CDPAC 2014 Conference Conference Program

Transcription

CDPAC 2014 Conference
Conference Program
New Partnerships and New Approaches for Chronic Disease Prevention
April 8 - 11, 2014 • Delta Ottawa City Centre • Ottawa, ON
cdpac.ca
Partnerships & Acknowledgements
The Chronic Disease Prevention Alliance of Canada (CDPAC) and the Conference Steering Committee wish
to recognize the following organizations for their generous support of the Fifth Pan-Canadian Conference,
“New Partnerships and New Approaches for Chronic Disease Prevention”.
Gold
Silver
Canadian Institutes of Health Research - Institute of Circulatory and Respiratory Health
Canadian Institutes of Health Research - Institute of Nutrition, Metabolism and Diabetes
Canadian Institutes of Health Research - Institute of Population and Public Health
Bronze
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Table of Contents
2
Partnerships & Acknowledgements
3
Table of Contents
4
Floorplan
5
Program at a Glance
6
Welcome from the Conference Co-Chairs
7 – 12
Program Agenda
13 – 19
Speaker Bios
20
Twitter: How-To-Guide
21
About CDPAC
22
Sponsor Advertisements
23 – 44
Concurrent Sessions Guide
Accreditation
This program has been accredited by the College of Family Physicians of Canada
and the Ontario Chapter for up to 26 Mainpro-M1 credits.
Program and Scientific Committee
Manuel Arango (Conference Co-Chair)
CDPAC - Heart and Stroke Foundation
Mary Collins (Conference Co-Chair)
CDPAC - BC Healthy Living Alliance Secretariat
Lisa Ashley CDPAC - Canadian Nurses Association
John Higenbottam CDPAC - Canadian Alliance on Mental
Illness and Mental Health
Bill Callery CDPAC Manager, Programs and Knowledge
Exchange
Deb Keen Canadian Partnership Against Cancer
Connie Chen Family Doctor, Rexdale Medical Centre
Craig Larsen CDPAC Executive Director
Catherine Donovan CDPAC - Newfoundland & Labrador
Wellness Advisory Council
David Mowat Region of Peel; Dalla Lana School of Public
Health, University of Toronto
Jill Skinner Canadian Medical Association
Thank you to our Abstract Reviewers
Lisa Ashley • Bill Callery • Katherine Cole • Catherine Donovan • Samantha Hartley-Folz • John Higenbottam
Deb Keen • Craig Larsen • Michele Lyons • Doris Mae Oulton • Jill Skinner • Jane Tsai
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Floorplan – Delta Ottawa City Centre
4
Program at a Glance
Tuesday, April 8, 2014 (Pre-Conference Day)
8:30am – 4:30pm
Beyond Health Evidence: Active Transportation Policy Development
9:30am – 11:45am
Canadian Cancer Society: Building a Nation-wide Cancer Prevention Strategy
1:00pm – 4:00pm
“Ways Tried and True” – A New Framework to Assess Aboriginal Health Interventions
Richelieu Room
Joliet Room
Frontenac Room
Wednesday, April 9, 2014
7:00am – 8:15am
Networking Breakfast
International Ballroom
8:15am – 8:30am
Opening Remarks
8:30am – 8:45am
Aboriginal Welcome
8:45am – 9:00am
Opening Address
9:00am – 10:30am Plenary Presentation – A Pathway for Chronic Disease Prevention - From Global to
Local
10:30am – 11:00am Coffee Break
Foyer – International Ballroom
11:00am – 12:30pm Plenary Presentation – The Economics of Chronic Disease Prevention
12:30pm – 1:45pm
Networking Lunch
1:45pm – 3:15pm
Concurrent Sessions A
3:15pm – 3:45pm
Coffee Break
3:45pm – 5:15pm
Concurrent Sessions B
5:30pm – 7:30pm
Networking Reception
See page 8
See page 9
Penthouse Level
Thursday, April 10, 2014
7:15am – 8:30am
8:30am – 10:30am Plenary Presentation – Partnerships for Prevention Across Sectors and
Stakeholders
11:00am – 12:30pm Concurrent Sessions C
12:30pm – 1:30pm
See page 10
Networking Lunch
1:30pm – 3:00pm
Concurrent Sessions D
3:00pm – 3:30pm
Coffee Break
See page 11
3:30pm – 5:00pm
Plenary Presentation – New Approaches for Inclusiveness in Chronic Disease
Prevention
Friday, April 11, 2014
7:00am – 8:00am
8:00am – 9:00am
Plenary Presentation – Active Transportation
9:00am – 9:10am
Transition
9:10am – 10:40am Concurrent Sessions E
See page 12
11:00am – 12:00pm Plenary Presentation – The Public Health Agency of Canada’s Multi-sectoral
Partnerships to Promote Healthy Living and Prevent Chronic Disease Funding
Initiative: Lessons Learned and Next Steps
12:00pm – 12:30pm Closing Remarks – Chronic Disease Prevention: Where Do We Go From Here?
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A Warm Welcome from the
CDPAC Conference Co-Chairs
On behalf of the Chronic Disease Prevention Alliance of Canada, we are delighted to welcome you to
our 5th pan-Canadian conference, “New Partnerships and New Approaches for Chronic Disease
Prevention”.
Knowledge mobilization continues to be a primary part of CDPAC’s mandate.
Through events such as CDPAC’s conferences and webinars we bring people
together for real-time exchange and action on the issues that matter most to you.
We’ve been fortunate to see significant focus and progress on chronic disease
prevention globally, across Canada, regionally and locally over the past several
years. The momentum continues to grow and it inspires us to press on in new and
increasingly effective ways.
“New Partnerships and New Approaches for Chronic Disease Prevention” will
showcase many exemplary partnerships for chronic disease prevention, covering
a wide range of sectors and settings. You will see that we have targeted several
particular focal points such as the economics of chronic disease prevention, and the
importance of taking an inclusive approach to our work. There are many lessons to
be learned from the examples we will be profiling throughout the conference.
It is our most sincere wish that at the end of the conference you will leave with
greater insights into ways that you can accelerate action on chronic disease
prevention by pursuing and nurturing new partnerships and new approaches in
your work.
Sincerely,
Hon. Mary Collins, P.C.
Chair, CDPAC Alliance
Director of the Secretariat,
BC Healthy Living Alliance
Manuel Arango
Director of Policy
Heart and Stroke Foundation
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Program Agenda
Tuesday, April 8, 2014 (Pre-Conference Day)
8:30am – 4:30pm
Beyond Health Evidence: Active Transportation Policy Development
Richelieu Room
Hosted by the Canadian Partnership Against Cancer
Building on previous engagement and knowledge exchange workshops, this pre-conference workshop will bring together experiences from
both political science and public health research and practice to provide a deeper understanding of the policy process as it relates to active
transportation policies. This workshop will begin with core concepts from political science on the policy process and factors influencing policy.
Participants will engage in an interactive skill-building exercise to assess critical factors in active transportation policy. Finally, this workshop
will describe efforts to increase the availability of practice-based policy evidence, wherein findings from three Canadian case studies on active
transportation policy will be shared.
9:30am – 11:45am
Canadian Cancer Society: Building a Nation-wide Cancer Prevention Strategy
Joliet Room
Hosted by the Canadian Cancer Society
The purpose of the pre-conference workshop is to bring together experts in chronic disease prevention to review and validate priority areas
for action in the CCS Prevention Strategy; and explore options for accelerating integration and collaboration between cancer prevention
researchers, practitioners and decision makers.
1:00pm – 4:00pm
“Ways Tried and True” – A New Framework to Assess Aboriginal Health
Interventions
Frontenac Room
Hosted by the Public Health Agency of Canada’s Canadian Best Practices Initiative
The Public Health Agency of Canada and Johnston Research Inc., in collaboration with partners and experts in the Aboriginal Public Health
Community, are developing a new rubric to test Aboriginal health interventions based on traditional knowledge and community needs.
Participants will hear about the development of the rubric, provide their feedback, and practice its application with several real-life interventions.
This work is significant in building capacity and sharing knowledge on what works in Aboriginal public health.
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Wednesday, April 9, 2014
7:00am – 8:15am
8:15am – 8:30am
Opening Remarks by 2014 Conference Chairs
Offered by Mary Collins, Chair, Chronic Disease Prevention Alliance of Canada and Manuel Arango, Director, Health Policy, Heart and
Stroke Foundation of Canada
8:30am – 8:45am
Aboriginal Welcome
Offered by Claudette Commanda, Member of the Kitigan Zibi Anishinbeg Algonquin First Nation
8:45am – 9:00am
Opening Address
Offered by the Honourable Rona Ambrose, Minister of Health
9:00am – 10:30am
Plenary Presentation – A Pathway for Chronic Disease Prevention From Global to Local
Moderated by Rick Blickstead, President and CEO, Canadian Diabetes Association
Presented by Anselm Hennis, Director, Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization;
Kimberly Elmslie, Acting Assistant Deputy Minister, Health Promotion and Chronic, Disease Prevention Branch, Public Health Agency of
Canada; Dorian Lo, Executive Vice President, Pharmacy and Healthcare, Shoppers Drug Mart
The over-arching theme of this conference is partnerships and new ways of working together. Why is this important? Over the past decade
we have witnessed an escalating attention to the fact that chronic disease prevention is an all-of-society responsibility and that stakeholders
associated with the determinants of health must work together. This message rings clear from global through to national, provincial/territorial
and municipal levels of government. Panel members will describe this context and explain what it means globally and for Canada, with a
spotlight on some unique examples of how the broader spectrum of health stakeholders are stepping up to the plate.
10:30am – 11:00am
Coffee Break
11:00am – 12:30pm
Plenary Presentation – The Economics of Chronic Disease Prevention
Sponsored by Canadian Institutes of Health Research - Institute of Population and Public Health
Moderated by Anne Sutherland Boal, CEO, Canadian Nurses Association
Presented by Hans Krueger, Adjunct Professor, UBC Faculty of Medicine; Armine Yalnizyan, Senior Economist, Canadian Centre for Policy
Alternatives & Member, CIHR IPPH Advisory Board; Stephanie Robertson, SiMPACT Strategy Group
Why invest in chronic disease prevention and how can the impacts of these investments be measured? With the majority of healthcare
expenditures spent on treating conditions that are largely preventable, many have argued for shifting investments “upstream,” into research,
policies and programs that focus on disease prevention, in order to decrease “downstream” disease treatment costs. In this plenary, presenters
review the burden of chronic diseases in Canada and address these issues and questions through a discussion of economic modelling of
prevention efforts targeting chronic disease risk factors and new approaches to measuring investments in prevention that integrate economic
and social factors.
12:30pm – 1:45pm
Networking Lunch
Sponsored by Johnson & Johnson, Family of Companies in Canada
1:45pm – 3:15pm
A1
Concurrent Sessions A
Interventions & Research
Frontenac Room
Oral Presentations
Measuring Chronic Disease Prevention Performance in Ontario through Implementation of Public Health Accountability Agreement Indicators Laura Pisko
Learning from Past Successes: Using Smoke-Free Indoor Space Movement in Ontario and California Deanna White
Interventions to Reduce the Impact of Smoking Imagery in Movies on the Smoking Behaviours of Youth: From Evidence to Policy Megan Fitzgibbon
The Use Of Collaborative Healthcare Partnerships In The Delivery Of Self-Managed CBT Based Care Jonathan Morris
The Knowledge in the Room: Evidence-Gathering And Partnership-Building Through Community Sharing Circles For The Northwest Territories Cancer
Strategy Sabrina Broadhead
A2
Interventions
Chaudiere Room
Oral Presentations
Finding a BETTER Way: A Chronic Disease Prevention and Screening Program Kris Aubrey-Bassler
Hans Kai: An Innovative Program To Improve Health, Prevent And/Or Manage Chronic Diseases Through Community Led Groups Shannon Milks, Cindy
Peters
Improving Dental Health through a School Based Tooth Brushing Program in a Low Socioeconomic Area of Urban Ottawa Bev Wilcox
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A3
Populations & Risk Factors
Joliet Room
Rapid Fire E-Poster Presentations
Locally Driven Collaborative Project (Cycle 2): Decreasing Alcohol Use And Alcohol Related Harms - Phase 2 Emily Lester
Vital Signs: Gathering Community Perspectives for DeSIGNing Interpretive Signage on Salt Spring Island Joan Wharf Higgins
Oral Presentations
Cultural Competency in Cancer Screening and Treatment for First Nation, Inuit and Metis Verna Stevens
Identifying Pre-diabetics in Primary Care EMR database and Potential Technological Interventions at the Point of Care Morteza Mashayekhi, Karim
Keshavjee
Data and Systems Thinking: Basis for Health Equity Integration Lydia Drasic
A4
Evidence-Informed Action on Healthy Living and Healthy Weights: From Surveillance and Modelling to Population
Interventions Kerry Robinson
Bytowne Room
A5
Coalitions Linking Action And Science For Prevention (CLASP): A Model For Establishing And Implementing MultiDisciplinary, Multi-Jurisdictional Partnerships For Cancer And Chronic Disease Prevention Jon Kerner
Richelieu Room
A6
Health Impact Assessment (HIA) – Does It Really Make A Difference? Lisa Ashley, Rita Koutsodimos, Louise St-Pierre,
Émile Tremblay
A7
Changing The Food And Beverage Environment In Community Recreation Chi Cejalvo, Jan Downing, Elsie De Roose,
Emmanuelle Dumoulin
3:15pm – 3:45pm
Coffee Break
Capitale Room
3:45pm – 5:15pm Concurrent Sessions B
B1
Research & Partnerships
Frontenac Room
Ontario’s Healthiest Province Campaign - A Provincial Advocacy Success Story Chris Markham
Heart Wise Exercise: Building Community Capacity for Individuals with Chronic Disease Jennifer Harris
Running for the Cause or Walking the Talk? The Influence of the ‘Run for the Cure’ Event on Participants’ Health Practices Joan Wharf Higgins
Oral Presentations
Understanding And Improving The Performance Of Inter-Organizational Partnerships For Chronic Disease Prevention: Developing An Action Research
Agenda Cameron Willis
Catalyzing Multi-Disciplinary Collaborations For Chronic Disease Prevention Research Barbara Riley
Research into Practice: Methods & Tools to Support Evidence-Informed Decision-Making Maureen Dobbins
The Single Largest Health Promotion Intervention in Ontario - The Story Of Our Health Curriculum Chris Markham
B2
School Settings
Chaudiere Room
Oral Presentations
The Youth Engagement Toolkit: Bringing Youth Voice And Inclusion To Comprehensive School Health Katherine Kelly
Health Empowerment for You (HEY) Beverley Whitehawk, Sheryl Whitehawk
The Healthy School Planner: An Assessment Tool For Improving School Health And Developing A Healthy School Culture Katherine Kelly
Promoting Healthy Relationships and Preventing Bullying: A Positive Mental Health Toolkit for Schools Katherine Kelly
B3
Built Environment & Capacity Building
Joliet Room
Benefits of a Peer-to-Peer Learning Initiative with Osteoporosis Screening Coordinators Heather Eatson
Fit for Work: Findings From An Online Survey Of People Living With Arthritis Lynn Moore
Oral Presentations
Where Planning Meets Health: Synergistic Partnerships for Creating Actively Designed Buildings and Outdoor Spaces Barinder Jandu
Healthy Built Environment (HBE) Linkages Toolkit: An Evidence-Informed Resource Andrew Tugwell
The Importance Of Stakeholder Engagement In Facilitating “Knowledge To Action” Strategies To Promote Healthy Public Policy: The Example Of Built
Environment And Obesity Ghazal Fazli
A Non-Traditional Intersectoral Collaboration: Building Healthy Communities On The Rock Catherine Donovan
B4
Pulling Together A Decade Of Physical Activity, Tobacco Dependence And Mental Wellness Research: Where Have We
Been And Where Can We Go? Annette Schultz, Gayle Halas
B5
Creating Partnerships To Address Childhood Healthy Weights In BC Karen Strange, Arlene Cristall, Patti-Jean Naylor
Richelieu Room
B6
Restricting Marketing To Children – What Is Possible In A 21st Century World Of Social Media? Manuel Arango, Dennis
Van Staalduinen, Grant Gordon, Kenneth Wong
B7
First Nations Communities Working to Support Local Food Practices as a Chronic Disease Prevention Strategy Courtney
Mason, Myrna Robinson, Jeanie Dendys, Clara Winnipetonga, Fred Jacob
5:30pm – 7:30pm
Networking Reception
Bytowne Room
Capitale Room
Penthouse Level
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Thursday, April 10, 2014
7:15am – 8:30am
8:30am – 10:30am
Plenary Presentation – Partnerships for Prevention Across Sectors and Stakeholders
Moderated by Deb Keen, Director, Prevention & Research, Canadian Partnership Against Cancer
Presented by Jennifer Vornbrock, Vice President, Knowledge and Innovation, Mental Health Commission of Canada (MHCC); Patrick
Cashman, CEO, Lundbeck Canada; Hasan Hutchinson, Director General, Health Canada’s Office of Nutrition Policy & Promotion; Phyllis
Tanaka, Senior Advisor, Food and Nutrition, Food & Consumer Products of Canada; Gloria So, Manager, Strategic Initiatives, YMCA Canada;
Angela Simo Brown, General Manager and Co-Founder, AIR MILES for Social Change; Rodney Ghali, Director General, Centre for Chronic
Disease Prevention, Public Health Agency of Canada
The importance of multi-sectoral approaches to chronic disease prevention that include industry have been re-inforced through key events
including the Canadian Federal, Provincial and Territorial Ministers of Health’s endorsement of “Curbing Childhood Obesity: A Federal,
Provincial and Territorial Framework for Action to Promote Healthy Weights” in 2010 and the United Nations adoption of the Political Declaration
on the Prevention and Control of Non-communicable Diseases in 2011. The reality of working in partnership with the private sector provides
many opportunities, but also challenges. This panel will explore exemplary partnership approaches from Canada in the areas of mental health,
nutrition and healthy weights, with teamed partnership presenters discussing their respective experiences and learnings.
10:30am – 11:00am
Coffee Break
11:00am – 12:30pm
Concurrent Sessions C
C1
Healthy Weights & Physical Activity
Frontenac Room
Oral Presentations
Evidence of Early Environmental Risk Factors for Chronic Disease Lynn Marshall
Municipal Child Care Healthy Eating and Active Living Guidelines Helen Parker, Ellen Lakusiak
Impact of Nutrition Standards Among Preschool Children in Nova Scotia Misty Rossiter
Lesson Plans: How a Teacher Strike Influenced Physical Activity Practices of High School Students Joan Wharf Higgins
C2
Partnerships & Strategies
Chaudiere Room
Oral Presentations
Using Results-Based Accountability to Develop a Chronic Disease Prevention Strategic Plan Charlene Gunn-Hagerman, Allison Bailey
Developing Strong Partnerships: A Framework And Guidelines For Public Health Outcomes Saskia Ramsay, Krista Burns
Introducing HIA to the Mongolian Resource Sector through Diffusion of Innovation Theory: A Story of Successful Diffusion Tsogtbaatar Byambaa
Economic Policies to Promote Nutrition Manuel Arango
Strategies and Models of Practice for Designing Healthy Rural Communities Karen Loney
C3
Research & Settings
Joliet Room
Raising and Measuring the Awareness of CANRISK in Canadian Pharmacists Philip Emberley
Recruitment and Retention of Doctors of Chiropractic in Rural Communities in Newfoundland and Labrador from 1991 to 2010 Laurie Goyeche
A Collaborative Effort In Leading The National Population Health Study Of Neurological Conditions In Canada Fardosa Loyan
Oral Presentations
Physician’s Perceptions of the Role of Certified Exercise Physiologists in Primary Care: What’s Up, Doc? Lisa Campkin
Health Coaching in Primary Care: reaching The Hard To Reach In Chronic Disease Prevention And Management Pamela Cullen-Arseneau
CASTLE’s Collaborative Community Approach to Chronic Disease Prevention Melanie Seguin, Diane Peart
Early Detection & Prevention of Progression of Chronic Kidney Disease (CKD): An ORN initiative to increase awareness in primary care Allan Grill
C4
Population Mental Health: What Are The Needs For A Comprehensive Public Health Practice? Pascale Mantoura
Bytowne Room
C5
Improving Chronic Disease Prevention Through Implementation Science: International Perspectives And Emerging
Directions In Canada Barbara Riley
Richelieu Room
C6
Determinants Of Health Approaches To Chronic Disease Prevention Margo Greenwood, Tim Aubry, Andrew McLellan,
Jill Skinner, Joelle Walker
C7
Healthy Me Week - A Call To Action From Leading Media Organizations Challenging Canadians To GET UP. FUEL UP
and OWN UP Bev Deeth, Anne Kane Jeffries
12:30pm – 1:30pm
Networking Lunch
Capitale Room
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1:30pm – 3:00pm
D1
Concurrent Sessions D
Research & Partnerships
Frontenac Room
Population Health Surveillance to Enhance Dementia Awareness and Action in Canada Larry Chambers
The Burden of Osteoarthritis: Use of Hospital Services and Prevalence of Comorbidity among OA Inpatients in Newfoundland & Labrador Jennifer
Woodrow
Oral Presentations
ACCELERATION - Twelve Weeks to Health: A Model for Chronic Disease Prevention Paul Oh
The Role Of International Trade And Investment In Chronic Disease Prevention: The Importance Of Enhancing Competencies And Partnerships Among
Health And Trade Policy Analysts Ashley Schramm
Evidence vs. Public Perceptions: Challenges & Opportunities In Raising Awareness Of Alcohol-Related Risks For Chronic Disease Norman Giesbrecht
D2
Risk Factors & Populations
Chaudiere Room
Live Well! Bien Vivre! Health Coaching For Behaviour-Change Julie Atkinson
Benchmarking Canada’s Health System: The Impact of Smoking Policies on Mortality Due to Lung Cancer in Canada Mark McPherson
Oral Presentations
Disparities In Treatment For Heart Attack And End-Stage Renal Disease Among Aboriginal Peoples In Canada Geoffrey Hynes, Helen Wei
Health Skills Health Smart: Participatory Program Design with Settlement Workers and Other Community Partners Marcela Tapia, Sajida Afridi
Partnering for Newcomers’ Language Learning, Integration and Health Marcela Tapia, Shirley Graham
D3
Food Insecurity & Families
Joliet Room
A Children’s Environmental Health Approach to Chronic Disease Prevention: Top 5 Tips for Families Erica Phipps
Oral Presentations
Socio-Demographic and Health Factors that Increase Social Assistance Recipients’ Vulnerability to Food Insecurity Yiwen Liu
Household Food Insecurity in Canadian Cities: A Multilevel Analysis Urshila Sriram
D4
LiveWell – A New Model of Community Health Genevieve Hladysh
Bytowne Room
D5
Measuring The Effectiveness Of Knowledge Transfer and Exchange (KTE): The Canadian Partnership Against Cancer’s
KTE Toolkit Jon Kerner, Karen Singh
Richelieu Room
D6
Partnerships For Addressing Physical Activity Christa Costas-Bradstreet, Jennifer Cowie Bonne, Diane English,
Susan Houston
D7
CDA – Diabetes Patient Charter Seema Nagpal
Capitale Room
3:00pm – 3:30pm
Coffee Break
3:30pm – 5:00pm
Plenary Presentation – New Approaches for Inclusiveness in Chronic Disease
Prevention
Moderated by John Higenbottam, Co-Chair, Canadian Alliance on Mental Illness & Mental Health
Presented by Peter Coleridge, National CEO, Canadian Mental Health Association; Joan Wharf Higgins, Canada Research Chair in Health
& Society; Jeffrey Reading, Professor, School of Public Health and Social Policy, University of Victoria
Some sectors of the population bear a particularly heavy burden of chronic disease and/or live within contexts which require specially considered
interventions. Panelists representing Aboriginal communities, immigrant/multicultural communities, low-SES communities, and those affected
by mental health issues will talk about how to reach out in new ways to reach their respective populations for chronic disease prevention. What
are the common and unique needs of various communities and what are the take-away experiential lessons that may benefit others?
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Friday, April 11, 2014
7:00am – 8:00am
8:00am – 9:00am
Plenary Presentation – Active Transportation
Moderated by Jennifer Cowie Bonne, CEO, Active Healthy Kids Canada
Presented by David Mowat, Medical Officer of Health, Peel Region; Vaidila Satvika, Former Director, New York City Plaza Program
Active Transportation – any human powered transportation – is associated with many environmental, economic and health benefits. These
benefits are maximized when the principles of healthy public policy and good community design intersect. This session will bring together
experts representing these two key perspectives who will share and discuss examples and considerations for developing effective active
transportation initiatives and the partnerships behind them.
9:00am – 9:10am
Transition
9:10am – 10:40am
Concurrent Sessions E
E1
Marketing to Children & School Nutrition Policies
Chaudiere Room
Oral Presentations
Prohibiting Marketing to Children: The Experience of Sweden, Norway and Québec Alex Huntley
Has the Children’s Food and Beverage Advertising Initiative Made a Difference? A 2006-2011 Comparison of Advertising on Children’s Specialty Channels
Monique Potvin Kent
An Evaluation of the Ontario School Food and Beverage Policy (P/PM150) in the Region of Peel: Food Environmental Scan Results Taryn Orava
Promoting Child-Targeted Health Foods: An Analysis of Nutritional Content and Product Packages Jacqueline Williamson
Multi-stakeholder Perceptions of the Ontario School Food & Beverage Policy (P/PM150) Implementation in Region of Peel Schools Renata Valaitis
E2
Healthy Weights & Physical Activity
Richelieu Room
Oral Presentations
Technology & Adolescent Obesity: Finding The Cure In The Cause Fletcher Lu
Time for a Paradigm Shift - From Weight to Mental & Physical Well-Being Lydia Drasic
Professionals on the Move: Implementing Active Canada 20/20 Mary Duggan, Christa Costas-Bradstreet, Chantal Lalonde
Mapping Municipal Active Transportation Policies Across Canada: Using Creative Data Visualization To Support Healthy Public Policy Diffusion And
Collaboration Christopher Politis
Learning through Partnerships, Facilitation and Evaluation: An Intervention to Foster Healthy School Physical Activity and Nutrition Environments
Micheline Turnau, Jennifer Yessis
E3
Research, Tools, and Approaches
Capitale Room
A Comprehensive Partnership Approach to Increase Breast Cancer Screening Rates in Underscreened Neighbourhoods in Toronto Gina Ing
An Evaluation of the Getting a Grip on Arthritis Online Continuing Professional Development Program Lynn Moore
Oral Presentations
Integrating the Population Health Approach into Canadian Healthcare: Looking to Leaders and Champions Deborah Cohen
Network Mapping-An Emerging Research Tool For Collective Impact In Chronic Disease Prevention Suzanne Schwenger
Identifying Organizational Contexts Needed To Foster Evidence-Informed Public Health Maureen Dobbins
E4
Supporting Advocacy For Health In All Policies: The Impact Of Policies On Health Lisa Ashley
E5
Healthy Beginnings For Preschoolers: A Capacity Building Initiative Giving Canadian Children A Healthy Start
Vanessa Abud-Munro, Jan Downing, Elsie DeRoose, Emmanuelle Dumoulin
Frontenac Room
Joliet Room
10:40am – 11:00am
Coffee Break
11:00am – 12:00pm
Plenary Presentation – The Public Health Agency of Canada’s Multi-sectoral Partnerships
to Promote Healthy Living and Prevent Chronic Disease Funding Initiative: Lessons
Learned and Next Steps
Moderated by Lynn Moore, Director of Programs and Services, Arthritis Society
Presented by Chad Hartnell, Senior Director, Partnership and Strategies Division, Public Health Agency of Canada
Partnerships have long been at the core of government policy and programming as a means to leverage expertise, resources and outcomes
in many domains, including public health. Over the past 18 months, the Public Health Agency of Canada has evolved its partnership approach
in the area of chronic disease prevention and healthy living. This session will provide an overview of the Agency’s multi-sectoral partnership
approach and offer insight into how these partnerships are advancing shared public health objectives.
