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Nature Podcast

Inside the evidence revolution — how decision-making became data driven

Nature Podcast

podcast@nature.com

Science, Technology, News

4.5893 Ratings

🗓️ 24 April 2026

⏱️ 26 minutes

🧾️ Download transcript

Summary

In this episode of Nature hits the books, we speak with Nature's Helen Pearson whose book Beyond Belief: How Evidence Shows What Really Works looks at the history of using evidence, rather than opinion, in decision making.


The book traces the course of the movement in various disciplines, such as the rise of evidence-based medicine in the 90s, looking at the rebels who led the charge, the barriers they faced, and why the use of evidence is crucial at a time when misinformation is rife.


Beyond Belief: How Evidence Shows What Really Works Helen Pearson Princeton University Press (in the press)


Music supplied by SPD/Triple Scoop Music/Getty Images


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Transcript

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0:00.0

Hi, Benjamin here. Welcome to episode 14 of Nature Hits the Books. In this episode, I'm joined by

0:10.8

science journalist and colleague of mine here at nature, Helen Pearson, whose book Beyond Belief

0:16.4

comes out next week. Helen's voice will no doubt be familiar to folk who listen to our

0:21.6

podcasts and watch our videos. And beyond belief is Helen's second book, which looks at the history

0:27.8

of the use of evidence rather than opinion in decision-making. The book traces the course of the

0:34.4

movement in various disciplines, such as the rise of evidence-based medicine

0:39.0

in the 1990s, looking at the rebels who led the charge, the barriers they faced, and why the

0:45.6

use of evidence is crucial at a time when misinformation is rife. A few of the topics we chat about

0:52.0

in this podcast.

0:59.2

Helen Pearson, welcome to Nature Hits the Books.

1:00.5

Thanks very much for having me.

1:01.2

Not at all.

1:07.0

So beyond belief, then, why was now the time to write this book?

1:08.5

And who were you hoping to reach with it?

1:28.9

Well, now is the time to publish the book, I would say, because there's a lot of conversation about, in some ways, rejection of science and evidence. You know, for example, what we're seeing in the US, it's almost become more relevant, I think, as I've written the book. And I really wanted the book to remind us that we're on this much sort of longer journey, if I can use the overused words, into incorporating evidence into our decisions.

1:34.7

But the people I want to reach are perhaps science-interested people who might be struggling,

1:39.9

maybe, with the kind of overwhelming amounts of conflicting information and misinformation in the world, who I hope might be a bit more empowered, actually, by evidence after reading the book. Well, the subtitle of the book, if I may, is how evidence shows what really works. And you do cover a bunch of different topics. Obviously, we'll talk about a few of them today. What surprised me was that we live in a world where evidence-based decisions, that system is relatively new. There are a few examples from sort of antiquity onwards, but really

2:02.3

it's kind of a new thing. Yeah, and that was one of the huge surprises, I think, to me and maybe

2:07.0

another motivation in wanting to write the book. So I tell the story of the rise of evidence-based

2:12.4

medicine, which is perhaps the kind of pioneer, should we say, in this use of evidence in decisions.

2:17.3

Not so long ago, sort of 40s, 50s, we were in the world of em, should we say, in this use of evidence and decisions. Not so long

2:17.8

ago, sort of 40s, 50s, we were in the world of eminence-based medicine. And I tell the story in the

...

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