CAN-ADAPTT Developing a Canadian smoking cessation guideline Cameron D. Norman, PhD & Peter Selby, MBBS CCFP  Canadian Psy...
Outline <ul><li>What is CAN-ADAPTT? </li></ul><ul><li>What makes CAN-ADAPTT unique? </li></ul><ul><ul><li>Dynamic guidelin...
What is CAN-ADAPTT? <ul><li>C anadian  A ction  N etwork for the  A dvancement,  D issemination and  A doption of  P racti...
Vision   <ul><li>National access to an evidence- informed practice guideline </li></ul><ul><li>  </li></ul><ul><li>A Canad...
Goal <ul><li>Building bridges between research and practice </li></ul><ul><li>  </li></ul><ul><li>To establish a national ...
Rationale <ul><li>“ There are therefore 2 major disconnects between research and practice: research may not translate expe...
Rationale <ul><li>This project aims to address this gap by: </li></ul><ul><ul><li>Developing a  dynamic  guideline; </li><...
<ul><li>National Network </li></ul><ul><ul><li>Practitioners </li></ul></ul><ul><ul><li>Researchers </li></ul></ul><ul><ul...
Existing Guidelines <ul><li>Healthcare providers/practitioners have indicated a number of reasons as to why they have not ...
1. Dynamic Guidelines <ul><li>The guideline is termed “ dynamic ” in order to reflect a continuously evolving evidence bas...
Traditional Guideline Process <ul><li>Arbitrarily scheduled review date (often every 5-10 years) </li></ul><ul><li>Wasted ...
Dynamic Guidelines <ul><li>Guideline is updated as new  evidence becomes available – continuous & prospective </li></ul><u...
Wiki Platform <ul><li>A wiki is a collaborative website which can be directly edited by anyone with access to it. </li></ul>
Wiki Platform <ul><li>Provides a mechanism to support collaboration and knowledge translation with geographically disperse...
2. Wiki CPGs <ul><li>A collaborative model approach involves health care/service providers, researchers and other smoking ...
3. Online Discussion Board <ul><li>Facilitates research & knowledge exchange </li></ul><ul><li>Comment on existing guideli...
4. Practice Based Research Network <ul><li>Primary care research seeks to answer questions of immediate relevance to the h...
How to get involved… 1. 2. 3.
Achievements <ul><li>Over 500 network members </li></ul><ul><li>Members of 20 national professional organizations make up ...
Involvement of Psychologists <ul><li>Currently, CAN-ADAPTT has limited representation from psychologists within the networ...
Benefits of Joining <ul><li>Access the up-to-date clinical practice guideline </li></ul><ul><li>Opportunities to contribut...
Counselling and Psychosocial  Summary Statements <ul><li>Treatment delivered by a variety of health care providers is effe...
Counseling and Psychosocial  Summary Statements <ul><li>Motivational interviewing techniques should be used to support a p...
For more information <ul><li>CAN-ADAPTT </li></ul><ul><li>Centre for Addiction and Mental Health </li></ul><ul><li>T: 416-...
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Canadian Psychological Association For Cameron Norman

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Presentation at the CPA convention on the work done by the CAN-ADAPTT project. Norman, C.D. &amp; 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.

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Canadian Psychological Association For Cameron Norman

