Understanding evidence: A statewide survey to explore evidence-informed public health decision-making in a local government setting

Rebecca Armstrong, Elizabeth Waters, Laurence Moore, Maureen Dobbins, Tahna Pettman, Catherine Burns, Boyd Swinburn, Laurie Anderson, Mark Petticrew

Research output: Contribution to journalArticle

19 Citations (Scopus)
4 Downloads (Pure)

Abstract

Background:
The value placed on types of evidence within decision-making contexts is highly dependent on individuals, the organizations in which the work and the systems and sectors they operate in. Decision-making processes too are highly contextual. Understanding the values placed on evidence and processes guiding decision-making is crucial to designing strategies to support evidence-informed decision-making (EIDM). This paper describes how evidence is used to inform local government (LG) public health decisions.

Methods:
The study used mixed methods including a cross-sectional survey and interviews. The Evidence-Informed Decision-Making Tool (EvIDenT) survey was designed to assess three key domains likely to impact on EIDM: access, confidence, and organizational culture. Other elements included the usefulness and influence of sources of evidence (people/groups and resources), skills and barriers, and facilitators to EIDM. Forty-five LGs from Victoria, Australia agreed to participate in the survey and up to four people from each organization were invited to complete the survey (n = 175). To further explore definitions of evidence and generate experiential data on EIDM practice, key informant interviews were conducted with a range of LG employees working in areas relevant to public health.

Results:
In total, 135 responses were received (75% response rate) and 13 interviews were conducted. Analysis revealed varying levels of access, confidence and organizational culture to support EIDM. Significant relationships were found between domains: confidence, culture and access to research evidence. Some forms of evidence (e.g. community views) appeared to be used more commonly and at the expense of others (e.g. research evidence). Overall, a mixture of evidence (but more internal than external evidence) was influential in public health decision-making in councils. By comparison, a mixture of evidence (but more external than internal evidence) was deemed to be useful in public health decision-making.

Conclusions:
This study makes an important contribution to understanding how evidence is used within the public health LG context.
Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalJournal of Negative Results in Biomedicine
Volume9
DOIs
Publication statusPublished - 2014

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