12:00pm – 12:30pm
Closing Remarks – Chronic Disease Prevention: Where Do We Go From Here?
Presented by Manuel Arango, Director, Health Policy, Heart and Stroke Foundation of Canada; Mary Collins, Chair, Chronic Disease
Prevention Alliance of Canada
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Conference Co-Chairs
Mary Collins has been the Chair of the Chronic Disease Prevention Alliance of Canada since September 2012 and the Director of the Secretariat
of the BC Healthy Living Alliance since February 2008. During the mid eighties Mary served as a Member of Parliament and a Cabinet Minister holding
the portfolios of Associate Minister of National Defence, Minister of Health and Welfare, Status of Women, Western Economic Diversification and
Minister of State for Environment. As Minister of Health, she introduced the first tobacco package health warning regulations, and also initiated the
national Panel of Violence Against Women and the Royal Commission on Blood Safety. From 2002-2007 she worked in Russia with the World Health
Organization and throughout her career has been involved in health policy and practice, locally, nationally and internationally. She is an active
participant in many organizations serving on the Boards of the Vancouver Police Department, Royal Roads University, the Arts Club Theatre and the
Vancouver Opera Foundation.
Manuel Arango, Director of Health Policy, Canada, for the Heart and Stroke Foundation located in Ottawa, oversees the Foundation’s policy &
advocacy efforts. Manuel also acts as a media spokesperson for the Foundation on a variety of policy issues. Manuel has chaired various coalitions
and a board of directors. He has a Masters in experimental psychology (Carleton University) and a Masters in health administration (University of
Ottawa). Manuel’s policy/advocacy interests focus on cost-effective population-wide interventions that can make it easy for Canadians to be healthy as
possible. He was formerly a legislative assistant on Parliament Hill. Since being at the Foundation he has served as Health Policy Analyst; Manager,
Government Relations, and; Assistant Director Health Policy. Manuel is passionate about his wife & two children, as well as about ensuring that
governments create the healthiest environments possible, so that the healthy choice can always be the easy choice for all Canadians.
Plenary Presenters
Rick Blickstead has been Chief Executive Officer and President of Canadian Diabetes Association since October 1, 2013. Mr. Blickstead is
responsible for overseeing the CDA’s mission to lead the fight against diabetes by helping people with diabetes live healthy. Mr. Blickstead joined the
CDA, after he served as the Chief Executive Officer of The Wellesley Institute for 11 years. He has experience working with multiple stakeholders in
this role and previously in executive leadership roles with Peoples Jewellers, Wal-Mart, Dylex, Holt Renfrew and RONA. He has a diverse background
in strategic leadership, organizational and board governance, and operational excellence. Mr. Blickstead also serves as Director of Toronto Board
Of Trade. Mr. Blickstead is an Adjunct Professor at the University of Toronto, a Fellow of the Social Innovation Generation at MaRS and has been
the operational team leader for Seeing is Believing, an initiative of the Prince’s Trust (UK) and Prince’s Charities Canada. He is also a member of
several boards, including the Toronto Central LHIN, Young President/World President Organization, and Toronto Region Board of Trade’s Policy and
Advocacy Committee. He has an MBA from the Rotman School of Business at the University of Toronto and has completed the non-profit leadership
certificate joint program at the Harvard Business School and Kennedy School of Government.
Patrick J. Cashman is a multicultural executive with over 20 years of global experience in pharmaceutical management. In 2007, Mr. Cashman
was named President and General Manager of Lundbeck`s Canadian subsidiary. In 2010 and 2011 Cipralex (escitalopram - an antidepressant) was
the fastest growing product in Canada in terms of prescriptions as well as value. Lundbeck Canada also was the fastest growing pharmaceutical
company of the top 50 companies in both years. During his tenure in Canada sales have nearly doubled. Prior to joining the Canadian team he
established Lundbeck’s operations in Mexico, following that position he was Regional Vice President for Latin America, and later he worked to establish
Lundbeck’s office in the US Market. Mr. Cashman holds a Masters of Business Administration Degree with Honours from Thunderbird School of
International Business as well as a Bachelors degree in Economics from the University of Wisconsin-Madison.
Peter Coleridge is the National Chief Executive Officer, Canadian Mental Health Association, and has over 20 years of experience at the provincial,
national and international levels in health promotion/population health, public policy, public education, educational resource material development and
training, planning, change management, and marketing and strategic communications. He has extensive knowledge of mental health and mental
illness, substance use, and a number of other inter-related health and social issues such as cardiovascular disease, and maternal and newborn health.
Peter has held a number of leadership and senior management positions including: Vice President, Education and Population Health and Senior
Advisor at BC Mental Health and Addiction Services - an agency of the Provincial Health Authority in Vancouver, British Columbia; and Vice President,
Communications, Education and Community Health at the Centre for Addiction and Mental Health in Toronto, Ontario. He has also served in Director
roles with the former Addiction Research Foundation, and the Health Promotion Branch and Substance Abuse Bureau, Ontario Ministry of Health.
He has a Masters of Health Science (Health Promotion), a Bachelor of Science (Psychology), and formal training in public relations and executive
health leadership. Peter is an Adjunct Professor, School of Population and Public Health and Lecturer, Department of Psychiatry, University of British
Columbia, and an Adjunct Professor, Faculty of Health Sciences, Simon Fraser University. He is a founding member of the Canadian Executive Council
on Addictions and has also served as a Special Advisor, Global Economic Roundtable on Mental Health and Addiction, and on several community
sector Boards.
Claudette Commanda is from KITIGAN ZIBI ANISHINABEG Algonquin First Nation located in the province of Quebec. She has dedicated the
last 25 years promoting First Nations people, history, and culture at the University of Ottawa as a student, professor and as a member and a former
chair of the Aboriginal Education Council. Claudette is an alumni of the University of Ottawa Faculty of Common Law and Faculty of Arts. Since 1999,
she is a part time professor for the University of Ottawa’s Institute of Women’s Studies; Faculty of Education; and the Aboriginal Studies Program,
teaching courses on First Nations Women; Native Education; First Nations People and History; Indigenous Traditions; and Decolonization. In addition,
from 2000 to present day, she is the Executive Director of the First Nations Confederacy of Cultural Education Centres, a national organization
mandated to protect and promote First Nations culture, languages and traditional knowledge, and education. Most recently, she was inducted into the
Common Law Honour Society; appointed to a second term to the Board of Governors for the First Nations University of Canada; and, re-elected for a
second term on the Kitigan Zibi band council. She is the mother of four and grandmother of nine. She is also the granddaughter of recently deceased
and well respected Algonquin Elder William Commanda.
Jennifer Cowie-Bonne is the CEO of Active Healthy Kids Canada, a national charitable organization that works to power the movement to
get kids moving by providing strategic national leadership to advance knowledge, evidence-informed communications and advocacy strategies to
influence thinking and action to enhance physical activity opportunities for children and youth. Jennifer has worked in the non-profit/ physical activity
health promotion sector for over 20 years. Most recently, she spent fourteen years with Ophea, a non-profit organization in Ontario that supports
healthy schools and communities, as Director of Partnerships and Public Affairs. Jennifer has significant experience with teaching and coaching
children and youth of all ages, and enjoys walking, yoga and “shaking it up” by participating in at least one new physical activity with her family each
season. In 2013, Jennifer received a Queen’s Diamond Jubilee Medal for her contribution to physical activity promotion in Canada.
13
Kimberly Elmslie – In the position of Assistant Deputy Minister, Health Promotion and Chronic Disease Prevention Branch, Ms. Elmslie’s primary
responsibility is to provide national leadership in policy development and for the emergence of innovative approaches and programs to promote health,
reduce health inequalities and prevent chronic diseases. Academically trained in epidemiology and biostatistics, Ms. Elmslie brings a strong science
base and extensive program and policy experience to her work in public health.
Rodney Ghali is acting Director General of the Centre for Chronic Disease Prevention, Public Health Agency of Canada, where he is responsible
for overseeing the Federal Government’s policy and programs in the areas of healthy living and chronic disease prevention. Prior to his current role,
Rodney spent over ten years at Health Canada in various positions such as Senior Advisor to the Deputy Minister and Director of Strategic Policy.
He has worked on numerous legislative/regulatory initiatives and health-related issues including: food and consumer product safety, reproductive
technologies, aboriginal health, blood safety and mental health. Rodney holds a Master of Science (neurobiology) from McGill University and an
Honours Bachelor of Science (genetics) from the University of Western Ontario.
Chad Hartnell is the acting Senior Director of the Partnerships and Strategies Division in the Public Health Agency of Canada’s Centre for Chronic
Disease Prevention. In this role, Chad is responsible for overseeing the Agency’s multi-sectoral programming and policy approach for healthy living
and chronic disease prevention. Over his federal government career, Chad has worked in Health Canada, Privy Council Office and Employment and
Social Development Canada. In these roles, he has worked on a variety of initiatives in the policy, legislative, and programming domains, including in
Aboriginal health; employment, social and economic policy and programming; and public safety. Chad holds a Master of Business Administration from
the University of Mississippi and Bachelor of Arts (economics and political science) from the Colorado College.
Anselm Hennis, a Barbadian national, received his degree in Medicine from the University of West Indies, Mona, Jamaica (1987). He earned his
Master’s degree (1992) and Doctorate in Epidemiology (1997) from the London School of Hygiene & Tropical Medicine, London University, United
Kingdom. During his professional career Dr. Hennis has served as Senior Lecturer in Medicine at The University of West Indies, Associate Consultant
Physician at the Queen Elizabeth Hospital, Bridgetown, Barbados, and as Director, Chronic Disease Research Centre/Professor of Medicine and
Epidemiology at The University of the West Indies. Professor Hennis established a national NCO surveillance system on behalf of the Government of
Barbados, elevating the reputation of the department to that of a leading academic research institute regionally. He has also been Research Associate
Professor in Preventive Medicine at Stony Brook University, New York, as a result of his collaborative work with the Barbados Eye Studies. Dr. Hennis
has authored and co-authored over 100 scientific publications in the peer-reviewed medical literature and collaborated on several major NIH grants.
John Higenbottam is a clinical psychologist who has held a number of senior clinical management positions in British Columbia including Vice
President, Vancouver Hospital and Health Sciences Centre, and Vice President, Riverview Hospital. John currently is a health care consultant as well
as Manager, PSR Advanced Practice and Coordinator, Graduate Diploma Program in PSR, Douglas College, New Westminster, BC as well as Clinical
Associate Professor, in the Department of Psychiatry, UBC. John is a Director and Treasurer, PSR/RPS Canada and Co-Chair, Canadian Alliance
for Mental Illness and Mental Health (CAMIMH) which is Canada’s major alliance of 18 mental health professional and stakeholder organizations.
John’s major clinical and research interests are in developing, implementing and evaluating effective, recovery orientated mental health systems and
services.
Hasan Hutchison is the Director General of the Office of Nutrition Policy and Promotion within the Health Products and Food Branch of Health
Canada. As the focal point for public health nutrition within the federal government, the office strives to promote the nutritional health and well-being
of Canadians. The Office’s main functions include dietary guidance, food and nutrition surveillance, research and data analysis, health promotion
and public health nutrition policy. Hasan is the co-chair of the Federal/Provincial/Territorial Group on Nutrition and of the multi-sectoral Network on
Healthy Eating. He serves on a number of nutrition-related committees at the World Health Organization and Pan American Health Organization and
has served on a number of health-related committees at the Organization for Economic Co-operation and Development and at the United Nations.
He also served as Chair of Canada’s Sodium Working Group. Previous to his current role, Hasan was Associate Director of the Institute of Nutrition,
Metabolism and Diabetes at the Canadian Institutes of Health Research (CIHR) and, before that, was Senior Advisor in International Affairs at Health
Canada. Before working in the public service, Hasan was a faculty member in the Department of Neurology and Neurosurgery at McGill University.
His formal education includes a PhD in Quantitative Genetics and an ND in Naturopathic Medicine.
Deb Keen is the Director of Prevention and Research at the Canadian Partnership Against Cancer (CPAC), Toronto, Canada. In her role she is
responsible for large scale projects focused on the development of evidence informed prevention programs and policies in provinces and territories
including engagement of First Nations, Inuit and Métis populations. In addition, Deb is working to further develop the cancer research system in
Canada. Before coming to CPAC, Deb was Director of Prevention at Cancer Care Ontario, the cancer agency for the province of Ontario and also
worked in chronic disease prevention in local public health. Deb is on the Board of Directors of the Ontario Public Health Association. Deb has worked
in program and policy development at municipal, provincial and national levels with significant experience in tobacco control including municipal bylaw
development. She has a Bachelor of Science in Nursing and a Masters in Public Administration from Western University, London, Ontario.
Hans Krueger has a PhD in Health Policy/Research from the University of British Columbia. Prior to obtaining his PhD, Dr. Krueger graduated at
the top of his class with an MSc in Health Services Planning and Administration. His practical experience comes from having worked at Vancouver
Hospital & Health Sciences Centre for seven years, moving rapidly from a health systems analyst to Director, Corporate Planning & Finance. Dr.
Krueger is currently the President of H. Krueger & Associates Inc. and an Adjunct Professor at the UBC School of Population and Public Health.
He is an award-winning author with a reputation for a rational and disciplined approach to research and analysis. In addition to contributing to many
peer-reviewed publications, Hans has co-authored five books, including The Health Impact of Smoking and Obesity and What To Do About It and
Community-Based Prevention: Reducing the Risk of Cancer & Chronic Disease. A key research interest is the economic impact of risk factors for
chronic disease (i.e. smoking, excess weight, physical inactivity, alcohol) and the potential for cost avoidance associated with reducing the prevalence
of these risk factors in the population.
14
Dorian Lo is the Executive Vice President, Pharmacy and Healthcare at Shoppers Drug Mart. Shoppers Drug Mart has more than 1,295 pharmacy
locations across the country with 1,120 Associate owners who care for millions of patients and dispense over 100 million prescriptions per year. Dorian
also oversees Specialty Health Network, MediSystem long-term care pharmacy and Shoppers Drug Mart Health Solutions, which provides enhanced
Pharmacy Services and Benefits to private payors and their plan members. Prior to joining Shoppers Drug Mart, Dorian was with Medco, a leading
Pharmacy Benefits Management company in the US. Beginning in 1999, Dorian held roles of increasing responsibility leading to his role of Chief
Medical Officer for Health Plans. In this role, Dorian managed nationwide clinical services for Medco’s health plan clients representing over $25B US
in drug spend, including over $2B in specialty. This involved leading a team of 40 managed care pharmacists to provide clinical advice and implement
formulary decisions, specialty pharmacy, prior authorization, disease management and other clinical programs. Dr. Lo has an extensive career, both
in healthcare and pharmacy, having worked as an emergency physician as well as working with large pharmaceutical and healthcare organizations.
He holds a MBA from Wharton and a MD from the University of Western, Ontario. Outside of the Company, Dr. Lo, is a former board member for a
hospital foundation and the State Society of Aging of New York.
Lynn Moore is the Director, Programs and Services at The Arthritis Society, Canada’s only charity devoted solely to funding and promoting arthritis
research, programs and patient care for the over 4.6 million Canadians of all ages living with arthritis. Lynn is responsible for providing national
leadership to the Society’s education, programs and services and for the past two years has served as the Canadian National Ambassador to Fit for
Work Europe. She is an Adjunct Professor in University of Toronto’s Health Policy, Management and Evaluation Program where she tutors students
in the graduate level Canadian Health System and Health Policy courses. Lynn has volunteered on a number of not-for-profit boards primarily in the
areas of geriatrics, mental health and substance abuse. Lynn has a Masters of Health Administration from the University of Ottawa and is a Certified
Health Executive.
David Mowat is the Medical Officer of Health for the Region of Peel. His interests include the built environment, the public health workforce
and training in public health practice, and evidence-informed decision making. Prior to joining The Region of Peel in 2007, Dr. Mowat was Deputy
Chief Public Health Officer at the Public Health Agency of Canada, where he had responsibilities for strengthening public health practice, including
knowledge translation and the development of the public health workforce. Previous appointments include Consultant in Maternal and Child Health
in the Ministry of Health of Newfoundland, Medical Officer of Health for Kingston and area, Chief Medical Officer of Health for Ontario, and senior
positions at Health Canada. Dr. Mowat received his medical training at the University of Edinburgh, and a master’s degree in public health from the
University of California at Berkeley. He is also a fellow in public health and preventive medicine of the Royal College of Physicians and Surgeons
of Canada and a Fellow (by distinction) of the Faculty of Public Health of the Royal Colleges of Medicine (UK). He is an adjunct faculty member at
McMaster, Queen’s and the University of Toronto.
Jeffrey Reading has more than two decades of experience enhancing knowledge in Indigenous health issues, both in Canada and globally. He
obtained his PhD in Community Health Sciences, University of Toronto and was the founding Director of the Centre for Aboriginal Health Research at
the University of Victoria in British Columbia. As the inaugural Scientific Director of the Institute of Aboriginal Peoples’ Health at the Canadian Institutes
of Health Research (2000-2008), Jeff led a movement calling for a national advanced research agenda in the area of Aboriginal peoples health and
led the CIHR cross-cutting initiative in rural and northern health research. Jeff held the first endowed research chair at the Department of Public Health
Sciences at the University of Toronto. Jeff’s broad interests in research in Public Health has brought attention to issues including but not limited to; the
social determinants of health, environmental issues including provision of safe potable water, health promotion and disease prevention, heart health,
diabetes, tobacco misuse and accessibility to health care among Aboriginal Canadians. Jeff has played a pivotal role in the introduction of Canadian
ethics guidelines for Aboriginal health research and he also made key contributions to the Canadian Academy of Health Science’s report and solutions
that aim to have a particular impact on Indigenous Peoples’ health globally. From August 2012 to July 2013, Jeff took a one-year leave of absence from
the School of Public Health and Social Policy at the University of Victoria to join the Baker IDI Heart and Diabetes Institute, based in Alice Springs and
Melbourne Australia, to lead the Institute in the emerging field of Global Indigenous Health. He is now back home in Canada based at the University
of Victoria teaching epidemiology and biostatistics at the School of Public Health and Social Policy. Among his numerous distinctions Dr. Reading
received a National Aboriginal Achievement Award from the National Aboriginal Achievement Foundation, Canada (2008) and he was honored to be
elected an inaugural Fellow of the Canadian Academy of Health Sciences (2005).
Stephanie Robertson founded SiMPACT Strategy Group in 2004 and launched LBG Canada in 2005. Her management and project experience
is intertwined across the for-profit, non-profit and public sectors. Through her career, Stephanie has led many diverse initiatives, including the creation
of Generation 2000, the development of the SROI Primer educational tool and the upcoming national launch of the SROI Canada Network. As the first
accredited SROI practitioner in North America, Stephanie is a leading professional in the area of social impact management and measurement. She is
well known for her effectiveness as a teacher and as a powerful communicator on how to create value through investment in community and society.
Vaidila Satvika is an urban and transportation planning consultant. He received a Masters degree in Urban Planning from New York University’s
Robert F. Wagner Graduate School of Public Service. In 2008 he was hired by the City of New York Department of Transportation to develop and
oversee an initiative to create new and enhance existing public spaces in New York City. Since 2008, the City has invested over $60 million to redesign
streets, and in some cases to close them completely, in order to improve the quality of city life, promote walkability, and make streets safer.
Angela Simo Brown is the General Manager and Co-Founder of AIR MILES for Social Change (AMSC), a national social venture that uses the
unparalleled reach and popularity of the AIR MILES Reward Program to inspire and reward Canadians for making healthier and more environmentally
responsible lifestyle choices. In her 17 years with LoyaltyOne, Angela has progressed through a range of leadership roles that focused primarily
on the development of strategic partnerships for the organization. As a committed and passionate environmentalist, Angela also helped lead the
formation of a series of grassroots eco-initiatives across LoyaltyOne, which ultimately triggered the transformation of the organization into a prominent
corporate sustainability change agent for Canada. In 2012, Angela was instrumental in developing innovative program partnerships with more than
25 organizations across the public, not-for-profit and private sectors that together drove record increases in positive behavior change in healthy
living, energy conservation and increased transit use.An engaging speaker, some of Angela’s recent keynote addresses include York University’s
Schulich School of Business, Queen’s University Conference on Philanthropy, the World Wildlife Fund’s Earth Hour and Ryerson University’s Social
Entrepreneurship DECA Conference. Angela is also a member of the Evergreen CityWorks Leaders Council, a group of cross-sector city builders who
have been brought together to create innovative, sustainable solutions for major urban challenges. Angela holds a degree in Business Administration
from Ivey School of Business at the University of Western Ontario.
15
Gloria So is the Manager, Strategic Initiatives, at YMCA Canada and manages a variety of projects that support the YMCA Federation’s Strategic
Plan. Since 2012, she has been responsible for a large portfolio of initiatives at YMCA Canada, ranging from leadership development to website
platform design to cause marketing. With a focus on collaboration and a diverse knowledge base, Gloria manages complex projects that enable
YMCAs in Canada to build healthy communities. In 2009, Gloria transitioned from the human resources field to the non-profit sector. Since then, she
has focused on building a career where she can leverage her business skills and knowledge with her affinity for social causes. She is particularly
interested in enhancing the visibility and capacity of the not-for-profit sector to strengthen the impact of worthwhile causes. Gloria holds an MBA from
McMaster University and a Bachelor of Administrative Commercial Studies from the University of Western Ontario.
Anne Sutherland Boal is a health-care professional with 40 years’ experience in progressively senior roles, working in three Canadian provinces
and in China. She has held a number of positions in academic health-care settings including staff nurse, patient care coordinator, director of nursing,
vice-president of nursing and programs and chief operating officer. Anne first joined CNA in 2010 as chief operating officer and moved into the CEO
role in December 2013. Throughout her career, Anne has been successful in carrying out innovative programs and effecting change. At the B.C.
health ministry, where she was chief nurse executive and an assistant deputy minister, Anne oversaw the implementation of the nurse practitioner
role and the use of the baccalaureate degree as the entry-to-practice requirement for nurses. As chief operating officer at Vancouver Coastal Health,
Vancouver Acute, Anne led the establishment of a collaborative practice model that more fully uses the skills and abilities of RNs, LPNs and care aides.
Anne obtained her nursing diploma from Foothills Hospital school of nursing (University of Calgary). She also holds a bachelor of arts degree (Brock
University) and a master’s degree in health services administration (University of Alberta).
Phyllis Tanaka – For the past 7 years, Phyllis was Vice- President, Scientific & Regulatory Affairs – Food & Nutrition for Food & Consumer
Products of Canada. In this capacity she had responsibility for working with FCPC food manufacturing company members on regulatory and public
policy matters specific to food and nutrition. She recently made a lifestyle decision to make sure she has time to “stop and smell the roses”. She is still
is fully engaged with FCPC but in a new 50% position role as Senior Advisor, Food and Nutrition. Over the courses of her career path Phyllis has been
involved in “multi-stakeholder” approaches in addressing key food, nutrition and health related files, including having been a member of the Health
Canada led Multi-Stakeholder Working Group on Sodium Reduction (MSWG) that produced the Sodium Reduction Strategy for Canada (Strategy).
The provincially based Ontario Healthy Kids Panel. The multi-stakeholder group that produced the report: No Time to Wait: The Healthy Kids Strategy,
with recommendations on how to address childhood obesity in Ontario. The Centre of Excellence - Advanced Foods & Materials Network board of
directors. She is currently an ad-hoc member of Health Canada’s Food Expert Advisory Committee established to provide Health Canada’s Food
Directorate (FD) with broad expert advice on its regulatory and administrative oversight of foods. As an ad-hoc member, Phyllis takes part in meetings
specific to sodium. Phyllis is also a member of the International Council of Grocery Manufacturers Association observer contingent attending the
Codex Committee meetings on Nutrition and Foods for Special Dietary Uses. Phyllis has a MSc in Nutritional Sciences, is a member of the College
of Dietitians of ON and a registered dietitian. She is a life member of Dietitians of Canada. As noted, Phyllis is no stranger to the multi-stakeholder
approach to addressing issues or projects. She is here to share in the discussions on the FCPC – Health Canada “public-private” endeavours related
to the Nutrition Labelling Education Campaign.
Jennifer Vornbrock joined MHCC in October 2013 and has assumed responsibility for the newly formed Knowledge and Innovation team
which includes government and stakeholder relations, communications and the MHCC’s Knowledge Exchange Centre (KEC). Former Director of
Strategy Deployment at Vancouver Coastal Health, Jennifer led numerous large scale community and corporate initiatives. Most notably a broadbased community and service provider partnership project in Vancouver’s Downtown Eastside. The DTES Second Generation Health strategy, under
Jennifer’s leadership, worked to develop consensus amongst many stakeholders on a way forward in the provision of community health services in
this extremely vulnerable and important community. The project spanned over $60 million dollars in resources and more than 30 government and nongovernmental stakeholders. Jennifer is a former Director of Special Projects in the Regional Mental Health and Addiction program in a local BC health
authority and oversaw multiple strategic projects and initiatives including partnerships with local governments on key urban and community health
files. Jennifer grew up on the West Coast in BC, but now lives in Ottawa with her husband and six year old son. Working the last 12 years in the health
sector, Jennifer is a political scientist grad from Simon Fraser University and brings her political and strategic acumen to her work in the field of mental
health where she continues to advance this important issue.