  1. 1. CAN-ADAPTT Developing a Canadian smoking cessation guideline Cameron D. Norman, PhD & Peter Selby, MBBS CCFP Canadian Psychological Association Annual Meeting Winnipeg, MB June 3, 2010
  2. 2. Outline <ul><li>What is CAN-ADAPTT? </li></ul><ul><li>What makes CAN-ADAPTT unique? </li></ul><ul><ul><li>Dynamic guideline </li></ul></ul><ul><ul><li>Adapted Wiki platform </li></ul></ul><ul><ul><li>Discussion Board </li></ul></ul><ul><ul><li>PBRN </li></ul></ul><ul><li>How to get involved </li></ul>
  3. 3. What is CAN-ADAPTT? <ul><li>C anadian A ction N etwork for the A dvancement, D issemination and A doption of P ractice-informed T obacco T reatment </li></ul><ul><li>Informing the development of Canada’s first national guideline for smoking cessation </li></ul>
  4. 4. Vision <ul><li>National access to an evidence- informed practice guideline </li></ul><ul><li>  </li></ul><ul><li>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. </li></ul>
  5. 5. Goal <ul><li>Building bridges between research and practice </li></ul><ul><li>  </li></ul><ul><li>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. </li></ul>
  6. 6. Rationale <ul><li>“ 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) </li></ul>
  7. 7. Rationale <ul><li>This project aims to address this gap by: </li></ul><ul><ul><li>Developing a dynamic guideline; </li></ul></ul><ul><ul><ul><li>New evidence can be incorporated as it becomes available </li></ul></ul></ul><ul><ul><li>Encouraging practice-based research; </li></ul></ul><ul><ul><ul><li>Seed grants </li></ul></ul></ul><ul><ul><ul><li>Practice-informed research agenda </li></ul></ul></ul>
  8. 8. <ul><li>National Network </li></ul><ul><ul><li>Practitioners </li></ul></ul><ul><ul><li>Researchers </li></ul></ul><ul><ul><li>Policy-makers </li></ul></ul><ul><li>Practice-informed </li></ul><ul><li>Research Agenda </li></ul><ul><ul><li>Seed grants </li></ul></ul><ul><ul><li>Discussion board </li></ul></ul><ul><ul><li>AGM </li></ul></ul><ul><li>Dissemination </li></ul><ul><li>& Engagement </li></ul><ul><ul><li>Stakeholders </li></ul></ul><ul><ul><li>Professional Advisory Groups </li></ul></ul><ul><li>Knowledge Translation </li></ul><ul><ul><li>Seed grants </li></ul></ul><ul><ul><li>Discussion board </li></ul></ul>PRACTICE RESEARCH
  9. 9. Existing Guidelines <ul><li>Healthcare providers/practitioners have indicated a number of reasons as to why they have not completely embraced the guidelines: </li></ul><ul><ul><ul><li>don’t reflect local or current circumstances </li></ul></ul></ul><ul><ul><ul><li>are quickly out of date </li></ul></ul></ul><ul><ul><ul><li>reflect large gaps between the perspectives of experts and the day-to-day experiences of practitioners </li></ul></ul></ul>
  10. 10. 1. Dynamic Guidelines <ul><li>The guideline is termed “ dynamic ” in order to reflect a continuously evolving evidence base, practice environment, client needs and treatment opportunities. </li></ul>
  11. 11. Traditional Guideline Process <ul><li>Arbitrarily scheduled review date (often every 5-10 years) </li></ul><ul><li>Wasted resources if full update done in a slowly evolving field </li></ul><ul><li>Guideline quickly out of date in rapidly evolving field </li></ul><ul><li>Costly to assemble GDG for revision and to disseminate guidelines </li></ul>
  12. 12. Dynamic Guidelines <ul><li>Guideline is updated as new evidence becomes available – continuous & prospective </li></ul><ul><li>Outdated recommendations can easily and quickly be removed or modified </li></ul><ul><li>Timely & readily useable to those in a position to help smokers </li></ul><ul><li>Cost efficient, easy access to guidelines </li></ul>
  13. 13. Wiki Platform <ul><li>A wiki is a collaborative website which can be directly edited by anyone with access to it. </li></ul>
  14. 14. Wiki Platform <ul><li>Provides a mechanism to support collaboration and knowledge translation with geographically dispersed groups </li></ul><ul><li>Permit rapid updating of content to ensure relevancy and timeliness of the materials </li></ul>
  15. 15. 2. Wiki CPGs <ul><li>A collaborative model approach involves health care/service providers, researchers and other smoking cessation stakeholders vs. closed, centralized process of traditional CPG development </li></ul><ul><li>Wiki CPG can be updated as new knowledge is produced </li></ul>
  16. 16. 3. Online Discussion Board <ul><li>Facilitates research & knowledge exchange </li></ul><ul><li>Comment on existing guidelines, identify gaps in research </li></ul><ul><li>Propose research questions based on front-line practice </li></ul><ul><li>Ask questions, receive feedback from other practitioners and researchers </li></ul><ul><li>Share resources, new research, disseminate findings from seed grants </li></ul><ul><li>Network & initiate research collaborations </li></ul>
  17. 17. 4. Practice Based Research Network <ul><li>Primary care research seeks to answer questions of immediate relevance to the health of the community </li></ul><ul><li>CAN-ADAPTT aims to build bridges between research and practice </li></ul><ul><li>Currently over 500 network members to date </li></ul>
  18. 18. How to get involved… 1. 2. 3.
  19. 19. Achievements <ul><li>Over 500 network members </li></ul><ul><li>Members of 20 national professional organizations make up Professional Advisory Group </li></ul><ul><li>22 seed grant applications submitted and 12 grants awarded </li></ul><ul><li>2 Annual General Meetings held </li></ul><ul><ul><li>Next guideline revision meeting to be held in October 2010 re: population level approaches </li></ul></ul><ul><li>Version 2.0 of guideline launching soon </li></ul>
  20. 20. Involvement of Psychologists <ul><li>Currently, CAN-ADAPTT has limited representation from psychologists within the network </li></ul><ul><li>CAN-ADAPTT seeks your perspective on effective therapies. </li></ul><ul><li>Revised psychosocial and counseling summary statements will be released shortly, for external review </li></ul><ul><ul><li>A great time to provide feedback prior to the release </li></ul></ul>
  21. 21. Benefits of Joining <ul><li>Access the up-to-date clinical practice guideline </li></ul><ul><li>Opportunities to contribute to the development of Canada’s first national, dynamic CPG </li></ul><ul><li>Links to a variety of resources including websites, projects, literature reviews and articles </li></ul><ul><li>Updates on meetings/conferences </li></ul><ul><li>A discussion board to connect with colleagues, share resources and comment on the guideline </li></ul>
  22. 22. Counselling and Psychosocial Summary Statements <ul><li>Treatment delivered by a variety of health care providers is effective at increasing rate of abstinence. </li></ul><ul><li>Multiple sessions of counselling increase the chances of a successful quit. </li></ul><ul><li>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. </li></ul>Please note: these summary statements are currently under internal review and will be launch on the website shortly
  23. 23. Counseling and Psychosocial Summary Statements <ul><li>Motivational interviewing techniques should be used to support a patient’s willingness to quit now and in the future. </li></ul><ul><li>Behavioural and cognitive therapy has been validated and is recommended for intensive smoking cessation interventions. </li></ul><ul><li>Follow up visits should be conducted regularly to assess abstinence and challenges associated with quitting. </li></ul>
  24. 24. For more information <ul><li>CAN-ADAPTT </li></ul><ul><li>Centre for Addiction and Mental Health </li></ul><ul><li>T: 416-535-8501 ext. 7427 </li></ul><ul><li>E: can_adaptt@camh.net </li></ul><ul><li>www.can-adaptt.net </li></ul>
  25. 25. Questions

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