DAY 3 preliminary program F R I D AY, M A R C H 27, 2015 ADAPTING TO A CHANGING WORLD DAY 3 FRIDAY, MARCH 27, 2015 Theme: Changing technology Registration 7:30 a.m. – 10:30 a.m. Concurrent sessions 8:30 a.m. – 10:00 a.m. Morning break and dedicated exhibit time 10:00 a.m. – 10:45 a.m. Concurrent sessions 10:45 a.m. – 12:15 p.m. Lunch and exhibits 12:15 p.m. – 1:15 p.m. Plenary session II: Jesse Hirsh 1:15 p.m. – 2:15 p.m. Closing ceremony 2:15 p.m. #tophc2015 @tophctweets DAY 3 2 Communication SESSION 53: Communicating for change: Improving public and decision-maker awareness on the social determinants of health and health equity Communication SESSION 43: Evidence in public health SESSION 54: Putting research into practice (Four 15 minute presentations) Evidence in practice SESSION 44: To be determined Curated session 3 SESSION 46: Adult learning SESSION 55: Public Health Ontario’s evaluation of the Healthy Kids Community Challenge Community based prevention LUNCH Plenary session: Jesse Hirsch CLOSING CEREMONY 1:15 - 2:15 2:15 - 2:30 Tobacco prevention and cessation (Four 15 minute presentations) Tobacco SESSION 56: Built environment (Four 15 minute presentations) Built environment SESSION 57 Chronic disease injury prevention pathway SESSION 47: BREAK BREAK AND AND DEDICATED DEDICATED EXHIBIT EXHIBIT TIME TIME Neighbourhood mapping and analysis: Complexities, caveats and communication challenges when working with small areas Environment SESSION 45: The risk Speaking Clearly: lanPublic Health Bringing screening tool (RST) guage as a “changing Ontario meta adult learning 2.0: technology” to help tool for quality theory to work: A practical tool us advance our work qssessment of public How interactive health to support the on the social determihealth evidence education systematic nants of health and can influence consideration of health equity intent to change berisks in public health haviour in a changing initatives information environment Ethics Learning from the online experience (Four 15 minute presentations) SESSION 52: Ethics practice for public health practitioners Advocacy in a changing world: The critical role of public health advocacy on the social determinants of health and health equity Online Ethics Advocacy SESSION 51: SESSION 42: SESSION 41: 12:15- 1:15 10:45 - 12:15 10:00 - 10:45 8:30 - 10:00 Foundational / General pathway WELCOME TO DAY 3 DAY 3 See other sessions See other sessions Family health pathway #tophc2015 Vaccine preventable diseases (Four 15 minute presentations) Immunization SESSION 58: Needles at School: Less Pain GREAT Gain! Immunization SESSION 48: Infectious disease pathway @tophctweets Developing a provincial precautionary principle approach for public health in Ontario: Are we there yet? Precautionary principle SESSION 59: To be determined Curated session 4 SESSION 49: Environmental health pathway DAY 3 To be determined Curated session 5 SESSION 60: 4 Build your own public health relevant emergency preparedness scenario using a new training tool Emergency Preparedness SESSION 50: Emergency preparedness pathway PLENARY SESSION ADAPTING TO A CHANGING WORLD 1:15 p.m. – 2:15 p.m. Ballroom B Jesse Hirsh Meet Jesse Hirsh, cyber space guru. Jesse’s passion is helping people adapt to change, while educating on both the benefits and perils of technology. An internet strategist, researcher, and broadcaster, Hirsh has a weekly nationally- syndicated column on CBC Radio, explaining and analyzing the latest trends and developments in technology, using language and examples that are meaningful and relevant to everyday life. As a freelance journalist, Jesse has been doing radio and television work for a decade and a half. He’s worked for such organizations as CFRB, Jazz FM, TVO, Global TV, CityTV, Rogers, OMNI, and MuchMusic. Jesse owns and operates Metaviews Media Management Ltd., which focuses on research and consulting around new media business models, big data, and the strategic use of social media. He is also a co-founder of the Academy of the Impossible, a peer-to-peer life-long learning facility. Hirsh is also actively involved with MacLaren McCann, one of North America’s most successful multi-disciplinary advertising agencies, as a member of their Idea Council, which serves as a combination advisory board and think tank for the company. For two years, he was the host of an interfaith show on the Rogers and OMNI networks called 3D Dialogue. That show explored all the world’s religions and spiritual paths through interviews with practitioners, gurus, holy people, and cynics regarding their rituals, scriptures, and beliefs (or lack thereof). Jesse has been lecturing audiences internationally since the early 1990s. #tophc2015 @tophctweets DAY 3 4 SESSIONS SESSION 41 SESSION 42 SESSION 43 Advocacy in a changing world: The critical role of public health advocacy on the social determinants of health and health equity Ethics practice for public health practitioners Communicating for change: Improving public and decision-maker awareness of the social determinants of health and equity Session time 8:30 a.m. – 10:00 a.m. Room TBD Presented by Lesley Dyck, Sume Ndumbe-Eyoh Organization National Collaborating Centre for Determinants of Health (NCCDH) Presentation format 90-minute panel discussion Anticipated prior level of knowledge No prior