1. Good Practice in the Field of Health Promotion and Primary Prevention: Concept, Methods and Outputs Thomas Kunkel, MD, M.Sc. JA CHRODIS Work Package 5 Leadership Federal Center for Health Education (BZgA) Germany WWW.CHRODIS.EU

2. Overview Background Approach and Concept Methods –Country reviews –Definition of Good Practice Criteria –Identification of Good Practice Examples –Identification of transferable practices / elements Outputs

3. WWW.CHRODIS.EU Background

4. WWW.CHRODIS.EU Background Chronic Disease burden in Europe requires concerted action European reflection process on chronic diseases: Large pool of chronic diseases prevention and health promotion good practices exists across the EU, but the knowledge is not always disseminated and accessible to the best possible extend Good Practice approach within the Joint Action CHRODIS is complementary to the national activities against chronic diseases

5. WWW.CHRODIS.EU Approach and Concept

6. WWW.CHRODIS.EU Approach and Concept 1.Documentation of status quo in health promotion Analysis of gaps and needs Documentation of existing good practice approaches 2.Definition of Good Practice criteria 3.Identification of Good Practice examples 4.Analysis of Transferability

7. WWW.CHRODIS.EU Step 1: Country Reviews Purpose: Documentation and Analysis of current state of health promotion landscape in partner countries 1.Bulgaria 2. Cyprus 3. Estonia 4. Germany 5. Greece 6. Iceland 7. Ireland 8. Italy 9. Lithuania 10. Norway 11. Portugal 12. Spain 13. The Netherlands 14. United Kingdom

8. WWW.CHRODIS.EU Step 2: Definition of Good Practice criteria Information on Good Practice approaches and criteria from partner countries Literature research on other good practice approaches Template questionnaire for Delphi panel Delphi Expert Panel Discussion structured and led by partners from JA CHRODIS Work Package 4

9. WWW.CHRODIS.EU Step 2: Delphi Panel on Health Promotion Overall Experts31 Gender ratio16 Female - 15 Male Countries represented15 Areas of expertiseClinicians, Research, Policy, Practitioners

10. WWW.CHRODIS.EU Step 2: Delphi Panel on Health Promotion Process conducted by Health Science Aragon (Leadership WP4) 2x online rounds initially 57 potential criteria in 16 categories Face to Face Meeting: Re-structuring and re-wording of items Results after face to face meeting: 28 items in 10 categories

11. WWW.CHRODIS.EU Overview Delphi Criteria Ten Categories for the evaluation of Health Promotion and Primary Prevention Interventions ranked by priority 1. Equity 2. Comprehensiveness of the intervention 3. Description of the practice 4. Ethical Considerations 5. Evaluation 6. Empowerment and Participation 7. Target population 8. Sustainability 9. Governance and project management 10. Potential of scalability and transferability

12. WWW.CHRODIS.EU Step 3: Identification of Good Practice Examples 41 Good Practice Examples across the life cycle Pre-natal environment, early childhood, childhood and adolescence: 10 Good Practices Adulthood: 11 Good Practices Healthy Ageing: 5 Good Practices Whole life cycle: 15 Good Practices

13. WWW.CHRODIS.EU Step 4: Approach to Assess Transferability Steps to shape the approach 1. Survey conducted among partners 2. Marketplace Event with two purposes: a.Promotion of the practices b.Identification of aspects relevant for transferability 3. Study visits in 2016

14. WWW.CHRODIS.EU Outputs

15. WWW.CHRODIS.EU Outputs Country Reports, incl. Executive Summary http://www.chrodis.eu/our-work/05-health-promotion/wp05-activities/country- reports/ Delphi Panel Full Report by WP 4 http://www.chrodis.eu/wp-content/uploads/2015/08/INTERIM-REPORT-1_Delphi- on-Health-promotion-and-prevention-1.pdf Collection of Good Practices in Health Promotion and Primary Prevention of Chronic Diseases incl. executive summary http://www.chrodis.eu/our-work/05-health-promotion/wp05-activities/selection/ CHRODIS WP5 Results at a glance http://www.chrodis.eu/wp-content/uploads/2015/11/JA-CHRODIS-Promotion- Material-WP5-1112-FINAL.pdf

16. WWW.CHRODIS.EU Outputs in Progress Conference Documentation (end of 2015) Manual document for the application of Good Practice criteria Report on Transferability of Good Practices (summer 2016) Final deliverable: Recommendations report (end of 2016) and web resource (part of the platform for knowledge exchange)

17. WWW.CHRODIS.EU Thank you for your attention! Cologne Cathedral and Hohenzollern Bridge Source: https://upload.wikimedia.org/wikipedia/commons/4/41/Cologne_Cathedral_and_the_Hohenzollern_Bridge.jpg