ERA

National Forum on Public Health

The National Forum on Public Health Education and Research took place on the UAlberta campus on November 13, 2013. It brought together public health leaders, scholars and stakeholders in education, government and non-governmental sectors from across Canada to discuss the future of public health education and research. The National Forum provided a rare opportunity to connect with public health thought leaders from across the country, participate in discussions and prepare to influence the future of public health education and research.
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  1. Documenting Alcohol Use as a Risk Factor in Primary Care Practices in Alberta [Download]

    Title: Documenting Alcohol Use as a Risk Factor in Primary Care Practices in Alberta
    Creator: Torti, Jacqueline
    Description: Introduction:. Clinical guidelines for problem drinking and initiatives to improve patient data suggest that primary care physicians should be screening for and documenting alcohol use on a regular basis. The objectives of this research were to (1) Determine the proportion of patients with alcohol use documented in Electronic Medical Records (EMRs); (2) Determine the number of ways physicians document alcohol use and describe the patterns of alcohol documentation. Methods: Data were abstracted from the Wolf and Med Access EMR systems of 71 participating sentinel physicians in Alberta, Canada from March 1, 2003 to March 31, 2012. The EMR data were examined to determine the proportion of adults in the yearly contact group with alcohol use documented in the EMR risk factor fields. Analysis and Results: A content analysis was performed to code and analyze the various terms physicians used to document alcohol use in the EMR. A total of 62,727 patients’ EMR records were examined; of these only 12,548 (20%) had alcohol documented somewhere in their EMR data. Of all the alcohol documentation 75% occurred in the risk factor fields. Physicians used 1,178 unique text strings to characterize alcohol use. Alcohol documentation was categorized into six themes: alcohol screening tools; non-drinker status; ex-drinker status; alcohol use disorder status; quantification of alcohol use; qualitative description of alcohol use. Conclusions and Implications: EMR documentation of alcohol use is variable and inconsistent. It is difficult to understand individual patient alcohol risks, prognosis, and potential for comorbidity without standard entry and terminology. Improvements can be made to the systematic documentation of patient alcohol use by using standardized terms including standard data entry fields to describe alcohol risk factor information in order to produce more clinically meaningful data. Such improvements may produce more clinically meaningful data for practice management and prevention strategies.
    Subjects: Electronic Medical Record, Primary Care, Alcohol
    Date Created: 2013
  2. Participatory video: Exploring physical activity in northern First Nations communities [Download]

    Title: Participatory video: Exploring physical activity in northern First Nations communities
    Creator: Tang, Keren
    Description: Introduction: Despite limited understanding, research exploring Aboriginal communities’ perception of physical activity can have significant impact on developing culturally relevant health promotion strategies. Working with youth, this research offers a participatory approach to investigate physical activity in a northern Indigenous context as a collective responsibility that confers benefits beyond illness prevention. Methods: A participatory action research framework guided this project in two phases. Phase 1 applied the method of participatory video. First Nation youths documented their communities’ experience with and perspective of physical activity in a northern setting using video cameras. Focus group with community members and leaders in phase 2 assessed the videos, facilitating critical reflection about active living and the implementation of culturally and geographically appropriate physical activity solutions. Content from the two phases were analyzed using a constant comparison approach that abstracted themes and sub-themes. Results: Through the video project, we generated various meanings of physical activity. Youths identified physical activity as more than soccer and running, but also traditional games and household chores. They also identified various traditional physical activities practiced on the land. Focus group participants further commented on the role of technology, adult and family influence, as well as resource availability in affecting youth’s physical activity level. Research outcomes and findings were disseminated during community suppers, where concrete next steps were developed to improve youth and community engagement with physical activity. Conclusion & Implications: This research demonstrated various ways one First Nation community stays active. Traditional physical activity and life on the land are critical aspects for the Dene people in terms of health and wellbeing. Knowledge generated here will contribute to the current understanding of how physical activity is perceived by Indigenous peoples. Moreover, results may potentially help to elucidate the role of health promotion in these communities, to one that reconciles different ways of life.
    Subjects: Aboriginal health, Health promotion, Physical activity
    Date Created: 2013/10/18
  3. Evaluating the Auto-MODS: An Emerging Tool for TB Diagnosis [Download]

    Title: Evaluating the Auto-MODS: An Emerging Tool for TB Diagnosis
    Creator: Linwei Wang
    Subjects: Diagnosis, MODS, Tuberculosis(TB)
    Date Created: 2013/11/13