shapes-ontario knowledge exchange extension parc conference 2007 elissa bonin, university of...
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SHAPES-Ontario Knowledge Exchange Extension
PARC Conference 2007Elissa Bonin, University of Waterloo
Lee Zinkan-McKee, Simcoe Muskoka District Health Unit
Katie Rutledge-Taylor, Ottawa Public Health
Outline
SHAPES & SHAPES-Ontario Knowledge Exchange Extension Moving Forward Together: Community of Practice Simcoe Muskoka District Health Unit Experience Ottawa Public Health Experience
SHAPES
School Health Action, Planning and Evaluation System Modular Questionnaires
Tobacco Physical Activity Eating Behaviours-New Mental Health-New
School Environment Surveys Feedback Reports
SHAPES-Ontario Collaboration between…
provincial government, health units, school boards and research community
8 HU districts in Ontario 81 secondary schools 52, 340 students surveyed
Since 2000, 941 schools across 10 Provinces have used SHAPES
Findings – Physical ActivityPhysical Activity levels, by grade & gender
0
10
20
30
40
50
60
70
Grade 9
Grade10
Grade11
Grade12
Active (>8KKD)
Moderately Active(3-8KKD)I nactive (<3KKD)
0
10
20
30
40
50
60
70
Males Females
57% Active, 27% Moderately Active, 12% Inactive (4% Missing)
Participation in PE
0
20
40
60
80
All Grade 9
Grade10
Grade11
Grade12
0 classes
1-4 classes
5 classes
“How many PE classes did you have in the last 7 days?”
Decrease in regular PE with increasing grade level
Participation in PE 2
0
10
20
30
40
50
All Grade9
Grade10
Grade11
Grade12
Not taking PE
30 min. or less
31-60 min.
over 60 min.
“In a typical PE class, how much time are you actually active?”
Time spent active decreases with increasing grade level
Other Physical Activities
In school: Intramurals/house league participation – 32% (38% M, 27% F) School team/varsity participation – 40% (44% M, 37% F)
Outside of school: Leagues/teams – 48% (54% M, 43% F) Individual activities – 62% (58% M, 67% F)
Inactive TimeDAILY Screen Time
0
10
20
30
40
50
60
Screen Time
< 1 hour
1-3 hours
> 3 hours
0
5
1015
20
25
30
35
40
45
50
Reading Homework
None
< 1 hour
1 - 6 hours
7 or more hours
WEEKLY Time Spent
Active Transportation
0
10
20
30
40
50
60
70
Grade 9
Grade10
Grade11
Grade12
Active
Mixed
I nactive
0
10
20
30
40
50
60
Males Females
24% of males vs 17% of females use active transportation
“In the past 7 days, how did you usually get to and from school?”
Physical Activity & Smoking
0102030405060708090
Smokers Nonsmokers
ActiveModerately ActiveI nactive
22% smokers inactive, 83% nonsmokers active
Findings - Smoking
Overall smoking rate (daily & occasional) - 18%
27% of non-smokers ‘susceptible’ to smoking
0
5
10
15
20
25
30
Grade 9 Grade 10 Grade 11 Grade 12
DailyOccasionalTotal
02468
101214161820
Males Females
SHAPES & Knowledge Exchange
Knowledge Exchange Opportunities School level feedback reports Local data to health units Collaboration
Supporting further action for KE…
Knowledge Exchange (KE)Extension
Objectives:
1) Build HU capacity for evidence-informed practice
2) Development of a Community of Practice (CoP)
3) Study the formation of a CoP as a model for KE
KE Extension
Linkage b/w researchers & health units Technical support Access to research staff (e.g. statistician) Collaborative resource development Linkages to other health units (CoP) Study KE processes
Moving Forward Together
Community of Practice KE across health units
Knowledge sharing Resource development & sharing Future knowledge brokers Collaborative online software
Collaborative Software
www.eHealthOntario.ca
Community Announcement
s
Document Sharing
Discussion Areas
Community Calendar
Community Tasks
Lessons Learned To Date
Within the Research Community Revisions / adaptations Localized data needs Health Unit challenges School challenges
Within Health Units Dissemination tools Importance and relevance to school culture Health Unit capacity
Simcoe Muskoka District Health Unit
Simcoe County District Health Unit (SCDHU) and Muskoka Health Unit merged in 2005 to become Simcoe Muskoka District Health Unit.
In 2000 SCDHU completed a Simcoe County Student Cigarette Smoking Survey with grade 9 & 11 students.
Plan had been to repeat this survey again in the future.
