Beyond Evidence Based Policy In Public Health

This book explores the complex relationship between public health research and policy, employing tobacco control and health inequalities in the UK as contrasting case studies. It argues that focusing on research-informed ideas usefully draws attention to the centrality of values, politics and advocacy for public health debates.

There are at least three ways in which a public health program or policy may not reach stated goals for success: 1) Choosing an intervention approach whose effectiveness is not established in the scientific literature; 2) Selecting a potentially effective program or policy yet achieving only weak, incomplete implementation or "reach," thereby failing to attain objectives; 3) Conducting an inadequate or incorrect evaluation that results in a lack of generalizable knowledge on the effectiveness of a program or policy; and 4) Paying inadequate attention to adapting an intervention to the population and context of interest To enhance evidence-based practice, this book addresses all four possibilities and attempts to provide practical guidance on how to choose, carry out, and evaluate evidence-based programs and policies in public health settings. It also begins to address a fifth, overarching need for a highly trained public health workforce. This book deals not only with finding and using scientific evidence, but also with implementation and evaluation of interventions that generate new evidence on effectiveness. Because all these topics are broad and require multi-disciplinary skills and perspectives, each chapter covers the basic issues and provides multiple examples to illustrate important concepts. In addition, each chapter provides links to the diverse literature and selected websites for readers wanting more detailed information. An indispensable volume for professionals, students, and researchers in the public health sciences and preventative medicine, this new and updated edition of Evidence-Based Public Health aims to bridge research and evidence with policies and the practice of public health.

As the demand for health services rises & the pressure on these services grows, decisions about the use of scarce resources are becoming even more difficult to make & more explicit. This text provides healthcare managers with the knowledge they need.

Evidence-based Public Health: Effectiveness and efficiency continues the themes raised in Public Health Evidence - tackling health inequalities. Written by the same author team, this book is a comprehensive reference to evidence-based approaches in public health. It covers the context and role of evidence-based public health in England; frameworks for evaluating the effectiveness and cost effectiveness of public health policies and interventions; diversity, vulnerability and risk as a focus for understanding the role of social context in influencing health-related behaviours; approaches and methods to generate and synthesize evidence of what works to improve health and tackle health inequalities; current best available evidence on the effectiveness of a diverse range of interventions; and the role of evidence-based guidance and standards in changing policy and practice. This book will be essential reading for all those concerned with advancing an evidence-based approach to public health, and tackling health inequalities, including academics, researchers, policy makers, postgraduate students in public health, and anyone involved across different sectors of public health, including local government, health and education, Whilst based on work done in England by NICE, the book contains generic principles which are applicable internationally.

The Open Access version of this book, available at http://www.tandfebooks.com/, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. There has been an enormous increase in interest in the use of evidence for public policymaking, but the vast majority of work on the subject has failed to engage with the political nature of decision making and how this influences the ways in which evidence will be used (or misused) within political areas. This book provides new insights into the nature of political bias with regards to evidence and critically considers what an ‘improved’ use of evidence would look like from a policymaking perspective. Part I describes the great potential for evidence to help achieve social goals, as well as the challenges raised by the political nature of policymaking. It explores the concern of evidence advocates that political interests drive the misuse or manipulation of evidence, as well as counter-concerns of critical policy scholars about how appeals to ‘evidence-based policy’ can depoliticise political debates. Both concerns reflect forms of bias – the first representing technical bias, whereby evidence use violates principles of scientific best practice, and the second representing issue bias in how appeals to evidence can shift political debates to particular questions or marginalise policy-relevant social concerns. Part II then draws on the fields of policy studies and cognitive psychology to understand the origins and mechanisms of both forms of bias in relation to political interests and values. It illustrates how such biases are not only common, but can be much more predictable once we recognise their origins and manifestations in policy arenas. Finally, Part III discusses ways to move forward for those seeking to improve the use of evidence in public policymaking. It explores what constitutes ‘good evidence for policy’, as well as the ‘good use of evidence’ within policy processes, and considers how to build evidence-advisory institutions that embed key principles of both scientific good practice and democratic representation. Taken as a whole, the approach promoted is termed the ‘good governance of evidence’ – a concept that represents the use of rigorous, systematic and technically valid pieces of evidence within decision-making processes that are representative of, and accountable to, populations served.

This open access book bridges the divide between political science and public health, whilst simultaneously embracing the complexities and differences of both. Although public health is inherently political, the tools and insights of political science are often ignored in public health scholarship. Bringing together academics and researchers working at the intersection of both, the book demonstrates how integrating these fields can help reconcile the roles of politics and scientific evidence in policymaking. It also highlights the key conceptual, methodological and substantive implications for bridging this divide, and charts a path forward for a movement towards political science with public health. It will be of interest to academics, researchers and students interested in public health, political science, public policy, and the role of scientific evidence in policymaking.

Demonstrating that public health and prevention program development is as much art as science, this book brings together expert program developers to offer practical guidance and principles in developing effective behavior-change curricula. Feinberg and the team of experienced contributors cover evidence-based programs addressing a range of physical, mental, and behavioral health problems, including ones targeting families, specific populations, and developmental stages. The contributors describe their own professional journeys and decisions in creating, refining, testing, and disseminating a range of programs and strategies. Readers will learn about selecting change-promoting targets based on existing research; developing and creating effective and engaging content; considering implementation and dissemination contexts in the development process; and revising, refining, expanding, abbreviating, and adapting a curriculum across multiple iterations. Designing Evidence-Based Public Health and Prevention Programs is essential reading for prevention scientists, prevention practitioners, and program developers in community agencies. It also provides a unique resource for graduate students and postgraduates in family sciences, developmental psychology, clinical psychology, social work, education, nursing, public health, and counselling.

Policies and interventions to improve population health and well-being and to achievethe Sustainable Development Goals (SDGs) should be informed by high-qualityresearch evidence, including evidence derived from locally conducted researchwhere available and appropriate. Major challenges persist in strengthening thegeneration and use of research evidence. These include securing sufficient researchfunding, building adequate capacity, avoiding poorly targeted, low-quality researchproduction and underutilizing research findings. Developing or strengthening anational health research system (NHRS) has been proposed as a way of addressingthose challenges in order to improve health. Many countries, including in the WHOEuropean Region, do not have comprehensive national health research policies orstrategies in place that would facilitate the introduction of a systems approach.Countries often struggle both to increase the production of relevant research thatis used and to draw sufficiently on the global stock of evidence.