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<meta name="robots" content="INDEX,FOLLOW,NOARCHIVE" /><meta name="author" content="Lisa Hartling, Allison Gates, Jennifer Pillay, Megan Nuspl, Amanda S. Newton" /><meta name="citation_title" content="Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers" /><meta name="citation_publisher" content="Agency for Healthcare Research and Quality (US)" /><meta name="citation_date" content="2018/11" /><meta name="citation_author" content="Lisa Hartling" /><meta name="citation_author" content="Allison Gates" /><meta name="citation_author" content="Jennifer Pillay" /><meta name="citation_author" content="Megan Nuspl" /><meta name="citation_author" content="Amanda S. Newton" /><meta name="citation_pmid" content="30507111" /><meta name="citation_fulltext_html_url" content="https://www.ncbi.nlm.nih.gov/books/NBK534472/" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="Agency for Healthcare Research and Quality (US)" /><meta name="DC.Contributor" content="Lisa Hartling" /><meta name="DC.Contributor" content="Allison Gates" /><meta name="DC.Contributor" content="Jennifer Pillay" /><meta name="DC.Contributor" content="Megan Nuspl" /><meta name="DC.Contributor" content="Amanda S. Newton" /><meta name="DC.Date" content="2018/11" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK534472/" /><meta name="description" content="To develop dissemination summaries based on AHRQ EPC evidence reviews, and to evaluate the summaries, and their components, for usability among health systems decisionmakers." /><meta name="og:title" content="Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers" /><meta name="og:type" content="book" /><meta name="og:description" content="To develop dissemination summaries based on AHRQ EPC evidence reviews, and to evaluate the summaries, and their components, for usability among health systems decisionmakers." /><meta name="og:url" content="https://www.ncbi.nlm.nih.gov/books/NBK534472/" /><meta name="og:site_name" content="NCBI Bookshelf" /><meta name="og:image" content="https://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-methresepcdev-lrg.png" /><meta name="twitter:card" content="summary" /><meta name="twitter:site" content="@ncbibooks" /><meta name="bk-non-canon-loc" content="/books/n/methresepcdev/toc/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK534472/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" media="print" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript" src="/corehtml/pmc/js/large-obj-scrollbars.min.js"> </script><script type="text/javascript">window.name="mainwindow";</script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script><meta name="book-collection" content="methodscollect" />
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<div class="pre-content"><div><div class="bk_prnt"><p class="small">NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p></div><div class="pagination bk_noprnt"><span class="inactive page_link prev">< Prev</span><a class="active page_link next" href="/books/n/methresepcdev/fm-ch1/" title="Next page in this title">Next ></a></div></div></div>
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<div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/Book"><div class="meta-content fm-sec"><div class="iconblock whole_rhythm clearfix no_top_margin"><a href="https://effectivehealthcare.ahrq.gov" title="Agency for Healthcare Research and Quality (US)" class="img_link icnblk_img" ref="pagearea=logo&targetsite=external&targetcat=link&targettype=publisher"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-methresepcdev-lrg.png" alt="Cover of Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers" /></a><div class="icnblk_cntnt"><h1 id="_NBK534472_"><span itemprop="name">Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers</span></h1><p><i>Methods Research Report</i></p><p class="contrib-group">Investigators: <span itemprop="author">Lisa Hartling</span>, Ph.D., <span itemprop="author">Allison Gates</span>, Ph.D., <span itemprop="author">Jennifer Pillay</span>, B.Sc., <span itemprop="author">Megan Nuspl</span>, B.Sc., and <span itemprop="author">Amanda S. Newton</span>, Ph.D., R.N.</p><div class="half_rhythm">Rockville (MD): <a href="https://effectivehealthcare.ahrq.gov" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">Agency for Healthcare Research and Quality (US)</span></a>; <span itemprop="datePublished">2018 Nov</span>.<div class="small">Report No.: EHC027-EF</div></div><div class="half_rhythm"><ul class="inline_list"><li><span class="label"><a data-jig="ncbidialog" href="#_ncbi_dlg_cpyrght_NBK534472" data-jigconfig="modal:true">Copyright and