SMDHU: Background to Participation
In early 2005 received information regarding plans for the SHAPES survey.
Realized the SHAPES survey data would provide comparable data to our SCDHU Student Smoking Survey.
Negotiated inclusion of all area high schools in the SHAPES survey.
SMDHU contribution to this survey expansion was to provide all the data collection for the survey.
Public health nurses on the tobacco team did the data collection.
SMDHU: Background to Participation
SMDHU Participation
Required visits to 28 schools to share survey information and encourage participation of schools.
University completed all paperwork and mailings.
Day of surveys – PHN’s were present to deliver surveys, answer questions and collect surveys to return to the University.
Results
26 out of 28 schools participated in survey.
All schools received individual school reports.
Three school boards received board reports.
Health Unit received Health Unit report.
Recruitment & Data Collection
Successes… Easy to promote involvement in survey as data
results would be specific to schools. Obtaining consent to share results with Health
Unit presented as a partnership with mutual goals.
Checklist created to make sure process went smoothly.
University very thorough and reliable.
Recruitment & Data Collection
Challenges … Ensuring all teachers complete surveys.
Ensuring all teachers return all student surveys and supplies.
Handling large amounts of paper on survey day – system quickly worked out to ease this.
Overall: Very beneficial as provided HU with helpful data
and required very little PHN time.
Communication between university, health unit and schools very good (brought credibility).
Very positive experience.
Recruitment & Data Collection
KE in SMDHU
SMDHU participating in the KE Extension.
Epidemiologist has attended meetings.
Program manager and public health nurses. involved in reflective practice exercises.
KE in SMDHU
Internal HU committee has been developed. Representatives
Upper management Program Managers and staff from Tobacco,
Healthy Lifestyles and School Services Epidemiologist
KE in SMDHU
Internal committee presently exploring how to discuss survey result information (tobacco & physical activity) with school boards and implement program planning.
HU has expressed support for a repeat survey to be completed in two years.
Comparing data to 2000 health unit survey results.
OPH Participation SHAPES was conducted in all Ottawa high
schools in four waves –39 schools in 2003 and 11 in 2004 – this provided baseline data on tobacco in all Ottawa high schools.
In 2005, the 19 schools that comprised the first 2003 wave were surveyed with SHAPES tobacco and physical activity modules – this generated data for comparison with 2003 findings re: tobacco, and gave initial physical activity findings.
OPH Participation Feedback reports were provided to the health
unit from Waterloo, and then health unit staff brought these to the schools.
This step gave health unit staff the opportunity to discuss results with school principals.
Schools boards received board reports; the health unit also received combined results.
Data use: program planning & evaluation.
Collaboration for KE
U of Waterloo
OPH Lead Staff
OPH Program Staff
Schools, parents & students
Partnership amongst all players is key!
KE in Ottawa
OPH lead staff Coordinate feedback report distribution. Provide staff training on confidentiality & data use. Develop materials for dissemination of SHAPES
findings to schools. PowerPoint presentations, pamphlets, poster displays
Participate in a working community group. Elements to share such as the notes pages from
presentations, an evaluation form for presentations.
KE in Ottawa OPH program staff
Implement surveys in schools. Share feedback reports & dissemination materials. Interface with school staff and link back to project
leads. School staff, parents & students
Receive and respond to the findings. Provide meaningful context for the findings, which
influences program planning and interventions.
Dissemination
Sample dissemination activities/materials Ppt presentations to school staff, parent councils Pamphlet that highlights key findings Poster display for school staff rooms Interactive knowledge-testing quiz at a teachers event Poster display at teachers professional development day Small group discussion with teachers – what is the best
way to get SHAPES data to school staff? School newsletter insert City of Ottawa website
KE Challenges Making the data meaningful for schools,
i.e. as a call to action. Involving schools as contributors to the
knowledge exchange – not just as recipients of the information.
Getting adequate “air time” in the lives of busy teachers and administrators.
Finding innovative, effective ways of involving parents and the community.
KE Successes Presenting the problem alongside a solution:
Live it Up…J’vis ma vie…is OPH’s answer to the issue – a youth-led, youth-driven school-based physical activity program.
Willingness to change approach based on feedback (using alternative ways to sharing the information).
Thank You
Contacts & Information Lee Zinkan-McKee, CDP-Tobacco Program Manager
705-721-7330 x [email protected]
Katie Rutledge-Taylor, PHN, Physical Activity Program613-580-6744 x [email protected]
Elissa Bonin, Project Manager519-888-4567 x [email protected]
www.shapes.uwaterloo.ca www.ehealthontario.ca