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Implementing a Knowledge Cycle for Best Practices in Health
Promotion and Chronic Disease Prevention
Kerry Robinson, Vincent Turgeon, Dexter Harvey, Cheryl Moyer,
Peter Coleridge, John Garcia, Nancy Dubois, Nina Jetha
CPHA June 2008
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The Canadian Best Practices Initiative (CBPI)
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CBPI Long-term Goal:
“To increase the proportion of decisions made by
the intended populations of interest using best
available evidence.”
Audience: Decision makers in practice, policy
and research.
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Three components of CBPI:
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Canadian Best Practices Portal for Health
Promotion and Chronic Disease Prevention
(Portal)
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Knowledge Exchange Component (KE)
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Monitoring Uptake in Practice
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Knowledge Exchange Component
Objectives:
1. To enhance the adoption or adaptation and
uptake of content found on and/or through
the Portal.
2. To increase contribution of content from
practitioners and researchers to the Portal.
Target/partner groups:
Intermediary/resource organizations
Practitioners and policymakers
Researchers/groups
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The Knowledge Cycle Framework
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Needs Assessments
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Needs assessment synthesis (reports, scans):
n=13 reviewed
Focus groups:
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March n=13 intermediary/resource organizations
June, 2 internal government focus groups
Brief email survey, n=23 respondent
intermediary organizations (33% response)
Needs assessment questions for CBPI Portal
users and stakeholders (web-based
evaluation surveys)… ongoing to June 30
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Identified Assets/Current Activity
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Recognition of importance of supporting organizational &
systems change (yet most supports focus on individuals).
Good capacity and some KE support for main chronic
diseases and risk factors.
Some national & provincial organizations are already
engaged in strategic planning & action related to KE (e.g.,
CCS- MB KEN, SEARCH, CPHI).
Surveyed organizations report high involvement in
development & delivery of capacity building & knowledge
exchange processes.
“High-touch” KE activities (inter-personal) appear to be
preferred & effective strategy.
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Highlighted Gaps
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Limited practice reviews / guidelines and KE support for social
determinants of health.
Low awareness, limited access to appropriate supports for KE
(some exceptions ON, AB).
Lack of knowledge sharing across jurisdictions & organizations.
Process information gaps: programmatic insights, how-to,
better processes, etc.
Lack of practice-based evidence from evaluations; low capacity
for evaluation.
Poor awareness of who is doing what in KE support across
Canada, what works and how KE efforts could be linked.
Absence of systems approach to KE, lack of coordination,
piecemeal/short term approach.
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Planned Knowledge Exchange Strategies
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Needs assessment strategy: examination of
jurisdictional roles, assets, gaps and opportunities to
support pan-Canadian KE activities and related
capacity building.
Capacity building strategy: provide and/or enable
pan-Canadian access to relevant tools, training and
technical assistance.
KE partnership/collaboration strategy: facilitate
existing resource organizations to undertake joint
activities across jurisdictions.
Exchange support strategy: develop tools and
processes to facilitate coordination and knowledge cocreation to support evidence uptake and content
contribution to the CBPI Portal
* Strategies are linked to component phases in the Knowledge Cycle Framework
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Capacity-Building Strategy
Activities undertaken in this strategy may include:
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Training/e-learning supports
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Portal tutorial, webinars, on-line learning
modules, tailored training
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On-line decision-making/practice support tools
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Program assessment, evidence
review/interpretation, etc.
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Communities of practice
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Link existing groups to Portal, tailored knowledge
translation into practical examples, implications
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Technical assistance
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KE Partnership/Collaboration Strategy
Activities undertaken in this strategy may include:
• Meetings with existing KE-focused
organizations to coordinate efforts and plan
joint activities
• Resource support for multi-organization
collaborations to expand and evaluate existing
KE support activities
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Facilitate dissemination from existing ‘nodes of
excellence’
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Exchange Support Strategy
Activities undertaken in this strategy may include:
• Interactive Portal space to post research and
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evaluation questions, joint initiatives
Development of network for intermediary/
resource centre organizations engaged in
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supporting KE and related capacity building
Online tool to collect practitioner reflections on
using Portal knowledge in practice
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Web-based reporting tool to share practicebased evidence
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CBPI’s Approach to Knowledge Exchange
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Planned strategies are aimed specifically at 3
components in the Cycle Framework (dissemination,
adoption and uptake and evaluation).
The strategies reflect an interactive and tailored
approach to integrating knowledge and action.
Knowledge exchange centres on capacity building to
support evidence-informed decision-making and
practice-based learning.
The Knowledge Cycle Framework encourages a
common culture and conceptual clarity for KE among
CBPI’s audiences and beyond traditional partners
within public health.
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Much more to do…implications for all:
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Strengthen practice of evidence-informed
decision making in public health.
Support time for KE and capacity building
activities to engage in adapting and applying
evidence.
Contribute to practice-based evidence
through rigorous and reflective evaluation.
Foster linkage and exchange among
organizations and leverage existing expertise
and resources in Canada.
Contribute to a comprehensive vision and
coordinated ‘platform’ for KE in chronic
disease/healthy living.
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Thank you!
Your feedback and ideas are welcomed…
for comments and/or questions:
Kerry Robinson, Ph.D.
[email protected]