Balens 2017 CPD Event Building Healthcare Networks in your Local - - PowerPoint PPT Presentation

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Balens 2017 CPD Event Building Healthcare Networks in your Local - - PowerPoint PPT Presentation

Balens 2017 CPD Event Building Healthcare Networks in your Local Community Robert Verkerk PhD Founder & Executive Director, Alliance for Natural Health International Building healthcare networks in your local community - Hawthorn Health


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Balens 2017 CPD Event

Building Healthcare Networks in your Local Community

Robert Verkerk PhD Founder & Executive Director, Alliance for Natural Health International

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Rob Verkerk BS c MS c DIC PhD F ACN Alliance for Natural Health International www.anhinternational.org ANHInternational @ anhcampaign @ VerkerkRob *

Building healthcare networks in your local community - Hawthorn Health Initiative

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Who’s the flat earther?

CAM practitioner? S keptic?

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S tatus of evidence

Conclusive evidence therapy works (cause and effect demonstrated) Conclusive evidence therapy does not work (cause and effect not demonstrated)

?

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Crisis = time of opportunity & change

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Negative Positive

Change ahoy…

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Three Horizons

International Futures Forum www.int ernat ionalfut uresforum.com

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BAU – is it working?

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Individual Community

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The challenge…

EVIDENCE!

But what do we want to inform:

  • Evidence-based Medicine?
  • Evidence based practice (EBP)?
  • Practice based evidence (PBE)?
  • Effective healthcare?
  • Effective for specific health problems?
  • Improved outcomes compared with standard treatment?
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The EBM hierarchy

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S ix biases against patient and carers in EBM

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RCT vs TR W

RCT

  • S

ingle/ double-blind

  • Randomised + control
  • Mean effects
  • Eliminates P-T and

social relationships

  • Eliminates Hawthorne

effect

  • Outliers ignored
  • Biases (Greenhalgh et

al, 2015) = MEASUREMENT OF EFFICACY OF THERAPEUTIC INTERVENTION

TRW

  • S

elf-selected population

  • No control population
  • P-T effect
  • Hawthorne Effect
  • S

elf-care incl diet/ lifestyle, physical activity, restoration

  • Includes concomitant

treatments

  • Patient experience

DIFFICULT TO MEASURE = SYSTEM OF HEALTHCARE

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What are we most interested in?

Adapted from slide presented by Edzard Ernst at CAMexpo 2007 Patient experience

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S pecific therapeutic effect vs total effect?

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What determines outcomes?

Time with practitioner Time without practitioner

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Average vs best practitioner effect

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Health status: multi-factorial

How much influence does a CAM intervention have, compared with choices made as part of our self-care routines?

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HHI: Getting started

1 2

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HAWTHORN HEALTH INITIATIVE

Forum Event 2017

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HAWTHORN HEALTH INITIATIVE

Forum Event 2017

New Website ~ Community & Membership, Research & Resources, News & Views www.HawthornHI.org

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Research ~ Pilot Questionnaire for Therapists

“ Not everyt hing t hat can be count ed count s, and not everyt hing t hat count s can be count ed..” - Albert Einstein…

Pilot Questionnaire was sent to approximately 300 CPD Attendees – Reponses received from 48. Questionnaire will be revised and sent to Balens Client Base.

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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14 Massage & Aromatherapy (All forms) 2 Craniosacral Therapy 14 Other therapist / Practitioner 2 Hopi Ear Candles 11 Healing (all forms), Meditation & Mindfulness 2 Kinesiology 11 Manipulative Therapy inc. Osteopathy & Chiropractic 2 Shiatsu 9 Reiki 2 Talking Therapies 7 Acupuncture & Dry Needling 2 Teaching & Supervision 7 Nutrition Therapy 2 Traditional Chinese Medicine 7 Reflexology 2 Yoga & Pilates 6 Neuro Linguistic Programming 1 Bowen Technique 5 Herbal / Flower Medicine 1 Emotional Freedom Technique 4 Acupressure 1 Foot Health Practice 3 Homeopathy 1 EMDR / Iridology 3 Hypnotherapy 1 Music & Sound Therapies 2 Conventional Medicine and Dental 1 Sports Therapy, Personal Training & Fitness

What are your main areas of practise? (please tick main areas apply up to a maximum of 5)

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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10 20 30

A desire to make a… Aligns with your… Dissatisfaction with… Interest in health &… Natural healthcare… Why did you decide to become a healthcare practitioner

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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10 20 30

0-15 16-25 25-37.5 37.5– 40 Over 50

How many hours a week on average do you normally practise? HAWTHORN HEALTH INITIATIVE Forum Event 2017

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10 20 30

0– 5 6-10 11– 20 21– 30 40+

How many treatment sessions on average do you do in a week? HAWTHORN HEALTH INITIATIVE Forum Event 2017

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86% 8% 4% 2%

How many new clients do you typically see in a week?

0– 3 4– 8 9– 15 HAWTHORN HEALTH INITIATIVE Forum Event 2017

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43% 2% 17% 38%

If you have been practising more than three years, are you aware of a change in the number if clients who are approaching you? No - Remains the same Prefer not to answer Yes - Decreasing Yes - Increasing

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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45 20

14 9 20 1 6

1

Where do your client s normally hear of you from? (mult iple answers could be picked) Recommendation from current or past client / friends and family Recommendation from other practitioners Your Organisation or Association Lecturing / presentations

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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Recommended by family / friends 38 Recommended / referred by their doctor 10 They have a chronic illness that is not responding well to conventional medicine 29 To complement their conventional medical treatments 21 Dissatisfaction with conventional medicine / doctors 26 They are taking a greater responsibility for their own personal health needs 26 They are following natural lifestyle choices in their healthcare 21 They are following the latest health and fitness trends 1 They have seen marketing / adverts for a specific treatment 2 They have read about a specific treatment, you or your therapy 16 They are responding to the greater public awareness generally of the benefits of natural healthcare 9 Social media 5 Attended a talk or a lecture 7

Which of the following best describes why you believe your clients choose you?

