From drawing board to the ward: getting clinicians to change their minds. Dr Cat Chatfield 6th September 2018
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1
2 From drawing board to the ward: getting clinicians to change their minds Dr Cat Chatfield 6th September 2018
3 Who am I? Harry Bliss, New Yorker
4 Who am I?
5 The BMJ QI Series
6 Why we re here To explore research impact and waste To discuss the role of publishing To share tips for effectively reaching your audience
7 Research Waste & Impact
8 How much do we spend on healthcare research? 1. $50 billion 2. $120 billion 3. $240 billion
9 How much do we spend on healthcare research? 1. $50 billion 2. $120 billion $240 billion Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet 2014; 374: REWARD Alliance
10 85% research wasted, costing >$100bn/yr Chalmers I, Glasziou P. Avoidable waste in the production and reporting of research evidence. Lancet 2014; 374: REWARD Alliance
11 Research impact is the contribution that research makes to the economy, society, environment or culture, beyond the contribution to academic research
12 What factors are involved? Making evidence count: a framework to monitor the impact of health services research Bukyx et al, Aust J Rural Health Apr;20(2):51-8
13 Problems Most research impact frameworks capture research-related impact Short term Easy to measure BUT represent dissemination rather than impact Assessing the impact of healthcare research: A systematic review of methodological frameworks. Cruz Rivera et al. PLOS Medicine.
14 Role of Publishing
15 Tom Gauld
16 Don t forget pre-prints
17
18 Does publishing make a difference? Case studies have shown poor correlation between peerreviewed publications and change in health policy Role in knowledge translation Help to present persuasive evidence Assist with the diffusion problem Some influence on researcher behaviour van Driel ML, Maier M, De Maeseneer J. Measuring the impact of family medicine research: scientific citations or societal impact? Fam Pract. 2007;24(5): pmid:
19 Unreported Trial of the Week
20 Reporting of PI in research articles Price A, Schroter S, Snow R, et al Frequency of reporting on patient and public involvement (PPI) in research studies published in a general medical journal: a descriptive study BMJ Open 2018;8:e doi: /bmjopen
21 Reader Reported Impact of Content 65% Reader's report that BMJ Journals either frequently or sometimes impact their Practice and/or Research 2016 Journals Readership Survey. BMJ.
22 Reaching your audience
23
24 Keep it simple
25 Use the active voice The attempt made by the female bovine adult to discontinuously traverse the Earth s lunar body was not unsuccessful The cow jumped over the moon
26 Avoid snappy titles* *Unless you re Jeffrey Braithwaite
27 Focus on your reader s perspective Reportography, BMJ Awards 2018
28 Spend time on structure Use the relevant structure for the content type / journal BUT don t let the structure obstruct your narrative Have a single message / idea at the centre of your paper Sign-post Be strict about word limits
29 Don t be afraid of a strong conclusion Include and discuss negative results Reflect on how your work fits in the wider context of your field Make clear and comprehensive recommendations Lee KP, Boyd EA, Holroyd-Leduc JM, Bacchetti P, Bero LA. Predictors of publication: characteristics of submitted manuscripts associated with acceptance at major biomedical journals. Med J Aust 2006; 184 (12):
30 Questions? Geoffrey Key
31 Take home messages Pick your journal Keep it simple Use the active voice Avoid snappy titles* Focus on your reader s perspective Spend time on structure Don t be afraid of strong conclusions
32 Thank You Web: bmj.com/quality-improvement BMJ Publishing Group Limited All rights reserved.
33
34 Health intervention research, in particular, which uses scientific methods to produce knowledge about treatments, services, programs, or strategies that aim to protect, promote, or improve health, is assumed to hold immediate promise for influencing and improving future policy and practice Does health intervention research have real world policy and practice impacts: testing a new impact assessment tool. Cohen et al Health Research Policy and Systems :3
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