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Permissions</a></span></li></ul></div><div id="_ncbi_dlg_cpyrght_NBK534472" style="display:none" title="Copyright and Permissions"><div>This publication is in the public domain. For more information, see the <a href="/books/about/copyright/">Bookshelf Copyright Notice</a>.</div></div><div class="bk_noprnt"><form method="get" action="/books/n/methresepcdev/" id="bk_srch"><div class="bk_search"><label for="bk_term" class="offscreen_noflow">Search term</label><input type="text" title="Search this book" id="bk_term" name="term" value="" data-jig="ncbiclearbutton" /> <input type="submit" class="jig-ncbibutton" value="Search this book" submit="false" style="padding: 0.1em 0.4em;" /></div></form></div></div></div></div><div class="body-content whole_rhythm" itemprop="text"><div itemprop="description"><h2>Structured Abstract</h2><div id="objectives"><h4 class="inline">Objectives:</h4><p>To develop dissemination summaries based on AHRQ EPC evidence reviews, and to evaluate the summaries, and their components, for usability among health systems decisionmakers.</p></div><div id="methods"><h4 class="inline">Methods:</h4><p>For each of two reviews, we designed a three-page summary with the intent that the first page could potentially be a stand-alone one-page summary. Summaries included various report elements (e.g., key questions, methods, eligibility criteria, analytic framework, summary tables, forest plots) and varied in layout and design (e.g., text only vs. use of images). We conducted ‘think aloud’ telephone interviews with six decisionmakers from Strategic Clinical Networks, which are clinician-led teams that develop and implement evidence-informed health improvement strategies within a province-wide fully integrated health system. We analyzed the data thematically and translated themes into recommendations.</p></div><div id="results"><h4 class="inline">Results:</h4><p>Interviews yielded information on content, layout and design, and usability. With respect to content, themes included purpose, methods, summary data, and overall message. Recommendations regarding content were to: include a purpose statement and define the intended audience; discuss the methods briefly; when possible, provide data to support the findings (e.g., summary estimates with confidence intervals and strength of evidence, use standard well-organized tables and figures); state the overall message on the first page (include key findings, knowledge gaps, and take home message(s)). For layout and design, themes included readability, visual appeal, figures, tables, and credibility. Recommendations were to: use brief titles and subheadings; avoid acronyms; organize content logically; balance text with images and white space; use standard figures to present findings and when feasible, use figures instead of tables; use standard tables to present findings and when feasible, use tables instead of text; include the organization and program logos; and employ professional design choices. Themes regarding usability included language, length, and content. Recommendations were to: use plain language consistently; keep the summary to three pages or less; provide a link to the full text; organize the findings for maximum use; and consider usability in greyscale.</p></div><div id="conclusions"><h4 class="inline">Conclusions:</h4><p>Decisionmakers preferred a three-page summary that presented key messages, details on results, and strength of evidence; detailed methods and contextual information were less important. Decisionmakers preferred summaries with use of meaningful images, graphs, figures, and tables to convey information. Decisionmakers thought the summaries would be foundational for other knowledge translation products such as clinical pathways.</p></div></div><div><h2>Contents</h2><div class="bktoc_all_cntnr top align_right" style="display:none"><ul class="inline_list_right"><li><a class="bktoc_all_exp" href="#">Expand All</a></li><li style="margin-left:.8em"><a class="bktoc_all_clps" href="#">Collapse All</a></li></ul></div><ul id="toc_tllNBK534472_toc_fm-ch1" class="simple-list toc toc-toggle"><li class="half_rhythm" id="toc_itm_NBK534472_toc_fm-ch1"><a class="toc-item" href="/books/n/methresepcdev/fm-ch1/">Key Messages</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_preface1"><a class="toc-item" href="/books/n/methresepcdev/preface1/">Preface</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_fm_ack"><a class="toc-item" href="/books/n/methresepcdev/fm.ack/">Acknowledgments</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch1"><a class="toc-item" href="/books/n/methresepcdev/ch1/">Introduction</a><ul id="toc_lst_NBK534472_toc_ch1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch1_s1"><a class="toc-item" href="/books/n/methresepcdev/ch1/#ch1.s1">Local Health System in Alberta</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch1_s2"><a class="toc-item" href="/books/n/methresepcdev/ch1/#ch1.s2">Structures and Processes for Evidence-informed Decision-Making in the Local Health