knowledge of the subject matter Participants will engage with a panel of public health practitioners representing all levels of public health. The public health representatives have experienced the highs and lows of doing advocacy work on the social determinants of health and health equity. Participants will learn about different types of advocacy and how they fit with other public health actions to reduce health inequities, common advocacy strategies for policy change and public health advocacy tools and approaches. The audience and panelists will collaborate on identifying the current changes that are impacting advocacy work and will explore opportunities for strengthening advocacy as a public health role. Session time 8:30 a.m. – 10:00 a.m. Room TBD Presented by Michael Keeling, Olivier Bellefleur Organization National Collaborating Centre for Healthy Public Policy Presentation format 90-minute workshop Anticipated prior level of knowledge No prior knowledge of the subject matter Presented by the National Collaborating Centre for Healthy Public Policy (NCCHPP), participants will consider some of the whats, whys and hows of practical ethics for public health practitioners. The goal is to help participants identify and address ethical issues in their sectors and examples from various public health sectors will be used throughout and practiced. The field of ethics is vast, and rather than selecting one approach over another, we will consider how different theories, approaches, principles and frameworks in public health ethics can have different implications. We will briefly introduce the topic and then practice applying it: theories like utilitarianism and deontology: principle-based approaches: key values and principles relating to public health. In the second half of the session, smaller groups will apply some of these to a public health case study in order to practice ethical deliberation. Session time 8:30 a.m. – 10:00 a.m. Room TBD Presented by Sume Ndumbe-Eyoh, Pemma Muzumdar Organization National Collaborating Centre for Determinants of Health Presentation format 90-minute panel discussion Anticipated prior level of knowledge No prior knowledge of the subject matter The panel will explore public perception of the social determinants of health in Ontario and the relationship between public opinion and policy change by exploring principles to improve communications. Using an interactive panel format, participants will learn about key elements in effectively communicating to a variety of audiences the everyday factors that affect our health. The panel will highlight skills to develop key messages that incorporate the complexity and value-laden characteristics of issues. Participants will also learn about exemplar campaigns that they can apply to their workplace. #tophc2015 @tophctweets DAY 3 5 SESSION 44 A: B: C: Online learning resources: An effective way to promote the use of research evidence Analyses of the Ontario Health Study pilot data to guide public health research Evaluating and supporting research utilization among injury prevention organizations Session time 8:30 a.m. – 10:00 a.m. Session time 8:30 a.m. – 10:00 a.m. Session time 8:30 a.m. – 10:00 a.m. Room TBD Room TBD Room TBD Presented by Jennifer Yost Presented by Karin Hohenadel, John McLaughlin Presented by Jennifer Boyko Organizations National Collaborating Centre for Methods and Tools and the School of Nursing, McMaster University Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter The presentation will provide an overview of innovative, accessible and effective resources available in the Learning Centre, an online learning management system developed for the National Collaborating Centre for Methods and Tools. The resources and their ‘built-in’ functionality features support knowledge and skill development. Supports are related to evidence-informed decision making among public health professionals engaged in various roles and positions within Canada and worldwide. Organization Public Health Ontario Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter In 2009-10, more than 8,000 adults participated in the Ontario Health Study (OHS) pilot, a precursor to the long-term prospective cohort that has amassed nearly 225,000 participants. The OHS was created to advance knowledge of how lifestyle behaviours, environmental factors and family history impact health over time. Pilot participants visited assessment centres in Mississauga, Owen Sound and Sudbury to contribute baseline information by survey and nurse interview. They also provided a number of physical measures and biological samples not often available to public health. This presentation will give an overview of the health and social characteristics of the pilot participants at baseline; compare these to the population of Ontario and the public health unit where the assessments took place using representative surveys such as the Canadian Community Health Survey; and discuss how the public health data environment can be advanced by answering research questions using OHS data. Organization Western University Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter In order for injury-control organizations to embed knowledge translation in their work, it is important for them to have an understanding of their current capacity