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Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice最新文献

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Re: Indigenous people's experiences of primary health care in Canada: a qualitative systematic review. Re:加拿大原住民的初级卫生保健经验:定性系统回顾。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-01 DOI: 10.24095/hpcdp.44.7/8.06
Chandrakant P Shah
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引用次数: 0
Black-focused social prescribing: the importance of an Afrocentric approach. 以黑人为重点的社会处方:以非洲为中心的方法的重要性。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.07
Sofia Ramirez, Natasha Beaudin, Jennifer Rayner, Neil Price, Daniel Townsend

The Black-Focused Social Prescribing (BFSP) project is a unique initiative by the Alliance for Healthier Communities that intertwines Afrocentric principles with social prescribing. Going beyond conventional social prescribing models, BFSP addresses specific health needs within Black communities. It is rooted in the Alliance Black Health Strategy, advocates for Black health, and is guided by Afrocentric principles. The evaluation framework prioritizes client voices, ensuring cultural safety and, by taking time for trust-building, underscores the importance of an inclusive approach. BFSP holds the potential to foster community trust and engagement, and enhance health outcomes in the Black community.

黑人社会处方(BFSP)项目是 "更健康社区联盟"(Alliance for Healthier Communities)的一项独特举措,它将以非洲为中心的原则与社会处方相结合。BFSP 超越了传统的社会处方模式,满足黑人社区的特殊健康需求。它植根于联盟黑人健康战略,倡导黑人健康,并以非洲中心原则为指导。评估框架优先考虑客户的意见,确保文化安全,并通过花时间建立信任,强调包容性方法的重要性。黑人健康联盟有可能促进社区信任和参与,并提高黑人社区的健康成果。
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引用次数: 0
Letter to the Editor - Nonclinical prescriptions gave me light of hope: perspectives from people with lived experiences. 致编辑的信 - 非临床处方给了我希望之光:亲身经历者的观点。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.08
Myrna Norman
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引用次数: 0
Building the social prescribing student movement in Canada. 在加拿大开展社会处方学生运动。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.06
Caitlin Muhl, Le-Tien Bhaskar, Michelle Ruhigisha, Ellen McGarity-Shipley

Introduction: Social prescribing is defined as "a means for trusted individuals in clinical and community settings to identify that a person has nonmedical, health-related social needs and to subsequently connect them to nonclinical supports and services within the community by co-producing a social prescription-a nonmedical prescription, to improve health and well-being and to strengthen community connections." Globally, there is growing interest in social prescribing as a holistic approach to health and well-being, with almost 30 countries involved in the social prescribing movement. In Canada, great strides are being made in social prescribing research, policy and practice, with all of this work being supported by the Canadian Institute for Social Prescribing.

导言:社会处方被定义为 "在临床和社区环境中,受信任的个人能够识别一个人有非医疗的、与健康相关的社会需求,并随后通过共同开具社会处方--非医疗处方,将他们与社区内的非临床支持和服务联系起来,以改善健康和福祉并加强社区联系"。在全球范围内,人们对社会处方作为一种全面的健康和福祉方法越来越感兴趣,有近 30 个国家参与了社会处方运动。在加拿大,社会处方的研究、政策和实践正在取得长足进步,所有这些工作都得到了加拿大社会处方研究所的支持。
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引用次数: 0
Letter to the Editor - Patient voice at the core of social prescribing: perspectives from people with lived experiences. 致编辑的信--患者的声音是社会处方的核心:有生活经历者的观点。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.09
Sudi Barre
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引用次数: 0
Letter to the Editor - Social prescribing training for doctors: perspectives from people with lived experiences. 致编辑的信--医生的社会处方培训:亲身经历者的观点。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.10
Herb Paquette
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引用次数: 0
Outcomes and instruments used in social prescribing: a modified umbrella review. 社会处方中使用的成果和工具:修改后的总体回顾。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.02
Maureen C Ashe, Isis Kelly Dos Santos, Hadil Alfares, Anna M Chudyk, Elham Esfandiari

Introduction: Previous social prescribing work highlights a range in the types and number of outcomes used in published studies. We aimed to describe social prescribing outcome core areas and instruments to build capacity for future research and program evaluation.

Methods: This was a modified umbrella review following standard guidelines. We registered the study and searched multiple databases (all languages and years); inclusion criteria were peer-reviewed publications containing outcomes for self-described social prescribing for adults aged 18 years and older. The last search date was 9 July 2023. From the included systematic reviews, we identified primary studies using the same inclusion criteria. For primary studies, we sorted extracted outcomes and instruments into six core areas using a published taxonomy. We located information on instruments' description and measurement properties and conducted two rating rounds for (1) the quality of systematic reviews and (2) reporting of instruments in primary studies. We conducted a narrative synthesis of reviews, primary studies and outcomes (PROSPERO 2023 CRD42023434061).