Joan Wharf Higgins is a Canada Research Chair in Health & Society (2004-2014), and a Professor in the School of Exercise Science, Physical
& Health Education. From 2005-2009, she was a Scientific Advisor to the BC and Yukon Health and Learning Knowledge Centre. In 2013, she was
named one of the twenty most influential women in sport by the Canadian Association for the Advancement of Women in Sport: Joan is a communitybased researcher who studies (1) how an individual’s life choices are influenced by their life chances and circumstances, and (2) how to make the
healthy choice the affordable, accessible, appropriate and appealing choice. In her leisure time, Joan is a long distance runner, having completed 25
marathons and 22 half marathons; including most recently Boston (2013) and New York (2013) marathons.
Armine Yalmizyan joined the Canadian Centre for Policy Alternatives as senior economist in 2008, after a long association dating back to 1993.
Armine is a founding and regular contributor to the Globe and Mail’s online business feature, Economy Lab. She has a twice-weekly business column
on CBC Radio’s number one morning show, Metro Morning, reaching a million listeners in the Greater Toronto Area. Armine also appears every
Thursday on the Big Picture Panel, a popular weekly feature of Canada’s premier business-news program, CBC-TV’s Lang and O’Leary Exchange.
Armine obtained her M.A. in Industrial Relations from University of Toronto. She has a bi-lingual B.A. in economics from Glendon College, York
University, which included a year of economics at Université de Bordeaux, France. She serves on the boards of the Canadian Institutes for Health
Research’s Institute of Population and Public Health; the Public Interest Advocacy Centre; and is Vice President of the Canadian Association for
Business Economics.
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Planned Concurrent Session Presenters
Lisa Ashley is a Senior Nurse Advisor at the Canadian Nurses Association. Her work at CNA includes advocating for healthy public policy
that optimizes the role of the registered nurse within primary care, community health, and interprofessional collaboration. In addition to a BScN in
Community Health from Ryerson University, and a MEd from the University of Ottawa, Lisa has her certification in Multiple Intervention Programming,
Health Management, and Community Health Nursing (Canada). Lisa worked in home care and public health as a staff nurse, supervisor and clinical
nurse specialist before joining CNAin 2009. While working in the Teaching Health Unit in Ottawa she was also an Investigator with the University of
Ottawa Community Health Research Unit. Lisa has worked municipal, provincial, and federal community health programs and research. She is an
Academic Consultant for the School of Nursing University of Ottawa and an Associate Investigator with the Nursing Best Practice Research Unit and
has published on a variety of topics in peer-reviewed and other journals.
Tim Aubry is a Full Professor in the School of Psychology and Senior Researcher at the Centre for Research on Educational and Community
Services at the University of Ottawa. He is currently holder of the Faculty of Social Sciences Research Chair in Community Mental Health and
Homelessness. Over the course of his career, Tim has collaborated on research projects with community organizations and government at all levels,
contributing to the development of effective social programs and policies. He is currently a Member of the National Research Team and the Co-Lead
of the Moncton site in the multi-site At Home / Chez Soi Demonstration Project of the Mental Health Commission of Canada.
Christa Costas-Bradstreet began her professional career as a Registered Nurse working in the areas of Orthopaedic Surgery and Rehabilitation.
In 1991, Christa graduated from York University with a Bachelor of Arts in Honours Physical Education as well as two certificates, one in Sport
Administration and the other in Fitness Assessment and Exercise Counselling. After completing her degree, Christa joined ParticipACTION where
she spent ten years in a variety of roles including National Events Coordinator, Media Relations and Director of Health Communications. Upon
ParticipACTION’s closing, Christa joined the City of Hamilton Public Health Services as a Physical Activity Specialist. She also operated her own
consulting company. In January 2008, Christa re-joined ParticipACTION, as the Relationship Manager where her main responsibilities are to develop
partnerships with stakeholders in the sector. Her focus is on the development of the ParticipACTION Network and Active Canada 20/20. In 2009,
Christa completed a Master of Arts degree in Applied Health Science at Brock University. Her area of study was Comprehensive School Health. To
keep active, Christa enjoys running, walking, cycling and dance classes. Christa is an AVID Toronto Maple Leafs fan, and in that spirit, is learning how
to play hockey (she thinks she could be drafted … can’t make the team worse)!!
Jennifer Cowie-Bonne is the CEO of Active Healthy Kids Canada, a national charitable organization that works to power the movement to
get kids moving by providing strategic national leadership to advance knowledge, evidence-informed communications and advocacy strategies to
influence thinking and action to enhance physical activity opportunities for children and youth. Jennifer has worked in the non-profit/ physical activity
health promotion sector for over 20 years. Most recently, she spent fourteen years with Ophea, a non-profit organization in Ontario that supports
healthy schools and communities, as Director of Partnerships and Public Affairs. Jennifer has significant experience with teaching and coaching
children and youth of all ages, and enjoys walking, yoga and “shaking it up” by participating in at least one new physical activity with her family each
season. In 2013, Jennifer received a Queen’s Diamond Jubilee Medal for her contribution to physical activity promotion in Canada.
Bev Deeth – For close to 20 years , Bev has been a leader in the community development, philanthropy, healthcare and the sports sector working
for organizations which include The Sunnybrook Foundation, The Raptors Foundation and Maple Leaf Sports & Entertainment, to name a few. Bev is
best known for developing strong coalitions that help to advance her work and thriving relationships with stakeholders from every arena with which she
comes in contact. Bev is a strong advocate of collaboration including industry, government, academics and the community at large. Her leadership
was instrumental in helping the Raptors Foundation, a new charitable organization receive the honors as the most successful foundation in the NBA
during its inaugural years. She was also influential in leading many community urban renewal projects notably the establishment of Canada’s first
court refurbishment program for inner city neighborhoods in partnership with Nike Canada, many NBA players and community partners. Bev is an
advocate of social responsibility as a key component to a successful business model. She builds dedicated, effective teams and infrastructures that
deliver immediate results and create room for future growth. She presently holds the position of President at Companies Committed to Kids (formerly
Concerned Children’s Advertisers) and is responsible for the revitalization of the CCK brand, a one of a kind unique not-for-profit organization and
model of corporate social responsibility. During her tenure she has fostered an action oriented and results driven culture within the organization and
the re-established of CCK as a national leader in providing solutions thru innovative social marketing and education to Canadian children and families.
Bev is a passionate and enthusiastic leader, as a mother of two, she personally understands the challenges facing both children and parents today and
often uses this experience to fuel her passion for her work.
Diane English – Since 2006, Diane has worked with Parks and Recreation Ontario in policy and communications. Diane is a graduate of the
Maytree Foundation’s Public Policy Training Institute, where she focused on affordable access to recreation. With PRO, she provided policy support for
the Ontario Task Group on Affordable Access to Recreation, and contributed to the published Framework on Affordable Access to Recreation. Diane
leads a variety of the public policy initiatives for Parks and Recreation Ontario, including infrastructure funding for parks and recreation, research on the
public’s perception of the benefits of local recreation and parks and reconnecting children with nature. PRO’s research and policy recommendations
on a dedicated infrastructure fund for parks and recreation resulted in the greatest investment in the sector since Canada’s centennial year. Prior to
joining Parks and Recreation Ontario, Diane owned her own arts management company, providing fundraising, general management and accounting
services to a wide range of clients including the Elora Festival, the Toronto Mendelssohn Choir and Soundstreams Canada. Diane also worked for CBC
Radio as a producer, manager and on-air host. Diane holds a Master’s Degree in Arts from the University of Toronto, Faculty of Music and a Bachelor
of Music from the University of British Columbia. Diane continues to enjoy a part-time career as a professional singer and she is also a certified fitness
instructor.
Grant Gordon is President and Creative Director of Key Gordon Communications Inc. In 2001, after over a dozen years of working for national ad
agencies, Grant broke away from the mainstream to found Key Gordon Communications Inc. An advertising and design firm based in Toronto, Key
Gordon was the first creative agency in North America to focus exclusively on the branding and marketing of socially and environmentally responsible
companies. Since the firm’s inception, Key Grant has stuck slavishly to its motto “Branding the good guys”. The company has worked on everything
from alternative energy and organic food to arts organizations, philanthropy and social-change programs. Together with Sir Richard Branson and
Virgin, Key Gordon created FLICK OFF, the award-winning global warming activism campaign. Key Gordon’s clients include The Shaw Festival, the
McMichael Art Gallery, Butterfield & Robinson, the Canadian MedicAlert Foundation, Yukon Tourism and a host of environmental NGOs. Grant is an
active public speaker on topics relating to advertising and design, sustainability, ethical marketing, healthy food, and renewing the political process in
Canada.
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Margo Greenwood, Academic Leader of the National Collaborating Centre for Aboriginal Health, is an Indigenous scholar of Cree ancestry with
years of experience focused on the health and well being of Indigenous children, families and communities. She also holds an Associate Professor
appointment in both the First Nations Studies and Education programs at the University of Northern British Columbia. While her academic work
crosses disciplines and sectors, she is particularly recognized regionally, provincially, nationally and internationally for her work in early childhood
care and education of Indigenous children and public health. Margo has served on numerous national and provincial federations, committees and
assemblies, and has undertaken work with UNICEF, the United Nations, and the Canadian Reference Group to the World Health Organization
Commission on Social Determinants. Margo received the Queen’s Jubilee medal in 2002 in recognition of her years of work to promote awareness and
policy action on the rights and well-being of Aboriginal and non-Aboriginal children, youth and families. In 2009, Margo received the Perry Shawana
Child Care Award from the BC Aboriginal Child Care Society in recognition for her leadership and commitment to creating “quality” child care and early
learning services for First Nations / Aboriginal children in British Columbia. Margo was also recognized in 2010 as the ‘Academic of the Year’ by the
Confederation of University Faculty Associations’ of B.C. for her research contributions to the wider community. Most recently she was honoured with
the National Aboriginal Achievement Award for Education in 2011.
Susan Houston lead by a passion for working in a cause related not-for-profit sector has worked for organizations which include Multiple Sclerosis
Society of Canada and the Canadian Breast Cancer Foundation. Working collaboratively with multi-sectorial partners on national campaigns has
provided Susan with a wealth of experience in building strong coalitions to advance a common goal. A strong believer in the concept that many hands
make light work Susan is experienced in working collaboratively with multiple partners to produce national event campaigns. Currently in her position
as Partnership and Social Marketing Manager at Companies Committed to Kids Susan executed two pilot research projects on motivating children
utilizing technology to become more physically active. A passionate subscriber to daily fitness Susan enthusiastically brought The Living Experience
Program to eleven communities across the country. Companies Committed to Kids is a one of a kind unique not-for-profit organization and model of
corporate social responsibility providing solutions thru innovative social marketing and education to Canadian children and families.
Anne Kane Jefferies is the Vice President of Marketing Kids and Family at Corus Entertainment.
Jon Kerner joined the Partnership in 2008 as the Chair of the Primary Prevention Advisory Group and Senior Scientific Advisor, Knowledge
Translation. He continues to be engaged with the Partnership full time in his role of Senior Scientific Leader and is based in Toronto. Dr. Kerner
obtained a bachelor of science from McGill University and his PhD in community psychology from New York University. He received post-doctoral
training in cancer epidemiology, biostatistics and clinical trials design from the Johns Hopkins University School of Public Health. Prior to joining the
Partnership, Dr. Kerner spent 20 years as a peer-reviewed and funded researcher at two National Cancer Institute-designated comprehensive cancer
centers: Memorial Sloan Kettering Cancer Center and Georgetown University’s Lombardi Cancer Center. His community-based cancer control
research integrated behavioural science, cancer epidemiology, and health services research and the development of research, practice, and policy
partnerships within low income and medically underserved communities. He served on a large number of national grant review panels and was the first
chair of the National Institutes of Health’s (NIH) Community Prevention and Control Study Section (now the Community-Led Health Promotion Study
Section). In 2000, Dr. Kerner joined the National Cancer Institute (NCI) as an assistant Deputy Division Director and later Deputy Division Director
for Research Dissemination and Diffusion. There, he facilitated the translation of evidence-based interventions into community public health and
clinical practice, developed the first NCI dissemination and implementation research funding opportunities and supported NCI, NIH, and Centers for
Disease Control collaborative health disparities research initiatives. He received an NIH Directors special merit award for his leadership in the design,
development and implementation of the Cancer Control P.L.A.N.E.T., and an NIH Directors award for his work supporting evidence-based cancer
control for America’s First Peoples.
Rita Koutsodimos has worked in the non-profit sector to make our communities healthier for all for the past fifteen years. Since 2006, Rita has
worked for the BC Healthy Living Alliance Secretariat where she is the lead for policy development, advocacy and communications strategy. Using a
government relations approach to advocacy, Rita has developed agendas and key messages for meetings with provincial Ministers, deputy ministers
and assistant deputy ministers, standing and caucus committees, as well as leaders of the opposition. She has authored many policy papers and
also advanced healthy public policy at the federal and local levels of government. Rita has played a role in bringing about numerous health-promoting
policies which she happily credits to good research, persuasive communications, collaboration and persistence. An enthusiastic communicator, Rita
enjoys getting people together to discuss pressing issues, proven or promising solutions and new ideas. She is a regular blogger and has organized
dialogues, community events, webinars and campaigns. In addition to her experience managing the brand of a multi-partner alliance, her media
relations track record includes stories on the front page of the Vancouver Sun, on opinion pages, the 5:00 o’clock news and the radio. Earlier in
her career, Rita promoted solutions to climate change related to the design of our cities and transportation systems. She believes that many of the
elements of communities that make them environmentally sustainable also make them good for our physical health and mental well-being.
Andrew McLellan holds an International Diploma of Humanitarian Assistance from Fordam University, New York, a Master’s of Science in Nursing
and a Primary Health Care Nurse Practitioner Certificate from the University of Ottawa. Andrew has interests in healthcare education, policy, and
research and was a full time lecturer at the University of Zimbabwe. He currently works as a Primary Care Provider at Centertown Community Health
Centre in Ottawa and is the team lead for their Urban Outreach Program.
Jill Skinner is the Associate Director with the Public Health Group at the Canadian Medical Association. She has over 30 years experience in the
health care field including 15 years as a registered nurse in a hospital setting, and work as a health communicator with government and national health
care associations. Ms. Skinner’s field of interest includes health promotion, risk communication and public health policy.
18
Louise St-Pierre has been working in the health promotion field for more than thirty years. She was trained as a nurse and worked mostly with
a population health approach in several settings, including in Africa, local health centers, work places and at the governmental level. She detains a
Master degree in Community Health from the Laval University (Quebec City) and she has done doctorate level studies at the same program. She is
a member of the National Collaborating Center for Healthy Public Policy (NCCHPP), located at the Public Health Institute of Quebec, since 2005. As
a senior scientific analyst she developed an expertise in Health Impact Assessment (HIA) and in Health in All policies (HiAP) for the NCCHPP and
provides support to public health actors across Canada in that domain. She is also a member of the Global Working Group on HIA of the International
Union for Health Promotion and Health education (IUHPE).
Émile Tremblay works at the public health authority of Montérégie, since 2010, as a project manager. He previously worked as research agent at
the Université de Montréal’s School of public health, where he also did a master degree, on aboriginal health, public policies, and knowledge transfer
strategies. As project manager, Tremblay has conducted 8 HIA with as much municipal authorities on various local projects and policies. He is now
engaged in institutionalizing the practice of HIA in Montérégie to support policy-makers and guide them to add some health in their policies.
Dennis Van Staalduinen, or DenVan as he is known online, is an Ottawa-based brand strategy and digital media consultant. He spent years in
the marketing trenches of the high tech industry, including several intense years as a traveling brand evangelist for Corel, and managed rebranding
projects for Ottawa companies NetActive, JetForm, and Third Brigade, and Bluedrop Performance Learning of St. John’s Newfoundland, which he also
served as Vice President of Marketing. Dennis founded his company Brandvelope Consulting in 2000, and has provided strategic advice to clients
Canada Business, United Way Ottawa, the Treasury Board Secretariat, Nestle Canada, KFC, and the Public Health Agency of Canada – among
many others. DenVan is also a faculty member in the Social Media Certificate Program at Algonquin College, a father of three young children, an avid
storyteller and amateur musical theatre performer, and a frequent speaker and media contributor on branding and social media topics.
Joelle Walker is the Senior Manger of Public and International Affairs with the Canadian Cancer Society. As a part of the Society’s National team
Joelle works with governments and opinion leaders to find new ways to enhance control cancer through awareness and healthy public policy. She has
worked in Canada and internationally on chronic disease initiatives and has led domestic projects and lobbying efforts on issues related to healthy
living and obesity, as well as health service delivery for underserved populations in Canada. Prior to joining the Canadian Cancer Society, Joelle
worked with the Centre for Global Health at the Institute for Population Health in the University of Ottawa. As a lawyer, she articled with Canada’s
largest full-service law firm, Borden Ladner Gervais.
Kenneth Wong is a faculty member and The Distinguished Professor of Marketing at Queen’s School of Business, where he has held both teaching
and administrative positions. He was the principal architect of the first full-time degree program in Canada to operate completely outside of government
subsidy: A distinction that earned him the cover of Canadian Business in April 1994. (The new Program has been rated by Business Week as number
one, worldwide among non-U.S. MBAs in the last four bi-annual rankings). Mr. Wong is also the Managing Partner, Knowledge Development for
Level 5, a marketing consulting firm focused on brand strategy and execution. As a teacher, he has received numerous awards for his courses in
strategic planning, marketing, and business strategy. In 2006, he was inducted into the Canadian Marketing Hall of Legends. In 1998, Mr. Wong
won the Financial Post’s Leaders in Management Education award, a lifetime achievement award for his work in undergraduate, MBA, and Executive
Development programs. Beyond Queen’s, he has also taught in degree programs at Cornell, Carleton University, Radcliffe College, and Harvard’s
Continuing Education Program and in executive programs at York University, University of Toronto, Dalhousie University, and the University of Alberta.
He is a frequent speaker and facilitator in conferences and executive development programs around the world. As a researcher, Mr. Wong has worked
with the Strategic Planning Institute (Cambridge, MA) and the Conference Board of Canada. He writes regularly for Strategy magazine, Canadian
Grocer, and Meetings and Incentives, and has served as a regular columnist for Marketing magazine and the National Post. He has also written for
the Financial Times, Globe and Mail and the Conference Board Review. His current research focuses on enhancing “marketing productivity” and brand
profitability. In addition to consulting for private corporations, Mr. Wong has served as a marketing and strategic planning consultant to a number of
government agencies and departments and on various local, provincial, and federal government task forces: in particular he works extensively with
agencies focused on the ethics of marketing to children. He often assists on judging panels, most recently for the 2014 Canadian “Best 50” competition
(excellence in management) and the Canadian Entrepreneur of the Year. He received his B.Comm and MBA degrees from Queen’s University prior to
a period of doctoral studies at the Harvard Business School. He is former Chairman of the Board, PBB Global Logistics Inc., and a member of Advisory
Boards/Boards of Directors for the Canadian Marketing Association (CMA) and a number of public and private sector organizations.
19
Twitter: How To
To create an account:
Go to http://twitter.com and find the sign up box, or go directly to https://twitter.com/signup Enter your full name, email address, and a password.
Click Sign up for Twitter.
On the next page, you can select a username (usernames are unique identifiers on Twitter) — type your own or choose one Twitter has
suggested. They will tell you if the username you want is available.
Double-check your name, email address, password, and username.
Click Create my account.
Twitter will send a confirmation email to the address you sign up with, click the link in the email to confirm your email address and account.
Find and follow others
The next step is to find and follow other interesting Twitter accounts. Look for businesses you love, public service accounts, people you know, celebrities,
or new sources that interest you. TIP: One great way to find accounts to follow is to see who those you admire are following. You find accounts by using
the search tool.
Check Your Timeline: See what’s happening
Tweets from those you follow will show up on your Twitter homepage – called your Timeline. New Tweets will show up every time you log on. Click links in
others’ Tweets to view articles, images or videos they’ve linked to. Click hashtagged (#) keywords to view all Tweets about that topic.
Start Tweeting!
It can be fun and exciting to contribute to your own Twitter content! When people get interested in what you are Tweeting, they may follow YOU to see
what you have to say! Here are some tips to get started:
Build a Voice: Retweet, Reply, React
Use existing Tweets on Twitter to find your own voice and show others what you care about. Retweet messages that you love, or @reply with
your reaction to a Tweet you find interesting.
Mention: Include Others in Your Content
When you’re ready to make your own Tweets, consider mentioning others by using their Twitter username (preceded by the @ sign) in your
Tweets. This will draw more eyes to your message and might even start a conversation!
Tweet Regularly
The best way to gain followers is to engage and contribute by Tweeting regularly in a meaningful way.
#Hashtag
Definition: The # symbol, called a hashtag, is used to mark keywords or topics in a Tweet. It was created organically by Twitter users as a way to
categorize messages.
Tweeters use the # symbol before a relevant keyword or phrase (no spaces) in their Tweet.
Clicking on a # work in any message shows you all other Tweets marked with that keyword.
The # can be used anywhere in the Tweet – beginning, middle, or end.
Words that have a # become very popular and are often Trending Topics.
20
Mission
“Working primarily at the national level, CDPAC’s mission is to take an integrated, population
health approach to influence policies and practices that will help prevent chronic disease.
CDPAC has two core functions – advocacy and knowledge for action”.
Vision
“Canadians will be supported by a comprehensive, sufficiently resourced, sustainable, and integrated system of
research, surveillance, policies, and programs that promote health and prevent chronic disease.”
Alliance Members
CDPAC is a federally incorporated not-for-profit alliance of national NGOs (and provincial representatives). Representatives
of member organizations provide strategic direction and oversight to CDPAC’s shared priorities for action on chronic disease
prevention. The Chair of the Board of Directors is Hon. Mary Collins, P.C. CDPAC’s past Chair is Ms. Ida Thomas, YMCA
Canada.
The Alliance Members are:
Active Healthy Kids Canada
Canadian Mental Health Association
The Arthritis Society
Canadian Nurses Association
BC Healthy Living Alliance*
Dietitians of Canada
Canadian Alliance for Mental Illness and Mental Health
Heart and Stroke Foundation of Canada
Canadian Cancer Society
The Kidney Foundation of Canada
Canadian Diabetes Association
Wellness Advisory Council, Newfoundland and Labrador*
Canadian Medical Association
YMCA Canada
*Representatives of the CDPAC Network of Provincial/Territorial Alliances
21
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2014-03-13 3:39 PM
heartandstroke.ca
Concurrent Session Guide | Guide des séances simultanées
Wednesday, April 9, 2014 | 1:45pm – 3:15pm
Le mercredi 9 avril 2014 | 13 h 45 – 15 h 15
Concurrent Session A1
Interventions & Research | Oral Presentations
Séances simultanées A1
Interventions et recherche | Exposés oraux
(Frontenac Room)
(Salle Frontenac)
A1.1
Measuring Chronic Disease Prevention Performance in Ontario through Implementation of Public Health Accountability Agreement Indicators
Presented by: Laura Pisko, Ministry of Health & Long-Term Care
To learn about chronic disease performance measures in Ontario to evaluate 1) the success of public health and health protection efforts, and 2) the effectiveness of public
health programming including successful trends in meeting indicator targets, and how these measures supports the broader health care and health protection legislation,
policies and strategies. This presentation will discuss key performance indicators related to chronic disease prevention including rationale, development, monitoring, data
sources, involvement of public health units, and the relationship to board of health outcomes, the Smoke-Free Ontario Act, and the Health Protection and Promotion Act.
To evaluate the success in the delivery of public health programs and services related to chronic disease prevention in Ontario, the Ministry of Health and Long-Term Care
monitors public health performance measures to allow boards of health to measure the key components of public health work as reflected in the Chronic Disease Prevention
Standard (CDPS). As part of the Ontario Public Health Standards (2008), the CDPS mandates public health units to implement comprehensive public health programming
and the accountability agreement indicators inform the contribution of public health units within the broader health system and as a performance monitoring tool for boards
of health.
Co-authors: Luis Caceres, Senior Coordinator, Ministry of Health & Long-Term Care
A1.2
Learning from Past Successes : Using Smoke-Free Indoor Space Movement in Ontario and California
Presented by: Deanna White, PhD Candidate, School of Public Health and Health Systems, University of Waterloo
Smoke-free indoor space regulations represent a successful movement in tobacco control history. This presentation describes the key contexts and mechanisms associated
with the development and spread of the smoke-free indoor space movement in Ontario and California, and lessons learned from their work as a means to inform what it
takes to stimulate and strengthen other groundbreaking tobacco control movements. A realist approach and holistic multiple case study design was employed. Advocacy,
policy and diffusion theories informed data collection and analysis. Sixteen key informant interviews and document reviews were conducted. Open, axial and selective coding
and triangulation were used to identify the main contexts and mechanisms that led to the development and diffusion of the smoke-free indoor space movements across
cases. Member checks confirmed findings. Pre-existing enabling legislation; coalitions involving committed actors from diverse sectors with shared values and the will to
take collective action around a shared vision of change; dedicated resources to enable coalition actions; and using evidence, framing issues and demonstrating successes
of early adopters are necessary facets that can shift cultural norms and enable higher level smoke-free spaces legislation that prevents chronic disease. Learning from past
successes is an essential part of planning for the future. This study provides practice-based evidence that can inform current movements, such as those advocating for
smoke-free outdoor spaces and smoke-free multi-unit dwellings. Enhancing the current smoke-free space movements is critical for advancing tobacco control and ending its
harmful effects.
Co-authors: Irene Lambraki, Senior Research Associate, Propel Centre for Population Health Impact; Laura McCammon-Tripp, Senior Project Manager, Propel Centre for
Population Health Impact; Deanna White, PhD Candidate, School of Public Health and Health Systems, UW; Darly Dash, MSc Candidate, School of Public Health and Health
Systems, UW; John Garcia, Associate Professor and Interim Director, School of Public Health and Health Systems
A1.3
Interventions to Reduce the Impact of Smoking Imagery in Movies on the Smoking Behaviours of Youth: From Evidence to Policy
Presented by: Megan Fitzgibbon, Research and Policy Analyst, Peel Public Health
There is strong evidence to support a causal relationship between exposure to smoking imagery in movies and youth smoking. In order to inform policy and practice
decisions, Peel Public Health conducted a Rapid Review of the evidence to answer the question: What interventions will reduce the impact that smoking in the movies has
on the smoking behaviours of youth? The Rapid Review process was used to ensure that the best quality research evidence was brought into practice through a systematic
and rigorous approach. The standardized method began with question development followed by a search of the highest quality pre-processed evidence. Articles were then
selected and critically appraised, findings were synthesized, and the applicability and transferability of the recommendations to the Peel context were assessed. One practice
guideline, one longitudinal cohort study, and one case-control study were used for the review. The following interventions were found to be effective at minimizing the effects
of smoking imagery in movies on youth smoking behaviours: R-rating for movies with smoking imagery Anti-smoking ads prior to movies with smoking images .Parental
restrictions on children’s R-rated movie watching Based on findings of the review, Peel Regional Council endorsed the development of strategies to address the issue. A
cross-divisional committee was initiated to begin work on policy analysis and developing partnerships with key provincial organizations to advance policy strategies.
