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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
“In Aotearoa New Zealand, the Indigenous population, known as Māori, carries a disproportionate burden of disease compared to the settler population. The Treaty of Waitangi, a national treaty negotiated between Māori and the British Crown, guarantees Māori sovereignty, protects their interests, and promotes their well-being. It is considered central to ethical public health and health promotion practices in the country but its application is variable. The article underscores the significance of incorporating Indigenous knowledge and leadership into public health curricula to address health inequities and decolonize the field. It calls for a shift towards prioritizing Indigenous perspectives, values, and frameworks, and fostering meaningful relationships between communities, educators, and Indigenous peoples.
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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
A UK-based program gradually increased physical activity among people suffering from long COVID. Physical activity regimes were established by clinicians and gradually increased in intensity over six weeks. Over the course of the program, significant reductions in episodes of “crashing” and symptoms of breathlessness and headaches were reported by participants.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Key Informant Interview, Peer Review Study
This study focuses on qualitative data collected to better understand the experiences of adults living with long-COVID in the United Kingdom who participate in online support groups. These support groups were predominantly conducted through Facebook and WhatsApp, and individuals were asked to reflect on how they engage with the support groups and what external influences are influencing their experience with long-COVID. Participants explained that the support groups provided a place to connect with others, advocate for needed resources and information, and share therapies and management techniques in the absence of clear instruction from the medical community. Additional benefits included diversity of participants, reduced feelings of isolation, and improved mental wellbeing through validation and encouragement. Negative aspects of the support groups included challenges with the amount of stories and information shared, limited in-person interaction, and increased burden on group moderators.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Summary Report/Recommendations
This article describes structural barriers contributing to inequitable health outcomes for people living with dementia during the COVID-19 pandemic, and provides policy recommendations (based on Canadian examples) to address structural barriers that exacerbated the effects of the pandemic on people living with dementia.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
The article details the use of a peer reviewed, validated tool called the Equity Matrix in assessing inequities in the COVID-19 pandemic. The article identifies sources of inequities, including but not limited to public policy, not sufficiently tailoring interventions towards marginalized groups, and vaccine hesitancy.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Systematic Review/Meta-Analysis
A review of best practices for COVID-19 infection prevention and control in long-term care facilities. These included establishing surveillance measures, revising staffing and visitor policies, and clearly communicating health measures and case numbers. The authors highlight the need for additional support and resources for long-term care facilities to address the pandemic over time. The article also provides updated guidelines for rapid situation analyses.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The researchers tested the effectiveness of “Go Viral!”, a 5-minute online game designed to improve players’ ability to spot COVID-19-related misinformation, in comparison to a passive “prebunking” intervention (UNESCO infographics) and to a control group. The authors found that “Go Viral!” improves players’ ability to spot misinformation, as well as their confidence in their ability to spot misinformation. This effect remains at least one week after playing the game. While the UNESCO infographics also improved viewers’ ability to spot misinformation and their confidence in their ability to spot misinformation, the effect size for “Go Viral!” was larger, and the players reported being more likely to share “Go Viral!” with their networks on social media compared with the group that viewed the graphics. While the results are promising, there are several limitations. The study did not include an explicit equity focus and the game is not accessible to individuals without internet.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article presents the results of a non-randomized cohort study comparing opioid agonist therapy (medication assisted treatment [MAT]) for opioid use disorder received via telemedicine, in-person, or a mix of telemedicine and in-person visits. The study was conducted between January 2011 and June 2012 in Ontario, Canada. The telemedicine group had the highest one-year treatment retention rate, followed by the mixed group, and the in-person group had the lowest one-year treatment retention rate. The results suggest telemedicine could be an effective means of increasing access to MAT for opioid use disorder. It should be noted that the study was conducted prior to the COVID-19 pandemic, and replicability will vary based on local resources and MAT regulations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Systematic Review/Meta-Analysis
This article presents the results of a rapid review of community engagement strategies used in response to three recent epidemics, Ebola, Zika, and H1N1. The review included 32 studies representing 37 initiatives as well as 11 guideline articles, included for reference and context purposes. Facilitators and barriers to implementing equitable community interventions are described, in addition to best practices and a discussion of how prior lessons learned can be implemented for COVID-19.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
The intervention outlined in this study took place at a hospital in Italy, and was designed to reduce or prevent provider burnout during the onset of the pandemic. The intervention included having six psychologists always present in the clinical setting to provide on-site as needed services to physicians, nurses, and other hospital staff. A PTSD short scale survey was also conducted to better understand the mental health needs of the providers in the hospital (such as psychosis, sleep problems, mania, suicidal ideation, and more). Providers noting mild to moderate symptoms were offered up to five sessions with a psychologist or psychotherapist.