Results: We identified 10 systematic reviews and 33 primary studies for inclusion in our review. Outcomes covered most core taxonomy areas, with an emphasis on psychosocial factors (e.g. well-being) and less emphasis on cognition, physical activity, and caregivers and volunteers. We noted few studies provided detailed information on demographic data of participants or measurement properties of instruments.

Conclusion: This synthesis provides an overview and identifies knowledge gaps for outcomes and instruments used in social prescribing interventions. This work forms the basis of our next step of identifying social prescribing-related outcomes that matter most across interested parties, such as individuals providers and decision makers.

导言:以往的社会处方工作凸显了已发表研究中使用的结果类型和数量的多样性。我们旨在描述社会处方成果的核心领域和工具,为未来的研究和项目评估建立能力:这是一项遵循标准指南的修改后的总括性综述。我们对研究进行了注册,并检索了多个数据库(所有语言和年份);纳入标准为同行评议出版物,其中包含针对 18 岁及以上成年人自述的社会处方结果。最后搜索日期为 2023 年 7 月 9 日。从纳入的系统综述中,我们使用相同的纳入标准确定了初级研究。对于初级研究,我们使用已发布的分类法将提取的结果和工具分为六个核心领域。我们查找了工具描述和测量特性的相关信息,并对以下两个方面进行了两轮评级:(1) 系统综述的质量;(2) 主要研究中工具的报告。我们对综述、主要研究和结果进行了叙述性综合(PROSPERO 2023 CRD42023434061):我们确定了 10 篇系统综述和 33 项主要研究纳入我们的综述。研究结果涵盖了大多数核心分类领域,重点关注社会心理因素(如幸福感),而对认知、体育锻炼、护理人员和志愿者的关注较少。我们注意到,很少有研究提供了关于参与者人口统计数据或测量工具特性的详细信息:本综述概述并确定了社会处方干预中使用的结果和工具方面的知识差距。这项工作为我们下一步确定社会处方相关结果奠定了基础,这些结果对个人提供者和决策者等相关方最为重要。
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引用次数: 0
Social prescribing in Canada: health promotion in action, 50 years after the Lalonde report. 加拿大的社会处方:拉隆德报告发表 50 年后的健康促进行动。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.01
Kate Mulligan, Kiffer G Card, Sandra Allison

The Lalonde report, published in 1974 by the Canadian Minister of National Health and Welfare, broke ground for public health in Canada by acknowledging that the determinants of health are much broader than health care services. Fifty years later, this special issue of Health Promotion and Chronic Disease Prevention in Canada charts a clear path towards addressing upstream determinants of health through an emerging intervention called "social prescribing." Social prescribing connects patients with community resources tailored to their individual priorities, fostering a paradigm shift from a deficitbased to a strengths-based approach in health promotion. Part 1 of this issue covers the rapid growth and diverse applications of social prescribing across Canada, with targeted initiatives for various populations and interventions ranging from nature and arts to physical activity and social connectivity. Contributions from a wide range of partners, including researchers, health professionals and community members, explore the adaptability of social prescribing for different groups, underscore the role of community and lived experiences in research, and call for more studies on social prescribing's effectiveness and outcomes. Highlighted case studies demonstrate tangible benefits in health equity and access to social services. This issue not only reflects the current scope and impact of social prescribing in Canada but also sets the stage for its future development and integration into broader health practices.

加拿大国家卫生与福利部部长于 1974 年发表的《拉隆德报告》承认,健康的决定因素远比医疗保健服务广泛得多,从而为加拿大的公共卫生事业开辟了道路。五十年后,本期《加拿大健康促进与慢性病预防》特刊通过一种名为 "社会处方 "的新兴干预措施,为解决健康的上游决定因素描绘了一条清晰的道路。社会处方 "将患者与根据其个人优先事项量身定制的社区资源联系起来,促进了健康促进方法从以缺陷为基础向以优势为基础的模式转变。本期第一部分介绍了社会处方在加拿大各地的快速发展和多样化应用,其中包括针对不同人群的有针对性的倡议,以及从自然和艺术到体育活动和社会联系的干预措施。来自研究人员、卫生专业人员和社区成员等广泛合作伙伴的投稿探讨了社会处方对不同群体的适应性,强调了社区和生活经验在研究中的作用,并呼吁对社会处方的有效性和成果进行更多研究。重点案例研究证明了社会处方在健康公平和获得社会服务方面的切实益处。本期杂志不仅反映了社会处方目前在加拿大的范围和影响,还为其未来发展和融入更广泛的健康实践奠定了基础。
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引用次数: 0
Food prescribing in Canada: evidence, critiques and opportunities. 加拿大的食品处方:证据、批评和机遇。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.04
Matthew Little, Warren Dodd, Laura Jane Brubacher, Abby Richter