System</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch1_s3"><a class="toc-item" href="/books/n/methresepcdev/ch1/#ch1.s3">Objectives</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch2"><a class="toc-item" href="/books/n/methresepcdev/ch2/">Methods</a><ul id="toc_lst_NBK534472_toc_ch2" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch2_s1"><a class="toc-item" href="/books/n/methresepcdev/ch2/#ch2.s1">Health System and Representative Description</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch2_s2"><a class="toc-item" href="/books/n/methresepcdev/ch2/#ch2.s2">Process Description</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch2_s3"><a class="toc-item" href="/books/n/methresepcdev/ch2/#ch2.s3">Evaluation Methods</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch3"><a class="toc-item" href="/books/n/methresepcdev/ch3/">Results</a><ul id="toc_lst_NBK534472_toc_ch3" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch3_s1"><a class="toc-item" href="/books/n/methresepcdev/ch3/#ch3.s1">Evaluation Results</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch3_s2"><a class="toc-item" href="/books/n/methresepcdev/ch3/#ch3.s2">Final Product Description</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch4"><a class="toc-item" href="/books/n/methresepcdev/ch4/">Discussion, Limitations, and Conclusion</a><ul id="toc_lst_NBK534472_toc_ch4" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch4_s1"><a class="toc-item" href="/books/n/methresepcdev/ch4/#ch4.s1">Utility and Applicability for other Health Systems</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch4_s2"><a class="toc-item" href="/books/n/methresepcdev/ch4/#ch4.s2">Lessons Learned and Applicability for Other EPC Reports</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch4_s3"><a class="toc-item" href="/books/n/methresepcdev/ch4/#ch4.s3">Limitations</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_ch4_s4"><a class="toc-item" href="/books/n/methresepcdev/ch4/#ch4.s4">Conclusion</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_rl_r1"><a class="toc-item" href="/books/n/methresepcdev/rl.r1/">References</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appendixes_appgroup1"><a class="toc-item" href="/books/n/methresepcdev/appendixes.appgroup1/">Appendixes</a><ul id="toc_lst_NBK534472_toc_appendixes_appgroup1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK534472_toc_appa"><a class="toc-item" href="/books/n/methresepcdev/appa/">Appendix A. Alberta Health Services Strategic Clinical Networks</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appb"><a class="toc-item" href="/books/n/methresepcdev/appb/">Appendix B. Letter of Invitation and Letter Sent Prior to Interviews to Leaders in Alberta Health Services’ Strategic Clinical Networks</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appc"><a class="toc-item" href="/books/n/methresepcdev/appc/">Appendix C. List of Comparative Effectiveness Reviews Relevant to the Strategic Clinical Networks, Used for Selection</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appd"><a class="toc-item" href="/books/n/methresepcdev/appd/">Appendix D. Interview Guide</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appe"><a class="toc-item" href="/books/n/methresepcdev/appe/">Appendix E. Focused Coding and Memos for Each Summary Product</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appf"><a class="toc-item" href="/books/n/methresepcdev/appf/">Appendix F. Changes Made to Products Based on Findings</a></li><li class="half_rhythm" id="toc_itm_NBK534472_toc_appg"><a class="toc-item" href="/books/n/methresepcdev/appg/">Appendix G. Final Products</a></li></ul></li></ul><div class="bktoc_all_cntnr align_right" style="display:none"><ul class="inline_list_right"><li><a class="bktoc_all_exp" href="#">Expand All</a></li><li style="margin-left:.8em"><a class="bktoc_all_clps" href="#">Collapse All</a></li></ul></div></div><div><b>Prepared for:</b> Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, <a href="http://www.ahrq.gov" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=uri">www.ahrq.gov</a>
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<b>Contract No. 290-2015-00001-I</b>
