title: The evolution of integrated chronic disease prevention in Alberta, Canada.
abstract: BACKGROUND
  Recognition of the common risk factors for leading chronic diseases in Canada has contributed to the development of integrated chronic disease prevention and health promotion approaches. The Alberta Heart Health Project studied the capacity of health organizations in Alberta, Canada, to engage in heart health promotion. This article describes how the Alberta Heart Health Project acted on emerging research findings describing the preliminary stages of integrated chronic disease prevention in Alberta to provide leadership to encourage provincial chronic disease prevention efforts.
  
  
  BACKGROUND
  Political support for integrated chronic disease prevention was evident at the provincial and federal levels in Canada. As a result of organizational restructuring, loss of key health promotion champions, and decreased funding allocations, Alberta's regional health authorities sought increased efficiency in their chronic disease prevention efforts.
  
  
  METHODS
  Descriptive data were derived from a brief questionnaire on regional health authorities' chronic disease prevention priorities and activities, an inventory of regional health authority health promotion programs and services, content analysis of key regional health authority documents, and focus groups with regional health authority staff, management, and policymakers.
  
  
  CONCLUSIONS
  In 2002, the Alberta Heart Health Project data revealed that many regional health authorities were beginning to engage in integrated chronic disease prevention. However, little collaboration occurred across the health organizations; provincial leadership to facilitate collaboration and networking for integrated chronic disease prevention was needed.
  
  
  CONCLUSIONS
  Results supported the growing momentum for provincial leadership to enhance collaboration for integrated chronic disease prevention, which contributed to the development of the Alberta Healthy Living Network. The government's assistance is also needed to support the intersectoral collaborations essential for integrated chronic disease prevention.
authors.affiliation: Alberta Heart Health Project, University of Alberta, Edmonton, Canada.
authors.forename: Sharlene
authors.initials: S
authors.lastname: Wolbeck Minke
authors.forename: Cynthia
authors.initials: C
authors.lastname: Smith
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Plotnikoff
authors.forename: Ernest
authors.initials: E
authors.lastname: Khalema
authors.forename: Kim
authors.initials: K
authors.lastname: Raine
mesh_terms: D000416:Alberta / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology*; D005380:Financing, Government; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D011314:Preventive Health Services / Q000458:organization & administration*; D016730:Program Development / Q000191:economics / Q000379:methods*; D012040:Regional Health Planning; D012307:Risk Factors; D013997:Time Factors