Search results

A postal survey to determine UK medical directors’ (n = 491) attitudes on the importance of effectiveness information; their own access, awareness and use of a variety of sources for information on effectiveness, their own use of and views on the perceived usefulness of the Cochrane Library; their attitudes towards their own role in the local application of clinical governance. Respondents reported high levels of awareness and access to a number of sources of clinical/cost effectiveness information. Respondents regularly referred to paper‐based publications more than electronic databases (only 10 per cent regularly referring to the Cochrane Library). Respondents felt that the Cochrane Library could be improved by increasing the number and range of topics and clinical areas covered, and by improving access and availability.

The candidates for the post of first librarian of the London Library are considered and the circumstances involved in the appointment of John George Cochrane are discussed. Cochrane′s immediate successors are briefly reviewed, as well as the overall staffing of the Library in the mid‐nineteenth century.

Effective literature searches are critical to researchers and health care professionals. To conduct literature searches, clinicians, researchers and nurses rely primarily on a few major databases (PubMed, Cochrane, CINAHL, etc.) to retrieve information. However, there is a lack of literature on the comparative efficiencies of major databases for systematic review results on a clinically related topic. This paper aims to fill that gap in the literature.

Cochrane Handbook (2011) defines systematic review as a review of a clearly formulated question that uses systematic and explicit methods to identify, select and critically appraise relevant research and to collect and analyze data from the studies that are included in the review. In this paper, search results of systematic reviews on a clinical topic between two major databases – PubMed and Cochrane Library – are compared.

Searching within PubMed for key terms in the titles and abstracts of articles is important to include in any systematic review, in addition to searching Medical Subject Heading terms. After applying filters, PubMed retrieved 130 systematic reviews that matched the criteria. In Cochrane Library, the searches were performed on the chosen topic using Boolean and phrase searching: text field searches resulted in 251 reviews. The search was further narrowed by subject, which yielded 20 reviews. It is strongly recommended to use multiple health-care specialty databases, check for duplicate reviews in the results and not limit results to English-only publications.

This paper can be used to introduce new researchers and/or students to methods for conducting systematic reviews using two or more databases on a chosen topic.

This paper fills a gap in the literature regarding comparative efficiencies of major databases for systematic review results on clinically related topics.

The need for IT (Information Technology) and information skills training has been revisited by a new approach to clinical decision‐making in the National Health Service (NHS): evidence based practice. The Trent Institute for Health Services Research supports NHS staff in the Trent region either wishing to implement evidence based practice or to undertake research of their own by providing advice and training. A range of courses providing training in research skills has been developed. Included in this range are four half‐day information skills courses, developed by the Information Resources section of the Trent Institute: Literature Searching, Health information on the Internet, Introducing the Cochrane Library and Sources for clinical effectiveness. Aims and objectives for each course have been developed to facilitate the development of course materials and the evaluation of training. Evaluation questionnaires are completed by course participants and at the time of writing (November 1997), response has been positive. The information collected is being used to plan future courses for the next academic year, such as Training the Trainers courses.

The aim of this article is to clarify for users the differences between the information resources Cochrane Library (online version), SUMSearch, TRIP (Turning Research into Practice) and UpToDate (online version), and to understand fully to what extent these four resources can answer therapeutic PICO (Patient/Population‐Intervention/Exposure‐Comparison‐Outcome) questions. We chose ten therapeutic PICO questions from the text “PDQ Evidence‐Based Principles and Practice” and from some evidence‐based medicine (EBM) related Web sites. We then looked for systematic reviews of randomized controlled trials (RCTs), RCTs, practice guidelines or reviews for them on the four electronic resources, respectively. All the resources are completely appropriate to answer therapeutic questions.

