Work Package 5 – Good practices in the field of health promotion and chronic disease prevention across the life cycle

Thomas Kunkel, MD, M.Sc.

Scientific Officer

Federal Centre for Health

Education (BZgA)

Cologne, Germany

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Work Package 5 – Lead Organisations

Contact:

Dr. Monika Köster (Head of unit) monika.koester@bzga.de, Tel.: +49 221/8992-345 Thomas Kunkel, MD (Scientific Officer) thomas.kunkel@bzga.de, Tel.: +49 221/8992-334 Theresia Rohde (Scientific Officer) theresia.rohde@bzga.de, Tel.: +49 221/8992-296 Katarzyna Mletzko (Project Assistant) katarzyna.mletzko@bzga.de, Tel.: +49 221/8992-538

Co-lead: EuroHealthNet Lead: Federal Centre for Health Promotion and Prevention (BZgA)

Department 2-22: Cooperation with Federal States, Health Insurance Funds, Associations,

Committees Women’s Health, Men’s Health, Healthy and Active Ageing

Contact: Ingrid Stegeman (Health Promotion Europe Manager) i.stegeman@eurohealthnet.eu, Tel : + 32 2 235 0327 Cristina Chiotan, MD (Public Health Coordinator) c.chiotan@eurohealthnet.eu, Tel.: + 32 2 235 03 24 Anna Gallinat (Communications Officer) a.gallinat@eurohealthnet.eu, Tel.: + 32 2 235 03 27

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Associated Partners in Work Package 5

1. Andalusian Regional Ministry of Equality, Health and Social Policies (CISPSJA), Spain

2. Center for Health Education and Disease Prevention (SMLPC), Lithuania

3. Directorate General of Health (DGS), Portugal

4. European Institute of Womens Health (EIWH), Ireland

5. Directorate of Health (DOHI), Iceland

6. Health Service Executive (HSE), Ireland

7. Institute of Health Carlos III (ISCIII), Spain

8. Institute of Public Health in Ireland (IPH), Ireland

9. Ministry of Health (YPE), Greece

10. Ministry of Health (MINSAL), Italy

11. Ministry of Health and Care Services (HOD), Norway

12. National Centre of Public Health and Analysis (NCPHA), Bulgaria

13. National Health Institute Doutor Ricardo Jorge (INSA), Portugal

14. National Institute of Health (ISS), Italy

15. National Institute for Health Development (NIHD), Estonia

16. National Institute for Public Health and the Environment (RIVM), the Netherlands

17. Progress and Health Foundation (FPS), Spain

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Collaborating Partners in Work Package 5

1. Consejería de Sanidad y Servicios Sociales, Comunidad Autónoma de Cantabria, Spain

2. Consejería de Sanidad y Asuntos Sociales, Comunidad Autónoma de Castilla-La Mancha, Spain

3. Dirección General de Asistencia Sanitaria, Agencia Valenciana de Salud, Spain

4. European Health Futures Forum (EHFF), UK

5. European Wound Management Association, Denmark

6. Ministry of Health, Cyprus

7. National Board of Health and Welfare, Sweden

8. Pharmaceutical Group of the EU (PGEU)

9. Platform for Better Oral Health in Europe

10. Servicio Canario de Salud, Comunidad Autónoma de Canarias, Spain

11. University of Coimbra, Portugal

12. WHO Regional Office for Europe, Denmark

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Aim of Work Package 5

• To identify highly promising, cost-effective and evaluated health promotion

and chronic disease prevention practices with a special focus on older people

• To promote the exchange, scaling up, and transfer of effective approaches to

different regions and countries

• To address major risk factors: poor diets, physical inactivity, smoking and alcohol abuse

• To address the wider determinants that influence the development of chronic diseases - particularly diabetes type II and cardiovascular diseases

• To focus on the elimination of health inequalities

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Methods

• Situation analysis and needs assessment through questionnaire

• Identify criteria of Good Practice in partner countries

• Based on these criteria – identification of three good practices per partner

– attention will be given to cost-effective practices and projects that have

proven to improve the health status of target groups

• The identified practices will be analysed and assessed during an expert

conference

• After the conference 2-3 practices will be selected for study visits

• Study visits aim to assess the applicability and transferability of practices into

different settings and countries

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Outcome and Deliverables of WP5

1. Identification of three good practices per participating member state (M18)

2. Recommendations Report on applicability and transferability of practices into

different settings and countries

(JA CHRODIS Grant Agreement, p.56)

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Tasks in Work Package 5

Task 1: Review of existing work, situation and needs

Task-leader: EuroHealthNet, in cooperation with BZgA

Task 2: Defining an approach

Task-leader: BZgA, in cooperation with EuroHealthNet

Task 3: Identification of good practices

Task-leader: YPE (GR), in collaboration with BZgA and EuroHealthNet

Task 4: Conference seminars

Task-Leader: SMLPC (LT), in collaboration with BZgA and EuroHealthNet

Task 5: Peer Reviews/ Study visits

Task-Leader: EuroHealthNet, in collaboration with BZgA

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Activities of Work Package 5 in 2014 (so far … )

• Work Package Meeting held in Cologne on April 28th and 29th 2014

• Development and dissemination of a questionnaire: Good Practice in the Field of Health Promotion and Primary Prevention

• Analysis of the replies and development of country reports

• Recruitment of Delphi Panel Experts

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Questionnaire „Good Practice in the Field of Health Promotion and Primary Prevention”

Questions:

1. Health Promotion and Primary Prevention landscape?

2. Procedures/mechanisms/criteria to identify GP?

3. GP databases and criteria used?

4. Forecasting studies and Cost effectiveness studies?

5. Gaps and Needs? (Needs Assessment Guidance Document)

Approach:

– Reports, MoH, IPH, etc.

