Challenges and opportunities of Evidence-Based Research in rapid learning health systems

Article type
Authors
Klugar M1, Lund H2, Brunnhuber K3, Valimaki M4, Yost J5, Nußbaumer-Streit B6, Puljak L7, McCurtin A8, Bala M9, Klugarová J1
1Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech CEBHC: JBI Centre of Excellence, Masaryk GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
2Centre for Evidence-Based Practice; Western Norway University of Applied Sciences
3Elsevier, Digital Content Services, Data Platform Operations
4University of Turku, Faculty of Medicine, Department of Nursing Science; Xiangya Nursing School, Central South University
5M. Louise Fitzpatrick College of Nursing, Villanova University
6Cochrane Austria, Department for Evidence-Based Medicine and Evaluation, Danube-University Krems
7Center for Evidence-Based Medicine, Catholic University of Croatia
8School of Allied Health, University of Limerick
9Department of Epidemiology and Preventive Medicine, Medical College, Jagiellonian University
Abstract
Background:
In our era of information “over” saturation is a rapid essential keyword, especially in the context of health systems and health policymakers. On the other hand, health systems need high quality unbiased, not confounded evidence which will be implemented timely, according to the approach which is known as Evidence-Based Healthcare. The fundamental question is if the researchers who are developing primary or secondary research are also following the Evidence-Based approach, which we can call Evidence-Based Research (EBR). European COST Action EVBRES (Evidence-Based RESearch) defined EBR “as the use of prior research in a systematic and transparent way to inform new study so that it answers the questions that matter in a valid, efficient and accessible manner”. The EBR approach is needed to prevent research waste. It includes the whole research process from study concept and design through to placing new results in the context of earlier similar evidence.

Objectives:
The objective of this special session is to explore the challenges and opportunities of Evidence-Based Research in rapid learning health systems.
1. Raising awareness and accepting the EBR challenge by all relevant stakeholders
2. Preparation of educational materials for teaching the EBR
3. Improvement of cooperation among relevant stakeholders to increase efficiency, update and development of the systematic reviews

Methods:
EVBRES consists of four Working Groups using a variety of quantitative, qualitative, and mixed methods (e.g. scoping reviews, systematic reviews, Delphi studies, qualitative studies) to design and implement interventions to promote the EBR approach among various stakeholders.

Results:
Working Group one will describe key stakeholders’ role, such as ethic committees, funding agencies, journals and patient groups, in solidifying the EBR approach. Working Group two will introduce piloted designed training school of EBR; approach to best design and pedagogical methods enabling permanently available online training school of EBR; barriers and facilitators to become Evidence-Based in research. Working Group three will show improvements in the efficiency of production and updating of systematic reviews. Working Group four will explore methods to detect redundant research as well as measurable outcomes of implementing evidence-based research approach that are relevant to researchers and key stakeholders.

Conclusions:
EVBRES currently has participants from thirty nine European COST Action member countries, in addition, more than ten international partner countries are also involved. As a result of presenting this special session for Cochrane community EVBRES looks forward to the valuable discussions of Evidence-Based Healthcare experts to forward our thinking on how EBR fits in rapid learning health systems.

Patient or healthcare consumer involvement:
Very important stakeholders of EVBRES are patients and consumers who are part of EBR approach.