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Health committee  Currently, we're exploring a very interesting innovation. The intervention is done using the video camera, but it's all virtual, and it guides the person through the whole assessment. The screen is very simple. It's not a lot of big check boxes, so it helps the person who might h

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  Do you want me to answer?

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  I think you're right: it is a knife at a gunfight, but I think it's within the context. At the bottom line, for behaviour change to occur, we have to change hearts and minds. With that comes the change in skill to counteract. We all like to believe that we are the masters of our

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  I've been perplexed as well. When I practised in India, the poorest of poor people kept all of their own health records and brought them to the visit. Then I came to this country, where most people are educated, have the highest level of education in the world, but have no access

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  Thank you. I think there are some things we can learn about implementation from south of the border as well as from Canada. There is a research methodology of implementation called implementation science. Whereas right now we're just letting it happen, where we need to be is to

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  I think it's what Dr. Tamblyn said: how do we align engineering science with social sciences and telesciences? It goes back to your previous question. If you project that we're going to be living until 90 years of age, it's what we do in our thirties—before we hit 40 years of age

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  It does work both ways, absolutely.

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  I think it's an empirical question, but what we do notice is that people are coming in way more informed. Now when I'm talking to patients, before I start giving any advice, I'll ask them what it is they know about a medication or what they have read about it. Then I fill in the

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  I think you would—

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  Yes, there is a bit of a learning curve. I think what happens...and this is when I used to take care of pregnant women, or young mothers, really. There wasn't a lot of social infrastructure around, so when they discovered that the baby had a little bump—it was actually just the

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  Right now, it's just out there, but we have no framework to study them and say, yea or nay, whether they're harmful or not. But that's an example of technology coming in without a framework and taking over. It requires research. We don't know what's in them. We don't know the pr

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  My comment is simply that I think these innovations need to come, but one way in which we can reduce that divide.... Clearly there are places where we need to have access, such as libraries, such as health care centres, and those can certainly help that. In increasing the literac

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  Yes. In the briefing, we submitted a range of apps for various health behaviours, and we've also put in some of the ones that we've developed, studied, and written about. But again, when we look at it, when we take a step back, there needs to be a better evaluation. Right now, it

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  One way in which people are beginning to do that—and I think the big one—is crowdsourcing. The more people are using something, the more it tends to rise. Search engine optimization is one way in which this is being done. The Internet is much flatter, and the authority of health

April 23rd, 2013Committee meeting

Dr. Peter Selby

Health committee  To wrap up in terms of the evidence, the evidence is actually quite compelling and it's been summarized in many publications that look at it. They do make a change, people do use them, but we need to make sure that we situate them in such a way that they can virtualize some of th

April 23rd, 2013Committee meeting

Dr. Peter Selby