Evidence-Based Public Health (EBPH) and the PERIE Framework

A set of practice questions based on Lecture Note #4 covering the principles of Evidence-Based Public Health and the step-by-step P.E.R.I.E. framework.

What is the definition of Evidence-Based Public Health (EBPH)?

The application of scientific evidence, epidemiological reasoning, and systematic decision-making to public health policy and practice.

Which three components does Evidence-Based Public Health (EBPH) integrate?

Scientific research evidence, public health expertise, and community participation.

Why is EBPH important for public health planning?

It improves quality, relevance, and accountability; ensures efficient use of resources; and supports rational priority-setting.

What are the five steps of the P.E.R.I.E. framework?

Problem, Etiology, Recommendations, Implementation, and Evaluation.

In the 'Problem' step of PERIE, what is the difference between Morbidity and Mortality?

Morbidity refers to the presence of disease or disability, whereas Mortality refers to death due to disease.

How is Incidence defined in describing the course of a disease?

The number of new cases.

How is Prevalence defined in describing the course of a disease?

The total existing cases.

What is the Case-fatality rate?

The proportion of deaths among diagnosed cases.

What three factors describe the Distribution of Disease?

Person (who is affected), Place (where the disease occurs), and Time (when it occurs).

What three criteria must a contributory cause meet?

1. Be associated with the disease, 2. Precede the disease in time, and 3. Alter the disease outcome when modified.

Match the Study Type to its definition: Case-control study, Cohort study, and Randomized controlled trial (RCT).

Case-control compares affected and unaffected groups; Cohort follows exposed and unexposed populations; RCT establishes cause-effect relationships.

What are the Supporting (Ancillary) Criteria used when full causation is difficult to establish?

Strength of association, Dose-response relationship, Consistency of findings, and Biological plausibility.

Which two factors are used to determine the criteria for Public Health Recommendations?

Quality of Evidence (Good, Fair, Poor) and Magnitude of Impact (Substantial, Moderate, Small, None).

In the Grading System for recommendations, what does Grade 'A' and Grade 'I' represent?

Grade A means 'Strong recommendation' and Grade I means 'Insufficient evidence'.

What are the three levels of timing for an intervention in the Implementation stage?

Primary Prevention (before disease occurs), Secondary Prevention (early detection), and Tertiary Prevention (prevent complications).

What are the three methods used for Public Health interventions?

Information (education), Motivation (incentives), and Obligation (laws and regulations).

What are the components of the RE-AIM Framework used in the Evaluation step?

Reach, Effectiveness, Adoption, Implementation, and Maintenance.