Mobile devices, through their capacity to enable anytime-anywhere learning as well as capture, annotate and share multimedia, offer entirely new ways for students to learn. This chapter provides review of mobile learning with a particular focus on learning design. First various definitions and characteristics of mobile learning are examined in order to establish a common understanding of its boundaries and meaning. Example uses of mobile learning in schools and higher education are described as a way to provide a more concrete understanding of design possibilities. Benefits of mobile learning are unpacked, as distilled from the literature, including the ability to provide flexible, accessible, authentic, personalized, ubiquitous and seamless learning. Mobile learning issues are also examined, including technical problems, cognitive load issues, distraction, equity and safety. A primary school science and a university pre-service teacher education vignette are described so as to offer a more in-depth illustration of what mobile learning can look like and achieve in practice. Finally, mobile learning research findings and observations are synthesized into recommendations, to inform and guide evidence-based mobile learning design practices. Opportunities for future research and investigation are also discussed.

Ambiguities in the term ‘evidence‐based practice’ (EBP) are often used to hide some of the tensions within the idea itself. This article seeks to clarify what EBP means and how evidence and knowledge can contribute to the development of children's services. It acknowledges the ‘implementation gap’ between evidence‐based practice and evidence‐based practitioners, and discusses two contrasting perspectives on the problem and its solution. For ‘disseminators’ the primary issue is better translation of findings into practice, illustrated here by the work of the National Institute of Health and Clinical Excellence (NICE). ‘Revisionists’ look beyond obstacles and drivers to implementation and instead advocate looking again at the relationship between research and practice and propose a number of radical proposals for how this relationship can be re‐envisioned.

The challenge of predicting changes in aggregate income and stock prices is one that has occupied the research agendas of economists. This paper aims to use the consumption–income ratio and the dividend–price ratio to predict future income and stock prices.

To examine the stability of the consumption–income ratio and the dividend–price ratio, the authors run a two-variable, two-lag reduced-form VAR in the vein of Cochrane (1994), using a lag of each respective ratio as exogenous to the VAR. Additionally, the authors estimate an AR(4) model for income and prices.

The consumption–income ratio and the dividend–price ratio remain key to understanding future movements in income and stock prices. The consumption–income ratio significantly predicts future income in the USA, and aggregate income is easier to predict than consumption in the VAR model. The dividend–price ratio does not significantly predict future price growth. Consumption and dividend shocks have lasting impacts on income and prices.

The consumption–income ratio and the dividend–price ratio are still key to understanding future movements in income and stock prices. The consumption–income ratio significantly predicts future income in the USA, and aggregate income is easier to predict than consumption in the VAR model. However, the dividend–price ratio does not significantly predict future price growth, a change from previous research from the 1990s, despite the increasing complexity of stock markets. Consumption and dividend shocks have lasting impacts on income and prices and appear to be significant drivers in both the short- and long-run variance in income and prices.

This article examines the history of social work research within the UK from a perspective of evidence‐based practice, as originally advocated in the 1990s. It reviews the progress made to date in relation to the use of experimental studies in the field of children and families, and the reasons why this remains limited. It sets this in the broader context of evidence‐based practice and the education and training of qualifying and post‐qualifying social workers, including postgraduate training.

The aim of this randomised intervention study was to test the use of two counselling styles in reducing alcohol consumption in offenders who were hazardous drinkers and who had been charged with alcohol‐related offences. An additional aim was to evaluate the research process itself before embarking on a larger trial. Participants were recruited from a police custody suite in the south east of England and randomised to receive either a motivational interviewing brief intervention (MIBI) or a standard brief intervention (BI). The Alcohol Use Disorder Identification Test (AUDIT) was used to screen offenders for hazardous drinking. Participants were asked to complete a second AUDIT 12 weeks later. Two hundred offenders with alcohol‐related offences were screened over a 10‐month period. Of these, 182 were alcohol dependent and were therefore excluded from the study. Of the 18 who were eligible to enter the study, six refused to participate. Five were randomised to the MIBI group and seven into the BI group (BI). The mean age of the MIBI group was 25 (SD±3.86) years and the mean age of the BI group was 32.4 (SD±7.9). Audit scores were significantly lower at time 2 compared to time 1 for both intervention groups (t(11) = 17.60; p < 0.05). There was no significant difference between the different intervention groups.