THE MATERNAL DRINKING HISTORY GUIDE: DEVELOPMENT OF A NATIONAL EDUCATIONAL TOOL

Main Article Content

Gideon Koren
Moumita Sarkar
Charlotte Rosenbaum
Elaine Orrbine

Keywords

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Abstract

Background


The National Taskforce for the development of screening tools for FASD has identified maternal drinking as a critical area that should be screened. We describe the steps of development and implementation of a knowledge translation program for health care providers. The slide presentation is attached in English and French to allow its maximal use.


 


Methods


In 2010, the National Taskforce for the development of screening tools for FASD identified maternal drinking as a critical area that should be screened. The systematic review and associated recommendations have been published1 and were included in the toolkit developed by the Canadian Association of Paediatric Health Centres with funding support from the Public Health Agency of Canada.2 Effective inquiry of maternal drinking can be conducted at three levels: Primary level, as part of practice-based screening; Level 2 use of structured questionnaires; and Level 3 laboratory-based screening.


 


Conclusion


It was acknowledged that most physicians do not ask women of reproductive age questions regarding their drinking habits1, and the Taskforce was seriously concerned that even an effective guide may not change practice at the primary level. To that end, the Taskforce developed a three phase Knowledge Translation plan, to ensure that the educational program developed will be optimally effective for Canadian healthcare providers.

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References

1. Sarkar M, Burnett M, Carrière S, Cox LV, Dell CA, Gammon H, Geller B, Koren G, Lee L, Midmer D, Mousmanis P, Schuurmans N, Senikas V, Soucy D, Wood R; Fetal Alcohol Spectrum Disorder Advisory Workgroup. Screening and recording of alcohol use among women of child-bearing age and pregnant women. Can J Clin Pharmacol 2009 Winter;16(1):e242-63.
2. Goh YI, Chudley AE, Clarren SK, Koren G, Orrbine E, Rosales T, Rosenbaum C; Taskforce for Development of FASD Screening Tools. Development of Canadian screening tools for fetal alcohol spectrum disorder. Can J Clin Pharmacol 2008 Summer;15(2):e344-66. Epub Sept 5 2008.
3. Koren G, Nulman I, Chudley AE, Loocke C. Fetal alcohol spectrum disorder. CMAJ 2003 Nov 25;169(11):1181-5.

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