Co-authors: Megan Fitzgibbon, Research and Policy Analyst, Peel Public Health; Amanda Dass, Health Promoter, Peel Public Health
A1.4
The Use Of Collaborative Healthcare Partnerships In The Delivery Of Self-Managed CBT Based Care
Presented by: Jonathan Morris, Director, Public Policy, Research, & Provincial Programs, Canadian Mental Health Association BC Division
The intention of the presentation is to demonstrate how CMHA BC has worked collaboratively with the BC Primary Healthcare sector to use evidence-based self-help CBT
focused depression and anxiety programs for those affected by chronic conditions. Through participation in the program, participants develop coping strategies and increase
their capacity to engage in self-care activities that contribute to improved health outcomes. The program was originally aimed at adults living with a chronic condition who
have mild-moderate symptoms of low mood or stress with or without anxiety. The presentation will address the following groups: health service providers from the chronic
disease and mental health sector, policy makers, government representatives, community leaders and researchers. The workshop will help attendees gain an understanding
of: . The care pathway from GP referral through to service delivery . The key evidence-based tenets of the Bounce Back model . The key elements of program delivery (such
as workbooks and telephone coaching) . The delivery outcomes . The community-wide implications of the program The workshop will explain how the program has been able
to: . Successfully deliver the service to over 23,000 people with significant measured decreases in depressive & anxiety symptoms; increases in life-enjoyment & physicalhealth ratings through the provision of telephone coaching, workbooks and web-based resources. . Respond to the diverse needs of the population with resources produced
in English, Cantonese and Mandarin.
23
A1.5
The Knowledge in the Room: evidence-gathering and partnership-building through community sharing circles for the Northwest Territories Cancer Strategy
Presented by: Sabrina Broadhead, Director, Aboriginal Health and Community Wellness, Government of the Northwest Territories Department of Health and Social Services
Concerned by increasing cancer rates, certain Dene communities of the Northwest Territories (NT) approached the Government of the Northwest Territories (GNWT) to
facilitate cancer sharing circles designed to: air concerns; enhance knowledge; mobilize communities to address barriers and gaps in the cancer care continuum; and
establish an evidence base and linkages to develop a needs-based, culturally-appropriate territorial cancer strategy. The GNWT delivered two sharing circles in 2012 with the
Saint Elizabeth First Nations, Inuit, and Métis Program and a third in 2013, each in a different remote community. A sharing session approach fostered culturally-appropriate,
meaningful discussions on cancer, with value placed on preexisting community knowledge. Experience sharing and knowledge exchange increased understanding among
and between community members, community champions, health care professionals, and facilitators. Areas to improve cancer prevention efforts and Aboriginal patient
transition experiences throughout the cancer journey were revealed, specifically: risk factor and screening education and awareness; availability of culturally-appropriate
resources; integration of traditional medicine; palliative care and survivor support groups; and medical travel and transportation. Other outcomes included self-reported
participant empowerment and ownership of community wellness initiatives, and strengthened collaboration between the GNWT and NT communities. The GNWT looks to
a sharing session approach as an important point of departure in developing the forthcoming NT cancer strategy. Such methodology enhances the quality of evidence and
relationships, ultimately strengthening strategy development and implementation. Inclusive, culturally-appropriate approaches such as community sharing circles can be
considered a best practice in needs assessment, data collection, and stakeholder engagement.
Co-authors: André Corriveau, Chief Public Health Officer of the Northwest Territories, Government of the Northwest Territories; Sabrina Broadhead, Director, Aboriginal
Health and Community Wellness, Government of the Northwest Territories; Crystal Milligan, Manager, Cancer Strategy Development and Implementation, Government of the
Northwest Territories; Karen Blondin Hall, Senior Policy Advisor, Government of the Northwest Territories
Interventions | Oral Presentations
Interventions | Exposés oraux
(Chaudiere Room)
(Salle Chaudiere)
A2.1
Finding a BETTER Way: A Chronic Disease Prevention and Screening Program
Presented by: Kris Aubrey-Bassler, Assistant Professor, Memorial University
To improve chronic disease prevention and screening (CDPS) in primary care for cardiovascular disease, diabetes, cancer and associated lifestyle factors. The desired
long-term goals are improved clinical outcomes, reduction in the burden of chronic disease and improved sustainability of the health care system through improved CDPS
in primary care. The BETTER coalition, informed by Ontario’s Chronic Disease Prevention and Management Framework, demonstrated the effectiveness of Prevention
Practitioners (PPs) in primary care teams. PPs are health professionals (e.g., nurses, dieticians, or LPNs) who, using the BETTER toolkit, determine which CDPS maneuvers
the patient is eligible to receive. Through shared decision-making and motivational interviewing, each PP develops a unique, individualized ‘Prevention Prescription’ with
each patient. Primary care is the ideal setting for CDPS; however, evidence-based approaches are inconsistently applied. The BETTER program is a collaborative approach
grounded in practice and built from existing work, that is, ‘integration NOT creation’. The findings to date provide an understanding of an approach that significantly improves
CDPS within the primary care setting as measured by a summary quality index. A new strategy is needed for CDPS within primary care as patients often have complex care
needs. The BETTER approach provides the framework and tools to an approach to CDPS that is: 1) personalized, 2) addresses multiple conditions, 3) integrated with linkages
to local, regional or national resources, and 4) longitudinal - assessing patients over time.
Co-authors: Kris Aubrey-Bassler, Assitant Professor, Discipline of Family Medicine, Memorial University of Newfoundland; Donna Manca, Dr., University of Alberta; Kami
Kandola, Dr., Government of Northwest Territories; Denise Campbell-Sherer, Dr., University of Alberta; Eva Grunfeld, Dr., University of Toronto
A2.2
Hans Kai: An innovative program to improve health, prevent and/or manage chronic diseases through community led groups
Presented by: Shannon Milks, Chronic Disease Coordinator, NorWest Co-op Community Health Centre; Cindy Peters, Primary Care Nurse, NorWest Co-op Community
Health Centre
To empower participants to take control of their health by forming structured,sustainable groups that meet regularly to support eachother in making healthy lifestyle choices,
monitor specific health indicators,prepare healthy food and participate in physical activity. To provide credible health information/resources/tools through an 8 session ‘health
school’ which prepares groups to meet independently and be self directed (groups are leaderless). The program is targeted toward all adults, seniors, people with or without
chronic diseases, lower income populations, newcomers, people with a mental illness and workplaces. Participants attend an 8 session health school to learn about healthy
eating, importance of exercise, how to check blood pressure/sugar, waist circumference, how to sleep better, manage stress, make group decisions by consensus and set
healthy living goals. Upon completion of health school groups receive a toolkit of resources and begin meeting on their own. Improved monitoring and awareness of health
indicators. Awareness of risk factors and determinants of health. Sense of social connectedness with group members. Gained knowledge, skills and ability to lead their own
hans kai group. Participation in regular group meetings. Positive health behavior changes.
A2.3
Improving Dental Health through a School Based Tooth Brushing Program in a Low Socioeconomic Area of Urban Ottawa
Presented by: Bev Wilcox, OttawaPublic Health
This initiative’s aim was to develop and implement a tooth brushing program to improve dental health and increase knowledge of evidence-based dental health practices at a
primary school. in a lower socioeconomic area of Ottawa. A positive change in both knowledge tooth brushing practices was anticipated in both the students and their families.
The initiative targeted students in kindergarten and special education classes attending a primary school where dental screening indicated a high risk rating. The principal
raised this issue with the public health nurse assigned to the school. Many students were from immigrant families where parents spoke limited English or French, had low
income and worked long hours. An evidence-based protocol was established,in collaboration with Ottawa Public Health’s Dental Health Program. Dental health education and
support was provided to school staff, kindergarten and special needs students. A daily tooth brushing program was implemented and proper brushing technique reinforced
regularly. Parent information sessions were held, multi-lingual information was included in school newsletters and fluoride treatments were offered. An evaluation completed
by teachers and early childhood educators at the school four months post-implementation indicated students had positive comments about the tooth brushing program.
Student learning was also evaluated informally. One year post implementation, dental screening results demonstrated a change from a high to a low risk rating. The program
is expanding to selected Ottawa primary schools in 2014.
24
Populations & Risk Factors | Rapid Fire E-Poster Presentations
Populations et facteurs de risque | Présentation éclair d’affiches
(Joliet Room)
(Salle Joliet)
RF
Locally Driven Collaborative Project (Cycle 2): Decreasing alcohol use and alcohol related harms - phase 2
Presented by: Emily Lester, Public Health Nurse, Durham Region Health Department
To identify a comprehensive approach and related public health strategies that can be implemented at the local level to decrease alcohol consumption and related harms. To
identify challenges that public health units face that result in disconnect between evidence based strategies and public health action. To create a plan for knowledge exchange
and collaboration between Ontario public health units. Literature search: A literature search, manual search and consultation with content experts identified systematic reviews
and grey literature for review. Public Health Unit Surveys: A survey of thirty-two Ontario health units identified barriers and facilitators related to alcohol programming. Key
Informant interviews: Nine key informants were questioned regarding alcohol within a provincial and national context. Upon project completion in January 2014, an evidence
based guide will be developed. This guide will feature recommendations that will help to inform and support local public health action aimed at reducing alcohol consumption
and alcohol related harms. Currently, evidence regarding national and provincial level policy interventions that decrease rates of drinking exists. However, there is a lack of
evidence regarding local level public health strategies that will reduce alcohol consumption and related harms. This guide aims to fill this gap by providing recommendations
for local health unit actions to reduce alcohol consumption and related harms.
Co-authors: Melissa Hutchinson, Program Manager, Durham Region Health Department; Amanda Kroger, Program Manager, Region of Waterloo Public Health; Michelle
Schwarz, Public Health Nurse, Regional Municipality of Halton; Amy Hlaing, Public Health Nurse, Region of York Health Services Dept South Service Centre
RF
Vital Signs: Gathering Community Perspectives for DeSIGNing Interpretive Signage on Salt Spring Island
Presented by: Joan Wharf Higgins, Professor, University of Victoria
Public parks offer equitable opportunities to: engage in physical activity, connect with nature, and engage in informal learning that influences the behaviours of visitors. Yet,
research about crafting interpretive messages that both transmit information and nurture behaviour change is largely missing. This gap is further widened by neglecting to
tailor interpretive materials to meet diverse health literacy needs of audiences. This presentation will share our experience in developing, pre-testing and evaluating interpretive
messages in Mouat park on Salt Spring Island, engaging over 340 residents in this process. Focus groups/interviews informed the creation of six interpretive messages,
subsequently pre-tested prior to sign construction. Systematic observations and intercept surveys in the park documented the influence of signs on visitor experiences. Our
experience confirms the recommendations in the literature that the design and delivery of interpretive messaging requires a clear idea of visitors’ environmental, health
and cultural awareness, and motivations, and to design messages that enable visitors to make connections between their immediate surroundings and the issues being
interpreted. Visitors rated the signs highly for comprehension, interest, enhancing their experiences, and inspiring an informal stewardship responsibility. Too often, the
content and style of interpretive messages in public parks are designed without extensive community consultation, pre-testing and follow-up. Because signs can not only
provide information, but offer meaningful ‘point of decision-making’ prompts for visitors, they can be an important health promotion strategy to encourage physical activity in
nature and reach diverse audiences, increasing access to healthy environments.
Co-authors: Joan Wharf Higgins, Professor, University of Victoria; Lorraine Brewster, Manager, Capital Regional District; John Buxcey, Grad Student, University of Victoria
Populations & Risk Factors | Oral Presentations
Populations et facteurs de risque | Exposés oraux
(Joliet Room)
(Salle Joliet)
A3.1
Cultural Competency in Cancer Screening and Treatment for First Nation, Inuit and Metis
Presented by: Verna Stevens, Aboriginal Patient Coordinator, Champlain Regional Cancer Program
Enhanced Access to Breast, Cervical and Colorectal Cancer Screening for First Nations, Inuit and Métis in the Champlain Region. Identify & address educational and resource
needs of Aboriginal people and on-site providers through knowledge exchange. Enhance community capacity by learning from communities, partnerships and promoting
cultural competency among service providers. Improve access to culturally safe screening services. Aboriginal men ages 50+ Aboriginal women ages 21+ Community health
care providers External health care providers working in breast, cervical and colorectal cancer screeing programs. Community focus groups Community and staff lunch and
learn sessions Community based activities Group screening activities, women’s health days etc Chart audit data research Development of resource tool kit for health care
providers and resources for community Cultural competency training for external health care providers. baseline data on screening rates. Further data after interventions. Tool
kit Community level resources cultural competency training session.
Co-authors: Jennifer Ferrante, Aboriginal Project Coordinator, Regional Cancer Program
A3.2
Identifying Pre-diabetics in Primary Care EMR database and Potential Technological Interventions at the Point of Care
Presented by: Morteza Mashayekhi, Ryerson University; Karim Keshavjee, InfoClin
The main objective of this research is to develop methods to identify patients at high risk of developing diabetes in Canadian electronic medical record systems (EMRs). In
addition, we design interventions to bring high-risk patients to the attention of health care providers within their EMR. We use data from CPCSSN with over 500 physicians
providing data on 600,000 patients each quarter. Longitudinal data is available for a minimum of 5 years for most patients in the database. We are identifying patients with
known risk factors for developing diabetes (e.g., gestational diabetes, glucose intolerance) and using various data analysis techniques to identify additional risk factors. We
will report on the number of patients who are likely to develop diabetes in the near future. We will also report on the variation in rates of patients developing diabetes across
different provider practices with the intent of identifying positive deviants and their best practices in preventing onset of diabetes. Finally, we prioritize the risk factors based on
their relative contribution on pre-diabetics. Using the CPSSN database, we design a methodology and algorithm to identify patients at high risk of developing diabetes within
an EMR. The designed methodology will flag patients in the EMR for recall to the clinic and help measure the impact of various interventions to allow providers to compare
their rates of prevention to those of other physicians.
25
A3.3
Data and Systems Thinking: Basis for Health Equity Integration
Presented by: Lydia Drasic, Executive Director, BCCDC Operations & Chronic Disease Prevention, Provincial Health Services Authority/BC Centre for Disease Control
To reduce the burden of chronic disease by increasing health equity through providing data and evidence and identifying measures to create understanding of the impact
and importance of health equity, developing a guiding framework based on a systems approach that involves all levels of an organization, and applying equity to existing
processes and practices for best health outcomes. This project targets the health system at all levels from senior leaders to front line providers. However the data on BC has
been used by and is applicable to all sectors whose mandate relates to the well-being of communities and populations and the guiding framework components are relevant
to and can be adapted to organizations in general. Key activities included: updating previous data analysis, collaborating with health authorities to identify and test the utility
of a suite of health equity indicators for BC, develop partnerships to leverage knowledge and resources, applying complex systems thinking to health equity, consultation to
develop the guiding framework and collaboration to identify opportunities for integrating health equity throughout our organization. The deliverables include: updated data
report for BC, an indicator list for consideration with evaluation whether they were used to influence health authority priorities and resource allocation, partnership with Fraser
Health Authority to develop communication tools, guiding framework for integrating health equity at all levels and identifying priority areas for testing the integration of health
equity.
(Bytowne Room)
(Salle Bytowne)
A4
Evidence-Informed Action on Healthy Living and Healthy Weights: From Surveillance and Modelling to Population Interventions
Presented by: Kerry Robinson, Director, Interventions & Best Practices Division, Public Health Agency of Canada
Healthy living and healthy weights have been identified as policy priorities at all government levels in Canada. Public health professionals require opportunities to access and
understand the latest evidence on these issues and effective solutions in order to best use limited resources. This workshop will highlight current evidence from the Public
Health Agency of Canada to support evidence-informed action. This session will include presentations and discussion on: pan-Canadian surveillance findings on healthy
weights, risk factors and populations; results from population health model projections of the health and economic burden of obesity; findings from a scan of policy efforts in
one key domain (active transportation); evaluated best practice interventions for healthy weights; and early lessons from federal investments in innovative interventions on
achieving healthier weights. The obesity epidemic has become a global threat to population health and a major public health burden as evidenced by current surveillance
data, as well as economic modelling projections. The need for both Canadian economic evidence to feed into modelling analyses, as well as context-sensitive evidence on
effective interventions and implementation approaches to support Canadian communities is central to addressing this public health challenge. Given the burden of obesity
and related chronic diseases in Canada, there is a need for continued innovative and evidence-informed multi-sectoral efforts to support healthy choices and supportive
environments that can promote healthy weights for all Canadians. Policy and practice groups are encouraged to continue to evaluate and share their impacts and lessons
learned to inform expansion of effective strategies.
(Richelieu Room)
(Salle Richelieu)
A5
Coalitions Linking Action and Science for Prevention (CLASP): A Model for Establishing and Implementing Multi-Disciplinary, Multi-Jurisdictional
Partnerships for Cancer and Chronic Disease Prevention
Presented by: Jon Kerner, Canadian Partnership Against Cancer
CLASP is a model for accelerating access to and uptake of evidence-informed cancer and chronic disease prevention practices and policies.Selected through a multidisciplinary
external, peer-review process, from 2009 to 2016 twelve multi-disciplinary, multi-jurisdictional projects have been and are being evaluated to measure how partnerships
evolve over time, and to understand how a coordination, cooperation, and collaboration among coalition partner organizations works to broaden the reach and deepen the
impact of existing prevention efforts.
(International Ballroom)
(Salle de bal Internationale)
A6
Health Impact Assessment (HIA) – Does it Really Make a Difference?
Presented by: Lisa Ashley, Senior Nursing Advisor, Canadian Nurses Association; Rita Koutsodimos, Manager, Advocacy and Communications, BC Healthy Living
Alliance; Louis St-Pierre, Head of Projects, National Collaborating Centre for Healty Public Policy; Émile Tremblay, Officer, Planning, Programming and Research, Public
Health Directorates, Montérégie Region
Health Impact Assessments are increasingly being adopted in jurisdictions locally and abroad as a method to assess the health impacts of policy, programs and projects.
Experts in this session will explain the current research and describe how HIA is being practiced at the local government level. This session will also include a discussion of
collaborative efforts to advocate for HIA as a tool for improving the health of all Canadians within a ‘health in all policies’ approach.
(Capitale Room)
(Salle Capitale)
A7
Changing the Food and Beverage Environment in Community Recreation
Presented by: Chi Cejalvo, RD - Healthy Food And Beverage Initiative Coordinator/Registered Dietitian, BC Recreation and Parks Association; Jan Downing, Coordinator,
Recreation and Parks Association of the Yukon; Elsie De Roose, Territorial Nutritionist, Department of Health and Social Services, Government of the Northwest Territories;
Emmanuelle Dumoulin, Project Coordinator, Health Promotion, Quebec, Heart and Stroke Foundation
This workshop is meant to spark ideas for action in other jurisdictions by providing an overview of what is currently underway in Canada and a sampling of approaches from
a variety of contexts. Participant will learn about the Canadian context for action and changes in the food environments in recreation settings. With a focus on evaluation
results, lessons learned, and the importance of context, presenters will describe the scale-up and expansion of the Healthy Food and Beverage Sales in Municipal Recreation
initiative within British Columbia, and to the Yukon, the Northwest Territories, and Quebec, through the Collaborative Action on Childhood Obesity phase 2 (CACO2) coalition,
an initiative funded by Health Canada through the Canadian Partnership Against Cancer’s CLASP initiative.
26
Wednesday, April 9, 2014 | 3:45pm – 5:15pm
Le mercredi 9 avril 2014 | 15 h 45 – 17 h 15
Concurrent Session B1
Research & Partnerships | Rapid Fire E-Poster Presentations
Séances simultanées B1
Recherche et partenariats | Présentation éclair d’affiches
(Frontenac Room)
(Salle Frontenac)
RF
Ontario’s Healthiest Province Campaign - A Provincial Advocacy Success Story
Presented by: Chris Markham, Chair, The Ontario Chronic Disease Prevention Alliance (OCDPA)
Objective of this presentation will be to provide an overview of the successful OCDPA provincial advocacy campaign that aligned 23 provincial NGO’s around one chronic
disease prevention goal. The ‘Make Ontario the Healthiest Province’ and ‘Better Health is Worth 0.5% Campaign’ were instrumental in reframing the issue of chronic disease
prevention. Leaders in chronic disease prevention across Canada or internationally. We will provide an overview of the research, the campaign, the negotiations between 23
CDP members, the branding, the resource contributions by members and the impact on Ontario policy. By the end of this session participants will understand how the OCDPA
mobilized around a common advocacy goal, how we worked together to finance the campaign, how we advocated to government and how we measured success.
RF
Heart Wise Exercise: Building Community Capacity for Individuals with Chronic Disease
Presented by: Jennifer Harris, Regional Manager of CVD Prevention and Rehabilitation Outreach Programs, University of Ottawa Heart Institute
Heart Wise Exercise (HWE) addresses the need for community-based initiatives that can provide ongoing, safe, affordable and effective exercise programmes for individuals
living with chronic conditions. By identifying appropriate exercise programmes in community facilities, HWE aims to offer a cost effective approach to preventive health care
which includes the transition of hospital-based ‘patients’ into community-based ‘participants’. Created to help transition patients from cardiac rehabilitation, the HWE model
expanded to reach patients with diabetes, TIA/minor stroke, other chronic conditions and those at risk. A 2012 survey affirmed that HWE programs reach this target population.
Of 333 HWE participants responding to the survey:51 had heart disease, 22 had a TIA/mild stroke, 43 had diabetes, 129 were overweight and 146 had hypertension. Six
criteria were developed by key stakeholders, including participants and experts. The criteria, including screening protocols, safety plans, CPR certified instructors and the
presence of an AED,ensure HWE programs are safe for those with chronic conditions. Fitness leaders are trained by experts in chronic disease management and site visits
are completed. Once approved, appropriate classes are identified and promoted using the HWE logo. Over 800 fitness professionals have been trained on the HWE model.
There are currently over 400 programs in 225 locations across Ontario. This scalable model facilitates independent exercise in participant’s own communities, therefore
enabling better management of their disease, enhancing quality of life and decreasing the burdens (financial and personal) caused by re-entry into the health care system.
Co-authors: Jennifer Harris, Regional Manager for Cardiovascular Disease Prevention and Rehabiliation Outreach, University of Ottawa Heart Institute; Andrew Pipe, Chief,
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute; Jennifer Reed, Associate Scientist, Division of Prevention and Rehabilitation, University of
Ottawa Heart Institute
RF
Running for the Cause or Walking the Talk? The Influence of the ‘Run for the Cure’ Event on Participants’ Health Practices
Canadians struggle to maintain a healthy body weight, eat right and get enough physical activity for their health. Because evidence-based ‘best practices’ can take 17 years to
influence practice, using ‘natural experiments’ are important contexts for understanding peoples’ life choices. Physical activity events(‘fun runs’) are customary for nonprofits,
providing a ‘natural’ opportunity to study their influence on participants’ health. This presentation will describe our mixed-methods study describing the motivations and health
practices of participants in the 2012 Victoria, B.C. ‘Run for the Cure’ (N = 64) gathered through questionnaires, fitness assessments at two and four months post-event, and
interviews. Results found fitness levels maintained from two months to six months post-event, with increased levels of intrinsic motivation for physical activity (t = .047, p <
0.05), and decreased levels of identified motivation for healthy eating (t = .036, p < .05). Interview data revealed notions of altruism, reciprocity, and self esteem as critical to
the experience. We argue that ‘fun runs’ provide an ideal context for health behaviour change at the population level, serving organizations’ mandates to raise awareness and
fundraise, as well as promote health and prevent disease for participants, both leading up to and following the event.
Co-authors: Joan Wharf Higgins, Professor, University of Victoria; Kathryn Moncks, Graduate Student, University of Victoria; John Meldrum, Professor, University of Victoria
Research & Partnerships | Oral Presentations
Recherche et partenariats | Exposés oraux
(Frontenac Room)
(Salle Frontenac)
B1.1
Understanding and improving the performance of inter-organizational partnerships for chronic disease prevention: developing an action research agenda
Presented by: Cameron Willis, Research Assistant Professor, Propel Centre for Population Impact
Governments around the world are investing in prevention strategies that use multi-level, multi-sector, inter-organizational partnerships for strengthening the connections
between social, physical and policy environments, both within and outside the health arena. This project aimed to develop a collaborative agenda for guiding a program
of research focused on understanding and improving the performance of multi-organizational partnerships for chronic disease prevention. A two-day invitational forum
was held involving a selected group of research, policy and practice leaders from local, provincial and national jurisdictions. The forum included presentations from
international speakers, small group work, facilitated group discussions, interactive panel sessions and iterative feedback syntheses. Participants considered both practice
and research based evidence in refining research directions and the needs of diverse stakeholders at different jurisdictional Participants proposed three key domains to
guide future research activities: (1) defining partnership value from each sector’s perspective (inclusive of the social and economic value of partnerships); (2) examining
governance, management, leadership and power relations; and (3) exploring the evolution, health, sustainability and legacy of partnerships. Each research direction
requires broad engagement with multiple stakeholders who bring diverse skills and knowledge sets. This participatory action research agenda needs to be embedded in the
experiences of existing multi-organizational partnerships and responsive to the knowledge needs of policy makers, care providers, system planners and community groups.
This requires inclusion of methodologists, theorists and practitioners, and engagement with disciplines not explicitly focused on health (e.g. physical environment, social
services, employment, transport, public and private sectors).
Co-authors: Cameron Willis, NHMRC Sidney Sax Fellow, University of British Columbia; Barbara Riley, Propel Centre for Population Health Impact; Jon Kerner, Canadian
Partnership Against Cancer; Deb Keen, Canadian Partnership Against Cancer; Allan Best, InSource Research Group
27
B1.2
Catalyzing multi-disciplinary collaborations for chronic disease prevention research
Presented by: Barbara Riley, Executive Director, Propel Centre for Population Health Impact, University of Waterloo
Chronic diseases and their common underlying risk factors raise complex problems; strategies to reduce their incidence and prevalence are most effective when informed
by evidence generated by a broad range of disciplines. The University of Waterloo Chronic Disease Prevention Initiative (CDPI) aims to catalyze and support innovative
multi-disciplinary collaborations that focus on preventing chronic diseases and their burden. Launched in fall 2012, CDPI engages faculty and graduate students from all
Waterloo Faculties: Applied Health Sciences, Arts, Engineering, Environment, Mathematics and Science. Catalyst activities include networking events and competitive seed
funding. Seed funding is awarded to (1) create teams and/or expand existing teams, (2) promote multidisciplinary collaboration, and (3) increase the success of individuals
and teams in applications for external funding. We are fostering and strengthening teams with diversity of knowledge and skills. Nine multi-disciplinary teams representing
twelve departments were supported in the first competition. Disciplinary contributions include health sciences (public health, optometry, nutrition, kinesiology, pharmacy),
mathematics (computer science, statistics), engineering (systems design, computer), basic science (physics, biology) and humanities (women’s studies). The second round
of seed funding will be awarded early in 2014. It takes a coordinated set of formal and informal catalyst activities to foster new research collaborations. The CDPI is in a
formative stage. A longer-term vision of CDPI is that new multi-disciplinary teams will engage with those working in policy and practice for chronic disease prevention, with
mutual influence over time. The CDPI will facilitate research, policy and practice linkages.
