title: Promoting healthy lifestyles in Ontario Family Health Networks.
abstract: OBJECTIVE
  Primary health care reform presents new opportunities for registered dietitians (RDs) to contribute to health promotion and disease prevention in family practices. Since this is an emerging area of RD practice, a health promotion specialist was contracted to conduct a needs assessment and develop a plan for implementing nutrition-focused healthy lifestyle activities.
  
  
  METHODS
  The needs assessment was conducted as part of an Ontario-based demonstration project in three Family Health Networks (FHNs).
  
  
  RESULTS
  The needs assessment revealed a lack of agreement about what types of activities should be undertaken, a lack of information on the population's needs, a lack of coordination with other agencies in the community, and barriers of time and resources. The health promotion specialist recommended that health care team members in each FHN develop a shared understanding of their goals, and undertake the entire planning and evaluation cycle. Specific strategies were suggested to increase awareness, to provide health education, and to improve environmental support.
  
  
  CONCLUSIONS
  A significant need exists for conceptual development, planning, testing, and evaluation of disease prevention and health promotion in family physician-based primary health care organizations. The findings may be useful to others interested in increasing the focus on health promotion and disease prevention in such practices.
authors.affiliation: Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
authors.forename: Paula
authors.initials: P
authors.lastname: Brauer
authors.forename: Theresa
authors.initials: T
authors.lastname: Schneider
authors.forename: Christine
authors.initials: C
authors.lastname: Preece
authors.forename: Deborah
authors.initials: D
authors.lastname: Northmore
authors.forename: Eva
authors.initials: E
authors.lastname: West
authors.forename: Linda
authors.initials: L
authors.lastname: Dietrich
authors.forename: Bridget
authors.initials: B
authors.lastname: Davidson
mesh_terms: D006293:Health Promotion; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D020380:Needs Assessment; D009864:Ontario; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D011322:Primary Prevention