1. SHAPES-Ontario Knowledge Exchange Extension PARC Conference 2007 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 TO DATE ModuleStudent Level School Level Tobacco PA Healthy Eating Mental Fitness content pilot tested tested for validity, reliability, usability

5. 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

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

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

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

9. 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)

10. Student Attitudes Toward School PA “Students should have opportunities to participate in PA each day” 49% strongly agree, 43% agree “PE should be a required subject at school” 36% strongly agree, 34% agree “Students should participate in a PE class at school every day” 28% strongly agree, 35% agree

11. PA in Curriculum Subjects at school teach... Benefits of PA: 70% say YES Illnesses related to inactive lifestyle: 62% Influence of families on PA: 38% Influence of media on PA: 47% Influence of friends on PA: 47%

12. Inactive Time DAILY Screen TimeWEEKLY Time Spent

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

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

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

16. School Smoking Policies AwarenessEnforcement “This school has a clear set of rules about smoking for students to follow.” “How many students at this school smoke where they are not allowed to?”

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

18. 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

19. 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

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

21. Collaborative Software www.eHealthOntario.ca

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

23. Lessons Learned 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

25. 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.

26. 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.

27. 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. SMDHU: Background to Participation

28. 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.

29. 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.

30. 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.

31. 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.

32. 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. Recruitment & Data Collection

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

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

35. 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.

37. 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.

38. 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.

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

40. 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.

41. 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.

42. 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

43. 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.

44. 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).

45. Thank You

46. 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