to use research evidence. This presentation will describe an evaluation study (i.e., background, methods, results) conducted to understand the capacity to use research evidence among members of the West Virginia University Injury Control Research Centre. The findings, which demonstrate the important role of “backbone” support agencies, will be presented in the context of the organization of injury prevention programs and services within Ontario’s public health system. #tophc2015 @tophctweets DAY 3 6 SESSION 44 SESSION 45 SESSION 46 How do knowledge brokers facilitate knowledge-translation initiatives in health-related settings? A systematic review and thematic analysis Neighborhood mapping and analysis: Complexities, caveats and communication challenges when working with small ares CURATED SESSION 3: To be determined. Session time 8:30 a.m. – 10:00 a.m. Session time 8:30 a.m. – 10:00 a.m. D: Session time 8:30 a.m. – 10:00 a.m. Room TBD Room TBD Presented by Catherine Bornbaum Presented by Adam Stevens, Emma Tucker, Mary-Anne Peitrusiak, Liz Coroson Organization Public Health Ontario Organization Brant County Health Unit Presentation format 15-minute presentation Presentation format 90-minute panel discussion Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter This session describes a systematic review and thematic analysis examining how knowledge brokers have facilitated knowledge exchange in diverse healthrelated settings (e.g., primary care, public health). Given that the knowledge brokering role may be influenced by a myriad of contextual factors, studies using quantitative, qualitative and mixed-method research designs were included. In addition to grey literature, other sources elucidate the activities and tasks that comprised the knowledge brokering role. In total, 26 articles met our inclusion criteria and served as the basis for the review. All records were appraised for methodological quality by two independent reviewers according to the Public Health Ontario Meta Quality Appraisal Tool (MetaQAT). The effectiveness of knowledge brokers to facilitate knowledge exchange was assessed by exploring reported changes in knowledge, skill, policies and practices. A summary of key findings related to the role and effectiveness of knowledge brokers in health-related settings will be presented. The demand for health-status data at the neighbourhood level has been steadily increasing over the past decade, as new data, analysis techniques and technologies have emerged. Public health professionals need to balance methodological limitations of analyses of small areas with the utility of data for planning in priority areas, policy development and service delivery at the local level. The panel will outline the pros and cons of neighbourhood analyses in the context of initiatives led by five different organizations. We will discuss the complexities inherent to small area analysis in order to provide data-users and decisionmakers with an informed understanding of the uses and limitations of the information that is available. We will also emphasize the importance of a knowledge-integration strategy that appropriately interprets and communicates the strengths and weaknesses of neighbourhood data while giving examples of when the data can contribute to healthier communities. COMING SOON #tophc2015 @tophctweets DAY 3 7 SESSION 47 SESSION 48 SESSION 49 Public Health Ontario’s evaluation of the Healthy Kids Community Challenge Needles at School: Less Pain GREAT Gain! Curated Session 4 To be determined. Session time 8:30 a.m. – 10:00 a.m. Session time 8:30 a.m. – 10:00 a.m. Session time 8:30 a.m. – 10:00 a.m. Room TBD Presented by Heather Manson, Dan Harrington, Michelle Vine, Eunice Chong Organization Public Health Ontario Presentation format 90-minute panel discussion Anticipated prior level of knowledge Basic knowledge of the subject matter In response to rising obesity rates, the Healthy Kids Community Challenge (HKCC) will target children ages 0−18 in 45 communities across Ontario to promote healthy active lifestyles. Based on recent government announcements, 31 of 36 communities with public health units have been selected for participation and public health will be a key partner in the initiative at both local and provincial levels. The purpose of the panel discussion is to present the HKCC evaluation (outcome and process activities) to public health practitioners across Ontario, including a discussion of the role of public health at the local level. Room TBD Presented by Anna Taddio, Margaret McIntyre, Jill Fediurek, Shelley Deeks Organization Public Health Ontario Presentation format 90-minute workshops Anticipated prior level of knowledge Some practical experience with the subject matter School based vaccination programs are a convenient, cost effective strategy for delivering vaccine programs and provide a platform to reach adolescents, a target group who can be difficult to reach. Despite the positive aspects of school based vaccination, there is evidence that this mode of delivery can result in negative experiences with vaccination for some children and vaccinators. As a school vaccination clinic is generally the first time students receive a health intervention away from their parents, the experience can shape future attitudes toward injections and