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    <p begin="00:00:02.27" end="00:00:08.29">&gt;&gt; [Music] Gathering best<br/>available research evidence will</p>
    <p begin="00:00:08.29" end="00:00:13.56">help to answer the<br/>following questions:</p>
    <p begin="00:00:13.56" end="00:00:16.18">How much scientific<br/>research has been done</p>
    <p begin="00:00:16.18" end="00:00:19.61">on a program, practice,<br/>or policy?</p>
    <p begin="00:00:19.61" end="00:00:23.38">What effects have the program,<br/>practice, or policy had</p>
    <p begin="00:00:23.38" end="00:00:25.90">on preventing violence?</p>
    <p begin="00:00:25.90" end="00:00:27.74">How well does the design</p>
    <p begin="00:00:27.74" end="00:00:32.71">of the various studies support<br/>the validity of the findings?</p>
    <p begin="00:00:32.71" end="00:00:35.97">What implementation guidance<br/>is available and what does</p>
    <p begin="00:00:35.97" end="00:00:39.62">that guidance tell us<br/>about resources, processes,</p>
    <p begin="00:00:39.62" end="00:00:41.14">and capacity needed</p>
    <p begin="00:00:41.14" end="00:00:45.74">to successfully implement the<br/>program, practice, or policy?</p>
    <p begin="00:00:45.74" end="00:00:48.22">&gt;&gt; I think the value in using<br/>the best available research</p>
    <p begin="00:00:48.22" end="00:00:51.45">evidence is an increased<br/>likelihood that they&apos;re going</p>
    <p begin="00:00:51.45" end="00:00:55.41">to be implementing programs<br/>in their communities</p>
    <p begin="00:00:55.41" end="00:00:57.55">that have the effects<br/>they want them to have</p>
    <p begin="00:00:57.55" end="00:01:01.01">and not have no effects with a<br/>lot of waste of money and time</p>
    <p begin="00:01:01.01" end="00:01:02.80">and taking up resources<br/>that could go</p>
    <p begin="00:01:02.80" end="00:01:06.10">to something that&apos;s effective<br/>and taking the chance</p>
    <p begin="00:01:06.10" end="00:01:09.51">of delivering harmful<br/>interventions.</p>
    <p begin="00:01:09.51" end="00:01:14.12">&gt;&gt; [Music] Two important facets</p>
    <p begin="00:01:14.12" end="00:01:17.43">of best available<br/>research evidence.</p>
    <p begin="00:01:17.43" end="00:01:19.15">Strength of the evidence--</p>
    <p begin="00:01:19.15" end="00:01:23.18">the extent to which outcomes<br/>can truly be attributed</p>
    <p begin="00:01:23.18" end="00:01:25.57">to the program, practice,<br/>or policy.</p>
    <p begin="00:01:25.57" end="00:01:29.37">Effectiveness of the<br/>program, practice, or policy--</p>
    <p begin="00:01:29.37" end="00:01:32.48">The existence of<br/>desirable outcomes</p>
    <p begin="00:01:32.48" end="00:01:37.37">and no undesirable outcomes.</p>
    <p begin="00:01:37.37" end="00:01:41.45">Finding best available<br/>research evidence.</p>
    <p begin="00:01:41.45" end="00:01:46.24">Many areas of public health<br/>including violence prevention</p>
    <p begin="00:01:46.24" end="00:01:49.46">are still developing the<br/>research evidence base</p>
    <p begin="00:01:49.46" end="00:01:51.76">which limits practitioners<br/>options</p>
    <p begin="00:01:51.76" end="00:01:55.66">for implementing evidence-based<br/>preventive interventions.</p>
    <p begin="00:01:55.66" end="00:01:59.24">The designation of best<br/>available research evidence</p>
    <p begin="00:01:59.24" end="00:02:01.80">acknowledges the fact<br/>that in many areas</p>
    <p begin="00:02:01.80" end="00:02:04.90">of violence prevention the<br/>research evidence is still</p>
    <p begin="00:02:04.90" end="00:02:05.73">being developed.</p>
    <p begin="00:02:05.73" end="00:02:09.43">Best available research<br/>evidence is strongest</p>
    <p begin="00:02:09.43" end="00:02:12.70">when it includes studies<br/>that are rigorously designed,</p>
    <p begin="00:02:12.70" end="00:02:15.83">strategies that have been<br/>replicated and evaluated</p>
    <p begin="00:02:15.83" end="00:02:19.78">across multiple settings and<br/>populations, and strategies</p>
    <p begin="00:02:19.78" end="00:02:23.27">with comprehensive<br/>guidance for implementation.</p>