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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45

10 20 30 40 50

Recommendation from current or past client / friends and family Recommendation from other practitioners Your Organisation or Association

14 2 2 1 6 9

Where do your clients normally hear of you from (multiple answers were allowed)

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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6% 75% 19% How often do you refer your clients to natural healthcare practitioners / fitness professionals? Never Someti mes Often

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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4% 83% 13% How often do you refer your clients to conventional medical practitioners?

Never Someti mes HAWTHORN HEALTH INITIATIVE Forum Event 2017

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HAWTHORN HEALTH INITIATIVE Forum Event 2017

4% 17% 46% 33%

How often do you give general lifestyle advice?

Never Occasionally Throughout the therapeutic process With every client

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31% 69%

Would you be interested in a website specifically for Natural Health Professionals that is a hub for sharing, including info on business and research into Natural Medicine, networking opportunities and events? No Yes

HAWTHORN HEALTH INITIATIVE Forum Event 2017

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No 23% Yes 49% Unsure 28% Would you be open to involving your clients in a research project to gain greater understanding into the benefits of visiting a Health & Wellbeing practitioner?

No Yes Unsure HAWTHORN HEALTH INITIATIVE Forum Event 2017

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HAWTHORN HEALTH INITIATIVE Forum Event 2017

Client/ patient health tracking and big data research

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Data collection and

  • wnership
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Data processes

  • Quantifiable self data
  • Qualified self data
  • (Multi-channel data)
  • Healthcare choice data
  • Data aggregation
  • Pattern recognition

Motivation S elf-improvement Research

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Quantifiable self

  • general trends

1st level of meaning: gratuitous movement data

2nd level of meaning: motivates self-improvement

3rd level of meaning: motivates better decisions about health at point of choice/ decision

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Collaboration for pilot development

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Collecting big [health] data: what do we need?

Patient-centred, patient-owned (non-profit, cooperative structure)

S hould be empowering, motivating and increase engagement

Quick and simple

Broad scope

S hould not require specialist, high-cost equipment

Multiple systems of electronic data capture

Baseline and ongoing assessments

Characterisation of healthcare system

Cross-cultural / (multiple languages)

International scientific/ medical advisory panel

Adaptation of existing/ proven systems

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Individual’s ‘ Healthcare S ystem’

  • Practitioner-mediated

interventions

  • Practitioner-guided

self-care

  • Other self-care

Proposed ‘ big [health] data’ collection system

Baseline assessment Follow-up/ Ongoing assessments Characterisation

  • f system
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Handling bias

S ampling (self- selected) Data (response)

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The Hawthorn proj ect

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3 key data channels

  • ABOUT ME
  • Weight, height, waist, hip, chest
  • Optional: BIA/ body comp
  • MY HEALTH
  • S

elf-reported health status

  • S

F-12 (Physical and Mental Health Composite S cores, PCS & MCS )

  • MY HEALTHCARE
  • About your healthcare professionals
  • Reasons for visiting a healthcare provider
  • Attitudes to different types of healthcare
  • Individual empowerment
  • Mono- vs multi-therapeutic treatments
  • Experience
  • Value for money
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About Me

  • Coding for anonymity
  • Algorithm links vital stats to

epidemiological data sets to determine ‘ metabolic risk’ category

  • 8 body shapes
  • 4 metabolic risk categories
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Body shapes/ metabolic risk categories

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My health S F-12

  • General health status
  • Current physical health
  • Physical health over last 4 weeks
  • Emotional health/ feeling over last 4 weeks
  • Physical pain over last 4 weeks

COMPOS ITE S CORE = HEALTH S TATUS = RES ILIENCE

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Tracking screens (dev version)

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Data ownership/ privacy

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Establishing big data capture for research and health transformation [1]

Agreement on approaches across a broad range of modalities

Cooperation with patients/ clients

Collaboration with international researchers/ institutions

Collaboration with associations and practitioners

Pre-trial/ pilot: Proof-of-concept

Establish health data cooperative(s)

Funding required for large-scale roll-out

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Establishing big data capture for research and health transformation [2]

Electronic data capture e.g. MIDATA, Filemaker (re Dr Peter Davies)

Analysis and communication of findings – via scientific collaborators/ multi-institutions (e.g. UK, NL, US A, Autralia, China? )

Key Opinion Leaders (medical/ scientific/ political)

Celebrity endorsement

Proj ect should sit firmly within LOHAS (Lifestyles of Health and S ustainability) framework

Do we need new terminology? e.g. NALS H, Hawthorn… ? ? ?

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Beta-testing

  • UK
  • Netherlands
  • US

A

  • Australia

1000 fully compliant subj ects (minimum) over 12 months

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S upporting approaches

Open forum/ discussion between practitioners and associations

Campaigns / advocacy

The power of story: testimonials

PR

Professionalisation

Engagement with the mainstream www.healthtalk.org Database of Individual Patient Experiences www.dipexinternational.org

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Let’s j ust do it!

@ anhcampaign ANHInternational

Email: info@ anhinternational.org Tel: 01306 646 600

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