SHAPES-Ontario Knowledge Exchange Extension

1. SHAPES-Ontario Knowledge Exchange Extension PARC Conference2007 Elissa Bonin, University of Waterloo Lee Zinkan-McKee, Simcoe Muskoka District Health Unit Katie Rutledge-Taylor, Ottawa Public Health

2. Outline • SHAPES & SHAPES-Ontario • Knowledge Exchange Extension • Moving Forward Together: Community of Practice • Simcoe Muskoka District Health Unit Experience • Ottawa Public Health Experience

3. SHAPES • School Health Action, Planning and Evaluation System • Modular Questionnaires • Tobacco • Physical Activity • Eating Behaviours-New • Mental Health-New • School Environment Surveys • Feedback Reports

4. 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

5. Findings – Physical Activity Physical Activity levels, by grade & gender 57% Active, 27% Moderately Active, 12% Inactive (4% Missing)

6. Participation in PE “How many PE classes did you have in the last 7 days?” Decrease in regular PE with increasing grade level

7. Participation in PE 2 “In a typical PE class, how much time are you actually active?” Time spent active decreases with increasing grade level

8. 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)

9. Inactive Time DAILY Screen Time WEEKLY Time Spent

10. Active Transportation “In the past 7 days, how did you usually get to and from school?” 24% of males vs 17% of females use active transportation

11. Physical Activity & Smoking 22% smokers inactive, 83% nonsmokers active

12. Findings - Smoking Overall smoking rate (daily & occasional) - 18% 27% of non-smokers ‘susceptible’ to smoking

13. SHAPES & Knowledge Exchange • Knowledge Exchange Opportunities • School level feedback reports • Local data to health units • Collaboration • Supporting further action for KE…

14. 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

15. 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

16. Moving Forward Together • Community of Practice • KE across health units • Knowledge sharing • Resource development & sharing • Future knowledge brokers • Collaborative online software

17. www.eHealthOntario.ca Collaborative Software

18. Community Announcements Document Sharing Discussion Areas Community Calendar Community Tasks

19. LessonsLearned 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

21. 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.

22. 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.

23. SMDHU: Background to Participation • 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.

24. 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.

25. 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.

26. 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.

27. 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.

28. Recruitment & Data Collection 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.

29. KE in SMDHU • SMDHU participating in the KE Extension. • Epidemiologist has attended meetings. • Program manager and public health nurses. involved in reflective practice exercises.

30. KE in SMDHU • Internal HU committee has been developed. • Representatives • Upper management • Program Managers and staff from Tobacco, Healthy Lifestyles and School Services • Epidemiologist

31. 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.

33. 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.

34. 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.

35. Collaboration for KE Partnership amongst all players is key! U of Waterloo OPH Lead Staff OPH Program Staff Schools, parents & students

36. 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.

37. 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.

38. 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

39. 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.

40. 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).

41. Thank You

42. Contacts & Information • Lee Zinkan-McKee, CDP-Tobacco Program Manager 705-721-7330 x 7483 lee.zinkan-mckee@smdhu.org • Katie Rutledge-Taylor, PHN, Physical Activity Program 613-580-6744 x 23953 Katie.Rutledge-Taylor@ottawa.ca • Elissa Bonin, Project Manager 519-888-4567 x 36631 enbonin@healthy.uwaterloo.ca • www.shapes.uwaterloo.ca • www.ehealthontario.ca