Training for US Cochrane Contributors and Others

描述（由申请人提供）：在美国和国际上，医疗保健提供者、政策制定者、研究人员、教育工作者和消费者越来越关注“循证医疗保健”，即将最佳研究证据与临床专业知识和患者价值相结合。Cochrane Collaboration是一个拥有5000多名成员的国际合作组织，旨在通过准备、维护和促进对医疗干预效果的系统评价的可及性，帮助人们做出明智的健康决策。定期更新的Cochrane系统评价侧重于用于预防、诊断、治疗和康复的干预措施的利弊。由于关注干预措施的有效性和疗效，来自随机试验的数据被认为是最高水平的证据。当没有随机证据可用时，使用非随机证据。该合作项目的工作与基于证据的实践中心（EPC）资助项目所涵盖的活动直接对应。这两个群体之间的联系可以也应该加强。可以通过举行联合会议和有两组教员代表参加的培训机会来建立联系。

DESCRIPTION (provided by applicant): In the U.S. and internationally, healthcare providers, policymakers, researchers, educators and consumers are increasingly focusing on "evidence-based healthcare," the integration of the best research evidence with clinical expertise and patient values. The Cochrane Collaboration is an international partnership of over 5,000 individuals that aims to help people make well-informed decisions about health by preparing, maintaining, and promoting the accessibility of systematic reviews of the effects of healthcare interventions. Cochrane systematic reviews, which are regularly updated, focus on benefits and harms of interventions used for prevention, diagnosis, treatment and rehabilitation. Because of this focus on the effectiveness and efficacy of interventions, data from randomized trials are considered the highest level of evidence. Non-randomized evidence is used when there is no randomized evidence available. The Collaboration's work corresponds directly with activities covered in the Evidence-based Practice Center (EPC) grant program. Links between the two groups could and should be stronger. Links could be forged by holding joint conferences and training opportunities involving faculty representation from both groups. The overall objective of the proposed series of conferences, which will take place over a five-year period, is to increase and improve the U.S. involvement in and contribution to the Cochrane Collaboration. The conference series includes 2 large U.S. Cochrane Contributors' Conferences, a series of smaller hands-on training workshops, and 4 web-based distance education modules for unrestricted use. Evaluation will be a key aspect of all conferences and training packages, which will be modified accordingly. All distance education modules will cover the same topics as the training workshops. The result of the conferences and workshops will be a critical mass of U.S.-based clinicians, educators, researchers, policymakers and consumers trained to prepare and use the essential elements of evidence-based healthcare. The distance education modules will be the main "deliverable" of the grant and the major method we will use for dissemination. The applicant will collaborate and partner with investigators associated with the EPCs in all stages of the project.