immunization programs. The goal of this workshop is twofold: 1) to share strategies for mitigating pain and fear during vaccination and 2) to review the experiences of those who vaccinate in school based clinics. The workshop discussion will be used to assess the need for further research and development of a school based clinic practice guide which could be used in public health programs. COMING SOON #tophc2015 @tophctweets DAY 3 8 SESSION 50 SESSION 51 Build your own public health relevant emergency preparedness scenario using a new training tool The Road to My CancerIQ™: Lessons learned from developing and launching an online cancer risk assessment Session time 8:30 a.m. – 10:00 a.m. Room TBD Presented by Richard Bochenek, Moira Grant, Kyle Boulden, Calli Citron A: Session time 10:45 a.m. – 12:15 p.m. Room TBD Presented by Shawn Chirrey B: Lessons from website analysis: Learning the value of return visitors and social media Session time 10:45 a.m. – 12:15 p.m. Room TBD Presented by Jeannie Mackintosh Organization Public Health Ontario Organization Cancer Care Ontario Organization National Collaborating Centre for Methods and Tools Presentation format 90-minute worshop Presentation format 15-minute presentation Presentation format 15-minute presentation Anticipated prior level of knowledge Basic knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge Basic knowledge of the subject matter Workshop participants will build their own public health relevant emergency-preparedness training scenario using a new tool from Public Health Ontario (PHO). PHO facilitators will guide participants in applying a novel tool, building a table-top exercise designed to test their own public health emergency preparedness (PHEP) plans. The scenario tool streamlines the exercise design process to build new scenarios for the PHO Information Management System for public health workshops regardless of whether participants have attended a previous training session. Learners will leave the session with a blank original of the scenario tool; an existing scenario exercise; and a newly-created scenario exercise built in the workshop. Cancer Care Ontario (CCO) and others have published reports describing the prevalence and distribution of modifiable risk factors for cancer such as tobacco and alcohol. Research suggests that with a few exceptions (e.g., smoking and lung cancer), a sizeable portion of the general public is not aware of the preventable risk factor for common cancers. Using interactive technology as the knowledge translation and exchange vector, CCO developed public-facing online cancer risk assessments. In late 2014, My CancerIQ™ was launched with assessments for four types of cancers, colorectal, lung, cervical and female breast. The development included: undertaking a science-based approach to categorizing risk that reflected the population of Ontario; identifying the key target audiences; developing partnerships; and creating and launching multi-media digital and social marketing strategies. CCO will share learnings and outcomes that may be helpful for public health practitioners planning or developing similar health etools and insights on how Public Health Units can effectively use the tool to assist in their chronic disease prevention and cancer screening mandates. Website traffic is commonly used as a metric for the success of an organization’s communications and outreach strategies. But, is increasing web traffic enough and are all visitors equal? In analyzing its own website statistics, the National Collaborating Centre for Methods and Tools (NCCMT) has discovered some intriguing numbers and trends that vary greatly depending on a few key user characteristics. Data from free analytics software provided information that allowed the organization to make adjustments to the NCCMT’s online strategy. As a result, the Centre maximized engagement opportunities with key user groups, positively impacting website statistics for evaluation and reporting. It also provided a more accurate and complete picture of website activity. Tips and strategies shared in this presentation may help other organizations increase the success of their online outreach strategies. #tophc2015 @tophctweets DAY 3 9 SESSION 51 C: D: SESSION 52 Locally Driven and Collaborative Project results: Knowledge change associated with in-person and online prenatal education programs Pushing boundaries in a changing city: Field testing an emerging model for language learning and health promotion The Risk Screening Tool (RST) 2.0: A practical tool to support the systematic consideration of risks in public health initatives Session Time 10:45 a.m. – 12:15 p.m. Session Time 10:45 a.m. – 12:15 p.m. Session Time 10:45 a.m. – 12:15 p.m. Room TBD Room TBD Room TBD Presented by Gillian Alton Presented by Marcela Tapia, Victoria Snyder Presented by Nancy Ondrusek Organization Oxford County Public Health Organization Ottawa Public Health Organization Public Health Ontario Presentation format 15-minute presentation Presentation format 15-minute presentation Presentation format 90-minute workshop Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter As technology increases in our everyday life, it also has become a part of delivering prenatal public health programs including prenatal education. However, there has