Co-authors: Barbara Riley, Executive Director, Propel Centre for Population Health Impact; Richard Cook, Professor, University of Waterloo; Martin Cooke, Associate
Professor, University of Waterloo; Garcia John, Associate Professor, University of Waterloo; Holtby Laura, Project Manager, Propel Centre for Population Health Impact
B1.3
Research into Practice: Methods & Tools to Support Evidence-Informed Decision-Making
Presented by: Maureen Dobbins, Scientific Director, National Collaborating Centre for Methods and Tools
This project aims to bridge the gap between research and practice in public health and chronic disease prevention. New Knowledge Translation (KT) resources have been
identified and developed that make it easier for practitioners to interpret and apply research evidence in practice. The objective of this project is to increase awareness and
facilitate uptake of these resources. This workshop is geared towards participants who want to learn more about harnessing research evidence to improve their practice and
who want to improve their skills at doing so. Frontline public health practitioners and decision-makers engaging in the primary prevention of chronic diseases will find this
workshop particularly useful. A case scenario based on a high priority topic in chronic disease prevention will be used to work through the seven-step process of evidenceinformed decision-making. Large group didactic components will provide high-level information about available resources. While in small groups, participants will practice
applying these new resources to the scenario, and discuss their perceptions of how the tools could be used in the future. Following this workshop, participants will be able to
describe several examples of resources available to them online free of charge. Additionally, participants will be able to illustrate the ways in which Knowledge Translation
resources can be used to strengthen their own practice and engage in evidence-informed decision-making. Finally, participants will practice applying new resources to a real,
practice-based scenario.
Co-authors: Ramona Kyabaggu, Knowledge Broker, National Collaborating Centre for Methods and Tools
B1.4
The Single Largest Health Promotion Intervention in Ontario - the story of our health curriculum
Presented by: Chris Markham, Executive Director and CEO, Ophea
Participants will understand the process Ontario took to develop the health curriculum in Ontario in 2010. Ophea took a leadership role to mobilize 100 provincial and national
organizations to support the implementation of this curriculum through lesson plans, visual supports and student materials. This has had an impact Educators, public health
other NGO’s Participants will be made aware of the research and consultation that went into the development of the curriculum. In response we will provide an overview of
the process that NGO’s took to ensure that teachers had high quality resources to support student learning. Over 1,000 lesson plans were developed impacting 2.1 million
kids in Ontario. The lessons address physical activity, healthy eating, substance use, mental health, injury prevention and living skills. Other provinces have started a similar
process and have leveraged our content to ensure high quality, consistent and standard resources.
School Settings | Oral Presentations
Environnements scolaires | Exposés oraux
(Chaudiere Room)
(Salle Chaudiere)
B2.1
The Youth Engagement Toolkit: Bringing youth voice and inclusion to comprehensive school health
Presented by: Katherine Kelly, Executive Director, Pan-Canadian Joint Consortium for School Health
Both research and experience have demonstrated that youth engagement and youth-adult partnerships can change a young person’s life for the better. The Pan-Canadian
Joint Consortium for School Health has joined forces with the Students Commission of Canada as well as its member Health and Education Ministries across the country
to develop the Youth Engagement Toolkit. The following groups were targeted: provincial/territorial (PT) ministries of health and education, School districts / boards, School
administrators and staff, students, parents, and community members. The purpose of the Youth Engagement Toolkit is to develop and exchange knowledge with a wide
network of stakeholders. The Toolkit articulates the authentic contribution of young people to all levels of school health - from teaching and learning, to improving the physical
and psychosocial environments, to decision-making and healthy school policy development, to partnerships with parents, the wider community, and services. In addition,
there are an indicator framework, an evaluation model, and an extensive list and weblinks to Resources. This presentation will provide an overview of the videos, networks,
youth voice, and research behind this brand new eBook toolkit. As well, the presentation will explore the benefits of collaboration across policy, practice, and research in order
to bring youth engagement in comprehensive school health in all schools in Canada, regardless of size, location, or socioeconomic benefits / constraints.
B2.2
Health Empowerment for You (HEY)
Presented by: Beverley Whitehawk, Director of Primary Care, Federation of Saskatchewan Indian Nations; Sheryl Whitehawk, HEY Facilitator, Federation of Saskatchewan
Indian Nations
1st Nation evidence based cancer and chronic disease prevention curriculum for 1st Nation support workers and non 1st Nation health professionals that addresses primary
and secondary prevention strategies and integrates First Nations history and culture. Also unique partnerships and networking organizations HEY partnered with including
Saskatchewan Cancer Agency who provided to funding to ensure continued training in Saskatchewan.Developed by 1st Health Professionals and community support
workers or anyone with interest in learning how to work with 1st Nation clients and families Oral and powerpoint presentation on 7 curriculum modules: 1. Vision of Health
Why This? Why Now? 2. Prevention of Cancer and Chronic Disease Whats the big Deal? 3. Protective Action: Healthy Eating, Cook Food, and Feel Better 4. Protective
Action Active Living Dont Sit Too Long 5. Protective Action A Healthy Body for Me 6.Protective Action Smoke Free - Non traditional use of Tobacco 7.Avoid misuse History
of Project Partnerships in 1st Nations in Saskatchewan and Manitoba Unique Partnerships and sustainablity, Evaluation and overview of modules Ways 1st Nation people
learn and become empowered
Co-authors: Beverley Whitehawk, Director of Primary Health Care, Federation of Saskatchewan Indian Nations
28
B2.3
The Healthy School Planner: an assessment tool for improving school health and developing a healthy school culture
To demonstrate the value in creating and sustaining a healthy school and optimal learning environment as a means to chronic disease prevention, and the benefits in
sustaining authentic partnerships across government sectors, school districts and schools, students, parents, and community members. To this end, the JCSH has launched
the completely revised Healthy School Planner (HSP). The following groups were targeted: provincial/territorial (PT) ministries of health and education, School districts /
boards, School administrators and staff, students, parents, and community members. The purpose of the Planner is to develop a school community team to assess school
health. This presentation will orient conference participants to the Healthy School Planner, and how this free, online tool, available in English and French, advances the health,
well-being and learning of Canada’s children and youth. Interactive discussions of the necessity of a team approach to this work and the value of approaching school health
improvements from a collaborative perspective will be discussed. From the modules that target school health - positive mental health, physical activity, healthy eating, and
tobacco use - to the resources that range from jurisdiction- specific to nationally-inclusive, the Planner is a tool that epitomizes chronic disease prevention and intersectoral
collaboration. The presentation will address the features and the collaborative investment from the numerous stakeholders in creating the Planner.
B2.4
Promoting Healthy Relationships and Preventing Bullying: a Positive Mental Health Toolkit for Schools
School is a place of relationships. In the years between kindergarten and high school graduation, students develop and participate in numerous relationships, healthy and
unhealthy. Negative self-concepts and victimization from peers in the form of bullying and cyberbullying elevate risk of developing chronic disease. Yet, school is also a place
of learning, where students can develop autonomy, connectedness, and competencies. The following groups were targeted: provincial/territorial (PT) ministries of health
and education, School districts / boards, School administrators and staff, students, parents, and community members. The purpose of the Positive Mental Health Toolkit
is to develop and exchange knowledge with a wide network of stakeholders. The PMH Toolkit is an interactive e-book which includes actionable messages and practical
approaches to assist administrators, educators, students and the school community in promoting PMH. This aligns fully with the four pillars of Comprehensive School Health:
Teaching and Learning, Physical and Social Environment, Partnerships and Services, and Healthy School Policy This workshop will explore how a Comprehensive School
Health approach and the Positive Mental Health Toolkit enable healthy relationship development in all students, including those who have bullied and those who have been
bullied. Positive Mental Health and Comprehensive School Health both share the perspective of moving beyond a problem-focused, interventionist approach to one of a proactive, prevention, self-determination lens.
Built Environment & Capacity Building | Rapid Fire E-Poster
Presentations
Environnement bâti et renforcement des capacités |
Présentation éclair d’affiches
(Joliet Room)
(Salle Joliet)
RF
Benefits of a Peer-to-Peer Learning Initiative with Osteoporosis Screening Coordinators
Presented by: Heather Eatson, Regional Integration Lead, Central Eastern Ontario, Ontario Osteoporosis Strategy, Osteoporosis Canada
To examine the perceived benefits of peer-to-peer learning and the feasibility of implementing future peer-to-peer learning opportunities within the Fracture Clinic Screening
Program, a component of the Ontario Osteoporosis Strategy. Osteoporosis Screening Coordinators (OSCs) working in Fracture Clinics were trained in Choices and Changes
- strategies to enhance patient health behavior change. Methods were adapted using a peer-to-peer model. A pilot was developed with 8 OSCs (4 pairs). There were two
one-hour teleconferences conducted with the OSC Task Group to develop the Peer-to-Peer Learning pilot and guideline document. Two one-hour training teleconferences
were conducted with the 8 (4 pairs) OSCs explaining the learning process. Each OSC pair spent a day in the other’s clinic to observe and learn how each integrated the
concepts from the workshop. Participants completed an anonymous evaluation. Benefits: Helped reinforce and more likely to incorporate concepts from the workshop
following peer-to-peer learning session, enhanced camaraderie. Limitations: Some hospitals have restrictions on visiting staff. Some questions require modification to better
assess outcomes. Initiative offered to all OSCs throughout 2013-2014. This initiative should improve the skills of OSCs. Future sessions could focus on enhancing patient
interactions, experiences and outcomes.
Co-authors: Christine C. Fung, Program Coordinator, Client Services and Telemedicine, Osteoporosis Canada, Ontario Osteoporosis Strategy; Jennifer Weldon, Regional
Integration Lead, Toronto Central, Ontario Osteoporosis Strategy; Heather Eatson, Regional Integration Lead - Central Eastern Ontario, Ontario Osteoporosis Strategy;
Joanna Sale, Associate Scientist, Mobility Program Clinical Research Unit, Li Ka Shing Knowledge Institute, St. Michael’s Hospital; Victoria Elliot-Gibson, Osteoporosis
Exemplary Care Program Coordinator, Mobility Program, Clinical Research Unit, Li Ka Shing, Knowledge Institute, Keenan Research Centre, St. Michael’s Hospital
RF
Fit for Work: findings from an online survey of people living with arthritis
Presented by: Lynn Moore, Director Programs and Services, The Arthritis Society
Understanding the employment experience and needs of people with arthritis through an examination of the impact of arthritis on employment with an emphasis on 1) at-work
productivity and absenteeism and 2) benefits, treatment, workplace practices and policies that might help sustain employment. In September 2012 The Arthritis Society,
Canada, commissioned a survey research organization with expertise in large panel designs to carry out an online, national survey of adult Canadians with arthritis. Questions
asked about demographic factors, arthritis diagnosis, work status, and for those who were working, benefits, workplace policies and accommodations available, disclosure of
health to employers, and the perceived impact of arthritis treatment at work. Although arthritis often did not affect productivity or work attendance, many experienced some
difficulty managing their arthritis and their jobs. Older workers were not more likely to miss time or be less productive than younger workers, and a significant minority were
employed after the age of 65. There is a lack of disclosure and discussion of better ways to manage arthritis and work. Proactive initiatives are needed to help people living
with arthritis to remain successfully and productively engaged in work. Areas for improvement include changes to workplace benefits, policies and practices, and support
for proactive disclosure of arthritis and/or and discussion of accommodations. It is anticipated that many of these initiative would be relevant for other forms of episodically
disabling diseases.
Co-authors: Lynn Moore, Director, Programs and Services, The Arthritis Society; Monique Gignac, Associate Scientific Director and Senior Scientist, Institute for Work and
Health; Elizabeth Badley, Director, The Arthritis Community Research and Evaluation Unit
29
Built Environment & Capacity Building | Oral Presentations
Environnement bâti et renforcement des capacités | Exposés oraux
(Joliet Room)
(Salle Joliet)
B3.1
Where Planning Meets Health: Synergistic Partnerships for Creating Actively Designed Buildings and Outdoor Spaces
Presented by: Barinder Jandu, Health Promoter, Region of Peel
The Actively Designed Buildings project is a multidisciplinary initiative that incorporates evidence-informed design principles into the enhancement of service buildings and
outdoor spaces at the Region of Peel. Through collaboration with internal departments, New York City’s Center for Active Design, and landscape architecture experts, this
project aims to promote health and prevent chronic disease through improvements in the workplace environment. The first phase of the project focused on decreasing
sedentary time and providing increased physical activity opportunities to employees and visitors at two Regional service buildings. Key lessons learned from this multiphase, multi-prong project will inform the development of future workplace health promotion initiatives with workplaces and businesses throughout the Region of Peel.
Improvements were made to stairwells, indoor office spaces and outdoor multi-use areas to facilitate walking meetings, standing meetings, and active breaks. Through
the use of social marketing, decision prompts and posters were developed and installed to encourage employees and visitors to make active choices. A multidisciplinary
committee was established to oversee renovation and landscape strategies and to ensure that accessibility and inclusion requirements were met. Initial evaluation shows a
39% increase in stairwell use. Assessments on the use of indoor and outdoor spaces will guide the incorporation of active design principles in other Regional buildings. The
unique partnerships forged through this work were instrumental to the strategy’s success and will be crucial in advancing knowledge translation and outreach activities with
workplaces and businesses in Peel.
Co-authors: Maria Morais, Supervisor, Workplace Health, Region of Peel; Gayle Bursey, Director, Chronic Disease and Injury Prevention, Region of Peel; Teresa Ho, Acting
Manager, Region of Peel; Rebecca Fortin, Advisor, Chronic Disease and Injury Prevention, Region of Peel; Barinder (Binny) Jandu, Health Promoter, Region of Peel
B3.2
Healthy Built environment (HBE) Linkages Toolkit: An evidence-informed resource
Presented by: Andrew Tugwell, Director, Population & Public Health, Provincial Health Services Authority
This resource is intended to: 1) facilitate conversations between public health practitioners, planners and others involved in land-use and transportation planning, 2) assist
partners in understanding and applying health evidence, 3) inform built environment decision-making processes, 4) be a navigational tool, directing people to further
information. The primary audience for the linkages toolkit is public health practitioners involved in healthy built environment work, planners, design professionals and landuse and transportation planning professionals such as architects and engineers, and others involved in the design of communities such as decision-makers in municipal
and regional governments. It is intended to serve as a conversation-starter between public health practitioners and these various audiences. The work is guided by advisory
groups of public health practitioners and planners. The focus has ensured planners’ input on: the evidence and content to be considered, key language and presentation of
information conducive to engaging the target audiences. Positive feedback on early toolkit drafts has already been received from the Planning Institute of BC and Union of BC
Municipalities. The toolkit content is grouped by five physical features of the built environment: neighbourhood design, housing, transportation networks, natural environments
and food systems. For each physical feature, evidence is being assessed, and the information is organized by key messages, planning principles, impact, and health-related
outcomes.
Co-authors: Andrew Tugwell, Director, Population & Public Health, Provincial Health Services Authority; Helena Swinkels, Medical Health Officer, Fraser Health Authority;
Catherine Elliott, Physician Epidemiologist, BC Centre for Disease Control; Tannis Cheadle, Manager, Population & Public Health, Provincial Health Services Authority
B3.3
The importance of stakeholder engagement in facilitating “knowledge to action” strategies to promote healthy public policy: The example of Built
Environment and obesity
Presented by: Ghazal Fazli, Research Coordinator, Centre for Research on Inner City Health
To consult stakeholders from a variety of sectors and disciplines across Southern Ontario (N=50) on knowledge gaps, challenges and key steps to implementing policy
changes related to the built environment that would promote physical activity and reduce obesity. A preliminary qualitative thematic analysis was conducted to identify
emerging themes related to gaps in knowledge and barriers that impede evidence-based decision-making and policy development related to the built environment, based on
stakeholder input. Relevant themes and sub-themes were identified and validated through post-meeting consultations. Seven themes (Appropriate and Effective Messaging,
Data Needs, Economic Argument, Alignment Across Sectors and Levels of Government, Importance of Advocacy, Implementation - focus on the “how”, and Sustainability
and Governance), and two cross-cutting themes (Partnership & Collaboration, and System Integration) were identified in the thematic analyses. Additional research and
action items were also identified to guide strategies around future research, planning and policymaking. Results from the thematic analyses and stakeholder consultation
processes highlight the importance of providing a forum to share success stories and challenges in achieving changes to the built environment. Identifying major themes and
knowledge gaps will facilitate establishing partnerships, future research, and actions that can inform policy and practice changes to curb the growing burden of obesity, and
obesity-related illnesses.
Co-authors: Ghazal Fazli, Research Coordinator, Li Ka Shing Knowledge Institute, St. Michael’s Hospital; Marisa Creatore, Li Ka Shing Knowledge Institute, St. Michael’s
Hospital; Heather Manson, Public Health Ontario; Phat Ha, Public Health Ontario; Gillian Booth, Li Ka Shing Knowledge Institute, St. Michael’s Hospital
B3.4
A non-traditional intersectoral collaboration: Building Healthy Communities on the Rock
Presented by: Catherine Donovan, Associate Professor, Public health, Memorial University of Newfoundland
To create and sustain a broad intersectoral collaborative to promote and support ‘building’ healthy communities in Newfoundland and Labrador Organizations that have
the capacity to influence how our communities can positively evolve from a planning and development perspective. Target sectors have included: municipalities, planning,
environment, transportation, culture, recreation, education, public engagement, architecture, commerce, NGOs and health. Activities have included an array of approaches
from knowledge exchange and non-traditional partnership building workshops to piloting online capacity building sessions to small demonstration projects at both a community
and provincial level to the development of research and recommendations papers for government. A sustainable, working Building Healthy Communities Collaborative.
Evidence of the impact of nontraditional partnerships through small changes at a policy or program level. A Built Environment Recommendation Paper for the Minister of
Health & Community Services to support dialogue across government. The longterm vision is to ensure health is a consideration at all levels of planning.
Co-authors: Catherine Donovan, Associate Professor, Memorial University of NL; Mary Bishop, CBCL; Fay Matthews; Pablo Navarro, NLCAHLR; Carol Ann Cotter,
Government of NL
30
(Bytowne Room)
(Salle Bytowne)
B4
Pulling together a decade of physical activity, tobacco dependence and mental wellness research: Where have we been and where can we go?
Presented by: Annette Schultz, Associate Professor, Faculty of Nursing, University of Manitoba; Gayle Halas, Family Medicine Research, University of Manitoba
To describe a team approach and the results of a scoping review that investigated physical activity, tobacco use and mental wellness issues specific to the context of primary
prevention of chronic diseases. Arksey and O’Malley’s(2005)scoping review framework guided this review of the three topics. We employed an iterative process to identify
relevant key terms for each topic. Multiple databases were searched with Scopus and PubMed common across all topics. A data extraction tool was developed through an
iterative process and then used to systematically retrieve evidence specific to the current state of primary prevention research. Scoping reviews of complex topics benefit
from an interdisciplinary team approach, which offers an enhanced capacity to explore topics from multiple perspectives. Our results describe an expansive view of current
research across the three topics and reveal emergent gaps. The lessons learned move beyond results extracted from the literature, to critical consideration of primary
prevention interventions (e.g. timing of interventions, importance of early childhood). This review focuses on current evidence, discourse and context concerning primary
prevention policy, practice and research specific to three key areas of importance to chronic disease prevention. Workshop participants will be invited to examine the results
from their own perspectives and critically reflect upon how research can serve primary prevention policy and practice by suggesting future approaches and priority areas.
(Richelieu Room)
(Salle Richelieu)
B5
Creating Partnerships to Address Childhood Healthy Weights in BC
Presented by: Karen Strange, MEND Provincial Manager, Childhood Obesity Foundation, Childhood Obesity Foundation; Arlene Cristall, Program Coordinator,
ShapedownBC, Childhood Obesity Foundation; Patti-Jean Naylor, Associate Professor, Director, University of Victoria, Childhood Obesity Foundation
The Childhood Healthy Weights Intervention Initiative (CHWII) is intended to develop, implement and evaluate a province-wide, family-based childhood healthy weights
intervention program. The workshop objective is to provide an in depth overview of BC’s CHWII and spark discussion about critical partnerships and approaches to providing
the continuum of services needed to help children and teens leaving a healthy weight trajectory. The target groups for this workshop include: Policy makers Recreation
practitioners Health practitioners The workshop will include an in depth overview of the CHWII including MEND and ShapedownBC, the partnerships, the experiences we
have built on and our emphasis on evaluation. Delegates will participate in a brief interactive MEND and ShapedownBC experience. Breakout group brainstorm sessions will
be used to help participants identify partnerships and discuss management strategies applicable to their jurisdictions. A panel discussion will be held. Participants will leave
with: 1. An understanding of an innovative approach to childhood obesity prevention and management; 2. A unique MEND and ShapedownBC intervention experience; 3.
Transferrable knowledge and ideas for creating meaningful partnerships including knowledge of barriers and risks; 4. Lessons learned from implementing the CHWII to date
and an opportunity to have questions answered regarding these learnings.
Co-Authors: Tom Warshawski, Chair, Childhood Obesity Foundation, Childhood Obesity Foundation; Lisa Forster-Coull, Director, Population and Public Health, Ministry of
Health
B6
Restricting Marketing to Children – What is possible in a 21st century world of social media?
Presented by: Manuel Arango, Director, Health Policy, Heart and Stroke Foundation; Dennis Van Staalduinen, Ottawa-based brand strategy and digital media consultant;
Grant Gordon, President and Creative Director, Key Gordon Communications; Kenneth Wong, Associate Professor and Distinguished Professor of Marketing, Queen’s
University
There has been some debate regarding the feasibility of implementing a fulsome ban on the marketing of foods and beverages to children in today’s world given the increasing
prevalence of social media marketing and reduced TV viewership: 1) Some experts argue that a fulsome ban on the marketing of unhealthy foods and beverages to children
is possible because there are precedents for enforcing bans on certain activities on the internet. A case in point is the example of hate crimes, which are prohibited and
monitored over the internet. 2) At the other end of the spectrum, some experts argue that with reduced TV viewership and increasing focus on other media vehicles, including
social media, it is would be very difficult to effectively ban the marketing of unhealthy foods and beverages to children. This session will explore these two perspectives.
(Capitale Room)
(Salle Capitale)
B7
First Nations Communities Working to Support Local Food Practices as a Chronic Disease Prevention Strategy
Presented by: Courtney Mason, Research Fellow, Indigenous Health Research Group, University of Ottawa; Myrna Robinson, Gitxaala First Nation; Jeanie Dendys,
Director of Justice, Kwanlin Dun First Nation; Clara Winnipetonga, Wapekeka First Nation; Fred Jacob, A/Food Strategy Coordinator, Nishnawbe Aski Nation
The Collaborative Action on Childhood Obesity Phase 2 (CACO2) project, funded by Health Canada through the Canadian Partnership Against Cancer’s Coalitions Linking
Action and Science for Prevention (CLASP) renewal funding initiative, aims to increase access to positive local and culturally relevant food, physical activity opportunities,
mental health supports and to improve health literacy in nine rural, remote aboriginal communities across British Columbia, Yukon Territory, Northwest Territories and
Ontario. This session highlights some of the activities and outcomes of this work, and profiles the experiences and learnings emerging from the leadership of our community
partners.
31
Thursday, April 10, 2014 | 11:00am – 12:30pm
Le jeudi 10 avril 2014 | 11 h 00 – 12 h 30
Concurrent Session C1
Healthy Weights & Physical Activity | Oral Presentations
Séances simultanées C1
Poids santé et activité physique | Exposés oraux
(Frontenac Room)
(Salle Frontenac)
C1.1
Evidence of Early Environmental Risk Factors for Chronic Disease
Presented by: Lynn Marshall, Chair and President, Environmental Health Institute of Canada
Identify if many frequent exposures, particularly in early life, play important roles as determinants of common chronic diseases, such as respiratory/cardiovascular disease,
cancer, diabetes/obesity and neurodevelopmental disorders/dementia .Elucidate some complex mechanisms by which exposures can determine disease .Enable parents and
health/child care service providers to take preventive action in the interest of promoting lifelong health and well-being A formal collaboration between a children’s environmental
health partnership and a chronic disease prevention alliance (over 35 organizations) led to a scoping review of the scientific literature for early and late environmental exposures
associated with increasingly common chronic, and often multi-morbid conditions that particularly affect those of low socioeconomic status. Overlapping environmental risk
factors were revealed, acting alone or together, that can affect all humans, particularly fetuses, infants and children where impacts can affect lifelong health and some effects
can be passed on to future generations. Developmental origins of health and disease (DOHaD), related epigenetic mechanisms, endocrine disruption of brain and other body
system development, and the primacy of poverty were also noted. Partner organizations developed explanatory webinars, conference presentations and tools for physicians,
nurses and other health and child care professionals that they could incorporate into everyday practice. They also translated the knowledge from the scientific review into a
plain-speaking brochure, basic information cards (which were translated into six languages) and a video targeted to new parents.
Co-authors: Lynn Marshall, Chairperson and President, Environmental Health Institute of Canada; Kathleen Cooper, Senior Researcher, Canadian Environmental Law
Association; Loren Vanderlinden, Toronto Public Health; Franca Ursitti, Researcher, Peel Public Health; Erica Phipps, Executive Director, Canadian Partnership for Children’s
Health and Environment
C1.2
Municipal Child Care Healthy Eating and Active Living Guidelines
Presented by: Helen Parker, Public Health Nurse, Ottawa Public Health; Ellen Lakusiak, Registered Dietitian, Ottawa Public Health
To increase physical activity opportunities, promote physical literacy skills and reduce sedentary behaviours throughout the daily childcare practice and programming for
children under 4 years old. .To increase access to healthy food and opportunities for optimal eating environments for under 4 years old. .To increase parent engagement and
knowledge related to healthy eating and physical activity. Ottawa Public Health partnered with City of Ottawa Child Care Services to develop healthy eating and active living
guidelines for its childcare centres. Two advisory committees were formed to support the development of the guidelines, involving childcare educators, supervisors and cooks.
