Clinical Prevention Leaders Network

 

                     

 

The Canadian Task Force on Preventive Health Care in partnership with the Knowledge Translation (KT) Program at St. Michaels Hospital (SMH KT team) has developed a 2-year pilot project focused on the creation and evaluation of a network of clinical prevention leaders (CPLs) from across Canada. The purpose of this network is to develop capacity amongst primary care practitioners (PCPs) to support the dissemination and implementation of evidence-based preventive health guidelines and tools in primary care. This network is based on opinion leadership research suggesting that local opinion leaders can be an effective strategy for promoting the rapid uptake and dissemination of evidence-based knowledge (e.g., clinical practice guidelines) by influencing clinical behaviour change.[1] CPLs will support PCP behaviour change at a local level by supporting the dissemination and implementation of Task Force KT tools and resources, by addressing context-specific barriers to guideline use through educational outreach activities and interactive discussion, and by assessing PCP local education and resource needs. An initial group of 13 CPLs were selected based on their experience as a practicing primary care practitioner or allied health professional; interest in the Task Force and evidence-based medicine; experience in educational outreach; and the degree to which they are considered social influencers. Medical residents were also invited to participate in the program. CPLs will serve a two-year term with the Task Force with the opportunity for renewal and/or consideration as a full voting Task Force member. The Task Force will provide CPLs with a certificate of engagement (signed by the chair and vice-chair) as an acknowledgement of their involvement with the Task Force.

CPLs will be provided with a comprehensive training program and ongoing scientific support throughout the two year term (and beyond). This training program is MainPro certified (3 credits per hour of activity).  A repository of educational support materials and resources has been developed to support CPLs in educational outreach activities and is also Mainpro certified (1 credit per hour of activity). PCPs participating in educational outreach delivered by the CPLs will receive Mainpro credits for submitting their feedback and reflections through an online survey. Educational support materials and resources will be updated accordingly and additional materials will be developed as local needs emerge.  Updates on the CPL project will be featured in the Task Force quarterly newsletters and on the Task Force website to promote awareness and visibility. To promote continuous quality improvement, CPLs provide regular feedback to the Task Force on their educational needs, on the network structure and operations, and on PCP needs, barriers and practices. This feedback is captured through the use of quarterly activity logs, during monthly teleconference discussions and through ongoing correspondence with the Task Force (i.e., in the form of emails, telephone calls, etc.). Feedback from both PCPs and CPLs is aggregated and presented at meetings, in bi-weekly/knowledge broker updates, etc. The evaluation of this project will involve a process evaluation (6 months after implementation) and outcome evaluation (year 1 and year 2). The results of these evaluations will inform the continued growth, development, integration and scale-up of this network of clinical prevention leaders.

For more information on this project, please contact Kate Einarson, research coordinator, at EinarsonK@smh.ca.

 


 

[1] Doumit, G., Wright, F.C., Graham, I.D., Smith, A., Grimshaw, G. (2011). Opinion leaders and changes over time: a survey. Implementation Science; 6:117.