## Introduction and overview to HLTH301 --- ## We will cover - What is this course about? - What would you expect to learn - Assessments and deadlines - How to use forums - How to use software tools - Questions and answers --- ## What is this course about? - You will learn how to discuss evidence in health - You will learn how to frame an answerable reseaech question - You will learn how to critically appraise a body of information - You will learn how to synthesise research and arrive at an evidence based answer --- ## Location and timing - We will meet here in Rehua 002 every Monday 10-12 - Classes will also be recorded as far as practicable in Zoom - We do not have tutorial in this course - The lecture on literature search will be on 14th September --- ## Plan of the course - Theoretical details in the first half - Between 13th July and 17th August - Term 3 ends with the first assignment - Term 4 is about application - Two assignments in Term 4 --- ## Assessment 1 - Multiple choice question quiz - One stem five choices - Open book test - Correct answer 1 mark, wrong answer 0 - Marked out of 35 --- ## Date and time - Due date: 14th August 2020 - Open between 9:00 AM - 5 PM - You get only one chance - Once opened, the test will remain open for 2 hours --- ## Example of a multiple choice question Which of the following is an example of a scholarly literature database used for searching? - Google - Instagram - Facebook - Pubmed/Medline - Overleaf - (the correct answer is **Pubmed/Medline**) --- ## Assessment 2: Post to the Forum - Participate in the test forum - Forum opens on 15th August and - Forum closes on 18th September 5 PM - 20% of total grade, marked out of 20 --- ## How to start the forum  --- ## How to post to the forum  --- ## What to write in the forum - Your own opinion - Responses to a classmate's opinion - You can write anytime between 15th August and 18th September - The forum will close on 18th September 5 PM - Your total marks will be based on your own posts and your forum activity - (how many posts you read and respond) --- ## A3: Critical Appraisal Assessment - (45%, 45 marks) - Due date: 16th October, 2020, 5 PM - Hard deadline - Assignment opens 19th September, 2020 --- ## What will you do - Put together an evidence appraisal set of tables - Select one of the three questions - Frame the questions as PICO questions - Conduct a search - Select five RCTs or high evidence studies - Put together a GRADEpro Portfolio table - Write a brief commentary on the evidence - Submit by 16th October 2020, 5 PM --- ## How will you do this? - Set up an account in Gradepro - Frame PICO questions (class: 7th September) - Search Literature (class: 14th September) - Learn how to use Gradepro for evidence portfolio making (class: 28th September) - Submit your table and commentary on 16th October, 5 PM --- ## Step 1: Gradepro account  --- ## Step 2: Log in then ...  --- ## Step 3: Give it a name  --- ## Step 4: Start with Questions  --- ## Questions to consider - What is the effectiveness of nicotine replacement therapy for achieving smoking cessation in adults? - What is the effectiveness of social skills training for attention deficit hyperactivity disorders in people under 18 years of age? - What is the effectiveness of lifestyle interventions on health related quality of life outcomes among women who suffer from polycystic ovary syndrome? --- ## What topics will we cover? (part 1) - Evidence based health - Internal and External Validity - Causal Inference in health - Study designs in health sciences --- ## Evidence based health - Learn what is meant by evidence based health - Overview of EBH practices - Overview of framing questions, - Searching literature - Critical Appraisal - Decision making --- ## Internal and External Validity - Chance, - Bias, - Confounding, - Generalisability - These will be useful for critical appraisal of a body of literature --- ## Causal Inference - Move from validity to - Is the association one of cause and effect? - Hill's Criteria - Rothman's *Pie* - Counterfactual theory of causation --- ## Causal Inference > Studies - Observational studies - Intervention studies - What to think of when you read studies - When to apply what type of study --- ## Maori and Indigeneous health issues - Dr Annabel Ahuriri Driscoll will teach this --- ## Second half - Everything applied - Apply everything you learn in the first half - Hands-on experience of framing questions - Searching literature - Critical Appraisal using GRADE - Pooling results using Systematic Review --- ## How to study for this course - This is a 0.25 EFT course - I EFT = 80 hours / week - 0.25 EFT = 20 hours / Week - Roughly spend 4 hours / day of week - Distribute between - Reading papers - Discussing papers (use the forum) - Class time --- ## How to take notes - Three stages of reading a paper - Use progressive summarisation - Use zettelkasten method - Use a reference manager - Your reading is not complete till you write it out --- ## How to read a paper first pass - Skim first - Read with pencil/pen and paper - Do not use digital tools to highlight, or make notes on first pass - Draw images/mind maps etc first pass - Write a Feynman note first (long note) - Read a second time - Always read with a question in mind --- ## Strategy for second reading | Difficulty/Use | Difficult | Not difficult | | -------------- | --------- | ---------------- | | Useful | **First** | **Second** | | Not useful | **Third** | **Don't bother** | --- ## Feinman Technique - Write out what you read as if you are explaining it to a Year One student - That Year One student could be your own child self! - Use diagrams, flowcharts, bullet points, plus long form writing --- ## Progressive Summarisation - Take your OWN NOTES - Mark it up to see which ones are important - Go back and re-read the piece if needed - Write a short summary - Then take that short summary and summarise it further - Store it in a folder of files - Only ONE large folder! --- ## Zettelkasten method - One folder in your computer to hold your files - Each file must be - Tagged (#tag) - Added a source - Added at least one backlink - Contain just ONE piece of thought or information - Given an ID in the form of yyyymmddhhmm (e.g. 202007131100) - Files must be linked with each other --- ## How to ace this course - Read/Watch the lectures - Do the class activities - Ask Ask Ask in the forum - Ask in the forum first, then email me - Take the tests on time --- ## Conclusion - Good luck studying!