d1 - secrets of a happy marriage - sarah berglas - brownsdale

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The Secrets of a Happy Marriage: Creating Complementary Partnerships Sarah Berglas Knowledge Mobilization Officer, CADTH 7 th May 2013

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Page 1: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

The Secrets of a Happy Marriage:Creating Complementary Partnerships

Sarah Berglas

Knowledge Mobilization Officer, CADTH

7th May 2013

Page 2: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Atypical antipsychotics in schizophrenia

Patients receive Expenditure

Reference: Ontario Drug Benefits Program, 2009 from IMS Brogan. CADTH, Current Utilization Report, 2012.

11 Public drug plans spent $422 million on antipsychotics

Page 3: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Findings

High-dose strategies or combining atypical

antipsychotics with other antipsychotic agents

are not more effective and may be

more harmful than treatment with a

recommended dose of one antipsychotic agent.

Page 4: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Understand the receiver

Who can act on the knowledge?

Why might they be interested?

Where would they look for answers?

Psychiatrists

Page 5: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

CPA

Needs evidence to

inform clinical practice & education

CADTH

Needs to reach prescribers & be received with credibility

Can offer extensive analysis to answer specific research questions

Complementary collaboration with CPA

Respected, national voice for Canada’s 4,000 psychiatrists

Page 6: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Tailor the message

Information you have

Information receiver

reallywants

Message

Page 7: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale
Page 8: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Message delivery

Contextualise

Listen & discuss

Offer practical solutions

Page 9: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale
Page 10: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

CMAJ.ca

Regularly read by 80% of Canada’s

69,000 physicians

Well-respected

Needs content that is of high

quality, engaging, relevant &

current

CADTH

Needs to reach prescribers & be received with credibility

Can offer regular evidence based analysis on wide range of relevant topics

Complementary collaboration with CMAJ

Page 11: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Beyond peer review

Find the intersection

Tailor for speciality &

region

…… nurses have a substantial role to play in building a patent’s trust and willingness to receive prescribed treatment. An accurate and open discussion of the pros and cons of the medication offered is an essential part of this process……

Yukon Registered Nurses Association, Dec 2012

…..What does this mean for community pharmacists? If a patient with schizophrenia presents with a high dose or combination AAP prescription, consider discussing the script with the physician…..

Pharmacy Practice, July 2012

……however, clinicians may be very surprised to learn how little evidence exists as to the safety and efficacy of this practice in treating schizophrenia.

NL Medical Association newsletter, Sept 2012

Page 12: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Downloads from cadth.ca

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RecsScience

Atypical Antipsychotics

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Page 13: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Downloads in 2012

Jan Feb Mar Apr May Jun Jul0

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RecsScience

CPA e-alert

CADTH e-alert

CPA e-alert

CADTH Symposium

Pharmacy Practice

Atypical Antipsychotics

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Downloads in 2012 & 2013

Aug Sept Oct Nov Dec Jan Feb0

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2 conferences & 2 newsletters

2 newsletter articles

1 newsletter article

Atypical Antipsychotics

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‘What’s the Evidence?

Page 15: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

Practicalities

Clear objectives

Openness

Trust

Time

Page 16: D1 - Secrets of A Happy Marriage  - Sarah Berglas - Brownsdale

www.cadth.ca/aaps

Project Team

Sumeet SinghDr Tarry AhujaChanghua YuSam VerbruggheChris CameronKaren LeeDavid KaunelisKristen MoultonJanet CrainDr Janice MannSarah BerglasPat ReynardSarah Neiman McDonaldAdina Gottardi

Expert Committee

Dr Lisa DolovichDr Mike EvansDr Michael AllenDr Scott KlarenbackDr James SilviusDr Adil ViraniPanos PetridesCathy McNuttDr William HonerDr Gary RemingtonDr Richard WilliamsDr Heather Milliken

Liaison Officers

Ann VosillaGabrielle ZimmermannBrendalynn EnsBarb McCannellStephanie SmithLisa FarrellSheila TuckerJoyce ThompsonDawn PriestleyJeannette Smith