Workshops Day 1: Evidence into Practice

 

Workshop 1 – Peter Helms – UK

Impact of guidelines on prescribing practice: asthma care in children as an exemplar

Questions to be addressed will include:

  • Can aggregated anonymised health data such as primary care consultations, hospital admissions and dispensed prescriptions be used and are such data reliable? If linked data sets eg Primary care with Hospital dispensed prescribing and school records are required what are the issues that need to be addressed?
  • What are the views of professionals parents and children on linking routinely acquired records to assess health outcomes? What methods of guideline dissemination have the greatest impact?

 

Workshop 2 – Maria Jesus Esparza, Paz Gonzalez, Luis Martin – Spain

Tools for improving evidence-based knowledge and practice in Paediatrics and Child Health – where to find them and examples of their use

The evidence-based medicine (EBM) approach means a change in the patient care paradigm. Some clues leading to the concept of EBM will be explained such as “what is and what is not EBM”. Searching and finding databases and documents is not enough, the critical appraising of the evidence is the toughest part of it as we need knowledge and skills to go through it. Anyhow there are resources that would provide us with tools to properly utilize the appraised information, the so called filtered information (“infoxication” prevention?). In this workshop the focus will be on secondary databases which have already done the job for us.

 

Workshop 3 – Olivier Duperrex, Christine Durgnat – Switzerland

Finding the Evidence I: Phrasing your question

Most people are used to searching, even if it is with a browser. But how often do we end up with ‘junk’, not what we were looking for? If you are serious about using an evidence-based approach, you need to learn some tools. Before searching, you need to know what you want to ask and where you might find an answer. These hands-on workshops will allow participants to explore the challenges of correctly framing a question on day 1, and to start throwing their ‘fishing nets’ on day 2. Preparatory work might be needed for these workshops.

Workshop 4 – Kirsteen Ellis, Alison Hunter – UK

Improvement methodologies – Meet your new best friend – the PDSA cycle

Kirsty and Alison will share with you some of the successes already observed in Scotland through the Scottish Patient Safety Programme. You will then have the opportunity to use the Model for Improvement and Plan, Do, Study, Act (PDSA) cycle to think about your own areas of practice (think about an area within your clinical practice which you could use in this exercise)- by the time you leave the room you will have a plan of action to be carried out “by next Tuesday”. This session will include interactive learning.

 

Workshop 5 – Gilles Julien, Hélène Trudel – Canada

A community social pediatric model (Engaging children, families, the community and society in implementing the evidence

Evidence 1: The cumulative effect of toxic stress has a negative influence on the brain development of children but adequate and adapted actions can prevent or even reverse that process.

Evidence 2: A powerful community approach based on competence, proximity and accessibility, empowerment and brain stimulation in the early years of life can decrease vulnerability and produce success

This workshop will describe the so-called “Montreal model” based on the Convention of children’ rights and how it changes practices and influences policies for better services to vulnerable children. This approach is now spreading over the country.

 

Workshops Day 2: Evidence into Policy

 

Workshop 1 – Bharti Mepani RCPCH & Inspector 8 – UK

Development of health policy with young people

This workshop will explore how young people’s views and experiences have shaped policy development to improve child health services. Bharti Mepani, the Children and Young People’s Participation and Advocacy Manger of the Royal College of Paediatrics and Child Health, will share examples from across Europe and the UK. In particular, how the college has been driving change to ensure paediatric patients’ insights advise, inform and influence child

health research, policy and advocacy. She will be joined by young members of Inspector 8 who will share practical examples of their experience in Scotland, including examining child health service standards, holding to account health service providers to transform child health services.

Workshop 2- Brian Dow – UK

Advocacy by RCPCH on policy issues

RCPCH staff members will present on the advocacy role of the College and how a paediatric organization can make a compelling case to government and the wider public for improving health and health services. Drawing on examples from other successful campaigns the session will concentrate on the College’s work on obesity, demonstrating how to galvanize the media and politicians behind an issue.

Workshop 3 – Ayesha Kadir, Gonca Yilmaz – USA, Turkey

Using human rights in policy development

This workshop is intended to educate participants about the social determinants of child health, the legal basis for the health rights of children, and the role of paediatric health care providers in promoting child rights. Participants will be given a brief presentation of key international child rights treaties and brief overview of the evidence on the social determinants of child health. They will then be guided through a series of exercises to identify social determinants of child health in their own settings and to prioritise these issues. The group will explore actions to promote child rights in the context of their clinical role by means of political advocacy.

Workshop 4 – Sharon Goldfield, Candace Currie – Australia, UK

Turning data into policy and action: lessons from national and international data collections on children and young people’s health and development

This workshop will report on the development, implementation and impact of two major data collection programmes that have had a substantial impact on the policy environments for children in their own countries as well as internationally.

The Australian Early Development Index (AEDI) has been adapted from the Canadian Early Development Instrument (EDI) and is a population measure of early childhood development based on the scores from a teacher-completed checklist.

The Health Behaviour in School-Aged Children: WHO Cross-National Collaborative Study (HBSC) collects standardised national survey data on health and social indicators of children and adolescents every four years in its member countries in Europe and North America.

Workshop 5 – Olivier Duperrex, Christine Durgnat – Switzerland

Finding the evidence 2: finding your answer [for ressources see above workshop 3 on Day 1]

Most people are used to searching, even if it is with a browser. But how often do we end up with ‘junk’, not what we were looking for? If you are serious about using an evidence-based approach, you need to learn some tools. Before searching, you need to know what you want to ask and where you might find an answer. These hands-on workshops will allow participants to explore the challenges of correctly framing a question on day 1, and to start throwing their ‘fishing nets’ on day 2. Preparatory work might be needed for these workshops.