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Development and Results
of a Pilot Course on
Commercial Tobacco
Cessation Interventions
with First Nations and
Métis Peoples
Image c/o Cancer Care Ontario
Aboriginal Tobacco Strategy
NAHO National Conference
Ottawa, Ontario
November 24-26, 2009
Marilyn Herie, PhD, RSW
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Roadmap
• What is TEACH?
• Overview of Specialty Course
• Course development process
• Evaluation results
• Lessons learned
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The
TEACHProject
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The TEACH Project (Training Enhancement in Applied Cessation Counselling and Health)
• A knowledge translation (KT) project designed
to build capacity for cessation programs
• 40 hour certificate Program accredited by
University of Toronto, Faculty of Medicine
• Community of Practice follow-up to training
• Open to health/community workers from all
disciplines
• 2000+ course participants since 2006
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Overview of TEACH Certificate Program
Application
Declined
application
Attend Core
Course(& Learning Assessments)
Complete
OTRU
online course
Accept
Application
Refer to minimal
contact intervention
training
Join Community
of Practice
U of T Certificate
Attend Specialty
Course(& Learning Assessments)
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Tobacco Interventions with
Aboriginal Peoples
• 2-day Specialty Course
– Certificate in Intensive
Cessation Counselling
• Piloted May 28 – 29,
2009, Toronto
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Course Faculty• Nicole Brisson, De dwa da dehs nye>s Aboriginal Health Centre,
Hamilton
• Hillary Connolly, CAMH TEACH Project
• Jeff D’Hondt, Aboriginal Service, CAMH
• Kevin Fitzmaurice, Native Studies Dept. University of Sudbury
• Ghislaine Goudreau, Sudbury and District Health Unit and Laurentian University
• Elder Vern Harper, CAMH
• Allan Pelletier, De dwa da dehs nye>s Aboriginal Health Centre, Hamilton
• Richard San Cartier, North Shore Tribal Council
• Peter Selby, CAMH and University of Toronto
• Sasha Sky, Thunder Bay District Health Unit
• Brian Slegers, St. Joseph’s Hospital Sudbury and Rainbow District School Board
• Senator Roland St. Germain, Elder, Métis Nation of Ontario
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Course Content
• Smudging and opening prayer (Elder Vern Harper)
• Social determinants of health
• Tobacco interventions with youth; youth panel
• Legal and political framework
• Promising practices & examples
• Diabetes and tobacco use
• Barriers & enablers to practice change
• Drumming circle
• Closing prayer (Elder Harper)
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How did we get there?
• Participatory research (Schnarch, 2004)
• Community-based research (Shannon et al. 2007)
• OCAP principles (First Nations Centre, 2007)
• Apply knowledge translation of
educational practices(Masching, Allard and Prentice 2006)
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Collaborative Network
Curriculum Working Group
Engagement Group
OTRU Conference
Core Course MeetingBi-weekly Teleconferences
CWG Partnerships
Group Review
“Snowball” Promotion
Application MonitoringSpecialty Course
2 days
160+ participants;
8 facilitators;
2 elders; 5 youth
Learning Assessments
(1, 2, 3)
Evaluations
(Formative; Summative)
Evaluation: 4.7 / 5
Final Edits
Open-Access Resources
Evaluation
Implementation of Results
Needs Identification
Curriculum Development
Promotion & Applications
Course Offering
Planning Group
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Lessons Learned• Time
– Build relationships
– Large planning group = slow process
• Flexibility– Range of commitment
– Create and maintain space
for differing ideas
• FN-centred– How to engage Métis and
Inuit planners?
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www.teachproject.ca