The guidelines were piloted in 5 centres from Feb-July, 2013. The training included resources and tools to support implementation of the The results of our pilot evaluation
indicated that additional resources were needed to support the staff in the full implementation of the guidelines. A sustainable training program and a complete evaluation plan
needed to be developed. Parent engagement strategies, a network for staff to share ideas and success ‘stories’ and the anecdotal information were other areas identified for
further development. The guidelines recommend: .All children are provided with healthy food and a positive eating environment. .Childcare staff act as role models for healthy
eating and physical activity. .All children have a wide range of opportunities to be active, including structured and unstructured play. .All children spend less time sitting and
more time learning basic movement skills through play.
Co-authors: Helen Parker, Public Health Nurse, Ottawa Public Health; Ellen Lakusiak, Registered Dietitian, Ottawa Public Health; Helen Parker, Public Health Nurse, Ottawa
Public Health
C1.3
Impact of Nutrition Standards among Preschool Children in Nova Scotia
Presented by: Misty Rossiter, Assistant Professor, Mount Saint Vincent University
The main objectives were to 1) Assess the dietary intake of young children in both the regulated child care setting and the home environment, and 2) Explore parental
perceptions of children’s eating behaviours in the home environment as a result of the food and nutrition standards implemented in child care settings. Regulated child care
centers were purposively sampled and 52 families with children aged 3 and 4 years were recruited to complete a 4 day food-diary for their child. A sample of parents was
further recruited for an interview that explored their perceptions of the standards. The analysis is ongoing and will be guided by the Total Environment Assessment Model
of Early Child Development. Food intake of the children will be highlighted both in the child care setting and the home environment. It is anticipated that both intended and
unintended impacts from the standards will be observed. Preliminary results from the 7 interviews completed indicate that there is a lack of awareness among parents
about the details and intent of the nutrition standards implemented in child care settings. There is strong need for research and evaluation to understand the intended and
unintended impact that the Nutrition Standards have on the eating behaviours of young children, both in the child care setting and the home environment.Knowledge gained
from this inquiry will be used to enhance the comprehensive approach to support healthy eating among young children in Nova Scotia.
Co-authors: Misty Rossiter, Assistant Professor, Mount Saint Vincent University; Sara Kirk, Dalhousie University; Linda Mann, Mount Saint Vincent University
C1.4
Lesson Plans: How a Teacher Strike Influenced Physical Activity Practices of High School Students
Schools are a recommended setting to reach a broad range of youth of diverse socio-economic and cultural backgrounds, and provide a common infrastructure to deliver
health promotion. In this presentation we share our lessons learned from the Health Promoting Secondary Schools initiative that included students (N = 455) and teachers
(N = 36) in the planning and implementation phases. We used a mixed methods, wait-listed control group design, gathering student-level and school-level measures through
surveys, focus groups, fitness assessments, observations and document review. We found the initiative - designed to enhance physical activity (PA) and healthy eating was well received, however, a province wide teacher strike occurring during the intervention year created obstacles to its full implementation. Findings revealed a significant
decline in daily and extracurricular minutes of PA (F = 89.3, p < 0.01), (F = 20.2, p < 0.01) in both groups, followed by a recovery among intervention schools after the strike
was resolved. How schools coped with the strike year further affected students’ activity, with significant interaction for extracurricular PA and school attended (F 2.73, p <
0.01). Focus group data support the quantitative data as themes emerged about schools’ experiences with the strike. From these data, we argue that the year of job action
appears to have constrained students’ opportunities for and engagement in PA. We see the school as a critical source of PA, particularly for youth from lower income families
or neighbourhoods.
Co-authors: Joan Wharf Higgins, Professor, University of Victoria; Patti-Jean Naylor, Associate Professor, University of Victoria; Sandy Gibbons, Professor, University of
Victoria; Ryan Rhodes, Professor, University of Victoria; Heather McKay, Professor, University of BC
32
Partnerships & Strategies | Oral Presentations
Partenariats et stratégies | Exposés oraux
(Chaudiere Room)
(Salle Chaudiere)
C2.1
Using Results-Based Accountability to Develop a Chronic Disease Prevention Strategic Plan
Presented by: Charlene Gunn-Hagerman, Manager, York Region Public Health; Allison Bailey, Public Health Nurse, York Region Publci Health
To use a Results-Based Accountability (RBA) framework as a new approach to successfully develop a chronic disease prevention strategic plan. To implement the
strategic plan utilizing a social determinant of health lens to achieve identified community results. To develop baseline measurements on population level indicators and to
monitor progress reaching desired goals. The goals of the strategic plan are to reduce the burden of preventable chronic disease in York Region and to reduce inequities
that impact the development of chronic diseases. Mixes of universal and targeted approaches to programming are considered based on population and setting. Priority
populations for service have been identified through a gap-analysis study; including those impacted by housing, education attainment and ethno-racial/cultural status. RBA
was used to develop a strategic plan for York Region Community and Health Services, Healthy Living Division. Representation from a variety of health disciplines and teams
ensured a collaborative approach. A social determinant of health lens and use of a health equity impact assessment tool is introduced as a way to enhance inclusiveness of
disadvantaged populations. The Healthy Living division now has a measureable, action-oriented, comprehensive and realistic plan that will be used to guide the delivery of
programs and services and ensure alignment with the Ontario Public Health Standard for the next business cycle. As a first step in monitoring success, a baseline report for
strategic direction indicators will be developed.
Co-authors: Charlene Gunn-Hagerman, Manager, Secondary School Services, The Regional Municipality of York, Community and Health Services Department, Public Health
Branch; Allison Bailey, Public Health Nurse, The Regional Municipality of York, Community and Health Services Department, Public Health Branch
C2.2
Developing strong partnerships: a framework and guidelines for public health outcomes
Presented by: Saskia Ramsay, Manager, Health Canada; Krista Burns, Policy Analyst, Ontario Ministry of Health and Long Term Care
Many view public-private partnerships as a promising way to advance public health and chronic disease prevention initiatives through leveraging a broader array of expertise
and resources. To assess the risks and benefits of partnering with private sector, especially the food industry, federal, provincial and territorial (FPT) governments are
exploring ways to support governments in these decisions. FPT governments have been working together through a Multi-Sectoral Partnerships Task Group under the Public
Health Network to collect the evidence and expertise to support the development of a partnerships framework. A literature review was completed outlining research and
expert opinion on private-partnerships for public health and was used to develop considerations and guidelines for assessing the suitability of potential partnerships. This
session will outline findings from the literature review and the considerations and guidelines to inform approaches and decisions in a public health context. This work will help
guide government decisions on whether and how to partner with the private sector to support healthy living initiatives and advance public health goals. Session participants
will: a) have a broader understanding of the risks and benefits of private sector partnerships for public health and b) be aware of how governments are working together to
inform decision making.
Co-Author: Katie Faloon-Drew, Policy Analyst, Health Canada
C2.3
Introducing HIA to the Mongolian Resource Sector through Diffusion of Innovation Theory: A Story of Successful Diffusion
Presented by: Tsogtbaatar Byambaa, PhD candidate, SFU
Our goals were to develop consensus on a socially and culturally appropriate approach to equity-focused HIAs; draw on this consensus to develop a Mongolian HIA toolkit;
and provide evidence-based support for efforts to institutionalize HIA in the resource sector. The main objective of this research has been to innovate an equity focused
and broad determinants of HIA framework designed to address a sector of the Mongolian economy where Canadian interests dominate. This objective, and especially
the approach we have applied in achieving it, are generalizeable beyond Mongolia and beyond the mining sector. The focus of our work has now shifted from knowledge
translation and dissemination to supporting HIA institutionalization and capacity building. In this presentation we reflect on this history of diffusion and uptake of HIA in
Mongolia; discuss barriers and facilitators to full adoption, and describe the context, that appear to have resulted to date in a successful outcome. Synergies between our
project and other complimentary events led to revisions of the Environmental Impact Assessment law by the Mongolian Parliament that mandates inclusion of a social and
health outcomes in the impact assessment process.
Co-authors: Tsogtbaatar Byambaa, PhD candidate, SFU; Craig Janes, SFU
C2.4
Economic Policies to Promote Nutrition
Presented by: Manuel Arango, Director, Health Policy, Heart and Stroke Foundation
To examine the efficacy of various economic policies for the promotion of nutrition. To discuss the importance of including economic policies within the context of a
comprehensive approach to nutrition. Examine recent scientific literature, in particular, meta-analyses and major reviews of existing studies, while taking into account gaps
in these studies/approaches. There have been few experimental studies undertaken in this research area. Most of the work has focused on economic modeling. Overall,
the existing evidence base pertaining to nutrition-related economic policies is not highly robust, although very encouraging. There is growing interest in the potential use of
economic tools to address nutrition. More experimental studies are needed in order to solidify the evidence base in this area. As part of a comprehensive approach, economic
policies have the potential to positively impact nutrition. Subsidies combined with tax policy, in particular taxes on sugar-sweetened beverages (SSBs), hold the most promise.
Taxes, although not popular with consumers, remain a good source of revenue for governments and for investments in healthy living initiatives.
C2.5
Strategies and Models of Practice for Designing Healthy Rural Communities
Presented by: Karen Loney, Healthy Communites and Coordinator CK Community Leaders’ Cabinet, Chatham-Kent Public Health
1) To identify land use planning means to create improved health/wellbeing conditions for rural inhabitants in Ontario. To specifically address rural community design issues
that can aid in preventing or lessening the affects of chronic diseases. 2)To outline the impetus of the new partnership research project. 3)To provide a recommended ‘tool
box of actions’ to plan/develop healthy rural communities. Health/wellbeing concerns regarding rural residents is rising - from health practitioners, to planners (land use,
public health & social), politicians and academics. Matters of concern include increased prevalence of chronic diseases (i.e. childhood diabetes), health issues (i.e. obesity),
barriers to community social connectiveness, and the availability/adequacy of services. Much of the community design work prepared on the topic to date is directed at urban
areas. The project consists of a comprehensive research workplan including a literature review, survey work, key informant interviews & focus group discussions. These
efforts are directed at identifying ‘best practices’ to design, plan and construct healthy rural communities. At the conclusion of the 2 year study (2013-14), a ‘toolkit’ will be
devised identifying ways/means for community leaders to better plan/build healthy rural communities. Project has been commissioned by Public Health Ontario. Work is being
completed by Dr. Wayne Caldwell & a group of researchers from the School of Environmental Design & Rural Development, University of Guelph. The research work is being
guided by:Public Health staff from Chatham-Kent and Elgin St. Thomas; large Advisory Committee PH unit staff in the health promotion/chronic disease prevention areas
Co-authors: Karen Loney, Coordinator CK Community Leaders’ Cabinet Municipality of Chatham-Kent, Chatham-Kent Public Health; Paul Kraehling, PhD Student, Rural
Studies, University of Guelph, SEDRD; Suzanna Kaptur, M. Sc. (Planning Candidate), University of Guelph, SEDRD; Jennifer Huff, M. Sc. (Planning Candidate), University
of Guelph, SEDRD
33
Research & Settings | Rapid Fire E-Poster Presentations
Recherche et milieu | Présentation éclair d’affiches
(Joliet Room)
(Salle Joliet)
RF
Raising and Measuring the Awareness of CANRISK in Canadian Pharmacists
Presented by: Philip Emberley, Director, Pharmacy Innovation, Canadian Pharmacists Association
CANRISK is a diabetes risk questionnaire with scientifically-validated risk scores to help Canadians identify their risk of type 2 diabetes. The Public Health Agency of Canada
and the Canadian Pharmacists Association (CPhA) partnered to disseminate CANRISK to pharmacists across Canada, promote its availability in 13 languages, educate
pharmacists on its practical use and evaluate awareness and uptake of the tool. Promotion and dissemination of CANRISK began in October 2012 and included a webinar
and online CE program, promotional campaign, webpage linking to interactive questionnaires in 13 languages, a user guide for pharmacists and patient guide. Eight surveys
were launched to evaluate awareness and uptake of CANRISK, with baseline and 10-month surveys targeting all Canadian pharmacists (a response rate of 150 was
deemed statistically significant). Baseline results indicate that 28% recalled receiving information on CANRISK but only 13% were aware of its availability in 13 languages;
11% considered using it with patients; 80% would be more inclined to use it if it were incorporated into medication reviews; 78% would recommend CANRISK; and 95% felt
responsible to support patients in implementing lifestyle changes to decrease the risk of developing diabetes. In the hands of Canadian pharmacists, patients can access this
evidence-based tool and receive information on diabetes prevention from trusted and accessible health care professionals. Baseline results of the CANRISK evaluation are
promising. Further analysis of data from all 8 surveys will enable us to assess the effectiveness of CPhA’s CANRISK dissemination campaign and training efforts in chronic
disease screening.
Co-authors: Philip Emberley, Director, Pharmacy Innovation, Canadian Pharmacists Association; Marie-Anik Gagné, Senior Manager, Strategic and Operational Planning,
First Nations and Inuit Health Branch, Health Canada; Laurie Gibbons, Manager, Public Health Agency of Canada
RF
Recruitment and Retention of Doctors of Chiropractic in Rural Communities in Newfoundland and Labrador from 1991 to 2010
Presented by: Laurie Goyeche, Candidate MSc(Medicine) Community Health and Humanities Memorial University and Canadian Memorial Chiropractic College
Examine recruitment and retention rates of NL chiropractors who deliver diagnostic, treatment and management services for chronic neuro-musculoskeletal (NMSK) conditions,
pain, disease prevention and health promotion. Document growth trends (compared to medicine) and regional distribution of this sparsely researched, private practice,
complementary and alternative, primary care profession. Explore the potential for inter-professional collaboration practice planning and Human Health Resource study.
A descriptive study design. Twenty years of NL Chiropractic data obtained (1991-2010). Secondary analysis of data from: Newfoundland and Labrador (NL) professional
associations, the Canadian Chiropractic Association (CCA), Statistics Canada and CIHI Health and Human Resources Reports were used to compare recruitment and
retention rates of Doctors of Chiropractic (DC) and Medical Doctors (MD), Dentists (DDS) and Optometrists (OP) in rural NL. Our findings demonstrated steady growth
and retention of DCs in NL, especially in rural areas. In 2010, DDS and OP rural recruitment rates were higher than DCs, reflecting public health insurance coverage. MD
recruitment and retention rates were lowest. Enhancing interprofessional collaboration between health professions in rural communities could help address growing resource
challenges and improve management of chronic health conditions, particularly as population ages. NL’s disproportionate aging population is challenging health care, with
increasing numbers of acute and chronic NMSK, chronic pain, lifestyle issues and comorbidities. Access to rural MDs is compounded by continuity of care issues caused by
chronic shortages and short retention of GPs and specialists. DCs working collaboratively may produce new partnerships and approaches for chronic disease prevention in
underserviced communities.
Co-authors: Laurie Goyeche, Candidate MSc(Medicine) Community Health and Humanities Memorial University, Canadian Memorial Chiropractic College; Silvano Mior,
Professor, DC, FCCS(C), PhD, Canadian Memorial Chiropractic College
RF
A collaborative effort in leading the National Population Health Study of Neurological Conditions in Canada
Presented by: Fardosa Loyan, Policy Analyst, Public Health Agency of Canada (PHAC)
The Government of Canada recognizes the increasing challenges associated with neurological conditions among the ageing population. A first-ever 5-year National Population
Health Study of Neurological Conditions (NPHSNC) was launched in 2009 with a $15 million investment. The key objectives of the NPHSNC were to fill gaps in knowledge
about neurological conditions and their impact on individuals, their families, caregivers, and the The NPHSNC’s governance approach is collaborative with equal input and
decision making authority shared between the government and charities. An Implementation Committee led the project and included representatives from the government
(through PHAC, CIHR, and Health Canada, and 24 neurological charitable organizations through Neurological Health Charities of Canada (NHCC). The partners recognized
the inherent benefits in working together, as well as working across neurological conditions. The The interim evaluation findings indicate that the NPHSNC has been a
success. The majority of stakeholders involved in the project strongly agreed or agreed that working collaboratively on the NPHSNC resulted in achieving goals that could not
have been achieved as readily working alone. The key findings from each of the projects will be synthesised and published. Each partner brought different strengths, expertise
and perspectives to The interim evaluation findings indicate that the NPHSNC has been a success. The majority of stakeholders involved in the project strongly agreed or
agreed that working collaboratively on the NPHSNC resulted in achieving goals that could not have been achieved as readily working alone. The key findings from each of
the projects will be synthesised and published. Each partner brought different
Co-authors: Fardosa Loyan, Policy Analyst, Public Health Agency of Canada (PHAC); Sulan Dai, Senior Epidimiologist, Public Health Agency of Canada (PHAC); Jay
Onysko, Manager, Public Health Agency of Canada (PHAC)
34
Research & Settings | Oral Presentations
Recherche et milieu | Exposés oraux
(Joliet Room)
(Salle Joliet)
C3.1
Physician’s Perceptions of the Role of Certified Exercise Physiologists in Primary Care: What’s Up, Doc?
Presented by: Lisa Campkin, Graduate Student, Human Performance Lab
Certified Exercise Physiologists (CEP) develop exercise ‘prescriptions’ for their clients. Individuals with chronic disease (CD) and co-morbidities often require in-depth
physician consultation that involves addressing exercise safety and specific health needs. A CEP can integrate these pieces into programs that can be followed and adjusted
as needed. Currently Alberta physician’s perceptions on CEPs and their knowledge and background are unknown. Our study aim was to deepen our understanding of the
factors that influence physician’s perceptions of CEPs in the management of patients living with CD. In-depth, semi-structured qualitative interviews began with a series of
grand tour questions. We asked two groups of physicians, working in urban practice or employed within primary care networks, to demonstrate their knowledge of CEP’s
academic background and scope of practice. The resulting thematic framework highlights the current role-relationships, knowledge levels and any perceived potential
changes necessary to strengthen the professional bond between these non-traditional health care partners. We anticipate that the dissemination of these results will enable
more opportunities for patients to be referred to CEPs who have the expertise to safely engage patients with an exercise prescription that will positively impact their CD. This
study will also facilitate support for physicians in the improvement of patient physical activity levels.
Co-authors: Lisa Campkin, Graduate Student, University of Calgary; P.K. Doyle-Baker, Dr.PH, Ph.D., University of Calgary
C3.2
Health Coaching in Primary Care: reaching the hard to reach in chronic disease prevention and management
Presented by: Pamela Cullen-Arseneau, Registered Nurse, The Ottawa Hospital Academic Family Health Team - Riverside Campus
1. To test the feasibility of implementing health coaching without additional resources in three urban primary care practices 2. To gauge the acceptability of health coaching for
patients and its potential effectiveness in improving clinical outcomes for individuals at risk of, or living with diabetes. 3. To evaluate outcomes from patient and health coach
perspectives. Physicians at the practices were asked to refer patients at risk of or living with Type II diabetes who would benefit from self-management support. Recruitment
was focussed on disadvantaged populations and groups who do not access existing diabetes education or self-management resources. Forty six patients consented to take
part. Eight practice staff attended health coach training that focussed on improving health literacy and supporting behaviour change. Patients received 6 months of health
coaching. Follow-up was at 2-4 week intervals via email, telephone, or in person. Evaluation activities included: focus groups with coaches, interviews with 25% of the
patients, patient surveys, and clinical measures of HbA1c, BP and LDL-C at base-line and six months. Health coaching was successfully implemented at the three sites within
existing resources. Qualitative analysis of the focus groups and patient interviews demonstrated that health coaching can successfully reach out to disadvantaged and hard
to reach populations. Analysis of the clinical data showed a trend towards improved patient outcomes particularly for those who were not at target.
Co-authors: Kate Nash, CT Lamont Primary Health Care Research Centre, Bruyère Research Institute; Clare Liddy, CT Lamont Primary Health Care Research Centre,
Bruyère Research Institute; Sharon Johnston, CT Lamont Primary Health Care Research Centre, Bruyère Research Institute; Natalie Ward, Dept of Anthropology, Mount
Allison University, Sackville, New Brunswick; Hannah Irving, CT Lamont Primary Health Care Research Centre, Bruyère Research Institute
C3.3
CASTLE’s Collaborative Community Approach to Chronic Disease Prevention
Presented by: Melanie Seguin, Health Promoter, Niagara Region Public Health; Diane Peart, Public Health Nurse, Brant County Health Unit
The project focuses on partnering with neighbourhoods to address disparities in cancer screening (CS) awareness and uptake. Objectives include building capacity of
community partners to ensure locally relevant approaches, through the CASTLE multisectoral network; increasing CS awareness and uptake through the development of
a multi-component strategy that includes skill development, training and community-directed communication and social media. Adults aged 18-74 years who experience
barriers to breast, cervix and colorectal CS and live within one of six priority communities in the Central West region of Ontario. Project communities meet criteria of low SES
and low CS rates, and also have relevant community assets. Priority populations include those who are Aboriginal, immigrant, have mental health issues, and/or have low
SES. Implement and evaluate an innovative model of CS promotion that is sustainable in priority neighbourhoods. Utilize a multi-component strategy that includes: trained
community health workers, called Community Health Brokers (CHBs) promoting CS through community engagement and communication of tailored health messages; social
marketing tools to encourage communication and role modeling positive behaviours; networking with community service providers and stakeholders to provide innovative CS
solutions Tailored, low literacy CS messages and small media resources, developed with community residents and shared through CASTLE Toolkit; increased knowledge
and capacity of partners leading to an effective Network that maintains relationships and sustains CASTLE model; evaluation of CHB role and strategies to improve CS and
community capacity.
Co-authors: Angela Frisina, Public Health Nurse, Hamilton Public Health Services; Olive Wahoush, McMaster University; Faye Parascandalo, Hamilton Public Health
Services; Jessica Wallace, Hamilton Public Health Services; Tricia Hack, Public Health Services
C3.4
Early Detection & Prevention of Progression of Chronic Kidney Disease (CKD): An ORN initiative to increase awareness in primary care
Presented by: Allan Grill, Family Physician & Provincial Primary Care Lead, Ontario Renal Network
Early identification of patients with CKD in primary care, along with managing their cardiovascular comorbidities, is important to help prevent end-stage renal disease and
decrease mortality. Given the lack of published CKD guidelines on the role of Primary Care Practitioners, The Ontario Renal Network has made a commitment towards
advancing CKD knowledge and practice in this setting . Primary Care Practitioners can play a significant role in identifying and managing patients at high risk of developing
CKD. These populations include patients with diabetes, hypertension, vascular disease, a family history of End Stage Renal Disease (ESRD), and those of First Nations/
Inuit/Metis descent. Preventing patients from progressing to end-stage renal disease, requiring dialysis, can decrease morbidity and improve their quality of life. Through
the development of innovative strategic initiatives and supportive new partnerships with primary care, projects are underway that will advance knowledge and practice in the
area of CKD. These include implementing electronic medical record (EMR) triggers for CKD screening, evidence supported clinical management tools (e.g. CKD algorithm,
standardized referral form), and a mentorship program to promote a model of shared care with local nephrologists. The ORN provides overall leadership and direction to
effectively deliver renal services in Ontario in a consistent and coordinated manner. One of the seven strategic pillars of the Ontario Renal Plan is to improve early identification
and management of CKD in primary care. A focus on quality improvement and evaluation of the activities mentioned above will help guide future strategies.
Co-authors: Allan Grill, Family Physician & Provincial Primary Care Lead, Ontario Renal Network; Scott Brimble, Early Detection & Prevention of Progression Provincial Lead,
Ontario Renal Network; Monisha Bhatt, Project Team Lead, Ontario Renal Network
35
(Bytowne Room)
(Salle Bytowne)
C4
Population mental health: what are the needs for a comprehensive public health practice?
Presented by: Pascale Mantoura, Research Officer, National Collaborating Centre for Healthy Public Policy
Mental health is an essential component of health. Less than optimal mental health is deeply linked to chronic diseases. Population mental health (PMH) is associated to
increased well being in many Canadian policy documents. The objective is to present a framework for PMH and to better understand the practice needs of public health
practitioners in relation to such a framework. A PMH strategy implies that there is no health without mental health; that mental health is a public health priority in which
physical health and mental health are intertwined. As such, PMH is a concern for all public health practitioners. This workshop thus targets public health practitioners at
varying levels of practice who are concerned by the potential links between their practice and PMH. Present PMH, including population mental health promotion as primary
tool of intervention at many levels of practice. Setup groups according to the types of public health practices that participants associate themselves with. Discuss, through
group activities, the varied needs participants may have in relation to PMH strategies and their own public health practice. Discuss possible avenues the NCCHPP could
explore to address those needs. Participants will become familiarised with the concept of PMH. They will be able to illustrate the concept of PMH and to compare its practical
implications agains their own practice. They will be able to analyze their practice and identify needs to improve action on PMH. The opportunity provided is a priority for the
advancement of a comprehensive public health practice.
(Richelieu Room)
(Salle Richelieu)
C5
Improving chronic disease prevention through implementation science: International perspectives and emerging directions in Canada
Presented by: Barbara Riley, Executive Director, Propel Centre for Population Health Impact, University of Waterloo
While many evidence-informed interventions exist to address the complex factors that contribute to chronic diseases, their implementation is limited and full potential impact is
therefore compromised. This workshop will provide an orientation to dissemination and implementation (D&I) science and explore how this science can help advance chronic
disease prevention (CDP) actions, focusing on complex interventions involving multi-sector engagement. Workshop leaders will highlight trends and issues from strategic
international D&I events, including the U.S. D&I research training institute (BR, MO) and a D&I forum in Australia (CW). Through interactive formats, workshop participants
will compare and contrast international experiences with intervention and knowledge translation research in Canada, and will identify opportunities for strengthening a
D&I agenda to improve Canadian multi-sector CDP policy and practice initiatives. Implementation science can help to achieve CDP goals, however, it is under-developed
worldwide. Canada is a living laboratory of innovative approaches to CDP policy and practice, including complex interventions involving multi-sector engagement and that
focus on a variety of CDP and health promotion topics (e.g., mental health promotion, healthy weights). The success of these projects will be enhanced with a greater focus
on implementation research. Implementation research will be most relevant and useful if it is guided and shaped by those working in policy and practice settings. Although
stronger relationships are developing within and across research, policy and practice communities, there is room for improvement. Cultivating trusting, enduring and actionoriented relationships are needed to improve CDP policy and practice through implementation research.
C6
Determinants of Health Approaches to Chronic Disease Prevention
Presented by: Margo Greenwood, Academic Lead, National Collaborating Centre for Aboriginal Health; Tim Aubry, Full Professor, School of Psychology, and Senior
Researcher, Centre for Research on Educational and Community Services, University of Ottawa; Andrew McLellan, Nurse Practitioner, Centretown Community Health
Center; Jill Skinner, Associate Director, Public Health Group, Canadian Medical Association; Joelle Walker, Senior Manager, Public and International Affairs, Canadian
Cancer Society
It is now widely understood that the circumstances in which we live, or the social determinants of health, most strongly determine the course of our health and risk for disease.
