Koren Gideon, Sarkar Moumita, Rosenbaum Charlotte, Orrbine Elaine
Motherisk Program, Hospital for Sick Children, University of Toronto.
J Popul Ther Clin Pharmacol. 2013;20(1):e42-3. Epub 2013 Feb 7.
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.
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 published 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. 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.
It was acknowledged that most physicians do not ask women of reproductive age questions regarding their drinking habits, 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.
胎儿酒精谱系障碍（FASD）筛查工具开发国家特别工作组已确定孕妇饮酒是一个应进行筛查的关键领域。我们描述了针对医疗保健提供者的知识转化项目的开发和实施步骤。幻灯片展示以英文和法文附上，以便能最大限度地加以利用。
2010年，胎儿酒精谱系障碍筛查工具开发国家特别工作组确定孕妇饮酒是一个应进行筛查的关键领域。系统评价及相关建议已发表，并被纳入由加拿大儿科健康中心协会在加拿大公共卫生署的资金支持下开发的工具包中。对孕妇饮酒情况的有效询问可在三个层面进行：初级层面，作为基于实践的筛查的一部分；二级层面，使用结构化问卷；三级层面，基于实验室的筛查。
人们认识到，大多数医生不会询问育龄妇女关于她们饮酒习惯的问题，特别工作组严重担心，即使有一份有效的指南，也可能无法改变初级层面的做法。为此，特别工作组制定了一个三阶段知识转化计划，以确保所制定的教育项目对加拿大医疗保健提供者具有最佳效果。
