Abstract

BackgroundTo support AIDS service organisations and other community-based organisations’ use of research evidence to inform HIV-related programmes, services and policies, the Ontario HIV Treatment Network (OHTN) developed a Rapid Response Service. The final product of the rapid response process at the OHTN, which is more streamlined than that of traditional systematic reviews, consists of a detailed report answering questions regarding an HIV-specific issue and how the findings apply within the local context. In 2016, the OHTN conducted an evaluation to assess the effectiveness of its Rapid Response Service. This article reports on the development of this service as well as the results of the evaluation.MethodsAll rapid responses published between January 1, 2009, and September 30, 2016, by the OHTN (n = 102) were analysed using univariate analyses. Frequency distributions were determined for the following variables for each rapid response: populations observed, topics covered, requestor affiliations and number of downloads from the OHTN’s website. Requestors of rapid responses were also interviewed regarding perceived helpfulness and utility of the service and final products, and suggestions for changes to the service. Six-month follow-up interviews were conducted to determine how affiliated organisations used the evidence from the rapid response they requested.ResultsThe 102 rapid responses published covered 14 different populations of interest. Topics covered included the HIV prevention, engagement and care cascade, determinants of health, syndemics, and comorbidities. Requestor affiliations consisted of AIDS service organisations, government agencies and policy-makers, non-HIV-focused community-based organisations, and hospitals, universities or health centres. Requestors perceived most aspects of the Rapid Response Service as very helpful and most frequently suggested that the rapid responses should provide recommendations. Follow-up interviews regarding the impact of rapid responses show that rapid responses have been used to assist organisations in numerous activities.ConclusionsOrganisations that have used the OHTN’s Rapid Response Service describe it as a valuable service useful for the development of programmes and policies. Improvements in capacity-building efforts may increase its utility. Describing the findings of this evaluation may serve as a reference for similar programmes to increase the use of research evidence among public health decision-makers.

Highlights

  • To support AIDS service organisations and other community-based organisations’ use of research evidence to inform HIV-related programmes, services and policies, the Ontario HIV Treatment Network (OHTN) developed a Rapid Response Service

  • Frequency distributions were determined for the variables of ‘populations observed’, ‘topics covered’, ‘requestor affiliations’ and ‘number of downloads from the OHTN website’

  • It is important to note that variables such as population and topic were not mutually exclusive, as 25 (24.5%) rapid responses covered more than one population and 39 (38.2%) rapid responses covered more than one topic

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Summary

Introduction

To support AIDS service organisations and other community-based organisations’ use of research evidence to inform HIV-related programmes, services and policies, the Ontario HIV Treatment Network (OHTN) developed a Rapid Response Service. Public health organisations often need evidence synthesised within a timeframe that does not allow for a full systematic review. For this reason, decision-makers have begun to rely on rapid reviews that synthesise research evidence within short periods of time [7, 8]. The main goal of most rapid reviews is to inform policy and programme development and decision-making [9, 11, 12] by providing evidence that has been contextualised to a specific health system setting in response to specific issues [13]. There remains a need for evaluations of interventions to facilitate the use of research in health policy and programmes, and their potential influence on decision-making [16]

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