This session will explore how the health and wellbeing of vulnerable populations can be improved by addressing social determinants of health. Participants will hear about a
range of examples including a program for housing for those with mental health and substance use issues, cancer screening, the social determinants of health impact on First
Nations as well as First Nations health governance efforts underway in BC, and programs working directly with vulnerable groups in an urban community health setting.
(Capitale Room)
(Salle Capitale)
C7
Healthy Me Week - A Call To Action From Leading Media Organizations Challenging Canadians To GET UP. FUEL UP and OWN UP
Presented by: Bev Deeth, President, Companies Committed to Kids; Anne Kane Jeffries, Vice President of Marketing Kids and Family, Corus Entertainment
Healthy Me Week (currently a one week call-to-action in June) is a collaborative initiative lead and supported by partners from across Canada’s media industry, including
television, radio, print and online and other not-for-profit and community partners. These partners have come together to deliver a unified message to children and their
families on the benefits of a healthy and active lifestyle, and provide access to information and resources to empower them to make positive changes to promote their own
health and happiness. This national initiative supports multi-sectorial partnerships between sport, industry, media and the not-for-profits sectors and in addition supports the
priority area of healthy living.
36
Thursday, April 10, 2014 | 1:30pm – 3:00pm
Le jeudi 10 avril 2014 | 13 h 30 – 15 h 00
Concurrent Session D1
Research & Partnerships | Rapid Fire E-Poster Presentations
Séances simultanées D1
Recherche et partenariats | Présentation éclair d’affiches
(Frontenac Room)
(Salle Frontenac)
RF
Population Health Surveillance to Enhance Dementia Awareness and Action in Canada
Presented by: Larry Chambers, Scientific Advisor, Alzheimer Society of Canada
The human and financial costs of dementia are huge for individuals and their families as well as society. Methods should reliably predict how, when, where and with whom
new interventions occur. One source estimates total costs for dementia in Canada will skyrocket from current total of $33 billion per year today, to over $293 billion per year
by 2040. Widely differing estimates of prevalence and monetary costs of dementia were in the Alzheimer Society of Canada’s (ASC) ‘Rising Tide: The Impact of Dementia on
Canadian Society’ in 2009 compared to the 2011 Report from the Mental Health Commission of Canada. The Rising Tide report was based on the Canadian Study of Health
and Aging - a 10 year study of 10,000 Canadians. The Canadian Mental Health Commission used Manitoba administrative data in 2004. The 2014 National Population Study
of Neurological Conditions in 2014 and the Canadian Longitudinal Study on Aging may provide yet different estimates. Prognostication requires estimation of demographic
changes; preventive effects of a healthier generation of seniors; changing care costs; and possibility (and costs) of new therapies. A shockwave is beginning to occur because
of the high prevalence of dementia in late life and the aging of the Canadian population. The public and planners require estimates about the future severity experienced by
those diagnosed as having dementia, the costs of care, loss of income, the availability and burden on family caregivers and other challenges.
RF
The Burden of Osteoarthritis: Use of Hospital Services and Prevalence of Comorbidity among OA Inpatients in Newfoundland & Labrador
Presented by: Jennifer Woodrow, PhD Student, Memorial University
Examine the types and associated costs of hospital services used by OA inpatients (cases) compared to the general hospitalized population (controls) in NL. Assess the types
and prevalence of comorbidity in OA inpatients compared to the general hospitalized population in NL; examine the financial impact of OA-related comorbidity. Participants
will be identified through the hospital Discharge Abstract Database (2009-2012). Cases (inpatients with OA ICD code) and controls (non-OA inpatients) will be matched on
age, sex and year of discharge. Descriptive statistics will compare socio-demographic data and comorbid conditions between cases and controls. Resource intensity weights
and average hospital weighted case value will be used to determine hospitalization costs for cases versus controls. Research suggests OA patients(1)incur more costs for
diagnostic/therapeutic procedures, in-hospital care, and physician services compared with non-arthritic patients, and(2)are characterized by high comorbidity burden which is
directly associated with health service utilization, societal/personal costs, poorer quality of life, and increased risk of hospitalization/mortality. This research will investigate the
burden of OA in NL in light of the aging population. This project is currently in the data collection stage; preliminary results will be available during the conference. Outcomes
will inform provincial frameworks and policies for chronic disease prevention/management and healthy aging. This data is vital when planning for an anticipated upsurge in
OA due to the aging population.
Co-authors: Jennifer Woodrow, PhD Student, Memorial University of Newfoundland; Peizhong Peter Wang, PhD, Memorial University of Newfoundland
Research & Partnerships | Oral Presentations
Recherche et partenariats | Exposés oraux
(Frontenac Room)
(Salle Frontenac)
D1.1
ACCELERATION - Twelve Weeks to Health: A Model for Chronic Disease Prevention
Presented by: Paul Oh, Medical Director, UHN - Toronto Rehab
ACCELERATION is a rehab-oriented evidence-informed chronic disease prevention program targeting physical activity, smoking cessation, healthy eating, and alcohol
consumption. Over the next 3 years ACCELERATION will be implemented and evaluated in four regions (BC, Ontario, Quebec and NS) across Canada. This pan-Canadian
initiative was recently funded through the Canadian Partnership Against Cancer Coalitions Linking Action and Science for Prevention (CLASP) initiative. 3,000 individuals at
risk for chronic disease, or who are family and friends of persons living with a chronic disease, will participate in a 12- week structured behavioural intervention program either
through an in-person community/rehab clinic setting or via an e-Health intervention. The project will include persons from diverse settings and backgrounds. Changes in
physical activity, smoking, eating habits, and alcohol consumption will If proven successful, this project will demonstrate an effective model of lifestyle intervention to address
common risk factors in diverse populations and settings. The e-Health solution will allow the program to be scalable and applied to wider populations, especially to those in
geographically remote locations, and also offer a vehicle for maintenance and support post-program. National, provincial and regional health-oriented policies are focused on
preventing and improving the management of chronic diseases. ACCELERATION will be a proven model of prevention that will target the key modifiable behavioural risks.
This model will be packaged into training and implementation toolkits with e-resources and thus will be easily transferred and disseminated to diverse practice settings.
Co-authors: Paul Oh, Medical Director, UHN - Toronto Rehab; Simon Bacon, Concordia University; Nicholas Giacomantonio, QEII Health Sciences Centre; Jennifer Jones,
Princess Margaret Cancer Centre; Darren Warburton, University of British Colombia
D1.2
The role of international trade and investment in chronic disease prevention: the importance of enhancing competencies and partnerships among
health and trade policy analysts
Presented by: Ashley Schramm, University of Ottawa
International trade/investment treaties have produced opportunities for health improvement through poverty reduction and access to goods and services; however, they have
also contributed to negative conditions for health. Contemporary treaties increasingly contain ‘behind-the-border’ measures, introducing new challenges for public health
regulation. This project aimed to uncover pathways between trade and chronic disease, and foster relationships between the health and trade sectors. Our methodology
included a scoping review of the literature assessing the relevant pathways between trade and investment agreements and chronic disease. Specifically, we evaluated how
trade and investment policies have the capacity to impact the Global Action Plan (GAP) on Noncommunicable Diseases 2013-2020 and identified policy space for health
policy analysts and decision-makers. A conceptual framework synthesizing the literature was developed outlining pathways between trade and investment and chronic
disease through the food system, tobacco use, and alcohol misuse. Key trade provisions relevant to the GAP and potential policy space were identified. Understanding the
potential implications of trade and investment treaties for the regulation of key determinants of chronic disease is the first step in enhancing competencies among health policy
analysts and forging new partnerships with trade policy analysts to actualize a health in all policies approach.
Co-authors: Ronald Labonte, Professor, Canada Research Chair, Globalization/Health Equity, The University of Ottawa; Ashley Schram, The University of Ottawa
37
D1.3
Evidence vs. Public Perceptions: challenges & opportunities in raising awareness of alcohol-related risks for chronic disease
Presented by: Norman Giesbrecht, Senior Scientist Emeritus, Centre for Addiction & Mental Health
To contrast international epidemiological evidence on drinking patterns and chronic disease with public perceptions of ‘low risk’ drinking patterns based on four surveys of
representative samples of Ontario adults conducted between 1996 and 2012. From recent systematic reviews and meta-analyses in high impact journals we identified low risk
drinking patterns - frequency per week and drinks per day - for alcohol-related harm, including alcohol-related cancers. Telephone surveys conducted by CAMH, provided perceptions
from representative samples of Ontario adults aged 18 and older for 1996, 2004, 2007 and 2012, with a total N of 3,930. Between 1996-2012 awareness of alcohol’s contribution to
cancer increased -- 21% to 38%. From 40% to 54% indicated daily drinking would increase their risk of cancer. However respondents indicated that daily drinking would not harm
health in the long term: 19% for male drinkers and 17% for females. From 8-10% indicated drinkers can consume 4 or more drinks per day without harm to their health. NGOs and
governments initiatives are drawing attention to alcohol’s contribution to chronic disease. Public awareness appears to be growing; nevertheless, a substantial proportion is not aware
of the links or has misperceptions about ‘safe levels’ of drinking. In addition to precautionary policies and media campaigns, focused initiatives are recommended -- brief interventions
by health care providers directed at high-risk drinkers.
Co-authors: Norman Giesbrecht, Senior Scientist Emeritus, Centre for Addiction & Mental Health; Anca Ialomiteanu, Ms, Centre for Addiction and Mental Health
Risk Factors & Populations | Rapid Fire E-Poster Presentations
Facteurs de risque et populations | Présentation éclair d’affiches
(Chaudiere Room)
(Salle Chaudiere)
RF
Live Well! Bien Vivre! Health Coaching for behaviour-change
Presented by: Julie Atkinson, Project Manager, Canadian Diabetes Association
The vision for the Live Well! Bien Vivre! project is an inter-sectoral partnership between the Canadian Diabetes Association, Government of New Brunswick’s Department of
Health with a focus on sustainable behaviour changes. The community-based project supports individuals in chronic disease prevention and management through three key
elements of wellness; healthy eating, active living and mental resiliency. Live Well! Bien Vivre! focuses on adults over eighteen years of age in six regions of New Brunswick,
including rural, urban, Anglophone and Francophone communities. The emphasis is on primary and secondary prevention for those most at risk of acquiring diabetes and
other chronic diseases and those with diabetes most at risk of developing complications. Health coaching is a non-clinical, collaborative and personalized approach that
focuses on improving wellness. Participants interact one-on-one with their coach to build individual capacity to achieve short- and long-term wellness goals. Coaches support,
motivate, and navigate to community resources, while improving the client’s self-efficacy. Health Coaches are the bridge to move individuals from learned skills to the behavior
change that is necessary to maintain lifestyle changes. The project seeks to reduce unhealthy behaviors that lead to disease complications and increase adoption of healthy
behaviors that reduce the health risks and burden of chronic diseases. The project will deliver the following outcomes: Increase participant’s self-efficacy, vegetable and fruit
consumption and physical activity levels Raise awareness of existing community wellness programs Increased community screening ratios (% of individuals at risk
RF
Benchmarking Canada’s Health System: The Impact of Smoking Policies on Mortality Due to Lung Cancer in Canada
Presented by: Mark McPherson, Senior Analyst, Canadian Institute for Health Information
Canada currently has among the lowest smoking rates among countries in the Organization of Economic Co-operation and Development (OECD). However, smoking rates in
Canada have not always been low. To address this problem, Canada became a leader in tobacco control policies and campaigns. This project shows how these policies have
impacted Canada’s smoking rates and lung cancer mortality internationally. Data from the OECD, an international partnership of 34 member countries, was used to examine
trends in smoking rates and lung cancer mortality since 1960. A review of relevant federal, provincial and municipal policies was used to link smoking reductions to relevant
tobacco control programs. Canada was an early leader in lung cancer prevention through a variety of tobacco control policies and campaigns. Given their effectiveness in
reducing smoking in Canada, and the time frame in which lung cancer develops, we can expect to see a reduction in lung cancer mortality in the near future. Preventing lung
cancer by reducing smoking involves a variety of policies, campaigns and research. The success of this multi-faceted approach may be instructive for future strategies to
address other risk factors where Canada’s results show room for improvement.
Co-authors: Mark McPherson, Senior Analyst, Canadian Institute for Health Information; Chelsea Taylor, Canadian Institute for Health Information; Olga Krylova, Canadian
Institute for Health Information; Jennifer D’Silva, Canadian Institute for Health Information; Katerina Gapanenko, Canadian Institute for Health Information
Risk Factors & Populations | Oral Presentations
Facteurs de risque et populations | Exposés oraux
(Chaudiere Room)
(Salle Chaudiere)
D2.1
Disparities in treatment for heart attack and end-stage renal disease among Aboriginal peoples in Canada
Presented by: Geoffrey Hynes, Manager, Canadian Population Health Initiative, Canadian Institute for Health Information; Helen Wei, Program Lead, Canadian Population
Health Initiative (CPHI), Canadian Institute for Health Information
The purpose of the Aboriginal studies was to examine whether disparities exist in rates of heart attack and end-stage renal disease (ESRD), treatment-related factors (sociodemographics, complexity of condition and distance to treatment) and outcomes among Aboriginal peoples and others in Canada Both studies included a patient population
aged 20 and over. The heart attack study used CIHI’s Discharge Abstract Database (DAD). An area-based approach was used to identify geographic areas where a relatively
high proportion of residents self-identified as First Nations. The study on ESRD used CIHI’s Canadian Organ Replacement Register (CORR), which includes an ethnic
identifier enabling classification of patients as Aboriginal or non-Aboriginal. There is a higher burden of the disease and lower rates of procedures for the Aboriginal population
in heart attacks and ESRD. However, outcomes for Aboriginal peoples were similar to others in Canada. Further research is needed to explore the interrelationships between
factors that contribute to underlying disparities in health and influence treatment options; particularly, more timely and equitable treatment access for Aboriginal patients.
A review of evaluated and promising programs and policies to prevent or treat heart attacks and ESRD was conducted. The review highlighted the need for action in (i)
improving relationships between patients, providers, and communities; (ii) implementing strategies that address geographic barriers to care; and (iii) striving for more culturally
appropriate interventions to improve accessibility and appropriateness of care.
38
D2.2
Health Skills Health Smart: Participatory Program Design with Settlement Workers and Other Community Partners
Presented by: Marcela Tapia, Supervisor, Health Equity Unit, Ottawa Public Health; Sajida Afridi, Medical Resident - Ottawa Public Health, Ottawa Public Health/University
of Ottawa
Developed by Ottawa Public Health (OPH) in collaboration with Ottawa Leadership Immigration Partnership (OLIP), Health Skills Health Smart (HSHS) seeks to increase
health literacy among the clients of settlement and other frontline workers serving newcomers. HSHS training enables these workers to assist their clients in navigating the
healthcare system and accessing chronic disease and injury prevention resources and information. Settlement and other frontline community workers serving newcomers
in Ottawa are the immediate target group. The ultimate target groups are immigrants and refugees who face multiple barriers that impact their health (e.g., unemployment,
low income, low language proficiency, social isolation) and have difficulty navigating the health and social system and accessing services and programs they need. A broadbased Steering Committee was established and three program development sessions were conducted with settlement workers to inform HSHS design, development and
implementation. Thirteen community partners and 12 settlement workers participated in this program phase. Feedback from these participants was systematically integrated
into program training and tools. HSHS evaluation included collective assessment of the partnership, self-administered post-session evaluation forms, and 3-4 month posttraining debriefing sessions. Bilingual HSHS training includes: (i) real-life scenarios to elicit dialogue on newcomers’ health needs and ways of addressing them, and (ii) a set
of image-based materials to support interactions with clients on key health issues. Over 130 staff participated in HSHS training. Evaluation results showed high satisfaction
with partners’ level of involvement as well as with HSHS training and tools.
Co-Athors: Claudelle Crowe, Priority Populations Team Supervisor, Ottawa Public Health
D2.3
Partnering for Newcomers’ Language Learning, Integration and Health
Presented by: Marcela Tapia, Supervisor, Health Equity Unit, Ottawa Public Health, Ottawa Public Health; Shirley Graham, Education Officer - ESL/LINC/LBS - Continuing
Education, Ottawa Carleton District School Board
The project goal is to reduce health inequities while increasing newcomers’ critical health literacy. Project objective is to enhance knowledge of and access to health
information and community resources for adults attending English as a Second Language (ESL) and Language Instruction for Newcomers (LINC) schools through the
development of ESL lesson plans on priority health topics. Immediate target groups are language instructors from ESL and LINC schools in Ottawa. Ultimate target groups are
adult immigrants and refugees attending those schools. Over 4000 adults enroll in ESL/LINC classes every year. Immigrants and refugees face multiple barriers that impact
their health, such as socioeconomic and immigration status, limited English proficiency, lack or limited access to health services. A collaborative, intersectoral team including
staff from Ottawa Public Health (OPH), Ottawa-Carleton District School Board and Ottawa Catholic School Board was established to jointly design and implement the project.
Lesson plans were developed by ESL instructors with support from OPH staff and ESL managers. Initially focused on healthy eating, the project has expanded to encompass
food access, active living, mental health, and dental health. Each topic comprises three lesson plans covering different language proficiency levels. Twenty-four lesson plans
have been developed and another 12 will be completed and uploaded to OPH, ESL and community websites in 2014. A three-pronged evaluation includes pretesting of lesson
plans, ongoing students’ self-reflection on learning, and collective assessment of partnerships. Evaluation results are used for continuous program improvement.
Co-Authors: Jane Hammingh, Public Health Dietitian, Ottawa Public Health; Jennifer Mckay, Supervisor, ESL/LINC/LBS - Continuing Education, Ottawa Carleton District
School Board
Food Insecurity & Families | Rapid Fire E-Poster Presentations
Insécurité alimentaire et familles | Présentation éclair d’affiches
(Joliet Room)
(Salle Joliet)
RF
A Children’s Environmental Health Approach to Chronic Disease Prevention: Top 5 Tips for Families
Presented by: Erica Phipps, Executive Director, Canadian Partnership for Children’s Health and Environment (CPCHE)
To reduce fetal and early childhood exposures to toxic substances that are associated with the development of chronic diseases/conditions such as asthma, cardiovascular
disease, cancer, diabetes/obesity and neurodevelopmental disorders. To equip service providers with multi-media outreach materials they can use within existing prenatal/
parenting education to empower parents with simple tips for reducing common sources of toxic exposures in the home setting. Prospective and new parents, including
marginalized and newcomer populations: Using CPCHE’s proven ‘key intermediary’ approach, the initiative reaches prospective and new parents by engaging with the service
providers at the community level (e.g., public health nurses) who routinely provide prenatal classes and other educational programming for parents/families. It includes a
specific focus on newcomer/marginalized populations and is also being used in First Nations communities. Population health-based content development, drawing upon
a Scoping Review of scientific evidence of associations between early exposures and chronic disease (result of collaboration between CPCHE partnership and a chronic
disease prevention alliance). Collaborative, user-led development of ‘Top 5 Tips’ video focused on the home as a priority setting for exposure reduction. Vanguard use of Top
5 Tips video with marginalized, newcomer women through peer-facilitated ‘Women’s Health Circles.’ Multi-media ‘Top 5 Tips’ outreach materials that provide parents with
simple tips for reducing toxic exposures in the home associated with chronic health risks - designed for use in prenatal and parenting programs. Pilot-tested, peer-facilitated
approach to using the video with disadvantaged/newcomer populations via ‘Women’s Health Circles.’ Case examples of innovative use of the Top 5 Tips materials in First
Nations communities.
Co-authors: Erica Phipps, Partnership Director, Canadian Partnership for Children’s Health and Environment (CPCHE); Lynn Marshall, President and Chair of the Board
/ Alternate Chair, Environmental Health Committee, Environmental Health Institute of Canada / Ontario College of Family Physicians; Jill McDowell, Health Promotion
Consultant, Toronto Public Health; Caryn Thompson, Environmental Health Promoter, South Riverdale Community Health Centre; Kathleen Cooper, Senior Researcher,
Canadian Environmental Law Association
Food Insecurity & Families | Oral Presentations
Exposés oraux | Présentation éclair d’affiches
(Joliet Room)
(Salle Joliet)
D3.1
Socio-demographic and Health Factors that Increase Social Assistance recipients’ Vulnerability to Food Insecurity
Presented by: Yiwen Liu, Master’s Student, Department of Nutritional Sciences, University of Toronto
Amongst adults in households receiving social assistance, 65% report food insecurity - a prevalence rate over five times higher than the general population. Nevertheless, a
third of these households are food secure. Our objective was to identify socio-demographic predictors of food insecurity and to determine the effect of adults’ chronic disease
status on vulnerability among households reliant on social assistance. Our sample comprised households in the 2011-2012 Canadian Community Health Survey reporting
social assistance as their main income source. We used logistic regression models to determine the relationship between households’ sociodemographic characteristics,
adult respondents’ health status (as measured by the self-reported diagnosis of 15 chronic conditions), and food insecurity. As social assistance policies vary provincially,
all household-level variables determining eligibility or assistance rates were included. The odds of food insecurity among social assistance households varied between
provinces, but were higher overall in single person households. In addition, income was negatively associated with risk of food insecurity. Independent of these effects,
having at least one chronic condition indicated an increased vulnerability. In particular, back problems, hypertension, mood disorders, and anxiety disorders were associated
with significantly higher odds of food insecurity. The observed relationship between sociodemographic variables, chronic disease diagnosis and risk of food insecurity raises
serious questions about the adequacy of current social assistance benefit structures. However, the variation in likelihood of food insecurity between provinces and amongst
household types may highlight opportunities for policy intervention to provide more effective support for this highly vulnerable population subgroup.
Co-authors: Yiwen Liu, Master’s Student, Department of Nutritional Sciences, University of Toronto; Valerie Tarasuk, Department of Nutritional Sciences, University of Toronto
39
D3.2
Household Food Insecurity in Canadian Cities: A Multilevel Analysis
Presented by: Urshila Sriram, Graduate Research Student, Department of Nutritional Sciences, Faculty of Medicine, University of Toronto
Although 85% of food insecure households in Canada are located in urban areas, there has been no systematic examination of household food insecurity at the city-level.
The objectives of the present study were to characterize the burden of food insecurity across metropolitan areas and identify city-level characteristics associated with this
problem. The study population included 50,730 households in metropolitan areas from the 2011-2012 Canadian Community Health Survey. Households were classified as
food insecure if they experienced moderate or severe food insecurity. Data on economic and social attributes of cities were drawn from the CANSIM database and Canada
Housing and Mortgage Corporation. Associations between household food insecurity and city-level characteristics were assessed using 2-level logistic regression models We
found substantial variability in food insecurity rates across metropolitan areas, ranging from 19.9% in Halifax to 9.0% in Quebec City. Part of the observed inter-city variation
in food insecurity was explained by the metropolitan area characteristics included in our analyses. Two city-level characteristics were positively related to food insecurity:
average monthly shelter cost and vacancy rate. These associations were independent of household characteristics. Our study highlights the disparity in food insecurity rates
across Canadian metropolitan areas and points to the importance of housing availability and affordability in shaping households’ vulnerability to food insecurity. These findings
suggest that policy interventions to ensure adequate, affordable housing can mitigate household food insecurity at a local level.
Co-authors: Urshila Sriram, Graduate Research Student, Department of Nutritional Sciences, Faculty of Medicine, University of Toronto; Valerie Tarasuk, Professor,
Department of Nutritional Sciences, Faculty of Medicine, University of Toronto
(Bytowne Room)
(Salle Bytowne)
D4
LiveWell – A New Model of Community Health
Presented by: Genevieve Hladysh, Senior Regional Manager, The YMCA of Hamilton/Burlington/Brantford
The Live Well Community Health Partnership is a collaboration between the YMCA Hamilton /Burlington/Brantford, Hamilton Health Sciences and McMaster University.
Its mission is to promote wellness through community access to innovative, evidence-based programs, actively support an integrated concept of healthy families and
communities, and collaboration among acute care hospital services, university based education and research and community based wellness programs. LiveWell designs,
delivers and evaluates chronic disease self management programs to address arthritis, osteoporosis, joint replacements, stroke, heart disease, cancer, diabetes, spinal
cord injuries and mild cognitive and physical disabilities. Screening intake occurs in response to self referral, MD and/or clinical referral and leads to a supervised exercise
program, disease specific education and social supports. Health professionals are on site in the community. Pilot evaluations have included randomized control trials and
other health outcome measurements with clinically significant results which have been published. LiveWell is replicable across Canada using a well established governance
and operational model and evaluation framework.
(Richelieu Room)
(Salle Richelieu)
D5
Measuring the Effectiveness of Knowledge Transfer and Exchange (KTE): The Canadian Partnership Against Cancer’s KTE Toolkit
Presented by: Jon Kerner, Senior Scientific Lead for Population Health & Knowledge Management, Canadian Partnership Against Cancer; Karen Singh, Director, Knowledge
Management, Canadian Partnership Against Cancer
Informed by a review of KTE evaluation theories, a survey and accompanying planning tools were developed by the Canadian Partnership Against Cancer (CPAC) to evaluate
effectiveness at engaging target audiences and influencing their adoption of evidence-based best practices. This workshop will illustrate the toolkit’s use across multiple
sectors by the Coalitions Linking Action and Science for Prevention (CLASP) initiative. This workshop will target research, practice and policy specialists working with a
wide range of audiences, and across multiple sectors and jurisdictions interested in evaluating the effectiveness of KTE design, delivery/exchange, and uptake. Workshop
participants will learn about KTE evaluation theories, and be provided with an overview of the survey and results from the administration of the survey component for the
CLASP initiative. Participants will have the opportunity in small groups to discuss current KTE challenges and opportunities they face as well as possible utilization of the
survey within their own context. Workshop participants will improve their knowledge about evaluating KTE as well as leave with tools to support planning, monitoring and
measuring KTE effectiveness (tools include a checklist to help design and planning, a survey, a key informant interview guide, and a self-reflection tool.) Participants will be
able to refine how KTE is approached, and improve the impact of their work.
D6
Partnerships For Addressing Physical Activity
Presented by: Christa-Costas Bradstreet, Relationship Manager, ParticipACTION; Jennifer Cowie Bonne, CEO, Active Healthy Kids Canada; Diane English, Director of
Research, Policy and Communications, Canadian Parks and Recreation Association (CPRA); Susan Houston, Relationship Manager, Companies Committed to Kids
Participating in regular, moderate to vigorous physical activity is accepted as an effective preventative measure for over 25 non-communicable diseases or conditions.
