Tobacco control and youth health as Pan-Canadian initiatives linking research, policy and practice UICC August 29, 2012 Barbara Riley, PhD, Executive Director briley@uwaterloo.ca (519) 888-4567 x37562 Founded by:
The Propel Centre VISION Transforming the health of populations in Canada and around the world. MISSION Propel is a collaborative enterprise that conducts solution- oriented research, evaluation and knowledge exchange to accelerate improvements in the health of populations. GOALS Improve Build capacity Strengthen Strengthen Build high- policies and to generate science relationships performing programs and use organization evidence 2
Propel program structure Tobacco&Control:& Youth&Health:& • Product( • Behaviours((physical( • Preven,on( ac,vity,(healthy(ea,ng,( • Cessa,on( smoke;free(living,(sun( • Protec,on( safety,(mental(fitness)( • Healthy(environments( &&&&&&Capacity&Development:& • Scien,fic(methods( • Evalua,on(research( • Graduate(training( • uWaterloo(centre(of( excellence(in(CDP( Strong,(sustained(and(innova0ve(rela0onships :(research,(policy,(prac,ce( Highly(skilled(people :(research(design(&(methods;(KTE(&(communica,ons;(project( management( 3 Diverse(funding :(CCSRI(program(grant;(research(grants;(contracts;(uWaterloo(
Program development approach Impact • End result(s) What actions by • Highest impact action whom Propel • Propel-supported research, evaluation, niche related knowledge exchange, capacities 4
Tobacco control: areas of investigation Product& Preven:on& Cessa:on& Protec:on& Interna,onal( Youth(Health( Smokers’(Helpline( Interna,onal(policies( policies((ITC)( Program( evalua,ons( (ITC)( Product(design( Taxa,on(and( Referral(agents( Smoke;free(outdoor( ini,a,on((e.g.(IDRC)( Fax(Referrals( spaces( Warning(labels( Promo,onal( Smoke;free(MUD’s( strategies((( Plain(packaging( Social(media( Second(hand(smoke( strategies( flow( Tax(avoidance( Health(dispari,es( Experimental(smoke( exposures( Tax(evasion( Integrated(system( Taxa,on(and(SES( 5
Patterns and Trends report “I believe that this report is of value to the tobacco control community. The report provides ready access to data and, importantly, provides trend information. This trend Tobacco&Use&in&Canada :( & PaWerns(and(Trends( information is very important to assess 2012&Edi:on ( progress. ….. practically no one involved in tobacco control programs or policy has the capacity let alone the statistical software to do this….. …… Having access to information helps people do their work better…..” (( Rob Cunningham Senior Policy Analyst Canadian Cancer Society ( 6 (
2 nd -hand smoke in Hamilton outdoor municipal recreational areas Findings from Woodstock ( led to invitation to present CITY OF HAMILTON ( at hearings in Hamilton, ( TO: Mayor and Members Board of Health Ontario COMMITTEE DATE: February 28, 2011 From the Report: “Recent research conducted at the SUBJECT/REPORT NO: University of Waterloo also Smoking and Second-hand Smoke in Outdoor Municipal Recreational Areas in Hamilton concluded that smoking near BOH07034(e) (City Wide) doorways negatively impacts air quality indoors. (Kennedy RECOMMENDATION: and Fong)” (a) That the By-law respecting Regulating and Prohibiting Smoking on City Recreational and Park Other Consultations: Properties attached as Appendix “A” to Report BOH07034(e), be approved; (( • City of Orangeville • City of Ottawa 7 ( • New York City
The potential of mHealth ( ( • 23% of 18 to 29 years old smoke • 62% of Mobile Users 25-34 years of age own Smartphones • Smoking cessation apps are not based on evidence (Abroms, LC, 2011) • Developed an evidence informed app with Health Canada funding • A platform for future research to assess reach and effectiveness. Check-out www.crushthecrave.ca & facebook.com/crushthecrave
Youth health: areas of investigation Data System Intervention Studies Knowledge Real Time Learning Exchange System Validate measures Study cohort of schools & youth Evaluate triggers for Expand Youth Excel CLASP - Physical Activity to understand school-level action cross-Canada - Healthy Eating relation of policy & obesity - Paper vs. web - BMI (COMPASS) - Collaborations Develop new items Evaluate provincial youth health Evaluate & expand Plan-Act-Learn System for - Tobacco use strategies (PEI, NB) and obesity Healthy School Planner CDP - Sedentary Behaviour strategy (QC) - Secretariat - School level - Receptor comm’ty Create minimal data sets – Evaluate provincial curriculum Pipeline thru gov’t - ON Develop database of PA, tobacco (MB, ON) tobacco strategy Canadian schools Evaluate new data collection Evaluate HSF children & youth Pipeline thru public Develop consent, privacy, methods strategy health -Hamilton bylaw data-sharing agreements Integrate SHAPES with Test toy premiums on kids’ food other data choices 9
School Health Action Planning and Evaluation System (SHAPES) • Mul,;purpose( pla^orm:( Underlying(Research( research,( Feedback(for( School( evalua,on,( Planning( Health( support(ac,on( Assessment( “Local”( • Modular(format( Strategy(and( • Individual(and( Contexts( Evalua,on(and( Ac,on( school(level(data( Adapta,on( • Tailored( feedback( 10(
Manitoba Physical Education policy Natural Experiment: • 4-year CIHR study: phys. ed. credit in grades 11/12 • Longitudinal: 398 Grade 9 students annually for 4 years (accelerometer Policy impact & and SHAPES) implementation • Cross-sectional: Census of high strategies school students pre- and 3-years post (SHAPES) • Qualitative: Key teachers at 24 schools (repeated interview) • Cross-provincial comparisons: AB, PE 11
Youth Health Collaborative: Excel erating evidence-informed action Goal: accelerate and improve healthy school communities Approach: • Pan-Canadian research-policy-practice collaborative – 4 national partners; 9 provinces • Develop enduring capacity and infrastructure for partnerships and knowledge exchange • ‘Real-time’ learning system • From projects to a platform, building on up to 12 years of collaboration 12
Some(cri,cal(success(factors:(linking( research,(policy,(prac,ce( • Start(with(the(end(in(mind((“impact,(impact,(impact”)( • Align(with(ac,ve(and(emerging(policy(and(prac,ce( agendas( • Ensure(coherence(across(values,(strategy,(ac,on(and( metrics( • Be(versa,le,(and(do(the(most(relevant(studies(as( rigorously(as(possible( • Pay(close(aWen,on(to(people(and(rela,onships(
Acknowledgements Bruce Baskerville Rhona Hanning Steve Brown Ryan Kennedy Roy Cameron Scott Leatherdale Sharon Campbell Steve Manske Richard Cook Mary Thompson Martin Cooke Jennifer Yessis Geoffrey Fong uWaterloo CDP Planning Team John Garcia >250 collaborators David Hammond Propel founded by the Canadian Cancer Society and the University of Waterloo. 14
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