Demetrios Angelis - Canadian Best Practices Portal - CANADIAN by wuyunqing


									Canadian Best Practices
 for Health Promotion and
Chronic Disease Prevention

        April 22, 2008
       Demetrios Angelis
 Public Health Agency of Canada

Canadian Best Practices Initiative

   Director of the Evidence and Risk Assessment Division,
   Centre for Chronic Disease Prevention and Control
   –     Marie DesMeules

   Development & Implementation Team (affectionately
   known as the DITs)
   –     Nina Jetha (LEAD)
   –     Demetrios Angelis, Nancy Dubois, Steve Kingston,
         Kerry Robinson, Ian Szuto, Vincent Turgeon, Grace
         Wan, Tricia Wilkerson

Overview of the Canadian Best
Practices Initiative

• Organized around the Population
  Health Approach framework
• Three components
  –   The Portal
  –   Knowledge Exchange elements
  –   Monitoring of Uptake in Practice
• Funded through PHAC’s Centre for
  Chronic Disease Prevention and Control

  Mission of the Canadian Best
  Practices Initiative
“The Canadian Best Practices Initiative enhances the
   quality of policy and program decision-making by
   enabling access to the best available evidence on
   chronic disease prevention and health promotion.
   We work on behalf of practitioners and policy-
   makers to achieve this mission through:
   –   Capacity building to support the adaptation, adoption,
       implementation and evaluation of best practices
   –   Strategic partnerships that enhance the work of all
       involved, and,
   –   Knowledge Exchange, achieved through connectivity
       and interactivity.”

Priority “Users” of the Canadian
Best Practices Initiative

“Decision-makers who influence chronic
  disease prevention and health
  promotion practice and policy through
  –      development
  –      implementation
  –      evaluation.”

Our Approach to “Best Practices”

We do not CREATE best practices nor assess practices as
to whether they are best. We DO assess the process &
methodology used by others and identify those to which
the Portal will link.

Operational Definition for “Best
 •   Population / community-based interventions spanning
     a variety of approaches (i.e. policy, programs, media,
     etc…) aimed at health promotion, disease prevention
     and management related to chronic disease that have
     been informed by and result in evidence of
     effectiveness to inform decision-makers in practice,
     policy and research within a variety of settings (i.e.
     health, school, workplace, urban, rural, etc…) and
     populations (i.e. male and female across the lifespan,
     Aboriginal, families, etc…).

What you will find on the Portal
now -
•   First “batch” of content released at Launch at
    CDPAC conference in November, 2006
•   Primarily focused on physical activity, healthy
    eating, obesity
•   Five types of content:
    –    Systematic Review sources
    –    Collections of Interventions
    –    Individual Interventions
    –    Resources
    –    Supporting information

Criteria for Selecting SRs
•   From Portal Homepage:

1. Criteria for screening systematic review sources
•   Relevance to health promotion and chronic disease prevention
•   Relevance to population health
•   The level of intervention should be primary and/or secondary level
    prevention rather than tertiary prevention.
•   Credibility and/or valid authority of source
•   Content on site is current
•   Free of commercial influences

2. Criteria for assessing quality of the process used by the source
•   Can be rated by the Oxman-Guyatt ten-question assessment (1
    page, 7Kb, PDF) of systematic reviews and meta-analyses

“Levels of Evidence”

•   For Phase I, the focus has been on “best”
•   Heard from users they want more programs
•   Now investigating the next level for inclusion
    - still based on evidence, but allows for less
    rigor in the evaluation design
•   Proposed model to Advisory Committee
    –    Guiding principle that the “best” evidence should
         be used where available; move to less stringent
         criteria for evidence when “best” is not available.

Knowledge Exchange Activities:

•   E-learning tools
•   Knowledge Translation workshops for
    practitioners & policy-makers to help move
    evidence into practice
•   Partnerships/Collaboration for knowledge
•   Capacity building to build existing knowledge
    exchange activities and partnerships

Peak at things to come

•   “Reveal” in November, 2008 at CDPAC
    –   Inclusion of Promising Practices on Portal
    –   New topics on Portal (Determinants of Health,
        mental health promotion, mental illness
        prevention, school health, comprehensive
    –   Workshops across Canada
    –    Rewriting the text in clearer language
    –   Hyperlinked resources throughout to direct users
        to examples and sources

Cabin Guide Concept

Links to School Health

•   The Public Health Agency of Canada (PHAC)
    through various initiatives is committed to
    improving the health of children in schools.
    For example,
    –     the Alberta Regional PHAC office and the
         National PHAC office are both involved with KSDE
    –    PHAC’s Centre for Chronic Disease Prevention
         and Control is increasing its Portal content on
         interventions that directly involve school
         settings, particularly in the areas of tobacco
         cessation, healthy eating and physical activity.

Partnership is the key to the
CBPI’s success
•   PHAC will continue to maintain and build new partnerships
    across jurisdictions and sectors to ensure the success of the
    CBPI including the Portal component in Phases II and III
    –      Early discussions have begun with:
        •    Cochrane
        •    Knowledge Exchange Network (KEN)
        •    Chronic Disease Prevention Alliance of Canada
        •    Canadian Association for School Health (CASH)
        •    Cancer Care Nova Scotia
        •    National Collaborating Centre for Methods and Tools
        •    Others

Closing Remarks

•   Encourage your involvement in spreading the word
•   Encourage submit nominations of new interventions
•   Consider the evaluation component of your work in
    order to increase the number of Canadian interventions
    on the Portal
•   Consider basing your current work on the evidence
•   For more information:
                                      Nina Jetha

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