Unfortunately, physical activity levels of Canadians are alarmingly low. Only 5% of children and 15% of adults are meeting the recommendations outlined in Canada’s
Physical Activity Guidelines. Increasing physical activity is a complex issue that requires comprehensive solutions and shared responsibility among many stakeholders. While
partnerships are necessary, they can be time-consuming, labour-intensive, emotionally taxing and even frustrating but also rewarding, productive, and mutually beneficial to
all involved (often all at the same time!). This session will discuss the rationale, processes, challenges, successes and key learnings of partnerships for addressing physical
activity through the presentation of three case examples from leading provincial and national organizations.
(Capitale Room)
(Salle Capitale)
D7
CDA – Diabetes Patient Charter
Presented by: Seema Nagpal, Director of Policy, Canadian Diabetes Association
People with diabetes can experience challenges in all aspects of their life specifically related to their disease, which can be addressed through appropriate support by
governments and other diabetes stakeholders. Developed by the Canadian Diabetes Association in consultation with more than 200 Canadians, the Diabetes Charter for
Canada (the Charter) is truly a grassroots document that clearly outlines what people with diabetes can and should expect from themselves and others in the diabetes
community. The document confirms the rights and responsibilities of people living with diabetes, governments, service providers, employers, schools, preschools and daycare
as well as the Canadian Diabetes Association. It is hoped that, over time, the principles and values promoted within the Charter concerning diabetes prevention, management,
support and care will become the ‘new standard’ for people living with diabetes.
40
Friday, April 11, 2014 | 9:10am – 10:40am
Le vendredi 11 avril 2014 | 9 h 10 – 10 h 40
Concurrent Session E1
Marketing to Children & School Nutrition Policies | Oral
Presentations
Séances simultanées E1
Commercialisation destinée aux enfants et politiques de
nutrition en milieu scolaire | Exposés oraux
(Chaudiere Room)
(Salle Chaudiere)
E1.1
Prohibiting Marketing to Children: The Experience of Sweden, Norway and Québec
Presented by: Alex Huntley, Agent de santé publique, Agence de la santé publique du Canada, Fondation des Maladies du Cœur
The marketing of food and beverages that are high in calories, sugar, fat and/or sodium to children remains a major public health concern. The objective of this study is to
undertake a comparative analysis of the three jurisdictions (Sweden, Norway and Québec (Canada)) that have banned marketing to children - examining their respective
strengths and weaknesses. Undertake a literature review of relevant, international research on each jurisdiction’s law. This presentation will examine how each jurisdiction
defines marketing to children, the methods used to enforce the prohibition and the related outcomes, including impacts on the consumption of unhealthy foods and beverages
Key similarities and differences exist between each jurisdiction especially in defining what is considered marketing to children, as well as methods of enforcing the ban.
This paper will provide a comparative analysis of each of these laws along with recommendations for how they could be improved and the potential research gaps. Policy
makers can better understand the implications of banning marketing to children. The results of this study will help other jurisdictions, including the province of Ontario, that
are considering addressing marketing to children.
Co-Author: Francine Forget Marin, Director Health Promotion and Research, Heart and Stroke Foundation
E1.2
Has the Children’s Food and Beverage Advertising Initiative Made a Difference? A 2006-2011 Comparison of Advertising on Children’s Specialty Channels
Presented by: Monique Potvin Kent, Professor, University of Ottawa
Food/beverage advertising to children has been associated with childhood obesity. Currently, food advertising in Canada is mostly self-regulated by industry through the
voluntary Canadian Children’s Food and Beverage Initiative (CAI). This study evaluated the CAI pre and post implementation in terms of the volume of marketing, the
marketing techniques used and the nutritional quality of foods marketed to children on television. Data for 11 food categories were purchased from Nielsen Media Research
for two children’s specialty channels in Toronto for May 2006 and 2011. A content analysis of food advertisements was undertaken and included an examination of the
volume of advertising, the marketing techniques used and the nutritional quality of each advertisement. Comparisons were made between 2006, before the initiation of the
CAI, and 2011. The volume of ads aired by CAI companies on children’s specialty channels decreased by 24% between 2006 and 2011 however, children and adolescents
were targeted significantly more, and licensed characters and spokes-characters were used more frequently in 2011 compared to 2006. The nutritional quality of CAI
advertisements remains unchanged between 2006 and 2011. There are clear weaknesses in the Canadian Children’s Food and Beverage Advertising Initiative. Food
advertising needs to be regulated to protect the health of Canadian children.
Co-authors: Monique Potvin Kent, Part-time and Adjunct Professor, University of Ottawa; Cherie Martin, M.A. Candidate, University of Ottawa
E1.3
An Evaluation of the Ontario School Food and Beverage Policy (P/PM150) in the Region of Peel: Food Environmental Scan Results
Presented by: Taryn Orava, PhD Candidate, University of Waterloo
As part of a larger comprehensive evaluation of the Ontario School Food and Beverage Policy (P/PM150) within the Region of Peel, this research examines the current
state of the food environment within elementary and secondary schools. The main objective was to identify opportunities for healthy eating through school programs,
practices, promotions, food availability and affordability. The food environmental scan was completed for 44 consenting schools (18 elementary, 26 secondary) and included:
an environmental scan checklist and interview completed with a school representative and a physical walkabout of the school food environment to obtain representative
photographs and identify types and prices of foods available for purchase in cafeterias, tuck shops, and vending machines on a regular school day. A variety of opportunities
for healthy eating were identified. In the previous 12 months, 66% (n=29) of schools worked on healthy eating promotion with Peel Public Health and 77% (n=34) of
participating representatives received formal P/PM150 training. Photos of school venues showcased a wide range of products available for purchase throughout the day, at
multiple venues, both within and outside of P/PM150 nutritional standards. School representatives identified barriers to policy monitoring, sustaining operation of school food
venues, and both barriers and opportunities for promoting healthy eating throughout the school year. Individual School Feedback Reports provided an appraisal of the food
environment and suggestions for addressing barriers. A repeat environmental scan and evaluation of the effectiveness of reports will be conducted in Phase II.
Co-authors: Taryn Orava, PhD Candidate, School of Public Health and Health Systems - University of Waterloo; Rhona Hanning, PhD RD, University of Waterloo; Renata
Valaitis, PhD Candidate, University of Waterloo
E1.4
Promoting Child-Targeted Health Foods: An Analysis of Nutritional Content and Product Packages
Presented by: Jacqueline Williamson, University of Calgary
Childhood obesity is a growing problem on the global stage, and is understood to be linked to adult obesity, and other ailments such as cardiovascular disease, sleep apnea,
and Type 2 diabetes. Organic and natural foods are perceived by many consumers as being ‘healthier’ than conventional foods, we aim to characterize child-targeted health
foods from a marketing and nutritional standpoint. All child-directed products were purchased from eight ‘Organic’ and/or ‘Natural’ oriented stores in Calgary, Canada, and
packages were coded for food categories, package semiotics, verbal claims, and nutritional details. Univariate and bivariate analyses were conducted to assess associations
between package and product characteristics and nutritional profiles. Eighty-four products from 32 unique brands were identified and analyzed, with all products coming
from dry or frozen goods categories. Only half self-identified as organic products, and a mere 12 (14.3%) products were of good nutrition, with high sugar levels being the
most prominent concern amongst products. Parent and environmental package claims were common, but most were still associated with poor nutrition. Child-oriented food
products from ‘organic’ and ‘natural’ food stores collectively had a poor nutritional profile. The ‘halo effect’ associated with such foods is misplaced and misleading for the
average consumer. Nutrition education should include the understanding of package claims as a marketing tool, encouraging consumers to critique products based on
information provided in the Nutrition Facts table and ingredients list.
Co-authors: Jacqueline Williamson, Medical Student, University of Calgary; Charlene Elliott, Associate Professor, University of Calgary
41
E1.5
Multi-stakeholder Perceptions of the Ontario School Food & Beverage Policy (P/PM150) Implementation in Region of Peel Schools
Presented by: Renata Valaitis, PhD Candidate, University of Waterloo
With the overall goal of supporting healthy eating for Peel Region students, the objective of this qualitative study was to explore strengths, weaknesses, opportunities
and threats (SWOT) associated with implementation of P/PM 150 from the perspectives of students, parents, teachers/principals/school staff, food service providers, and
key informants at the Provincial level. Guided by a SWOT framework, qualitative data were collected from 13 student focus groups, 6 parent focus groups, and 15 school
stakeholder interviews. Data were analyzed according to common themes using NVivo qualitative software. Stakeholders have differing perspectives about the new policy.
Initial results indicate that some schools have encountered difficulties with policy implementation, however success stories have also been shared. Ongoing conversation
with food service providers and Provincial stakeholders give a more complete picture of the implementation of P/PM 150 in this particular Region. While there appears to be
support for P/PM150 and the introduction of healthier food options in schools, student eating habits seem to also be affected by factors beyond school food which makes
the policy challenging. Additional support for schools and food service providers would be beneficial, particularly sharing tips and tricks from schools that were successful in
policy implementation.
Co-authors: Renata Valaitis, PhD Candidate, University of Waterloo; Rhona Hanning, Professor, University of Waterloo; Taryn Orava, PhD Candidate, University of
Waterloo
Healthy Weights & Physical Activity | Oral Presentations
Poids santé et activité physique | Exposés oraux
(Richelieu Room)
(Salle Richelieu)
E2.1
Technology & Adolescent Obesity: Finding the cure in the cause
Presented by: Fletcher Lu, Professor, University of Ontario Institute of Technology
New technology tools have introduced numerous sedentary games and social networking facilities over the past 20 years reflected in significant increases in overweight and
obesity rates in adolescents. We present the results of a study to use the latest mobile and socialization technology to get kids off their couches and outside with active play.
A socialization and fitness application for smart mobile devices that can measure physical movement was developed to use social networking activities such as texting with
friends and picture sharing as a motivator to physical activity. The concept being tested is the feasibility of tying social networking to physical activity to affect positive attitudinal
changes in adolescents towards sustained active social activities rather than sedentary ones. Adolescents aged 15 to 17 from two Canadian high schools participated in the
study over a 12 week period using iPods with the social fitness application. Results showed significant positive attitudinal changes towards several fitness exercise activities
as well as perceptions on subject’s own overall fitness levels significantly improved. The study results indicate that tying socialization motivators to fitness activity through
technology can be used as an approach to producing positive views on those activities in adolescents. Instilling those positive associations during adolescence or earlier has
been shown to result in lifelong improved fitness activity helping to prevent chronic obesity.
E2.2
Time for a Paradigm Shift - From Weight to Mental & Physical Well-being
Presented by: Lydia Drasic, Executive Director, BCCDC Operations & Chornic Disease Prevention, Provincial health Services Authority/BC Centre for Disease Control
The two key objectives are: To understand the complex relationship between weight stigma and bias, obesity interventions and promoting mental health and the impact on
population groups and secondly, to identify considerations for discussion by sectors and society that promote mental and physical well-being for all and implementations
actions that promote mental health and well-being. The target groups include those who are interested in reducing obesity, promoting healthy weights and concerned that
the trend continues to rise in spite of a large number of interventions and investments. It also includes those who are working with people to prevent and manage chronic
diseases. Review of emerging information on weight bias and mental health promotion and describing a new way to consider overweight and obesity, facilitating discussions
to get feedback, identifying opportunities to influence policy, examining the impact on gender and effect of bullying and creating collaborations to develop tools to decrease
weight stigma and bias. A discussion paper on the paradigm shift that promotes mental and physical health and well-being, gender considerations for mental and physical
well-being, review of the relationship between bullying and overweight and obesity and developing tools to help increase awareness of weight stigma and promote mental
as well as physical health.
E2.3
Professionals on the Move: Implementing Active Canada 20/20
Presented by: Mary Duggan, Manager, Canadian Society for Exercise Physiology; Christa Costas-Bradstreet, Relationship Manager, PartcipACTION; Chantal Lalonde,
Health Educator/Promoter, Eastern Ontario Health Unit
To introduce delegates to Active Canada 20/20: a national physical activity strategy and change agenda for Canada to and health and physical activity professionals; conduct
an environmental scan of current programs and practices among workshop participants; and garner enthusiasm and a commitment to action and implementation from
professionals working in the chronic disease prevention milieu. 4 presenters/moderators to Introduce AC 20/20 and current status: .Background and evolution, Gathering,
National PA policy (Christa) .Action groups, Evaluation, links to other initiatives (Mary) . Active Canada 20/20 in Public Health (Chantal) . Active Canada 20/20: partnerships
and policy directions in Health (Matt) Ideally the reporting will identify best practices for evaluation/follow-up through emulation, promotion, collaboration, adoption etc. as
a means toward increasing Canadians’ participation in both structured and unstructured physical activities leading to a lifelong habitual practice adoption. Summary and
emerging themes/consensus ideas will be posted on activecanada2020.ca. .Interactive environmental scan among participants on what they are currently doing promoting
PA in their practice .Consider where they see themselves playing a role if not actively promoting PA in their practice .Collate links between PA promotion and chronic disease
prevention among group participants, discuss the emerging evidence regarding positive links to mental health, public health, healthy environment etc.
Co-Author: Matt Herman, Director, BC Ministry of Health, Population and Public Health
E2.4
Mapping municipal active transportation policies across Canada: using creative data visualization to support healthy public policy diffusion and collaboration
Presented by: Christopher Politis, Analyst, Prevention, Canadian Partnership Against Cancer
Healthy public policies create supportive environments that enable people to lead healthier lives. Policy diffusion, where policymakers learn about policy options from other
jurisdictions, is a component of policy development. This session will showcase the Canadian Municipal Active Transportation Policy Map - which supports the diffusion of
active transportation policies through the use of data visualization and online collaboration technology. - Researchers, practitioners, and policy specialists working in the
area of active transportation at the municipal level - Public health initiatives looking for low cost and low resource technology for mapping Canadian data and supporting
collaboration between users The Canadian Municipal Active Transportation Policy Map will be highlighted as a tool supporting researchers, practitioners, and policy specialists
in learning from one another. The development of the policy map, using Google Maps and Prevention Policies Directory data, will be detailed with special attention on the: transferability of the technology to other prevention activities - low cost and resource requirements of creating collaborative maps - Participants will learn how Google Maps
was used to map policy data from the Prevention Policies Directory and create a collaborative space for active transportation researchers, practitioners, and policy specialists
to learn from each other. - Participants will learn about the Canadian Municipal Active Transportation Policy Map, a free tool supporting the diffusion and spread of active
transportation policies.
Co-authors: Christopher Politis, Health Promotion Coordinator, Canadian Partnership Against Cancer; Michelle Halligan, Program Manager, Canadian Partnership Against
Cancer; Deb Keen, Director, Canadian Partnership Against Cancer
42
E2.5
Learning through Partnerships, Facilitation and Evaluation: An Intervention to Foster Healthy School Physical Activity and Nutrition Environments
Presented by: Micheline Turnau, Program Manager, School Nutrition CLASP initiative, Heart and Stroke Foundation; Jennifer Yessis, PhD, Scientist, Propel Centre for
Population Health Impact
The Champlain School Facilitation Pilot Program is being co-implemented by the Champlain Cardiovascular Disease Prevention Network, Heart and Stroke Foundation
and Propel Centre for Population Health Impact. The objective of this collaboration is to inform, implement and evaluate an 18-month school-based intervention targeting
physical activity and nutrition environments, with a specific emphasis on active play, active transportation and healthy eating. 16 elementary schools in Eastern Ontario are
receiving support from a facilitator, skilled in comprehensive school health approaches, and funds to support the creation and implementation of School Action Plans. Schools
participate in evaluation activities at both student- and school-levels. These mechanisms serve to inform planning for the intervention. School Plans are specific to identified
needs within each school from baseline and ongoing evaluation activities. Our mixed method evaluation provides a rich understanding of mechanisms and conditions for
effective facilitative processes in school settings which can inform adaptations for greater reach within the region and expansion to other jurisdictions. Presenters will share
insights into applying an internationally recognized framework of comprehensive school health to support intervention design and ongoing stakeholder engagement for
adaptations through continuous learning. The unique perspectives brought forward from the various collaborators namely, practice, funder and research/evaluation- have
resulted in distinctive learnings for engaging effective intersectoral partnerships. Comprehensive multi-component approaches that target culture, policy and behavior are
successful in effecting change within school environments. Presenters will share insights and challenges with regards to program planning, knowledge exchange, and
engaging the school community.
Co-authors: Micheline Turnau, Program Manager, Private and Public Partners for Healthy Schools (P3HS) CLASP Initiative, Heart and Stroke Foundation; Jennifer Yessis,
PhD, Scientist, Propel Centre for Population Health Impact; Laurie Dojeiji, Network Manager, Champlain Cardiovascular Disease Prevention Network; Steve Manske, PhD,
Scientist, Propel Centre for Population Health Impact; Dana Zummach, Project Manager, Propel Centre for Population Health Impact
Research, Tools, & Approaches | Rapid Fire E-Poster Presentations
Recherche, outils, et approches | Présentation éclair d’affiches
(Capitale Room)
(Salle Capitale)
RF
A Comprehensive Partnership Approach to Increase Breast Cancer Screening Rates in Underscreened Neighbourhoods in Toronto
Presented by: Gina Ing, Consultant Health Promotion, Toronto Public Health
Breast cancer is the most common cancer affecting Toronto women. Early detection with mammography increases the chances of successful treatment. Ontario has had
an organized screening program for years. However, some women are less likely to be screened, and more likely to experience unfavourable outcomes i.e. Newcomers,
ESL, and low income. Toronto Public Health (TPH) aims to increase mammography screening in underscreened neighbourhoods by using a comprehensive approach
that works in partnership with disadvantaged populations. Target: Culturally diverse women; low income; Newcomers TPH partnered with the Canadian Breast Cancer
Foundation to empower women to improve breast health, make informed choices about screening, and facilitate mammogram booking on the Pink Bus Tour. The Toronto
Central Regional Cancer Program worked with TPH and hospitals to promote cancer awareness Activities: to staff, volunteers and the public. Educational displays and
a social marketing campaign were implemented. TPH partnered with individuals linked with Community Matters, and Access Alliance in underscreened communities: St.
James Town and Rockcliffe-Smythe. Peer Ambassadors were trained to deliver presentations and assist women in mammography. Educational materials were developed,
and their dissemination tracked. TPH partnered with the Ontario Breast Screening Program to track and provide incentives to women who went for a mammogram as a result
of our activities. Deliverables: Fifteen Pink Bus stops in Toronto reaching 3,756 people. Eight hospitals implemented our campaign reaching 668 people. Thirteen Peer
Ambassadors were trained. 20 binders were developed, and postcards were translated into six languages. 42 women had a mammogram as a result.
RF
An Evaluation of the Getting a Grip on Arthritis Online Continuing Professional Development Program
Presented by: Lynn Moore, The Arthritis Society
In Canada, arthritis prevalence is higher in rural areas where patients and primary care providers are challenged by limited access to optimal prevention methods and
evidence-based continuing professional development. A national partnership between government, university, non-profit agencies, health providers, and patients was
established to address this gap. The result is Getting a Grip on Arthritis Online. Primary care providers (physicians, nurses, occupational and physical therapists) Two
modules, - osteoarthritis, rheumatoid arthritis - were developed based on a needs assessment and published clinical practice guidelines, pilot tested with a range of primary
care providers in two rural areas with high arthritis prevalence, and evaluated. Case-based format simulates interaction with ‘real’ patients and enables good practice in
diagnosis and secondary prevention. Participants reported modules were relevant to practice; content addressed their learning needs. Based on the pilot’s success, the
modules are being reviewed for national family physician accreditation and are scheduled for national launch in early 2014. Ongoing evaluation by users will inform future
changes to the modules. Partnership across multiple sectors will ensure wide reach for this evidence-based program.
Co-authors: Lynn Moore, MSc, The Arthritis Society; Mary Bell, MD, Sunnybrook Health Sciences Centre; Lisa Fleet, MA, Memorial University; Marlene Del Pino, MSc, Health
Canada; Anne Lyddiatt, BSc, Patient Partners in Arthritis
Research, Tools, & Approaches | Oral Presentations
Recherche, outils, et approches | Exposés oraux
(Capitale Room)
(Salle Capitale)
E3.1
Integrating the Population Health Approach into Canadian Healthcare: Looking to Leaders and Champions
Presented by: Deborah Cohen, Senior Consultant, Canadian Institute for Health Information
Despite Canada’s historical contribution to the genesis of the population health approach, the formal Canadian health system has been slow to adopt the approach through
broad system redesign. This study examined the way in which leaders in the healthcare system are integrating the population health approach into operational planning and
day-to-day decision making in Canadian healthcare. Semi-structured interviews were conducted with 21 senior health system leaders who have made demonstrable progress
in integrating the population health approach within the health system. Grounded theory provided the conceptual underpinning for this qualitative study covering off areas
such as population health understanding and terminology, personal and organizational barriers and enablers for integration, and population health information needs. Efforts
for integration fell predominantly into three domains. The population health approach was used: 1) In the design of health services delivery, 2) As a conceptual framework
to guide inter-sectoral action and partnerships for improved health, 3)To shift workforce capacity and competency to address equity and the social determinants of health.
The study showed that increasingly health system leaders see themselves as active players in achieving population health improvements in Canada. This presentation will
highlight the thematic elements of the population health approach in healthcare through some exemplar case studies in addressing chronic disease that articulate the barriers
and enablers required to support the population health approach in healthcare.
43
E3.2
Network Mapping-an emerging research tool for collective impact in chronic disease prevention
Presented by: Suzanne Schwenger, Manager, Health Nexus
Intersectoral collaboration across the continuum of care is a critical component of chronic disease prevention. With partners, Health Nexus has applied network mapping and
analysis as a research methodology to visualize and explore the relationships across partnerships. This short research presentation will discuss how network mapping can
be an effective research tool to investigate the collective impact of existing collaborations. The factors affecting chronic disease are complex, and require the participation
of diverse sectors, professions, institutions and community stakeholders. Network mapping and analysis can provide evaluators with another measurement tool and
mechanism to engage multi-sectoral stakeholders in an inclusive process to plan and develop high-functioning partnerships and collaborations. Network mapping is a
methodology that offers a ‘picture’ of relationships and connections within a network. Information is collected via surveys and underlying datasets are transformed into visual
maps. Through network mapping, communities can increase their awareness of the patterns in their network relationships, identify strengths and gaps, develop strategic
interventions to enhance the flow of information and the enhance the effectiveness of the network. There is growing interest in evaluative mechanisms to measure collective
impact of collaborations and interventions in communities. The 10-minute presentation will outline the two case studies, including methodology, results and opportunities and
challenges. It will be followed by a 5 minute period for questions and dialogue with the audience.
E3.3
Identifying organizational contexts needed to foster evidence-informed public health
Presented by: Maureen Dobbins, Scientific Director, Health Evidence (McMaster University)
In partnership with three Ontario public health departments, we studied the application of knowledge translation strategies, tailored to the needs of each health department, to
develop and support evidence-informed public health. We used a case study design, with each health department representing a unique case. A Knowledge Broker worked
with staff for 22 months to provide large-group training, one-on-one consultation, virtual support, and advice on devising policies and procedures related to evidence-informed
public health. The results of qualitative analysis are presented here as an exploration of the contextual factors that facilitated or impeded the tailored strategies. Public
health practitioners recognize the importance and value of using research evidence to inform their practice. Specific facilitators included: access to a neutral, expert mentor;
embedding a process for evidence-informed public health as an organizational structure; promoting peer support; and ensuring visible management support. Identified
challenges included: available time, workload, and competing priorities; anxiety and uncertainty; and inefficient access to research evidence. While this project was specific
to three health departments, the findings can be applied across the Canadian public health sector. Based on this research, we are now better able to identify organizational
contexts likely to support evidence-informed decision making, as well as recommend effective knowledge translation and exchange strategies best-suited to these contexts.
Co-authors: Maureen Dobbins, Scientific Director, Health Evidence (McMaster University); Robyn Traynor, Research Coordinator, Health Evidence (McMaster University);
Lori Greco, Knowledge Broker, Health Evidence (McMaster University)
(Frontenac Room)
(Salle Frontenac)
E4
Supporting advocacy for Health in All Polices: The impact of polices on health
Presented by: Lisa Ashley, Senior Nurse Advisor, Canadian Nurses Association
To understand the benefits of improved population health outcomes through the use of a health in all policies approach. To develop a joint direction to advance a Health In
All Policies approach in Canada. This workshop will (1) engage participants in an interactive presentation of work to advance health in all policies; (2) include small group
work for an interactive dialogue and collaborative knowledge exchange on the recommendations contained in a final report; and (3) provide a summary and next steps for
moving health in all policies forward in Canada. A collaborative advocacy strategy was developed that aims to increase the inclusion of a Health in all Policies approach at
various levels of government to implement during the development of all public policy, programs and legislation. Extending appropriate health policy and services increasingly
requires congruence between different levels of government and multi-level approaches that connect health to all government policies. The Health in all Policies approach
considers the impacts of policies on health through health determinants when policies of all sectors are being planned, decisions between various options are being made,
and when implementation strategies are designed.
(Joliet Room)
(Salle Joliet)
E5
Healthy Beginnings for Preschoolers: A Capacity Building Initiative Giving Canadian Children a Healthy Start
Presented by: Vanessa Abud-Munro, Healthy Beginnings Coordinator, Childhood Obesity Foundation; Jan Downing, Coordinator, Recreation and Parks Association
of the Yukon; Elsie DeRoose, Territorial Nutritionist, Department of Health and Social Services, Government of the Northwest Territories; Emmanuelle Dumoulin, Project
Coordinator, Health Promotion, Quebec, Heart and Stroke Foundation
Healthy Beginnings for Pre-Schoolers 2-5 (HB2-5) is a toolkit and training that addresses physical inactivity, screen-time, healthy eating and sugar sweetened beverage
consumption and aims to enhance the capacity of early learning practitioners to implement positive health-related programming within the early learning setting. The
toolkit and training represents a whole setting, flexible approach and provides evidence-based guidelines and best practice resources and activities to support enhanced
practices, modifications to the environment and for connecting with families. The HB2-5 program was created by the Collaborative Action on Childhood Obesity phase 2
(CACO2) coalition with a team from British Columbia, the Yukon Territory, the Northwest Territories, and Quebec. CACO2 is funded by Health Canada through the Canadian
Partnership Against Cancer’sCLASP initiative. Working collaboratively, the HB2-5 team: pulled together guidelines and existing evidence-based resources from across
jurisdictions; trained early learning practitioners on the guidelines and resources available within the toolkit; and collected process evaluation and impact data at the level of
the setting to assess knowledge and confidence/self-efficacy.
44

CDPAC 2014 Conference Conference Program

Transcription

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