Evidence map›Paper›PMID 25496505›Full record

Trial reportImplementation science : IS2014

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, Cate Burns, Boyd Swinburn, Laurie Anderson, Mark Petticrew

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Implementation science : IS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  6. Development and testing of the capacity of organisations for system practices scale.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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  16. Missed opportunities for improving oral health in rural Victoria: The role of municipal public health planning in improving oral health.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Rebecca ArmstrongJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. armr@unimelb.edu.au.
Elizabeth WatersJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. ewaters@unimelb.edu.au.
Laurence MooreMRC Unit for Social and Public Health Sciences, University of Glasgow, Glasgow, Scotland. MooreL1@cf.ac.uk.
Maureen DobbinsSchool of Nursing, McMaster University, Hamilton, ON, Canada. dobbinsm@mcmaster.ca.
Tahna PettmanJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. tpettman@unimelb.edu.au.
Cate BurnsSchool of Dentistry and Health Services, Charles Sturt University, Wagga Wagga, New South Wales, Australia. cate.m.burns@gmail.com.
Boyd SwinburnPopulation Nutrition and Global Health, University of Auckland, Auckland, Grafton, New Zealand. boyd.swinburn@deakin.edu.au.
Laurie AndersonDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA. lmander@uw.edu.
Mark PetticrewLondon School of Hygiene and Tropical Medicine, University of London, Bloomsbury, London, UK. Mark.Petticrew@lshtm.ac.uk.
University of Melbourne · AUCharles Sturt University · AUDeakin University · AUMcMaster University · CAUniversity of Glasgow · GBUniversity of London · GBUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsThe 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.

resultsIn 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.

conclusionsThis study makes an important contribution to understanding how evidence is used within the public health LG context.

trial registrationACTRN12609000953235.

Indexed as

Decision Support TechniquesEvidence-Based PracticeHealth PolicyLocal GovernmentPublic HealthCross-Sectional StudiesHumansOrganizational CultureTranslational Research, BiomedicalVictoria

Identifiers

PMID25496505
PMCPMC4314798
OpenAlexW2159869120

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.