The Ontario HIV Treatment Network, 1300 Yonge Street, Suite 600, Toronto, Ontario, M4T 1X3, Canada.
Department of Health Research Methods, Evidence and Impact, McMaster Health Forum, 1280 Main St West, MML-417, Hamilton, Ontario, L8S 4L6, Canada.
Health Res Policy Syst. 2019 Aug 14;17(1):80. doi: 10.1186/s12961-019-0476-4.
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. 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.
All 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.
The 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.
Organisations 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.
为了支持艾滋病服务组织和其他基于社区的组织利用研究证据为艾滋病毒相关方案、服务和政策提供信息，安大略省艾滋病毒治疗网络（OHTN）开发了快速反应服务。OHTN 的快速反应过程的最终产品比传统的系统评价更精简，由一份详细的报告组成，回答有关艾滋病毒特定问题的问题，以及研究结果如何适应当地情况。2016 年，OHTN 进行了一项评估，以评估其快速反应服务的有效性。本文报告了该服务的开发以及评估结果。
对 OHTN 2009 年 1 月 1 日至 2016 年 9 月 30 日期间发布的所有快速反应（n=102）进行了单变量分析。对每个快速反应的以下变量进行了频率分布：观察到的人群、涵盖的主题、请求者的隶属关系以及从 OHTN 网站下载的次数。还对快速反应的请求者进行了访谈，了解他们对服务和最终产品的有用性和实用性的看法，以及对服务的改进建议。进行了六个月的后续访谈，以确定相关组织如何利用他们请求的快速反应中的证据。
发布的 102 份快速反应涵盖了 14 个不同的目标人群。涵盖的主题包括艾滋病毒预防、参与和护理级联、健康决定因素、综合疾病和合并症。请求者的隶属关系包括艾滋病服务组织、政府机构和决策者、非艾滋病毒为重点的社区组织以及医院、大学或保健中心。请求者认为快速反应服务的大多数方面都非常有帮助，并且最常建议快速反应应该提供建议。关于快速反应影响的后续访谈表明，快速反应已被用于协助组织开展众多活动。
使用 OHTN 快速反应服务的组织将其描述为一项有价值的服务，可用于制定方案和政策。加强能力建设工作可能会提高其效用。描述这项评估的结果可以为类似的项目提供参考，以增加公共卫生决策者对研究证据的使用。