been little research to suggest whether the method of presentation (i.e., online versus in-person) has an impact on knowledge gain. The purpose of this study was to examine if there was a difference in knowledge gained by pregnant women receiving in-person versus online prenatal education programs in Ontario. Ottawa Public Health (OPH) practice is transforming in response to socio-demographic, economic and technological changes. Over 60 per cent of immigrants in Ottawa came to Canada in the last 15 years. Refugees and those who cannot communicate in one of Canada’s two official languages are at particular risk of rapid health decline. Language proficiency is associated with immigrant employment rates and health. To tackle multifaceted determinants of health, OPH and the Ottawa-Carleton District School Board (ODSB) developed and field-tested a series of 24-hour electronic English as a Second Language (ESL) lesson plans. Using surveys, classroom observations and validation meetings with partners, the field test assessed lesson plan clarity, relevance, acceptability and learner engagement. Over 175 learners, ESL instructors and OPH staff participated. Overwhelmingly positive results confirmed the relevance and usefulness of the lesson plans and their ability to enhance intersectoral collaboration while increasing exponentially the number of language instructors that can tackle priority health issues with learners. In this 90 minute workshop public health practitioners will be introduced to the new Public Health Ontario Risk Screening Tool (RST 2.0), designed to support the systematic assessment of risks to individuals and communities, and the assignment of appropriate levels of ethics review, proportionate to project risk. The tool is an electronic, 20-item checklist which generates a score of 0, 1, 2 or 3,indicating project risk level. Participants will be given a brief introduction to the organization, content and technical features of the tool before working in small groups to apply the RST to different types of public health projects. Small group work will develop familiarity with the tool as well as a deeper understanding of the concepts of risk and risk assessment in public health projects. Large group discussion will then focus on how the tool might be integrated into participants’ existing institutional review processes. #tophc2015 @tophctweets DAY 3 10 SESSION 53 SESSION 54 SESSION 55 Speaking clearly: Language as a changing technology to help advance work on the social determinants of health and equity Public Health Ontario meta tool for quality qssessment of public health evidence Bringing Adult Learning Theory to Work: How interactive health education can influence intent to change behaviour in a changing information environment Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD RoomTBD Room TBD Presented by Lesley Dyck, Karen Fish Presented by Laura Rosella, Carolyn Bowman, Beata Pach Presented by Kristina Smith, Kathryn Robideau Organization National Collaborating Centre for Determinants of Health Organization Public Health Ontario Presentation format 90-minute panel discussion Presentation format 90-minute workshop Anticipated prior level of knowledge Basic knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Participants will explore and critique definitions of key health equity concepts such as health and its inequality versus inequity; risk factors and conditions; social inclusion and exclusion; and health gradient. They will use these terms to craft simple-language statements to convey messages about where health starts and how it is supported for an audience and setting of their choosing. Workshop definitions and frameworks on social determinents of health will be adapted from the National Collaborating Centre for Determinants of Health glossary, the Central Committee for Hospital Dental Services’ messaging guidelines and new language by the Robert Wood Johnson Foundation. The workshop will focus on critical appraisal in an evidence-based public health context. The Public Health Ontario Meta Tool for Quality Assessment of Public Health Evidence (MetaQAT) will be introduced and used to practice critical appraisal. The MetaQAT is a new critical appraisal tool developed at PHO that incorporates existing critical appraisal tools into a larger framework. It broadens the scope of appraisal beyond the risk of bias to address issues of application in a public health context. It is a flexible tool that is intended to facilitate the use of public health evidence in a wide variety of settings. Organization Ottawa Public Health Presentation format 90-minute workshop Anticipated prior level of knowledge Basic knowledge of the subject matter Participants will learn the importance of incorporating interactive learning theories and models into their health promotion. In our changing environment, adults are inundated with information. Much of this health information can be contradictory and confusing. Ottawa Public Health’s Workplace Health team has created a series of learning sessions that address many different, relevant health topics. The sessions address the needs of a variety of learning styles and encourage the learner to take those important steps towards changing their behaviour. This 90-minute workshop will discuss the theory and model