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Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C

Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C. Dr. Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine Director, eHealth Strategy Office. CCMHS Conference October 6 th , 2011. “Dizzy Gillespie”: lessons.

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Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C

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  1. Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C Dr. Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine Director, eHealth Strategy Office CCMHS Conference October 6th, 2011

  2. “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

  3. Agenda • Describe “iCON” • Commonly queries • Insights and paths forward • Questions, Discussion

  4. Effective: English Chronic Disease mx Technological literacy Accurate information Chinese & Punjabi? Untested Language barriers Technical challenges Sources of information Socio-cultural factors Language & the Web

  5. Understanding the Problem • Accurate & quality health information • Enable self-care & health partnerships • Impact on chronic disease management • Health consumers & health professionals • Between generations & care givers • Peer to peer • Serving multicultural public • Internet language marginalization • Computer skills • Hunger for health knowledge

  6. InterCultural Online Health Network (iCON) • Provide 24/7 access to culturally relevant health information to support self management & wellness • Use multi-channel engagement to reach a variety of community members’ needs/ preferences • Unique technological opportunities to support mental wellness

  7. Common Queries evaluation

  8. Diabetes events & on line 2010-11 • sample size • Over 138,000 data points • Meaningful translations • Strong Parallel Reliability between languages • Variety of available avenues of analysis

  9. Chinese Forums: Sex and Age Demographic Profile Punjabi Forums: Sex and Age

  10. Common Queries • Is there interest?

  11. Health Forum, Vancouver 11

  12. http://www.cbc.ca/video/#/News/Canada/BC/1258521056/ID=1757875862http://www.cbc.ca/video/#/News/Canada/BC/1258521056/ID=1757875862

  13. Live Forum Component • Community “health fair” – open house, familiar setting • Community based interprofessional panel, Q&A • Volunteers – students and community • Companion website links to live event in various ways

  14. Public Engagement - Highlights • Approx 95% of the surveys turned in first language • Female 65% Male 35% • Average 65 years (youth to late 90s)

  15. Chinese: Diabetes Status Health Status Punjabi: Diabetes Status N = 410 N = 241

  16. Common Queries • Is there interest? • Would the Internet be useful?

  17. Chinese: Internet Skills by English Language skills Internet Skills Punjabi: Internet Skills by English Language skills

  18. www.iconproject.org 42,958 as of 8/2011

  19. Live Forum – “e” Outreach • Videoconference pilots – FoM and Health Authority VC sites • Webcast to the whole province and beyond • Connecting with social media

  20. Blogging & texting

  21. Common Queries • Is there interest? • Would the Internet be useful? • Would self management apply?

  22. 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

  23. 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

  24. Common Queries • Is there interest? • Would the Internet be useful? • Would self management apply? • Would this motivate change?

  25. Feedback • Surveys indicated that the events stimulated participants’ willingness for positive behavioural change Over 90% indicated they will attend the next event “I’ll change the way I would cook my food, change my lifestyle.” 95% responded that the forum provided new information they will use to help cope with stress or worry

  26. www.iconproject.org

  27. Mental Health: CMHA Synergy • March 5, 2011: Aberdeen Mall, Richmond • Chinese Bounce Back program collaboration

  28. DVD: Skits Common situations • Immigration,isolation • Chidren’s future/Internet • Relationships, care giving • Chronic diseases, own health Recognition, mx skills, seek help

  29. Flour Butter Milk Eggs Sugar Salt Yeast What’s the Magic?

  30. Success in Virtual Engagement ePresence eKnowledge eTrust

  31. Stepwise Strategy: 4 yr journey… • Create in-person forums • Establish on line presence • Introduce on line tools • Add virtual interactivity Building Partnerships

  32. iCON: What’s Next? • New content areas….Navigating the system, Informing the system, other? • Building on social media, social drama and other “channels” • Mobile phone communication • Opportunity to co-create “e-Peer support” • Engaging health professional trainees

  33. “…And what can you add to a classic? Your passionate interpretation to keep it even more contemporary.” Lang Lang in Mont Blanc Ad

  34. eOpportunities for Mental Health • Understanding the virtual social reality • Appreciating the cultural perspectives • Identifying tactics of intervention • Plan, Do, Study, Act • Engage the audience to co-create • Create modern classics in mental wellness!

  35. Acknowledgments

  36. Web: www.eHealth.med.ubc.ca Facebook: on.fb.me/ehealthstrategy Twitter: www.twitter.com/ehealhtstrategy

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