robert verkerk phd founder & executive director, alliance ... · balens 2017 cpd event....
TRANSCRIPT
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Balens 2017 CPD EventBuilding Healthcare Networks
in your Local Community
Robert Verkerk PhDFounder & Executive Director, Alliance for
Natural Health International
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Rob Verkerk BSc MSc DIC PhD FACN
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?
Skeptic?
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Status of evidence
Conclusive evidencetherapy works (cause and effect demonstrated)
Conclusive evidencetherapy 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 Forumwww.internationalfuturesforum.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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Six biases against patient and carers in EBM
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RCT vs TRW
RCT• Single/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• Self-selected
population• No control population• P-T effect• Hawthorne Effect • Self-care incl
diet/lifestyle, physical activity, restoration
• Includes concomitant treatments
• Patient experienceDIFFICULT 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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Specific 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 INITIATIVEForum Event 2017
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HAWTHORN HEALTH INITIATIVEForum Event 2017
New Website ~ Community & Membership, Research & Resources, News & Viewswww.HawthornHI.org
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Research ~ Pilot Questionnaire for Therapists
“Not everything that can be counted counts, and not everything that counts can be counted..” - 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.
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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)
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0 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
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0
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?
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0
10
20
30
0–5 6-10 11–20 21–30 40+
How many treatment sessions on average do you do in a week?
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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
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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 thesame
Prefer not toanswer
Yes - Decreasing
Yes - Increasing
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45
20
14 9
20
1 6
1
Where do your clients normally hear of you from? (multiple answers could be picked)
Recommendation from current or past client /friends and familyRecommendation from other practitioners
Your Organisation or Association
Lecturing / presentations
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Recommended by family / friends 38Recommended / referred by their doctor 10They have a chronic illness that is not responding well to conventional medicine 29To complement their conventional medical treatments 21Dissatisfaction with conventional medicine / doctors 26They are taking a greater responsibility for their own personal health needs 26They are following natural lifestyle choices in their healthcare 21They are following the latest health and fitness trends 1They have seen marketing / adverts for a specific treatment 2They 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 healthcare9
Social media 5Attended a talk or a lecture 7
Which of the following best describes why you believe your clients choose you?
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45
0
10
20
30
40
50 Recommendationfrom current or pastclient / friends andfamily
Recommendationfrom otherpractitioners
Your Organisation orAssociation
142 2
169
Where do your clients normally hear of you from (multiple answers were allowed)
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6%
75%
19%
How often do you refer your clients to natural healthcare practitioners / fitness professionals?
Never
SometimesOften
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4%
83%
13%
How often do you refer your clients to conventional medical practitioners?
Never
Sometimes
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4%17%
46%
33%
How often do you give general lifestyle advice?
Never
Occasionally
Throughout thetherapeutic 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
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No23%
Yes49%
Unsure28%
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
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HAWTHORN HEALTH INITIATIVEForum Event 2017
Client/patient health tracking and big data research
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Data collection and ownership
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Data processes
• Quantifiable self data
• Qualified self data
• (Multi-channel data)
• Healthcare choice data
• Data aggregation
• Pattern recognitionMotivationSelf-improvementResearch
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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)
Should be empowering, motivating and increase engagement
Quick and simple
Broad scope
Should 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
System’
• Practitioner-mediated interventions
• Practitioner-guided self-care
• Other self-care
Proposed ‘big [health] data’ collection system
Baseline assessment
Follow-up/Ongoing assessmentsCharacterisation
of system
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Handling bias
Sampling(self-selected)
Data(response)
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The Hawthorn project
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3 key data channels
• ABOUT ME- Weight, height, waist, hip, chest- Optional: BIA/body comp
• MY HEALTH- Self-reported health status- SF-12 (Physical and Mental Health Composite Scores, 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
SF-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
COMPOSITE SCORE = HEALTH STATUS = RESILIENCE
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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, USA, Autralia, China?)
Key Opinion Leaders (medical/scientific/political)
Celebrity endorsement
Project should sit firmly within LOHAS (Lifestyles of Health and Sustainability) framework
Do we need new terminology? e.g. NALSH, Hawthorn…???
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Beta-testing
• UK
• Netherlands
• USA
• Australia
1000 fully compliant subjects (minimum) over 12 months
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Supportingapproaches
Open forum/discussion between practitioners and associations
Campaigns / advocacy
The power of story: testimonials
PR
Professionalisation
Engagement with the mainstream www.healthtalk.orgDatabase of Individual Patient Experienceswww.dipexinternational.org
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Let’s just do it!
@anhcampaignANHInternational
Email: [email protected]: 01306 646 600
STOP PRESS! ANH Nutritional practitioner conference7 Oct 2017; Sheepdrove Eco Conference, Ctr, Lambourn, Berkshire RG17 7UUBook via anhpractitionertools.eventzilla.net