton S
E-cigarette policy has varied across jurisdictions, contrasting with the previous coordinated approach of international tobacco control communities.
Eliciting public values on health inequalities: missing evidence for ?
McHugh N
There is a widening health divide in the UK despite health inequalities being a long-standing subject of policy and research. New types of evidence are needed.
A new measure to understand the role of science in US Congress: lessons learned from the Legislative Use of Research Survey (LURS)
Long EC, Smith RL, Scott JT, Gay B, Giray C, Storace R, Guillot-Wright S and Crowley DM
There is growing interest in and recognition of the need to use scientific evidence to inform policymaking. However, many of the existing studies on the use of research evidence (URE) have been largely qualitative, and the majority of existing quantitative measures are underdeveloped or were tested in regional or context-dependent settings. We are unaware of any quantitative measures of URE with national policymakers in the US.
What is research? Educators' conceptions and alignment with United States federal policies
Mills KJ, Lawlor JA, Neal JW, Neal ZP and McAlindon K
This study draws on two communities theory to address two major research questions related conceptions of research in educational practice and policy. First, how do educators conceptualize research? Second, to what extent do educators' conceptions of research align with recent U.S. federal educational policies? We conducted 90 semi-structured interviews with educators in the United States, asking them what comes to mind when they think of research. We used open, axial, and selective coding to characterize educators' conceptions of research. We also compared educators' conceptions of research to two U.S. federal educational policies that define scientifically based research and evidence-based interventions. Findings indicate that educators and policies defined research in similar ways, but each included some unique characteristics. Implications from the study include the need for increased communication between federal policy-makers and educators and improved reporting by researchers to better attend to the needs of educators and policymakers.
Just Google it: Measuring schools' use of research evidence with internet search results
Neal Z, Lawlor J, Neal JW, Mills K and McAlindon K
Measuring the use of research evidence (URE) by schools has become a central of education researchers. However, it has proven challenging due to low response rates, social desirability bias, and costly or time consuming data collection methods. To overcome these challenges and meet the needs of research focused on URE, this paper introduces a non-reactive archival measure: Archival Search of Use of Research Evidence (ASURE). ASURE counts references to research or evidence on a school's or school district's website to capture the extent of its rhetorical use of research evidence. After illustrating the collection of ASURE in all public school districts in Michigan (N = 595), we use data on these districts to show that ASURE is reliable and valid, and thus offers a promising new strategy for measuring URE in schools. We conclude by considering future steps for exploring ASURE not simply as a measure of URE in schools, but instead as a measurement strategy for assessing URE in a broad range of organizational contexts.
Making or buying evidence: Using transaction cost economics to understand decision-making in public school districts
Neal Z, Watling Neal J, Mills K and Lawlor J
We propose transaction cost economics theory as a tool for exploring when school administrators rely on information from two types of sources: internal sources like their own colleagues, and external sources like researchers and government agencies. The theory's application is illustrated in a comparative case study of two public school districts in Michigan. Consistent with the theory's predictions, the smaller, homogeneous, high-performing district used more external sources of information, while the larger, diverse, low-performing district used internal sources of information. We conclude by identifying some strengths and limitations of the theory, which can serve as starting points for debate.
Right Here Right Now (RHRN) pilot study: testing a method of near-real-time data collection on the social determinants of health
Naven L, Inglis G, Harris R, Fergie G, Teal G, Phipps R, Stewart S, Kelly L, Hilton S, Smith M, McCartney G, Walsh D, Tolan M and Egan J
Informing policy and practice with up-to-date evidence on the social determinants of health is an ongoing challenge. One limitation of traditional approaches is the time-lag between identification of a policy or practice need and availability of results. The Right Here Right Now (RHRN) study piloted a near-real-time data-collection process to investigate whether this gap could be bridged.
The role of the Sheffield model on the minimum unit pricing of alcohol debate: the importance of a rhetorical perspective
Katikireddi SV, Hilton S and Bond L
The minimum unit pricing (MUP) alcohol policy debate has been informed by the Sheffield model, a study which predicts impacts of different alcohol pricing policies. This paper explores the Sheffield model's influences on the policy debate by drawing on 36 semi-structured interviews with policy actors who were involved in the policy debate. Although commissioned by policy makers, the model's influence has been far broader than suggested by views of 'rational' policy making. While findings from the Sheffield model have been used in instrumental ways, they have arguably been more important in helping debate competing values underpinning policy goals.
Knowledge Brokering: The missing link in the evidence to action chain?
Ward V, House A and Hamer S
Transferring health care research into policy and practice is a messy and complex process which both policymakers and researchers can struggle with. A potential solution is to use individuals or organisations as knowledge brokers. Using a range of literature, this paper explains the theory behind knowledge brokering, identifies three models of brokering and explores the challenges of brokering. We suggest that clarifying these factors is a significant step towards planning well designed and rigorously evaluated brokering interventions. We also suggest that a clearly defined theoretical framework could help us to find out more about how brokering works and its effectiveness.
Municipal officials' perspectives on policymaking for addressing obesity and health equity
Parks RG, Thomas F, Morshed AB, Dodson EA, Tian R, Politi MC, Eyler AA, Thomas I and Brownson RC
Obesity evidence-based policies (EBPs) can make a lasting, positive impact on community health; however, policy development and enactment is complex and dependent on multiple forces.