Models Frameworks

1
Models Frameworks
Burden of disease
Causation Determinants
Implementation
Measurement
Efficacy
Efficiency
Effectiveness
After P Tugwell, 1985
2
Selyes Stress Model
3
Defining Dimensions of Quality of Life and
Health-Related Quality of Life
Health Canada-Quality of Life
Mayo Clinic- Health-Related Quality of Life
4
Professional Expertise Model
5
Models Frameworks
Burden of disease
Causation Determinants
Implementation
Measurement
Efficacy
Efficiency
Effectiveness
After P Tugwell, 1985
6
Generic Predictive Model
7
International Classification of Determinants of
Functional Outcomes
ICF Model
Application to COPD
8
Theory of Planned BehaviorAjzen, 1985, 1991, 2001
9
CIHR Causal Map for Identifying Determinants and
Policy Priorities for Obesity in Canada
10
Public Health Model of Determinants of Diarrheal
Disease
11
Models Frameworks
Burden of disease
Causation Determinants
Implementation
Measurement
Efficacy
Efficiency
Effectiveness
After P Tugwell, 1985
12
The Precede-Proceed Model of Health Program
Planning EvaluationGreen, Lawrence Health
Program Planning An Educational and Ecological
Approach, New York McGraw-Hill, 2005.
Predisposing
Heath Education, Media, Advocacy
Quality of Life
Lifestyle
Health
Reinforcing
Policy, Regulation, Resources. Organization
Environment
Enabling
13
Patho-physiological ModelsAlternate Therapy
Targets for Multi-Drug Resistance in TB
14
Models Frameworks
Burden of disease
Causation Determinants
Implementation
Measurement
Efficacy
Efficiency
Effectiveness
After P Tugwell, 1985
15
Ottawa Model of Research Use
Assess Monitor
Evaluate
Innovation
Potential Adopters
Interventions

• Adoption

• Outcomes

• Practice Environment

16
Ottawa Model of Research Use
Assess Monitor
Evaluate barriers
supports interventions
outcomes degree of use

Innovation (CPG, tools)
Potential Adopters
Interventions
Adoption
Outcomes
Practice Environment
17
Ottawa Model of Research Use
Assess Monitor
Evaluate barriers
supports interventions
outcomes degree of use

• Innovation

• Implementation
• Interventions
• barrier
• management
• transfer
• follow-up

Potential Adopters
Outcomes
Adoption
Practice Environment
18
Ottawa Model of Research Use
Assess Monitor
Evaluate barriers
supports interventions
outcomes degree of use

• Innovation (guideline)
• development process
• innovation attributes

• Potential Adopters
• awareness
• attitudes
• knowledge/skill
• concerns
• current practice

• Interventions
• barrier
• management
• transfer
• follow-up

• Adoption
• intention
• use
• sustained use

• Outcomes
• patient
• practitioner
• system

• Practice Environment
• structural
• culture/social
• patients
• economic

19
Ottawa Model of Research Use
Assess Monitor
Evaluate barriers
supports interventions
outcomes degree of use

• Innovation
• development process
• innovation attributes

• Potential Adopters
• awareness
• attitudes
• knowledge/skill
• concerns
• current practice

• Outcomes
• patient
• practitioner
• system

• Interventions
• barrier
• management
• transfer
• follow-up

• Adoption
• intention
• use
• sustained use

• Practice Environment
• structural
• culture/social
• patients
• economic

20
Micro-Theories of Adoption Technology Acceptance
Model
13 ½ Early adaptors
Time to adoption of innovations
21
Predicting the Adoption of Electronic-Prescribing