STEP 6 – RAPID REVIEW REPORT STRUCTURE This step provides guidance on writing a report of your literature review findings and translating the implications for Peel Public Health. The report follows a 1:2:20 page format, which should be completed in the following order: o The full report describing the literature findings up to 20 pages o The executive summary (1-2 pages double spaced) o Four to six key messages (1 page) We encourage you to be succinct and think carefully about the implications of the research in our local setting. Style conversational tone, not dry or dull short sentences plain language with minimal jargon goal: our colleagues will want to read it use RefWorks and Write and Cite EVIDENCE-INFORMED DECISION MAKING: RAPID REVIEW REPORT STRUCTURE When to Use This Guide: This literature review report guide should be used in the early stages of a public health issue assessment. It can be used to report on the rapid review results during the Program Planning and Evaluation process, or to report on rapid reviews that need to be carried out for other purposes. Peel Public Health is a service organization, not an academic institution. We want you to get to the heart of the matter when conducting your rapid reviews; as such, we strongly encourage you to communicate your findings within a 20 page limit. This requires you to ensure your research question is specific and well-defined. For public health issues that are broad or complex, the rapid review process may be broken down into a series of “technical reports,” which investigate different aspects of the issue. These reports should also follow the 1:2:20 format. However, a consolidated report may also be provided. We recommend that this consist of the technical reports with summary and introductory chapters. Format: the text within the 1:2:20 should be double-spaced with 12 point font and 2.5 cm margins. 1 Page: Key Messages Purpose: To provide 4 to 6 key messages that translate the research implications to public health practice. Each message should only be 1 to 2 sentences long. Audience: The Medical Officer of Health and AMOH’s, and Director. Structure: Include a maximum of 6 bullet points. This is the “So What” synopsis. The main messages should not be a shorter summary of the executive summary. Rather than a review of the findings, the main messages are an interpretation of what the findings mean to the public health issue. This is your opportunity to judge the research and apply it to local practice. Write this section last. 2 Pages: Executive Summary Purpose: To provide a brief 1 to 2 page overview of your review for decision makers. Audience: Senior-level decision makers, including Managers and Directors. Structure: Provide a brief overview of the research question, context, methods, synthesis of key findings, and conclusions. Plan for about 3 sentences for each section. Write this section after the full 20 page report. 20 Pages: Full Report Purpose: To provide a concise report of the rapid review process, findings, and implications within a 20 page limit. Audience: All levels of staff and management. Structure: The report structure should follow the format below. This is a guide, and you may want to combine some headings or add others depending on your topic. Keep the purpose of carrying out the research in mind; reflect on the findings and what they mean for public health. Frame your analysis and findings in a way that helps inform your practice question. 1. Issue Summarize the issue (problem statement) being investigated in the literature. (1 to 2 pages*) 2. Context Provide the background and context within which the public health issue evolved. (1 to 3 pages) a) Anecdote: A real-world story to illustrate the issue can help bring the research question to life. Who is affected? How is the issue impacting the public or staff who are delivering services? 3. Literature Review a) Question: Clearly state the research question. Begin with a plain language statement. If appropriate, follow the PICO(T) format. However, some questions may be structured using another format. For example, a search for theoretical models to support your program initiative might not be PICO structured. (1/2 page) b) Search Strategy: Outline the search terms, databases used, and inclusion/exclusion criteria (1/2 page). State where the studies fall within the pyramid of evidence. A flow chart summarizing the results of the search may be included as an appendix. (1/2 page) c) Critical Appraisal: Identify the tools used for critical appraisal. (Only include research which has been critically appraised) (4 to 6 pages) d) Synthesis of Findings: Interpret the findings and develop practice recommendations. Subsections may be needed to categorize the findings. critically appraised. For synthesis, present the research in a data extraction table. This will be included in the appendix. e) Adaptibility & Transferability: How applicable are your findings to the local context. What are the policy and program implications? What are the internal and external factors that could impact the application of your findings? Refer to the applicability & transferability worksheet to develop this section. (2 to 5 pages) f) Recommendations: Based on the evidence, and the applicability and transferability assessment, outline your recommendations. This may include next steps. Include suggestions for disseminating the findings to internal and/or external stakeholders, as appropriate. (1 to 3 pages) 4. References / Endnotes / Bibliography References in the report should not be presented in the body of the text or the foot of the page; instead, use the “uniform requirements for manuscripts submitted to biomedical journals” format to generate a reference list. This format can be generated using RefWorks and Write and Cite. References do not constitute part of the 20 page limit, but they should not exceed 3 pages. Specialists are encouraged to use RefWorks to generate the bibliography. (3 pages) 5. Appendices a) Conceptual Model: A one page conceptual model mapping the results of the rapid review can provide a quick overview of a complex topic area. b) Overview of the Search Process: Include a flowchart summarizing the rapid review search results. (overview of the search process). c) Data Extraction Table: Include the table of findings from the critical appraisal of the research. RefWorks may assist with this process. * The number of pages per section is meant as a guide; use your own judgement. References: 1. Reader-friendly writing - 1:3:25 | resources | knowledge exchange | Canadian Health Services Research Foundation. [cited 21/09/2009]. Available from: http://www.chsrf.ca/knowledge_transfer/communication_notes/comm_reader_friendly _writing_e.php. 2. Executive training for research application: Intervention project and mentoring guide. Canadian health services Research Foundation. April 21, 2009. Available from www.chsrf.ca/extra.