behind the learning sessions as well as benefits and challenges that we have encountered. Finally, participants will come away with an understanding of how to incorporate this innovative design into their own practice. DAY 3 FRIDAY, MARCH 27, 2015 11 SESSION 56 A: B: C: Reaching and engaging parents in tobacco-use prevention and industry denormalization: A case example of smoke-free movies Real-time data on social exposure to tobacco: An application of mobile technology in public health Employment environments and smoking cessation: Implementation and outcome findings from Ontario’s workplace-based cessation demonstration projects Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD Room TBD Room TBD Presented by Shawna Scale, Corry Curtis Presented by Jaklyn Andrews Presented by Paula Kaufman, Tracey Borlandu Organization Halton Region Health Department, Hamilton Public Health Organization Ontario Tobacco Research Unit Organizations Ontario Tobacco Research Unit, University of Toronto and CAMH Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter Research shows that reducing exposure to smoking in youth-rated movies can reduce tobacco initiation among children and youth. Worldwide, health authorities have highlighted a need to raise awareness of this impact and promote policy changes aimed at reducing onscreen tobacco exposure. Studies suggest that parent actions, such as movie monitoring and addressing media literacy at home, can reduce exposure and lower the risk of smoking initiation. In 2013, the Central West Tobacco Control Area Network conducted a public opinion poll to understand parents’ perceptions related to the concern of youth smoking and initiation, the influence of entertainment media on tobacco use and the preferred channels to receive information. This session will reveal the polling results and how they were used to inform the planning and design of a regional campaign to raise awareness and promote engagement and action among parents in support of smoke-free movies. Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter It is increasingly recognized that social exposure to tobacco is associated with smoking norms and behaviour. However, there is little information on where and when exposure to tobacco occurs and how different social and physical contexts impact smoking susceptibility. We used smartphone technology to develop an application that uses Ecological Momentary Assessment (EMA) and global positioning system (GPS) methods to obtain data on social exposure among adults and youth. EMA is a method for collecting repeated real-time data in an individual’s natural environment. By adding GPS, we can link EMA data to geospatial and temporal information. Integrating EMA and GPS methods using mobile technology can advance our understanding of social exposure and tobacco use among different sub-populations and environments. The series of pilot studies demonstrates the feasibility of the application. We will discuss the potential of this technology for future research, evaluation and monitoring activities in public health. Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter Research demonstrates that smoking rates are higher among individuals working in occupations related to manufacturing, construction and service industry sectors (e.g., retail, hospitality). In 2012-13 and 2013-14, the Ontario Ministry of Health and Long-Term Care provided one-time funding to 11 Public Health Units in Ontario (representing 19 health unit partners). The partners conducted workplace-based tobacco use cessation demonstration projects. The Ontario Tobacco Research Unit worked with project stakeholders to lead the evaluation of this initiative. This presentation provides an overview of the barriers and facilitators to developing and implementing workplace-based smoking cessation programs in the context of changes in the workforce and economic environment. We will also discuss the challenges and facilitators to reaching and engaging employees in cessation activities through the workplace, as well as participant cessation outcomes and the factors that influence positive outcomes. #tophc2015 @tophctweets DAY 3 12 SESSION 56 SESSION 57 Translating research into practice: Using randomized trial benchmarks for a smoking cessation program in hospitals Evaluating the use of non-motorized trail systems Evaluating successful partnerships in planning for healthy communities Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD Room TBD Room TBD Presented by Patricia Smith Presented by Alison Dutkiewicz Presented by Joey Reeder Organization Northern Ontario School of Medicine Organization Algoma Public Health Organization City of Toronto Presentation format 15-minute presentation Presentation format 15-minute presentation Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Hospitalization offers a window of opportunity to provide cessation services to large numbers of smokers and demonstrate higher long-term cessation than the general public. This project was designed to translate a nurse case-managed cessation program into hospital care using an evidence-based intervention previously tested in randomized clinical trials. A smoking cessation nurse began the intervention during hospitalization and followed-up with post-discharge counselling calls. Since May 