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Related Concept Videos

Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
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Models of Health Promotion and Illness Prevention II01:18

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Related Experiment Video

Updated: Apr 22, 2026

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Implementing and evaluating a program to facilitate chronic disease prevention and screening in primary care: a mixed

Donna Patricia Manca1, Kris Aubrey-Bassler, Kami Kandola

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Summary

The Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER 2) program expands a successful primary care intervention across Canada. This initiative aims to improve patient health outcomes and healthcare system sustainability through enhanced chronic disease prevention and screening.

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Area of Science:

  • Public Health
  • Primary Care
  • Health Services Research

Background:

  • The Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER) trial demonstrated the effectiveness of a prevention practitioner role in improving chronic disease prevention and screening (CDPS).
  • The BETTER 2 program builds upon the success of the original BETTER trial, aiming for broader implementation and evaluation.
  • Key goals include enhancing clinical outcomes, reducing chronic disease burden, and improving healthcare system sustainability.

Purpose of the Study:

  • To describe the planned implementation and evaluation of the BETTER 2 program.
  • To expand the BETTER intervention into diverse Canadian communities.
  • To assess the effectiveness and sustainability of integrated CDPS in primary care.

Main Methods:

  • The BETTER 2 program involves prevention practitioners delivering personalized, multi-condition, integrated, and longitudinal 'prevention prescriptions' to at-risk adults aged 40-65.
  • Implementation spans multiple Canadian provinces and territories.
  • Evaluation will utilize the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework with qualitative and quantitative methods, including a composite index to assess intervention effectiveness.

Main Results:

  • The study is designed to evaluate the implementation and effectiveness of the BETTER 2 program.
  • A composite index will quantify the impact of the prevention practitioner intervention on CDPS actions.
  • Data will be collected on process measures, referral/treatment, and outcomes related to cardiovascular disease, diabetes, cancer, and lifestyle factors.

Conclusions:

  • BETTER 2 represents a collaborative, practice-based approach focused on integrating existing successful models.
  • The program evaluation will identify factors influencing the implementation and sustainability of effective CDPS in primary care settings.
  • Findings aim to inform adaptations for sustainable, non-research implementation of improved CDPS.