CAN-ADAPTT. Peter Selby MBBS, CCFP, MHSc, FASAM Associate Professor, Family and Community Medicine, Psychiatry, Public Health Sciences, University of Toronto Clinical Director, Addictions Program PI, Ontario Tobacco Research Unit Executive Director, TEACH PI, CAN-ADAPTT, STOP STUDY
Peter Selby MBBS, CCFP, MHSc, FASAM
Family and Community Medicine, Psychiatry, Public Health Sciences,
University of Toronto
Clinical Director, Addictions Program
PI, Ontario Tobacco Research Unit
Executive Director, TEACH
PI, CAN-ADAPTT, STOP STUDY
CAN-ADAPTT Team: Rosa Dragonetti, Jess Rogers, Katie Hunter, Denise Koubanioudakis, Tamar Meyer, Janet Ngo, Stephanie Elliott
Asthma Society of Canada
Canadian Chiropractic Association
Canadian Dental Hygienists Association
Canadian Dental Association
Dieticians of Canada
Director, Primary Care Lung clinic
Canadian Nurses' Association
Canadian Association of Optometrists
Canadian Pharmacists Association
Canadian Physiotherapy Association
Dr. Euan Swan
Dr. Kirsten North
Dr. Maura Ricketts
Dr. Sonu Gaind
Dr. Karen Cohen
Brenda McGibbon Lammi
Canadian Physiotherapy Association
Canadian Psychological Association
Canadian Society of Respiratory Therapists
Canadian Cancer Society
Canadian Association of Public Health Dentists
Canadian Association of Occupational Therapists (CAOT)
Royal Ottawa Care Group & Ontario Assoc. of Social Worker
University of Ottawa Heart Institute
Canadian Medical Association
“There are therefore 2 major disconnects between research and practice: research may not translate expeditiously to everyday practice, and clinical problems encountered in everyday practice are often under-investigated.” (Tierney et al., 2007)
Structure of Care
Process of Care
Content of Care
Applied principles of ADAPTE*…..
Review existing smoking cessation CPGs (internationally and across disciplines)
CPGs rated using the AGREE instrument
Highest-scoring CPGs were used
Sections subject to ongoing input by CAN-ADAPTT network
* ADAPTE. www.adapte.org (2007)
Pregnant and Breastfeeding Women/ Femmes enceintes et qui allaitent
Youth (Children and Adolescents)/ Jeunes (enfants et adolescents)
Mental Health and/or Other Addictions/ Santé mentale et/ou autres dépendances
Aboriginal Peoples/ Autochtones
Hospital-based populations/ Populations des hôpitaux
Best available evidence filtered through end-users
Practitioner input is collected via:
Promoted CAN-ADAPTT at 50+ conferences and events
Workshops, poster presentations, key note address
Website visitors from 66 countries
Engagement and Dissemination
6 Online/In-person Transdisciplinary Tobacco Rounds (TTR) held in the past year
CAN-ADAPTT held monthly tobacco rounds, inviting speakers to share their knowledge in smoking cessation treatment and approaches, helping to promote best practices and share experiences with network members.
Audience: practitioners, researchers, students and decision makers.
Attendees from across Canada
Special Transdisciplinary Tobacco Rounds Symposiums:
January 2011:"Exploring Law as a Tool in Canadian Tobacco Control and Public Health Policy."
Presenters: Eric LeGresley M.Sc., LL.M., Barbara Russell, PhD, and David Sweanor, B.A., J.D.
April 2010: “Neuroscience and Tobacco” (presented in conjunction with the CAMH Neuroscience department);
Presenters: Dorothy Hatsukami, PhD, Fang Liu, PhD,
February 2010: Martin Stampfli, PhD: “How cigarette smoke skews immune responses to promote infection.”
June 2010: Dr. Milan Khara MBChB, CCFP, cert. ASAM: “Smoking Cessation in Patients with Substance Use Disorders: The Vancouver Coastal Health Tobacco Dependence Clinic”.
September 2010: Dr. Shawn O’Connor, Ph.D. "PUTTING DATA IN THE HANDS OF STAKEHOLDERS: THE EXPERIENCE OF THE TOBACCO INFORMATICS MONITORING SYSTEM (TIMS)“
November 2010: Heather Manson, MD MHSc FRCPC. "Evidence to Guide Action: Comprehensive Tobacco Control in Ontario."
CAN-ADAPTT has held 5 Lunch and Learn webinar series to date;
Aboriginal Peoples: Sheila Cote-Meek, BScN, MBA, PhD
Pregnant and Breastfeeding Women: Alice Ordean, MD, CCFP, MHSc
Youth (Children and Adolesecents): Jennifer O’Loughlin, PhD
Hospital Based Populations: Robert Reid, PhD, MBA
Pharmacotherapy: Peter Selby,
These webinars are being held to discuss and explore each of the guideline sections. Webinars are hosted by the lead developer of their respective section from the Guideline Development Group.
1. On-line survey of CAN-ADAPTT members:
Initial/baseline survey (February-March 2010)
Follow-up survey (February-March 2011)
2. Case-studies of health professions (interviews):
(1) dentists/dental hygienist; (2) family physicians; (3) pharmacists; (4) nurses
3. Semi-structured interviews with CAN-ADAPTT team
Interviews aim to examine progress in establishing CAN-ADAPTT network, promotion activities to recruit network members, management of the network, processes of revision, update and dissemination of the guidelines
FINAL REPORT APRIL 2011
Learning and evaluation.
This is just the beginning…..
Seed Grants evaluation.
Purpose: To make evaluation.research more responsive to practice by addressing gap in current practice guidelines, research question of importance to Health Care Providers (HCPs)
Mechanism to support practice-informed approach of PBRN – collaborative, Canadian researcher-practitioner teams (must include >1 HCP)
Awards of up to $5,000 to facilitate preparation of a scientific product in smoking cessation research (e.g.: lit review, pilot study, publication, grant proposal)