2013, the following results have been obtained: Twenty-five per cent of smokers refused the program; 68 per cent were ineligible primarily due to being medically unstable or missed; and 7 per cent enrolled for a total of 153 individuals (35 per cent were abstinent at 1-year post-discharge). Refusal rates and abstinence were identical to the trials. Enrollment was lower as a result of higher ineligibility due to increased patient acuity, shorter patient stays and heavy-nursing workload. In conclusion, the intervention was effective in standard practice. Using an evidence-based standardized intervention provided a roadmap for implementation and benchmarks for outcome interpretation. Algoma Public Health, in partnership with the city of Sault Ste. Marie, conducted an evaluation of the usage of a newly installed non-motorized trail system. The study was conducted through the use of trail counters over 15-day periods for the seven sections. Two-year baseline data was presented to the city. Along with ongoing surveillance, the data was and will continue to be used to inform City Council and the Engineering and Planning departments of trail use to support additional infrastructure for walking and cycling trails in our community. Intersectoral collaborations between partners in public health, policy and planning have emerged as a potential solution in mitigating the growing complexity of urban health issues. The alignment of vision and mandates, in addition to the shifts necessary in organizational behaviour for effective collaboration, are equally complex. Understanding what makes these partnerships successful by evaluating precedents in the local context provides a useful resource for public health professionals, planners and other stakeholders engaged with improving health and well-being in an urban context. This study is based upon the evaluation of a case study of the evolving partnership with the Region of Peel’s built environment and health initiatives. D: A: B: #tophc2015 @tophctweets DAY 3 13 SESSION 57 C: D: SESSION 58 A: The importance of identifying barriers and research priorities for implementing policy and planning changes to the built environment Public Health and Planning 101 Online Education Module: A tool to strengthen collaboration between public health and planning professionals to address the built environment Community pharmacies providing influenza vaccines in Ontario: A descriptive analysis using administrative data Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD Room TBD Room TBD Presented by Ghazal Fazli Presented by Kevin Haley Presented by Jeff Kwong Organization St. Michael’s Hospital Organization Algoma Public Health Organization Public Health Ontario Presentation format 15-minute presentation Presentation format 15-minute presentation Presentation format 15-minute presentation Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Anticipated prior level of knowledge Basic knowledge of the subject matter This session will provide evidence on the importance of intersectoral collaborations and the collective impact approach in influencing policy and planning changes to the built environment. The presentation will be on the importance of intersectoral collaboration to inform public health policies related to the built environment. Stakeholders from a variety of sectors and disciplines across Southern Ontario were consulted on knowledge gaps, challenges and key steps to implementing policy changes related to the built environment. Results from a preliminary qualitative and thematic analysis will be presented on emerging themes related to gaps in knowledge and barriers that impede evidence-based decision-making and policy development related to the built environment. The highlights of this presentation will be on intersectoral collaboration, healthy public policies, the built environment and health. A collaborative project between the Ontario Public Health Association, Ontario Professional Planners Institute and Public Health Agency of Canada was initiated. The goal was to develop an online education module for public health and planning professionals working on the built environment in Ontario. This presentation will provide an outline of the project with a focus on introducing public health professionals to the online education module course. Challenges faced will be discussed as well as lessons learned from partnering with non-public health professionals. An outline of next steps related to the launch of the education modules will also be presented. Influenza vaccine coverage in Ontario remains sub-optimal. Starting in September 2012, trained community pharmacists were permitted to administer influenza vaccines. The objective of this study was to describe the users of the pharmacy influenza program in Ontario and compare them to those who received influenza vaccines through physician offices. We conducted a descriptive analysis of physician and pharmacy billing claims for influenza vaccination during the 2012-13 and 2013-14 influenza seasons using administrative data housed at the Institute for Clinical Evaluative Sciences. Compared to individuals vaccinated in physician offices, those vaccinated at community pharmacies are younger; more likely to live in rural areas and in higher income neighbourhoods; and less likely to have chronic conditions. Allowing pharmacists to administer influenza vaccines seems to have increased accessibility, yet individuals who receive influenza vaccination through pharmacies seem healthier than those who receive them through physician offices. #tophc2015 @tophctweets DAY 3 14 SESSION 58 B: C: Economic evaluation of vaccines in Canada: A systematic review The ups and downs of mumps in Ontario: What’s driving the epidemiology? Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD Room TBD Presented by Ayman Chit Presented by Catherine W.T. Chan Organization Sanofi Pasteur Organization Public Health Ontario Presentation format 15-minute presentation Presentation format 15-minute presentation Anticipated prior level of knowledge Basic knowledge of the subject matter Anticipated prior level of knowledge No prior knowledge of the subject matter Economic considerations should form part of the basis for public health decision-making on new vaccine programs. While Canada does not have a national body that reviews economic data for vaccines, there is increasing interest in a formalized, national health technology assessment process for vaccines. We conducted a systematic review of economic evaluations of vaccines in Canada through a litterature assessment. Studies were collected through database searches and descriptive data was abstracted from manuscripts. Three authors independently evaluated the manuscripts’ quality. Overall, we observed diverse approaches to evaluate vaccine economics and found the quality of the literature was satisfactory. Study quality was consistent over time as were funding sources and disease areas. Given the growth in the field, along with the increased complexity of studies and impact of results on public health practice, Canada needs improved and consistent processes to review and assess the findings of the economic evaluations of vaccines. Mumps is an acute infectious disease that primarily affected children prior to the widespread use of the mumps-containing vaccine. Currently in Ontario, one dose of the measles, mumps, rubella (MMR) vaccine is administered at 12 months, followed by the second dose at 4 to 6 years in a combined MMR/varicella (MMRV) vaccine. Although vaccination has greatly reduced the incidence of mumps nationwide, cases continue to occur. The presentation will provide an overview of the epidemiology of mumps cases from 2000-13 and identify populations that remain vulnerable to infection. D: Pharmacists as immunizers: Understanding the patient perspective Session time 10:45 a.m. – 12:15 p.m. Room TBD Presented by Nancy Waite Organization School of Pharmacy, University of Waterloo Presentation format 15-minute presentation Anticipated prior level of knowledge No knowledge of the subject matter Authorizing pharmacists to immunize is an important recent change to Ontario’s Universal Influenza Immunization Program. This session will review both grey and peer-reviewed literature, in addition to a the results of more than 500 pharmacy patrons surveyed. The objective was to better understand the perspectives of Ontario residents who did or did not choose to be immunized by a pharmacist. #tophc2015 @tophctweets DAY 3 15 SESSION 59 SESSION 60 Developing a provincial precautionary principle approach for public health in Ontario: Are we there yet? CURATED SESSION 5 To be determined. Session time 10:45 a.m. – 12:15 p.m. Session time 10:45 a.m. – 12:15 p.m. Room TBD Presented by Loren Vanderlinden, Ray Copes, Ross Upshur Organization Peterborough County City Health Unit Presentation format 90-minute workshop Anticipated prior level of knowledge Some practical experience with the subject matter The precautionary principle is a key concept in environmental policy work yet there is no consistent definition or approach to assist local public health agencies in Ontario to ensure that the concept is utilized and applied appropriately. Participants will be engaged in a consensus-building process to determine if common language and a guiding framework can be identified. Input from this workshop will serve in the potential development of tools for environmental public health practitioners and policy makers. COMING SOON #tophc2015 @tophctweets DAY 3 16 ADAPTING TO A CHANGING WORLD Exhibit Game & TOPHC Evaluation Draw On every session evaluation form you’ll find a ballot. Please complete for your chance to win a prize. Join us at the closing ceremonies on Friday, March 27, 2015 at 2:15 p.m. for the TOPHC Evaluation Draw. EXHIBIT GAME INFORMATION NEW THIS YEAR! Exhibit Hall Passport Contest We are excited to introduce the TOPHC 2015 Exhibit Hall Passport Contest! Each attendee will receive a passport card with the participating exhibitor names listed. Attendees will need to visit ALL exhibitors listed and get their passport signed at every booth on their Passport Game card. Once all signatures have been received (in the corresponding boxes), passports can then be deposited into a ballot box located at registration desk. Passports must be turned in by 12:00 p.m. on Friday, March 27 in order to be eligible for the prize drawing. The raffle will take place during the closing ceremony. You do not have to be present to win. #tophc2015 @tophctweets DAY 3 17 ADAPTING TO A CHANGING WORLD
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