1. RRFSS: Musings on Local Knowledge Exchange Ruth Sanderson Epidemiologist Middlesex-London Health Unit Rapid Risk Factor Surveillance System Workshop June 20, 2006

2. Outline Consider our Framework Ideas on Interpretation –Moving beyond the indicators Reaching the Public with our Product –Example - focus t.v. on RRFSS Dissemination –Example - Artificial Tanning spanning science, policy, practice

3. Surveillance System Components Design Collection Analysis Interpretation Product Development Dissemination Evaluation

4. Its as Easy as Connecting Dots!

5. Sequential Framework for Enhancing Evidence-Based Public Health Develop an initial statement of the issue Quantify the issue Search the scientific literature and organize information Evaluate the program or policy Develop & prioritize program options Develop an action plan and implement intervention Tools: rates and risks, surveillance data Tools: systematic reviews, economic data etc. Implement Retool Refine Brownson, et. Al.

6. Ideas on Interpretation Indicators are an essential beginning - need to dig a little deeper Example: Booster Seat Safety Positive Parenting

7. Booster Seat Use by Injury Prevention Beliefs Middlesex-London, Children Ages 4-7, 2004 Source: Parent Survey 2004

8. Positive Parenting Interaction by Parent’s Age Parents/Caregivers (18+) London & Middlesex County 2004 Source: Parent Survey 2004

9. Reaching the Public Local television spot –purpose is to make surveillance interesting to the public, understand its use and encourage participation.

11. Dissemination Linking science, policy and practice Example Artificial Tanning

12. Use of Artificial Tanning in Past Year by Age Group by Gender London & Middlesex County, Ages 18+, Jan.-Dec. 2004 Source: RRFSS Waves 37-48, 2004

13. Conclusions Embrace our place in evidence based public health. Move beyond indicators to look for interpretation. Keep the public aware. Emphasize need to work “with” for dissemination.