– Expert consultations (expert group)

– (grey) literature search

Outcomes:

• Country Reviews

• Criteria list for Good Practices as input for Delphi Consultation Round

• Overview Report

Title page of the questionnaire

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Selected Examples of Good Practice Criteria

Country

Spain Italy Germany The Netherlands Portugal

Cri

teri

a

• Evaluation

• Sustainability

• Alignment (with national

strategy)

• Quality

• Transferability

• Participative Approach

• Multi-Stakeholder Approach

• Appropriate Budget

• Adequacy (Alignment)

• Relevance (Target group

orientation)

• Evidence based

• Evaluation possible (registry

system in place)

• Sustainability

• Comprehensiveness

• Ethical considerations

• Efficiency

• Equity

• Composition of the Working

group (multidisciplinary, multi-

sectoral, target group included)

• Equity

• Empowerment

• Involvement/Participation

• Setting approach

• Theoretical models of

behaviour change

• Evidence of effectiveness and

good practice examples

• Context analysis

• Determinants analysis

• Resources, time and limits

• Partnerships and alliances

• Objectives

• Process evaluation

• Interventions/activities

description

• Output and outcome evaluation

• Sustainability

• Communication

• Documentation

• Concept and Statement

of Purpose

• Target Group

Orientation

• Innovation and

Sustainability

• Intermediary Concept

• Low Threshold

• Participation

• Empowerment

• Setting Approach

• Integrated Action

Concept and

Networking

• Quality Management

• Documentation and

Evaluation

• Cost-Benefit Ratio

• Inclusion criteria:

• Manual of intervention

available

• Process evaluation

• Material fort he next 2

years available

• Contact person

•

• Two-way assessment:

Description of the

project / ‚well

described‘

Theoretical basis

of the project

• Transferability

(‚Feasability‘)

• Effectiveness

• Ranked by

• Strong indocations

• Good indocations

• First indications

• Project area facing

health strategies and

objectives (Relevance)

• Quality of methods

• Process evaluation

• Sustainability

• Transferability

• Particpation

• Cost-effectiveness

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Delphi Panel in cooperation with WP 4 Additional Input for the Delphi Questionnaire

+ European Quality Instrument for Health Promotion (EQUIHP)

+ Quint-Essenz (CH)

+ Canadian Best Practices

+ other evidence

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Delphi Panel in cooperation with WP 4 Recruitment of Experts

• Delphi experts are nominated through the partner organizations in Work Package 5

• Up to three experts per partner / country

• Partners could nominate themselves as experts in the field

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Example Extract of Overview on Delphi Experts

No. Name(s) of nominee(s) Position

1 Dolors Juvinya Canal Director of Faculty of Health Promotion, University of Girona 2 Lotte Kaba-Schoenstein Professor for social work and health promotion at the University of Applied Sciences, Esslingen 3 Frank Lehmann Head of unit 'Planning and coordination', Federal Centre for Health Education, Cologne 4 Simone Weyers Researcher, Insititute for Medical Sociology, University of Duesseldorf 5 Elena Coffano Head of unit at Local Health Authority, Turin, Italy 6 Guido Iaccarino Associate Professor internal medicine, Dept. of Medicine and Surgery, University of Salerno 7 Plamen Dimitrov Director of Directorate Health System Performance, Acting Deputy Director

Professor in social medicine and health management 8 Christos Lionis Director of Clinic of Social and Family Medicine, University of Crete 9 Ioannis Tountas Professor of Social Medicine, Scientific Director of Health Services Research Centre, Department

of Hygiene, Epidemiology & Statistical Medicine of Medical School, Athens University 10 Teresa Bennett Senior Health Promotion Officer and Project Manager, in the Health Services Executive (HSE) 11 Siobhan Jennings Specialist/Consultant in Public Health Medicine, HSE

National Population Health lead for Heart Health 12 Michal Molcho (Republic of Ireland) Director of the Health Promotion Research Centre, NUI Galway

13 Olga Cleary (Republic of Ireland) Public Health Development Officer, IPH 14 Elizabeth Mitchell (Northern Ireland) Director of Development and Capacity Building

consultant in Public Health, IPH 15 Margarida Gaspar de Matos

Professor, University of Lisbon Senior Researcher, Institute of Hygiene and Tropical Diseases, New University of Lisbon

… … … 29 Margareta Kristenson Professor at Dept. for Medicine and Health, Linköping University

30 Lars Weinehall Professor of Epidemiology and Family Medicine

Head of Dept. of Public Health, Umea University 31 Richard Watt Head of Research Dept. of Epidemiology and Public Health, UCL

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Delphi Experts on Health Promotion

• Current number: 31 nominees total

• Current Gender ratio 16 Female - 15 Male

• Countries represented 15

• Areas of expertise Clinicians, Research, Policy, Practicioners

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Next steps in Work Package 5

• Start of the Delphi Panel November 2014

• Start of Task 3 „Identification of Good Practice“

Task Leader: YPE (Gr)

• Next Work Package Meeting in February 2015

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Thank you very much!

Please visit us online:

www.chrodis.eu/our-work/05-health-promotion/

www.eurohealthnet.eu

www.bzga.de

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The Joint Action on Chronic Diseases and promoting

healthy ageing across the life cycle (JA CHRODIS)*

* THIS PRESENTATION ARISES FROM THE JOINT ACTION ON CHRONIC DISEASES AND PROMOTING HEALTHY AGEING ACROSS THE LIFE CYCLE (CHRODIS-JA) WHICH HAS RECEIVED FUNDING FROM THE EUROPEAN

UNION, IN THE FRAMEWORK OF THE HEALTH PROGRAMME (2008-2013)