royal college of surgeons in ireland (rcsi) economic & social research institute (esri)

Royal College of Surgeons in Ireland (RCSI)

Economic & Social Research Institute (ESRI)

National University of Ireland, Galway (NUIG)

University College Cork (UCC)

www.slan06.ie

SLÁN CONSORTIUMSLÁN CONSORTIUM

SLÁN 2007SLÁN 2007

Builds on previous health interview surveys SLÁN 1998 and SLÁN 2002

These were postal surveys with interviewer follow-up for non-respondents

The 2006/2007 survey was the largest to date with largest brief

Three components:

1. Interview

10,364 individuals aged 18+

2. Anthropometric measurements (height, weight, wc)

967 individuals aged 18-44

3. Physical examination

1,207 individuals aged 45+

SLÁN SURVEY SLÁN SURVEY

Nationally representative

Participants randomly selected by the using a multilayered process:

- random selection of address clusters based on the GeoDirectory (a national list of addresses)

- randomly select addresses within the identified clusters

- randomly select one individual at each identified address

SLÁN – SAMPLINGSLÁN – SAMPLING

SLÁN – SLÁN – SAMPLING SAMPLING

(400 (400 clusters) clusters)

1. SLÁN INTERVIEWS1. SLÁN INTERVIEWS

Face-to-face interview (35 mins approx) + self-completed food questionnaire (10 mins approx.)

Irish questionnaire available

Shortened translated self-completion questionnaire for non-English speakers [including Russian, Polish, Lithuanian, Chinese, Arabic]

General health

- self-rated health, health service use, screening Mental health

- mental health index, depression & anxiety screening, self-harm, stigma

Physical activity

- activities in the last week, barriers and intentions Diet & nutrition

- foods eaten, eating patterns, food poverty Tobacco use

- Intention to quit, advice, home smoking ‘rules’

SLÁN – CORE THEMESSLÁN – CORE THEMES

Alcohol & Other Drugs

- Frequency, quantity, problems caused, drug use Injury

- Type, cause, impact Family, social networks and neighbours

- Social contact, environment, support Socioeconomic profile

- Demographics, education, occupation, health financing

SLÁN – CORE THEMESSLÁN – CORE THEMES

Random selection of 18 – 44 year olds Measurements taken by trained interviewers at

end of survey – Height – Weight– Waist Circumference

Challenges: Interviewer training , interviewer characteristics Equipment portability and calibration

2. SLÁN Anthropometric Measurements 2. SLÁN Anthropometric Measurements

Respondents aged 45+ Recruited at interview (pros & cons) Measurements included:

Height, weight, waist circumference Blood pressure Lung function (peak expiratory flow; carbon monoxide) Blood sample (cholesterol, glucose, liver function) Urine sample (liver & kidney function)

Full report sent to respondent and GP

3. SLÁN Health Examination3. SLÁN Health Examination

Central lab5 main occupational health clinicsDesignated administration & nursing

personnelRegional ‘clinics’ as required

3. SLÁN Health Examination3. SLÁN Health Examination

Motivating the team Support of management Dedicated point of contact Weekly review, update Regular training and retraining Focus on the ‘big picture’ and importance of

the data

3. SLÁN Health Examination3. SLÁN Health Examination

Lessons learned Communication is key Be aware of and use different skill sets Think practically Go on site and be involved in pilot, be on site

as regularly as possible Bring all parties together at beginning and for

review

3. SLÁN Health Examination3. SLÁN Health Examination