intercultural online health network€¦ · 9/14/2011 · language/community topic when reach...
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InterCultural Online health NetworkMulti-cultural; multi-
channel mental wellness support through eHealth
Dr. Kendall Ho, MD FRCPC
Associate Professor, Emergency Medicine
Director, eHealth Strategy Office Se
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“Dizzy Gillespie”: lessons
• They're not particular about whether you're playing a flatted fifth or a ruptured 129th as long as they can dance to it.
• How do you know they like your music? If I got their toes tapping, then I know I’ve got them
Essence of Engagement
InterCultural Online Health Network (iCON)
1. Provide 24/7 access to culturally relevant health information to support self management & wellness
2. Use multi-channel engagement to reach a variety of community members’ needs/ preferences
3. Unique technological opportunities to support mental wellness
Stepwise Strategy
1. Create in-person forums
5
Health Forum, Vancouver
http://www.cbc.ca/video/#/News/Canada/BC/1258521056/ID=1757875862
Live Forum Component
Language/Community Topic When Reach
Chinese – Vancouver Diabetes Sep 2007 ~700
Chinese – Vancouver Healthy Heart Apr 2008 ~1000
Chinese – Vancouver Dementia Oct 2008 ~700
Punjabi – Surrey Dementia Mar 2009 ~750
Chinese – Vancouver Liver Disease Nov 2010 ~1450
1. Community “health fair” – open house, familiar setting
2. Community based interprofessional panel, Q&A
3. Volunteers – students and community
4. Companion website links to live event in various ways
Stepwise Strategy
1. Create in-person forums
Building Partnerships
Mental Health: CMHA Synergy
• March 5, 2011: Aberdeen Mall, Richmond
• Chinese Bounce Back program collaboration
Stepwise Strategy
1. Create in-person forums
2. Establish on line presence
Building Partnerships
www.iconproject.org
Stepwise Strategy
1. Create in-person forums
2. Establish on line presence
3. Introduce on line tools
Building Partnerships
Live Forum – “e” OutreachLanguage/Community Topic When Reach at Event
Chinese VC workshop – Van, PG, Victoria, Kelowna
Diabetes Jun 2010 ~125
Punjabi VC workshop – Van, New West, PG Diabetes Jun 2010 ~125
Punjabi live and webcast – Surrey Diabetes Nov 2010 ~900 + 38 +…
Chinese live and webcast –Vancouver Diabetes Dec 2010 ~750 + 218 +…
Chinese live and webcast – Richmond Mental Health Mar 2011 ~1100 + 100 +…
Punjabi live and webcast – Abbotsford Diabetes/Mental Health
Mar 2011 ~450 + 20 +…
1. Videoconference pilots – FoM and Health Authority VC sites
2. Webcast to the whole province and beyond
3. Connecting with social media
4. New formats – social spaces, social drama, demonstrations….
DVD: Skits
Common situations
• Immigration,isolation
• Chidren’s future/Internet
• Relationships, care giving
• Chronic diseases, own health
Recognition, mx skills, seek help
Stepwise Strategy
1. Create in-person forums
2. Establish on line presence
3. Introduce on line tools
4. Add virtual interactivity
Building Partnerships
Blogging & texting
iCON: Core Components
Web 2.0 Portal
Live Forum
Evaluation and Student Involvement
Interactive Community:“Youtube for Health”
Public Engagement - Highlights
• Approx 95% of the surveys turned in first language
• Female 65% Male 35%
• Average 65 years (youth to late 90s)
Findings: Motivation to Action
What motivates self care?
• Desire to be an “informed patient”
• Desire to learn more about prevention and symptoms of illnesses
• Recognition of limited access to time with physicians
Findings: What does Self Care Mean?
• Trying to make healthy choices but need culturally relevant resources available in own language
• Becoming better informed so they will “use the system less”
• Having sufficient knowledge to be conversant with health professionals
• Helping family members care for themselves
“The problem with doctors is that we only go for a check-up once, but our condition may change before or after, even if we are well at our appointment…and he says “ok” –we don’t know for sure….”
Necessary Ingredient: Culturally relevant resources available
in own language
Feedback
• Surveys indicated that the events stimulated participants’ willingness for positive behavioural change
“I’ll change the way I would cook my food, change my lifestyle.”
Over 90% indicated they will attend the
next event
95% responded that the forum provided new
information they will use to help cope with stress or worry
“Virtual” Insights
• “Anonymity”
• Personal connection
• 24/7 presence
• Moment of action
• Ongoing support
eTrust
ePresenceeKnowledge
iCON: What’s Next?
• 2010: First Nations & Aboriginal communities
• Navigating the system, Informing the system, other?
• Social media, social drama and mobile channels
• Opportunity to co-create “e-Peer support”
• Expanding inter-professional involvement
• Continuous research and evaluation
“…And what can you add to a classic? Your passionate interpretation to keep it even more contemporary.”
Lang Lang
in Mont Blanc Ad
eOpportunities for Mental Health
• Understanding the virtual social reality
• Identifying tactics of intervention
• Plan, Do, Study, Act
• Engage the audience to co-create
• Create modern classics in mental wellness!
Acknowledgments
Co-authors•Helen Novak Lauscher•Sophia Khan•Eizabeth Stacy•Nelson Shen•Janice Tian
Funding Support•BC Ministry of Health Services•Lawson Foundation•Public Health Agency of Canada•Canadian Health Services Research Foundation•Irving K Barber Learning Centre, UBC
Thank you to our partners, community sponsors, volunteers, and the eHealth Strategy Office staff team
PartnersProvincial Health Services AuthorityFraser Health AuthorityVancouver Coastal Health AuthoritySUCCESS Canadian Mental Health Association, Bounce BackHealthLink BCSafeway PharmacyOmni TelevisionAberdeen CentreFairchild TelevisionFairchild RadioCanadian Diabetes AssociationMing PaoTsing TaoDepartment of Medicine, UBC Telus CorporationUBC Learning Circle
e H e a l t h S t r a t e g y O f f i c e
Web: www.eHealth.med.ubc.ca
Facebook: on.fb.me/ehealthstrategy
Twitter: www.twitter.com/ehealhtstrategy
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