Bridging the Evidence Gap in Obesity Prevention A Framework to Inform Decision Making (2010) / Chapter Skim
Currently Skimming:
10 Conclusions and Recommendations
10 Conclusions and Recommendations
Pages 197-206
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From page 197... ...
In reality, the evidence approaches that apply to decision making about the treatment of obesity or other clinical problems are inadequate and sometimes inappropriate for application to decisions about public health initiatives. The need to work around evidence gaps and the limitations of using evidence hierarchies that apply to medical treatment for assessing population-based preventive interventions have been faced by the developers of several prior Institute of Medicine (IOM)
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From page 198... ...
However, the methods used and the evidence generated by traditional research designs do not yield all the types of evidence useful to inform actions aimed at addressing obesity prevention and other complex public health challenges. An expanded approach is needed that emphasizes the decision making process and contextual considerations.
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From page 199... ...
Figures S-1, 3-1, 10-1.eps recommends taking a systems perspective. In other words, it is necessary to use an approach that encompasses the whole picture, highlighting the broader context and interactions among levels, to capture the complexity of obesity prevention and other multifactorial public health challenges.
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From page 200... ...
Results of the overall evaluation of evidence should provide answers on what to do, how to do it, and how strongly the action is justified. When decision makers are coming to a decision on obesity prevention actions, it is important for them to understand the state of the available knowledge relevant to that decision.
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From page 201... ...
A systematic process is needed to improve the use of available evidence and increase and enhance the evidence base to inform decisions on obesity prevention and other complex public health problems. Commitment to such a process is needed from both decision makers and those involved in generating evidence, including public and private policy makers and their advisors, scientific and policy think tanks, advocacy groups and stakeholders, program planners, practitioners in public health and other sectors, program evaluators, public health researchers and research scientists, journal editors, and funders.
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From page 202... ...
Framework Recommendation 1: Decision makers and those involved in generating evidence, including researchers, research funders, and publishers of research, should apply the L.E.A.D. framework as a guide in their utilization and generation of evidence to support decision making for complex, multifactorial public health challenges, including obesity prevention.
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From page 203... ...
Centers for Disease Control and Prevention, and public health organizations responsible for educating public health practitioners and related researchers should establish training capacity for the science and understanding of systems thinking and the use of systems map ping and other quantitative or qualitative systems analysis tools. • Journal editors should encourage the use of systems thinking for addressing complex problems by developing panels of peer reviewers with expertise in this area and charging them with making recommendations for how authors could use systems thinking more effectively in their manuscripts.
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From page 204... ...
• The Secretary of Health and Human Services, in collaboration with other public- and private-sector partners, should develop and fund a resource for com piling and linking existing databases that may contain useful evidence for obe sity prevention and related public health initiatives. This resource should include links to data and research from disciplines and sectors outside of obesity preven tion and public health and to data from nonacademic sources that are of interest to decision makers.
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From page 205... ...
• Research funders, researchers, and journal editors should assign higher prior ity to studies that test obesity prevention interventions in real-world settings in which major contextual variables are identified and their influence is evaluated. Recommendation 7: Research funders should encourage collaboration among researchers in a variety of disciplines so as to utilize a full range of research designs that may be feasible and appropriate for evaluating obesity prevention and related public health initiatives.
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From page 206... ...
To implement this recommendation: • Interested funders should bring together a consortium of representatives of key stakeholders (including decision makers, government funders, private funders, academic institutions, professional organizations, researchers, and journal edi tors) who are committed to optimizing the use of the current obesity prevention evidence base and developing a broader and deeper base of evidence.
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