Introduction: There is growing interest in food prescriptions, which leverage health care settings to provide patients access to healthy foods through vouchers or food boxes. In this commentary, we draw on our experiences and interest in food prescribing to provide a summary of the current evidence on this intervention model and critically assess its limitations and opportunities.

Rationale: Food insecurity is an important determinant of health and is associated with compromised dietary adequacy, higher rates of chronic diseases, and higher health service utilization and costs. Aligning with recent discourse on social prescribing and "food is medicine" approaches, food prescribing can empower health care providers to link patients with supports to improve food access and limit barriers to healthy diets. Food prescribing has been shown to improve fruit and vegetable intake and household food insecurity, although impacts on health outcomes are inconclusive. Research on food prescribing in the Canadian context is limited and there is a need to establish evidence of effectiveness and best practices.

Conclusion: As food prescribing continues to gain traction in Canada, there is a need to assess the effectiveness, cost-efficiency, limitations and potential paternalism of this intervention model. Further, it is necessary to assess how food prescribing fits into broader social welfare systems that aim to address the underlying determinants of food insecurity.

导言:人们对食品处方的兴趣与日俱增,这种处方利用医疗机构的优势,通过代金券或食品盒为患者提供健康食品。在这篇评论中,我们借鉴了我们在食品处方方面的经验和兴趣,总结了这种干预模式的现有证据,并对其局限性和机遇进行了批判性评估:理由:粮食不安全是健康的一个重要决定因素,与膳食充足性受损、慢性病发病率升高以及医疗服务使用率和成本升高有关。根据最近有关社会处方和 "食物即药物 "方法的讨论,开具食物处方可以使医疗服务提供者有能力为患者提供支持,以改善食物获取途径并限制健康饮食的障碍。食物处方已被证明可改善水果和蔬菜摄入量以及家庭食物不安全状况,但对健康结果的影响尚无定论。在加拿大,有关食物处方的研究还很有限,有必要确定有效性和最佳实践的证据:结论:随着食品处方在加拿大不断得到推广,有必要对这种干预模式的有效性、成本效益、局限性和潜在的家长式作风进行评估。此外,有必要评估食品处方如何与旨在解决食品不安全基本决定因素的更广泛的社会福利制度相适应。
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引用次数: 0
Nature prescribing: emerging insights about reconciliation-based and culturally inclusive approaches from a tricultural community health centre. 自然处方:三文化社区保健中心对基于和解和文化包容性方法的新认识。
IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 DOI: 10.24095/hpcdp.44.6.05
Anita Vaillancourt, Rebecca Barnstaple, Natalie Robitaille, Taylor Williams

This commentary highlights the importance of social and nature prescribing programs reflecting culturally diverse perspectives and practices. Creating and holding space for Indigenous and other worldviews should be a key priority of nature prescribing, a relatively recent practice in Canada that recognizes and promotes health benefits associated with engaging in a variety of activities in natural settings. Central to designing and delivering nature prescribing that is culturally inclusive and grounded in fulfilling obligations of reconciliation is recognizing the ongoing dominance of Western worldviews and their associated implications for decolonizing and Indigenizing nature-based programming. Consciously working to expand Western values, with the aim of extending nature prescribing practices beyond mere nature exposure to fostering emotional connections to nature, is a critically important part of the ongoing development of nature-based interventions and nature prescribing.

这篇评论强调了社会和自然处方计划反映文化多样性观点和实践的重要性。为原住民和其他世界观创造和保留空间应该是自然处方的一个关键优先事项,自然处方是加拿大相对较新的一种做法,它承认并促进与在自然环境中参与各种活动相关的健康益处。设计和提供具有文化包容性并以履行和解义务为基础的自然处方的核心是认识到西方世界观的持续主导地位及其对非殖民化和基于自然的本土化计划的相关影响。有意识地努力扩展西方价值观,目的是将自然处方实践从单纯的接触自然扩展到促进与自然的情感联系,这是以自然为基础的干预措施和自然处方持续发展的一个极其重要的部分。
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引用次数: 0
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Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice
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