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The Cycle of Bias in Health Research: A Framework and Toolbox for Critical Appraisal Training
Authors:Donna H Odierna DrPH MS  Susan R Forsyth RN MS  Jenny White MSc MPH
Institution:1. University of California, San Francisco, Department of Clinical Pharmacy , San Francisco , California , USA;2. University of California, San Francisco, School of Nursing , San Francisco , California , USA
Abstract:Recognizing bias in health research is crucial for evidence-based decision making. We worked with eight community groups to develop materials for nine modular, individualized critical appraisal workshops we conducted with 102 consumers (four workshops), 43 healthcare providers (three workshops), and 33 journalists (two workshops) in California. We presented workshops using a “cycle of bias” framework, and developed a toolbox of presentations, problem-based small group sessions, and skill-building materials to improve participants' ability to evaluate research for financial and other conflicts of interest, bias, validity, and applicability. Participant feedback indicated that the adaptability of the toolbox and our focus on bias were critical elements in the success of our workshops.
Keywords:bias in research  conflicts of interest  evidence-based medicine  industry sponsorship of health studies  informed decision making  research ethics
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