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<b>Prepared by:</b> University of Alberta Evidence-based Practice Center, Edmonton, Alberta, Canada</div><div><h4 class="inline">Suggested citation:</h4><p>Hartling L, Gates A, Pillay J, Nuspl M, Newton AS. Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers. Methods Research Report. (Prepared by the University of Alberta Evidence-based Practice Center under Contract No. 290-290-2015-00001-I). AHRQ Publication No. 18(19)-EHC027-EF. Rockville, MD: Agency for Healthcare Research and Quality. November 2018. Posted final reports are located on the Effective Health Care Program <a href="https://effectivehealthcare.ahrq.gov/search?f%5B0%5D=field_product_type%3Aresearch_report&f%5B1%5D=field_product_type%3Asystematic_review&f%5B2%5D=field_product_type%3Atechnical_brief&f%5B3%5D=field_product_type%3Awhite_paper&f%5B4%5D=field_product_type%3Amethods_guide_chapter&sort_by=field_product_pub_date" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">search page</a>. https://doi.org/<a href="http://dx.crossref.org/10.23970/AHRQEPCMETHENGAGEDEVELOPMENT" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">10.23970/AHRQEPCMETHENGAGEDEVELOPMENT</a>.</p></div><div><p>This report is based on research conducted by the University of Alberta Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2015-00001-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.</p><p>None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.</p><p>The information in this report is intended to help EPCs and AHRQ understand health-systems need and use of evidence to inform their decisionmaking. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.</p><p>This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.</p><p>AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not be stated or implied.</p><p>Persons using assistive technology may not be able to fully access information in this report. For assistance contact <a href="mailto:dev@null" data-email="vog.shh.qrha@CPE" class="oemail">vog.shh.qrha@CPE</a>.</p></div></div></div>
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<div xmlns:np="http://ncbi.gov/portal/XSLT/namespace" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"></div><div class="portlet"><div class="portlet_head"><div class="portlet_title"><h3><span>Views</span></h3></div><a name="Shutter" sid="1" href="#" class="portlet_shutter" title="Show/hide content" remembercollapsed="true" pgsec_name="PDF_download" id="Shutter"></a></div><div class="portlet_content"><ul xmlns:np="http://ncbi.gov/portal/XSLT/namespace" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="simple-list"><li><a href="/books/NBK534472/?report=reader">PubReader</a></li><li><a href="/books/NBK534472/?report=printable">Print View</a></li><li><a data-jig="ncbidialog" href="#_ncbi_dlg_citbx_NBK534472" data-jigconfig="width:400,modal:true">Cite this Page</a><div id="_ncbi_dlg_citbx_NBK534472" style="display:none" title="Cite this Page"><div class="bk_tt">Hartling L, Gates A, Pillay J, et al. Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Nov. <span class="bk_cite_avail"></span></div></div></li><li><a href="/books/n/methresepcdev/pdf/">PDF version of this title</a> (1.4M)</li></ul></div></div><div class="portlet"><div class="portlet_head"><div class="portlet_title"><h3><span>Other titles in this collection</span></h3></div><a name="Shutter" sid="1" href="#" class="portlet_shutter" title="Show/hide content" remembercollapsed="true" pgsec_name="source-links" id="Shutter"></a></div><div class="portlet_content"><ul xmlns:np="http://ncbi.gov/portal/XSLT/namespace" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="simple-list"><li><a href="/books/n/methodscollect/">AHRQ Methods for Effective Health Care</a></li></ul></div></div><div class="portlet"><div class="portlet_head"><div class="portlet_title"><h3><span>Related information</span></h3></div><a name="Shutter" sid="1" href="#" class="portlet_shutter" title="Show/hide content" remembercollapsed="true" pgsec_name="discovery_db_links" id="Shutter"></a></div><div class="portlet_content"><ul><li class="brieflinkpopper"><a class="brieflinkpopperctrl" href="/books/?Db=nlmcatalog&DbFrom=books&Cmd=Link&LinkName=books_nlmcatalog&IdsFromResult=4670036" ref="log$=recordlinks">NLM Catalog</a><div class="brieflinkpop offscreen_noflow">Related NLM Catalog Entries</div></li></ul></div></div><div class="portlet"><div class="portlet_head"><div class="portlet_title"><h3><span>Similar articles in PubMed</span></h3></div><a name="Shutter" sid="1" href="#" class="portlet_shutter" title="Show/hide content" remembercollapsed="true" pgsec_name="PBooksDiscovery_RA" id="Shutter"></a></div><div class="portlet_content"><ul><li class="brieflinkpopper two_line"><a class="brieflinkpopperctrl" href="/pubmed/27542995" ref="ordinalpos=1&linkpos=1&log$=relatedarticles&logdbfrom=pubmed">User Experiences of the McMaster Optimal Aging Portal's Evidence Summaries and Blog Posts: Usability Study.</a><span class="source">[JMIR Hum Factors. 2016]</span><div class="brieflinkpop offscreen_noflow">User Experiences of the McMaster Optimal Aging Portal's Evidence Summaries and Blog Posts: Usability Study.<div class="brieflinkpopdesc"><em xmlns:np="http://ncbi.gov/portal/XSLT/namespace" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="author">M Barbara A, Dobbins M, Haynes RB, Iorio A, Lavis JN, Levinson AJ. </em><em xmlns:np="http://ncbi.gov/portal/XSLT/namespace" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="cit">JMIR Hum Factors. 2016 Aug 19; 3(2):e22. 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