    <p begin="00:02:23.27" end="00:02:26.74">Not all violence prevention<br/>strategies meet the highest</p>
    <p begin="00:02:26.74" end="00:02:27.70">standards of rigor.</p>
    <p begin="00:02:27.70" end="00:02:32.83">For example, in some situations,<br/>randomly assigning participants</p>
    <p begin="00:02:32.83" end="00:02:36.29">to a treatment or control<br/>group may not be feasible</p>
    <p begin="00:02:36.29" end="00:02:37.90">or acceptable.</p>
    <p begin="00:02:37.90" end="00:02:39.22">In these cases,</p>
    <p begin="00:02:39.22" end="00:02:44.34">quasi experimental designs may<br/>be a more feasible options.</p>
    <p begin="00:02:44.34" end="00:02:45.88">Observational studies</p>
    <p begin="00:02:45.88" end="00:02:50.11">and qualitative data may also<br/>provide useful information</p>
    <p begin="00:02:50.11" end="00:02:53.57">although these methods<br/>are less rigorous.</p>
    <p begin="00:02:53.57" end="00:02:56.13">The goal remains to<br/>seek out evidence</p>
    <p begin="00:02:56.13" end="00:02:59.22">with the highest level<br/>of rigor possible.</p>
    <p begin="00:02:59.22" end="00:03:04.15">&gt;&gt; Then we&apos;ve got to look at, go<br/>to the next step and to realize</p>
    <p begin="00:03:04.15" end="00:03:06.23">that there&apos;s a range<br/>of types of evidence.</p>
    <p begin="00:03:06.23" end="00:03:07.22">And so some of them are going</p>
    <p begin="00:03:07.22" end="00:03:10.86">to be these gold standard<br/>randomized clinical trial</p>
    <p begin="00:03:10.86" end="00:03:13.51">that have been done in<br/>multiple places, but a lot of,</p>
    <p begin="00:03:13.51" end="00:03:15.93">there&apos;s still also evidence<br/>that&apos;s available out there</p>
    <p begin="00:03:15.93" end="00:03:18.44">from research that&apos;s going to<br/>be different types of evidence,</p>
    <p begin="00:03:18.44" end="00:03:20.32">and we need to look<br/>at drawing those.</p>
    <p begin="00:03:20.32" end="00:03:22.48">So published studies<br/>is one place we go</p>
    <p begin="00:03:22.48" end="00:03:25.45">and there&apos;s a whole host of,<br/>and there&apos;s sort of a range</p>
    <p begin="00:03:25.45" end="00:03:26.91">of different types of evidence</p>
    <p begin="00:03:26.91" end="00:03:28.75">and they tell you<br/>different things</p>
    <p begin="00:03:28.75" end="00:03:33.06">and you can generalize more<br/>from some and less from others.</p>
    <p begin="00:03:33.06" end="00:03:36.48">&gt;&gt; In order to find the best<br/>available research evidence,</p>
    <p begin="00:03:36.48" end="00:03:39.43">a literature search might<br/>include database searches</p>
    <p begin="00:03:39.43" end="00:03:43.81">on relevant keywords and web<br/>searches on relevant government,</p>
    <p begin="00:03:43.81" end="00:03:47.91">university, and non-profit<br/>registries and sites.</p>
    <p begin="00:03:47.91" end="00:03:50.77">Many of these are publicly<br/>available on the internet.</p>
    <p begin="00:03:50.77" end="00:03:53.77">Finally, research evidence</p>
    <p begin="00:03:53.77" end="00:03:57.11">in the peer reviewed literature<br/>may not provide all the</p>
    <p begin="00:03:57.11" end="00:04:00.12">information that may be<br/>required to appraise evidence</p>
    <p begin="00:04:00.12" end="00:04:02.23">of effectiveness completely.</p>
    <p begin="00:04:02.23" end="00:04:05.84">It may also be useful to contact<br/>the developers of the program</p>
    <p begin="00:04:05.84" end="00:04:09.58">if possible or others who<br/>have implemented the strategy</p>
    <p begin="00:04:09.58" end="00:04:11.65">to collect information<br/>on the settings</p>
    <p begin="00:04:11.65" end="00:04:13.85">where the program has<br/>been implemented before,</p>
    <p begin="00:04:13.85" end="00:04:17.96">find out how the program has<br/>been implemented and evaluated,</p>
    <p begin="00:04:17.96" end="00:04:19.72">and determine the availability</p>
    <p begin="00:04:19.72" end="00:04:22.12">of implementation<br/>guidance, and support.</p>
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