EBM and CAM - Lecture #6

Question 1

Proceed-Precede Model?

Answer 1

Comprehensive structure for assessing health needs, and evaluating health promotion programs.

Question 2

Precede

Answer 2

Understand what’s wrong with the environment before making a change. (Predisposing, Reinforcing, Enabling Constructs in Educational Diagnosis and Evaluation)

Question 3

Social Assessment (Precede)

Answer 3

Determine social problems

Question 4

Epidemiological Assessment (Precede)

Answer 4

Identify health determinants of problems; set goals

Question 5

Ecological Assessment (Precede)

Answer 5

Analyze environmental determinants enabling behaviours.

Question 6

Proceed

Answer 6

Provides a structure for implementing and evaluating public health program. (Policy, Regulatory, Organizational Constructs in Educational & Environmental Development)

Question 7

Social Assessment

Answer 7

Determines social problems and needs of a given population

Question 8

Epidemiological assessment

Answer 8

Identify health determinants of problems and sets goals.

Question 9

Ecological Assessment

Answer 9

Analyze environmental determinants that enable behaviour

Question 10

Policy Assessment

Answer 10

Start to implement a change in behaviour; i.e. laws and organizations to stop the spread of…

Question 11

Complementary Alternative Medicine (CAM)

Answer 11

Not westernized medicine; people are desperate to use because western medicine can’t deliver certain needs.

Question 12

Second in the World consumer in CAM

Answer 12

Canada; behind Germany

Question 13

CAM consists of?

Answer 13

natural products, mind and body, manipulative and body based. (Yoga, herbs, chiropractic, acupuncture, etc).

Question 14

How much money did Canadians spend on CAM in 2015?

Answer 14

Spent about 8.8 billion on CAM

Question 15

Are there risks for natural health products?

Answer 15

Unregulated; not enough information; not proven and unwanted side effects.

Question 16

Snake Oil Salesman

Answer 16

Phenomenon where someone rips you off

Question 17

Evidence Based Medicine

Answer 17

Systematically reviewing and using clinical research findings to aid delivery of optimum care.

Question 18

Meta-Analyses

Answer 18

Professionals take published studies and checks to see if it works.

Question 19

Levels of Evidence Based Recommendations?

Answer 19

Level 1: At least one Randomized control trial and Meta-Analysis

Question 20

Level 2 of EBR

Answer 20

Evidence obtained from control trials but not randomized and no meta-analysis.

Question 21

Level 3 of EBR

Answer 21

Opinions of respected authorities, based on clinical experience and even studies or reports.

Question 22

What are the limitations of EBM?

Answer 22

RCT are not always ethical, no account for genetic or environmental differences.