canadian psychological association for cameron norman
DESCRIPTION
Presentation at the CPA convention on the work done by the CAN-ADAPTT project. Norman, C.D. & Selby, P. (2010, June). CAN-ADAPTT: Developing a Canadian Smoking Cessation Guideline. Presentation at the annual meeting of the Canadian Psychological Association, Winnipeg, MB, June 3, 2010.TRANSCRIPT
CAN-ADAPTTDeveloping a Canadian
smoking cessation guideline
Cameron D. Norman, PhD
& Peter Selby, MBBS CCFP
Canadian Psychological Association Annual Meeting
Winnipeg, MB June 3, 2010
Outline
What is CAN-ADAPTT? What makes CAN-ADAPTT unique?
1. Dynamic guideline
2. Adapted Wiki platform
3. Discussion Board
4. PBRN How to get involved
What is CAN-ADAPTT?
Canadian Action Network for the Advancement, Dissemination and Adoption
of Practice-informed Tobacco Treatment
Informing the development of Canada’s first national guideline for smoking cessation
Vision
National access to an evidence- informed practice guideline
A Canada where health care providers have access to the tools needed to deliver up to date evidence-based smoking cessation interventions to reduce the prevalence of tobacco use and dependence.
Goal
Building bridges between research and practice
To establish a national practice-based research network
to facilitate knowledge exchange to inform the development of a dynamic cessation guideline for use in clinical practice and population-based strategies within Canada.
Rationale
“There are therefore 2 major disconnects between research and practice: research may not translate expeditiously to everyday practice, and clinical problems encountered in everyday practice are often under-investigated.” (Tierney et al., 2007)
Rationale
This project aims to address this gap by:
1. Developing a dynamic guideline;• New evidence can be incorporated as it becomes
available
2. Encouraging practice-based research; • Seed grants• Practice-informed research agenda
National Network• Practitioners• Researchers• Policy-makers
Practice-informedResearch Agenda • Seed grants• Discussion board• AGM
Dissemination & Engagement• Stakeholders• Professional
Advisory Groups
Knowledge Translation
• Seed grants• Discussion board
PRACTICERESEARCH
Existing Guidelines
Healthcare providers/practitioners have indicated a number of reasons as to why they have not completely embraced the guidelines:
don’t reflect local or current circumstances
are quickly out of date
reflect large gaps between the perspectives of experts and the day-to-day experiences of practitioners
1. Dynamic Guidelines
The guideline is termed “dynamic” in order to reflect a continuously evolving evidence base, practice environment, client needs and treatment opportunities.
Traditional Guideline Process
Arbitrarily scheduled review date (often every 5-10 years)
Wasted resources if full update done in a slowly evolving field
Guideline quickly out of date in rapidly evolving field Costly to assemble GDG for revision and to
disseminate guidelines
Dynamic Guidelines
Guideline is updated as new evidence becomes available – continuous & prospective
Outdated recommendations can easily and quickly be removed or modified
Timely & readily useable to those in a position to help smokers
Cost efficient, easy access to guidelines
Wiki Platform
A wiki is a collaborative website which can be directly edited by anyone with access to it.
Wiki Platform
Provides a mechanism to support collaboration and knowledge translation with geographically dispersed groups
Permit rapid updating of content to ensure relevancy and timeliness of the materials
2. Wiki CPGs
A collaborative model approach involves health care/service providers, researchers and other smoking cessation stakeholders vs. closed, centralized process of traditional CPG development
Wiki CPG can be updated as new knowledge is produced
3. Online Discussion Board
Facilitates research & knowledge exchange Comment on existing guidelines, identify gaps in research Propose research questions based on
front-line practice Ask questions, receive feedback from
other practitioners and researchers Share resources, new research,
disseminate findings from seed grants Network & initiate research collaborations
4. Practice Based Research Network
Primary care research seeks to answer questions of immediate relevance to the health of the community
CAN-ADAPTT aims to build bridges between research and practice
Currently over 500 network members to date
How to get involved…
1.
2.
3.
Achievements
Over 500 network members Members of 20 national professional
organizations make up Professional Advisory Group
22 seed grant applications submitted and 12 grants awarded
2 Annual General Meetings held • Next guideline revision meeting to be held in October
2010 re: population level approaches Version 2.0 of guideline launching soon
Involvement of Psychologists
Currently, CAN-ADAPTT has limited representation from psychologists within the network
CAN-ADAPTT seeks your perspective on effective therapies.
Revised psychosocial and counseling summary statements will be released shortly, for external review• A great time to provide feedback prior to the
release
Benefits of Joining
Access the up-to-date clinical practice guideline Opportunities to contribute to the development
of Canada’s first national, dynamic CPG Links to a variety of resources including
websites, projects, literature reviews and articles Updates on meetings/conferences A discussion board to connect with colleagues,
share resources and comment on the guideline
Counselling and Psychosocial Summary Statements
Treatment delivered by a variety of health care providers is effective at increasing rate of abstinence.
Multiple sessions of counselling increase the chances of a successful quit.
Counselling in a variety and combination of formats, including telephone, group and individual counselling, are effective and should be used to assist patients willing to quit.
Please note: these summary statements are currently under internal review and will be launch on the website shortly
Counseling and Psychosocial Summary Statements
Motivational interviewing techniques should be used to support a patient’s willingness to quit now and in the future.
Behavioural and cognitive therapy has been validated and is recommended for intensive smoking cessation interventions.
Follow up visits should be conducted regularly to assess abstinence and challenges associated with quitting.
For more information
CAN-ADAPTT
Centre for Addiction and Mental Health
T: 416-535-8501 ext. 7427
www.can-adaptt.net
Questions