Category Archives: Nordic Conference on implementation of Evidence-Based Practice

From theory to practice – A health economic evaluation of a parent training programme in Uppsala preschools, Sweden

At the 2013 Nordic Conference on Implementation of Evidence-Based Practice in Linköping at Linköping University (Sweden), Filipa Sampaio presented a poster entitled “From theory to practice – A health economic evaluation of a parent training programme in Uppsala preschools, Sweden.” Michael Wells (me), Inna Feldman, and Anna Sarkadi were co-authors. (read the abstract from this poster and all of the other presentations from the conference here).

Filipa

Filipa, a PhD student at Uppsala University, who focuses on Health Economics in Social Pediatrics/Parenting Support in the Department of Women’s and Children’s Health, Faculty of Medicine, eloquently announced her findings from a health economic perspective of the Triple P–Positive Parenting Programme.

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(click here to see a pdf of the poster: poster presentation_Nordic conference_22_01_2013)

The main finding was that the Triple P program is effective at reducing child behavior and parental mental health at a relatively low cost; and investment in Triple P is self-financed after 1 year and could amount to greater financial (and resource) savings post-1 year.

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The Nordic Conference on Implementation of Evidence-Based Practice (Linköping, Sweden)

The Nordic Conference on Implementation of Evidence-Based Practice was held on February 5-6, 2013 at Linköping University in Sweden. A few hundred (mostly) researchers and (some) practitioners attended this conference where there was plenty of discussion on the state of research within the health field. The Scientific Program and the abstract (listing all of the talks and a brief summary of them) can be found here.

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Most of those attending were from Sweden, but other countries such as the USA, Great Britain, the Netherlands, Denmark (and others) were represented; therefore the conference was in English.

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Easily the highlights of the conference were from the Keynote Speakers (perhaps not surprisingly).

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Trisha Greenhalgh (who loves twitter: find her here) talked about Knowledge Transfer and was easily the most thought-provoking, insightful, and articulate presenter. She presented strong support for qualitative research as a means of generating multi-layered knowledge that is rich with voices from users of services–‘all knowledge is collective: Wittgenstein’s three layer: epistime, knowledge; technical and tacit knowledge; and praxis–the practical wisdom. This reminds us that “policy is a contact sport where knowledge is power.”

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Another strong speaker was Huw Davies on Organizational Change, where he displayed an excellent use of graphics in his slides with minimal text. He highlighted the challenge of process that engages with values, tacit knowledge and experience; is socially and contextually situated and shared; and may require some difficult ‘unlearning’. If we seek organizational change, then he urges us to move from a mode of simply Evidence-Based Practice to a Mode of Co-production-from bridging to dialogue, although this way can be more difficult to evaluate. Leadership is key in achieving organizational change–make sure someone’s following you.

Overall the conference was decently inspiring and will certainly grow in-depth and knowledge as it has its second annual conference.

Obese Hispanics in America

A recent article was published by Dr Glenn Flores on the amount of obese Hispanic children living in America. Healthfinder.gov then wrote an article about Flores’ article, quoting Flores as saying “Almost half of all Latino kids are either overweight or obese…It’s an important issue in terms of our future generations. If we intervene early enough, we won’t have obese adults.”

One thing I don’t like about Media articles is that we have no idea how Flores came to the conclusion that 50% of all Hispanic children are obese. That’s not to say that it’s not true, but Flores conducted a qualitative study on 19 people, so that statement (aka ‘fact’) isn’t supported by his current publication.

Assuming Flores’ contention that half of Latino kids are overweight or obese, he is absolutely wrong in stating that early intervention leads to the elimination of obese adults. Flores’ statement suggests that obese adults were also overweight or obese as children. Research (and anecdotal evidence) has shown that some people are skinny/fit in childhood, but develop into obese adults.

For example, Singh et al. (2008) outright stated in their literature review on overweight and obese children, “it must be considered that comparison of youth and adult prevalence rates of overweight indicates that the majority of overweight adults were not overweight during childhood.

When Flores sticks to the point of his article, we learn that Hispanic parents can help children lose weight by “encouragement, not making the child feel left out, the whole family eating healthy and the parent setting a good example.” Brilliant! Ground Breaking! Now let’s develop some interventions that are beneficial, since clearly Hispanic parents know what to do to provide their child with a healthy, they just aren’t doing it (according to Flores’ statements).

The only barrier stated in the article is that team sports are hard to come by in the inner city. I am sure there are many more barriers to providing your child with a healthy lifestyle. After all, not all Hispanic children become obese because it’s difficult to join a team sport.