TRIHPP A knowledge translation experience from a health survey to on-going action

1. TRIHPPA knowledge translation experience from a health survey to on-going action Trillium Primary Care Research Conference, June 6, 2012 Beatrice McDonough, BScN, MScN, MSc, PhD(c) ; Ricardo Angeles, MD, MPH, MHPEd; Lisa Dolovich, BScPhm, PharmD MSc; Michelle Howard, PhD; John Riva, BA, DC; Francine Marzanek, BSc, BEd; Helen Qian, BHSc, Kiska Colwill, BSc Pharm RPh Funded by CIHR Catalyst Grant

2. Objectives • Todescribe the integrated knowledge translation activities + participatory research approach of the Truckers Research for Innovative Health Promotion Programs (TRIHPP) group

3. Why Truckers? Most prevalent occupations for men in Canada , 2006 Sources: Statistics Canada, censuses of population, 2001 and 2006.

4. Why Truckers? • Trucking industry plays a major role in the Canadian economy • Occupation with highest lost time injury in Ontario (WSIB 2006) • Truck drivers have higher than average health risks and poorer than average lifestyle behaviours, in large part due to the working environment • Trucking Association of America (2007) health screening study • 49% were obese, 39 % were overweight and 31% had high blood pressure. • Some health issues (e.g. BP, Diabetes, sleep apnea, stroke) can limit driver’s ability to work • No Canadian data on prevalence of risks to inform programs and strategies

5. Need for Integrated KT in Trucker Research • Few/no connections between the industry and research • Complex industry, contracted drivers, little systematic support for drivers beyond Occupational Health and Safety at company • Challenging workplace conditions • Difficult to reach/engage participants • Research cannot be relevant without input from industry

6. Participatory Research ~ Integrated KT Link Participatory Research (PR) “The systematic enquiry, with the collaboration of those affected by the issue being studied, for the purpose of education and taking action or effecting social change.” Integrated Knowledge Translation (IKT) A collaborative way of doing research. The action-oriented co- production of knowledge engaging researchers and stakeholders (knowledge users) of the research results. Involves integrating stakeholders into the entire research process study. From Participatory Research At McGill University (PRAM)- J. Salsberg, A. McCauley, 2008 http://pram.mcgill.ca/i/PRAM-IKT-Salsberg-CIHR-summer-inst-june2008-24july08.pdf Centers of Disease Control, Atlanta GA, Institute of Medicine, USA, and The Royal Society of Canada Study of Participatory Research in Health Promotion 1995. - Green LW, George MA, Daniel M, Frankish CJ, Herbert CP, Bowie WR, O'Neill M. Adapted from http://www.cihr-irsc.gc.ca/e/33747.html; Knowledge Translation at CIHR - Dr. Ian D Graham; February 28 , 2007

7. K2A cycle Our research phase

8. Identifying issues-needs assessment

9. CIHR Funded Meetings Objectives: to bring together stakeholders from multiple sectors and disseminate survey results, start discussions, engage a group to continue advising research Setting the stage to: • Adapt knowledge to local context • Assess barriers to knowledge use • Select/tailor implementation

10. Meeting Participants

11. Meeting accomplishments

12. Continuing work informed by partners and design team • Website developed – www.transporthealth.ca • Tailored targeted health literacy – Behind the Grille • Customer survey development • Knowledge Transfer sessions with collaborators- IWH, WSIB • Collaborative integrated workplace wellness research projects explored

13. Action Directions