An “Enabling System for Practice-based Learning in Chronic Disease Prevention”: A “ What ”?!!

C B R P ECentre for Behavioural Research and Program EvaluationA National Program of the National Cancer Institute of Canada funded by the Canadian Cancer Society

An “Enabling System for Practice-based Learning in Chronic Disease

Prevention”: A “What”?!!

Barbara RileyCPHA, Halifax

June 4, 2008

C B R P E Centre for Behavioural Research and Program Evaluation

Public Health Agency of Canada: Marie DesMeules, Alan Amey, Kerry Robinson

Advisors: John Garcia, John Millar, Helen Thomas, others TBD

Collaborators: Virgo Planning and Evaluation Consultants (Brian Rush), Performance Management Network Inc (Steve Montague, Suzanne Lafortune)

CBRPE Colleagues: Roy Cameron, Kim Lamers-Bellio, Barbara Zupko

C B R P E Centre for Behavioural Research and Program Evaluation

Overview

1. Context: PHAC

2. Key concepts and assumptions

3. Planning phase – Jun to Dec 2008

4. Your feedback and advice

C B R P E Centre for Behavioural Research and Program Evaluation

Context: Knowledge development and exchange

C B R P E Centre for Behavioural Research and Program Evaluation

C B R P E Centre for Behavioural Research and Program Evaluation

Key concept: Practice-based Learning

Practice is ahead of science in population intervention (Sweet M & Moynihan R. 2007. Improving Population Health: The Uses of Systematic Reviews. Milbank Memorial Fund and Centers for Disease Prevention and Control.)

There is a need for improvement-oriented evaluations, and infrastructure and capacity to support such evaluations and their use

C B R P E Centre for Behavioural Research and Program Evaluation7

RESOURCES CAPACITIES IMPACTSIntervention Approaches

Priority Populations

-By Level-National-Prov incial-Regional/Local

-By Sector-Public/gov ernment-NGOs-Priv ate

-By Type-Money-People-Ideas/intellect

-Planning and management (of organizations, partnerships and relationships)

-Research and innov ation

-Knowledge exchange and capacity building

-Goal and objectiv e setting

-Adv ocacy and policy dev elopment

-Program dev elopment

-Communications

-Financial transf ers

-Human resources

-Ev aluation and learning

-Surv eillance

-Perf ormance monitoring and accountability

-In Settings-Home -Educational f acilities-Workplace -Health care-Community -Regional-Prov incial -National

-Using Intervention approaches-Policy-Media (mass & narrow cast)-Programs

-With and f or Priority populations-Youth-Adults-Elderly-Ethnic-Low SES-Aboriginal-Etc.

-Chronic disease incidence and prev alence

-Risk f actor incidence and prev alence

-Risk condition prev alence

-Equity in outcomes

ACTIONon risk factors and conditions

C B R P E Centre for Behavioural Research and Program Evaluation

Key concept: Enabling system

Early work in health promotion (e.g. Chavis and Florin, 1990-92) to increase the capacity of communities to manage and control change

A deliberately coordinated set of supports to increase/strengthen the capacity of _______ to ______

Examples of enabling system components: Federal-provincial priority setting processTraining and technical assistanceCommon approach to evaluationSeed funding for innovationsPeer networking opportunities

C B R P E Centre for Behavioural Research and Program Evaluation

Planning phase: Jun to Dec 2008

Provisional goal:

To strengthen the capacity of leaders in CDP (those responsible for programs, policies, advocacy, research and evaluation) for practice-based learning to improve CDP intervention

C B R P E Centre for Behavioural Research and Program Evaluation

Provisional project objectives

1. To identify main needs for evaluation to support improvement of CDP intervention (priority topics, decisions)

2. To develop a preliminary map of major evaluation resources (people, organizations)

3. To identify and critically appraise relevant evaluation tools

4. To synthesize findings and recommend components of an enabling system to support practice-based learning

C B R P E Centre for Behavioural Research and Program Evaluation

Project components

1. Needs assessment Synthesis of relevant documents Primary data collection through key informant

interviews and focus groups (evaluator, practitioner, contractor perspectives)

2. Critical appraisal of evaluation frameworks and tools

C B R P E Centre for Behavioural Research and Program Evaluation

Initial feedback and advice

In your opinion, is the project worthwhile? What benefits can you envision for your work?

Do the components (needs assessment and critical appraisal) make sense?

What individuals or networks would you suggest contacting as key informants? (e.g. CDP Alliances? CES chapters?)

What other advice do you have to strengthen the project?

C B R P E Centre for Behavioural Research and Program Evaluation

The Centre for Behavioural Research and Program Evaluation is supported by the National Cancer Institute of Canada with funds from the Canadian Cancer Society.

We are located at the University of Waterloo.

For more information:

Barb Riley

Tel: 519.888.4567 ext 37562

Email: [email protected]