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Locally Driven Collaborative Projects
 
 

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2011 Locally Driven Collaborative Projects (LDCP)

Project Title:
An environmental scan of built environment data related to walkability and environmental exposure in urban Ontario

Lead Health Unit: Kingston, Frontenac and Lennox & Addington Public Health Unit

PROJECT CO-LEADS
Paul Belanger
Kingston, Frontenac and Lennox & Addington Public Health Unit

Daphne Mayer
Kingston, Frontenac and Lennox & Addington Public Health Unit

PARTNERS
Niagara Region Public Health
York Region Community and Health Services
Public Health Agency of Canada

Overview
The built environment directly and indirectly influences public health. The Ontario Public Health Standards (OPHS) (2008) mandate local public health agencies to address the built environment by:

• increasing public awareness
• supporting healthy public policy
• creating supportive environments (particularly with reference to the chronic disease and injuries program standards and health hazard prevention and management program standards).

The understanding of the relationship between the built environment and health requires sufficient data that are both current and geographically commensurate. The purpose of this project is to support the identification of standardized walkability data and select environmental exposure data (specific air pollutants and heat exposure) that can be used in the assessment of the urban built environment in Ontario and to develop policy recommendations. An environmental scan will provide a systematic overview of walkability and environment exposure data needs in urban Ontario through:

1. A literature review of how walkability and environmental exposures have and could be measured.
2. A scan of local public health agencies, municipalities, the private sector, partners, and other sources across Ontario.
3. Key informant interviews.

Project outcomes include:

• the enumeration of walkability and environmental exposure data
• a compilation of the underlying datasets in Ontario
• the development of an inventory-like matrix and gap analysis of data availability across Ontario urban areas
• a proposed policy framework.

The project results will highlight and facilitate discussion about built environment data issues, and influence action to address these issues.

For more information, contact ldcp@oahpp.ca.

Project Title: A Provincial Assessment of Parenting Styles in Ontario

Lead Health Unit: Niagara Region Public Health

PROJECT LEAD
Jeff Biletchi
Niagara Region Public Health

PARTNERS
Haliburton, Kawartha, Pine Ridge District Health Unit
Leeds, Grenville and Lanark District Health Unit
Ottawa Public Health

Overview
One of the biggest contributors to a child’s development is the relationship with his or her parents. Studies have consistently shown that how parents behave toward and care for their children in their earliest years is a chief determinant of positive child health outcomes. Despite the fact that parental behaviour is one of the most modifiable risk factors for healthy child development, little is known about how to help parents address this issue. Currently, most of the parenting literature focuses on:

  • increasing parental knowledge
  • ways to disseminate information to parents
  • ways to support parental needs for knowledge and access to resources.

Little research exists on parenting style — how parents interact with their children, the relationships they form with their children and how they communicate with one another. The Ontario Public Health Standards (OPHS) (2008) child health standard states that the goal of public health programming is to enable all children to attain and sustain optimal health and developmental potential. It highlights the need to assess positive parenting in terms of monitoring trends at the population level. Using a cross-sectional data collection method, this project will address that data gap by conducting a telephone survey with a sample of households across Ontario to collect information from parents with children under 18 on parenting style. This information will help health units tailor their existing programming for families, including:

  • new resources and program development
  • media campaigns
  • future work to help target resource allocation.

For more information, contact ldcp@oahpp.ca.


Project Title:
Engaging Community-based Organizations in Fall Prevention for Older Adults: Moving from Research to Action

Lead Health Unit: Oxford County Public Health and Emergency Services

PROJECT CO-LEADS
Lorna Boratto
Oxford County Public Health and Emergency Services

Cathy Dykeman
Halton Region Health Department

PARTNERS
Hamilton PH Services
Hastings & Prince Edward Counties Health Unit
Kingston, Frontenac and Lennox & Addington Public Health Unit
Middlesex-London Health Unit
North Bay Parry Sound District Health Unit
Simcoe Muskoka District Health Unit
York Region Community and Health Services
Windsor-Essex County Health Unit
McMaster University
Ontario Neurotrauma Foundation

Overview
Falls are a major public health problem for community-dwelling older adults (> 65 years), and community organizations play a key role in increasing the population's capacity to prevent falls and fall-related injuries. Multiple guidelines and effective strategies to prevent falls have been identified but these have not gained wide community uptake and little is known about the best ways to encourage broader use. This research project will use both quantitative and qualitative methods to develop an understanding of:

  1. Attitudes, knowledge, and practices of service providers and managers/directors of community organizations related to evidence-based fall prevention strategies.
  2. Perceived barriers and effective strategies for the adoption, implementation, and sustainability of these strategies within and across diverse community organizations.

Data will be collected from staff in senior-serving community organizations within three health unit regions in Ontario. In Stage One of the project, we will develop a questionnaire to assess knowledge and use of evidence-based fall prevention. In Stage Two, we will conduct qualitative interviews and focus groups with service providers and managers/directors from community organizations within each health unit region to examine their experiences implementing fall prevention evidence.

Study findings will help health care decision-makers and public health leaders understand the factors influencing use of evidence-based fall prevention for older adults within and across diverse community settings. Such information can be used to identify how public health can best engage diverse community organizations in integrating injury prevention evidence and increase public awareness and adoption of fall-preventing behaviours. 

For more information, contact ldcp@oahpp.ca.


Project Title: Embedding a Strengths-based Approach in Public Health Practice

Lead Health Unit: Oxford County Public Health and Emergency Services

PROJECT LEAD
Kelly Vanderhoeven
Oxford County Public Health and Emergency Services

PARTNERS
Huron County Health Unit
Leeds, Grenville and Lanark District Health Unit
Niagara Region Public Health
Perth District Health Unit
Thunder Bay District Health Unit

Overview
Interest in strengths-based practice as a way to enhance the positive development of individuals has increased significantly as public health practitioners shift their attention from the prevention of specific problems to a more positive, holistic view on individual development. Interventions have moved increasingly toward creating a coordinated sequence of positive experiences and providing key developmental supports and opportunities. Rather than the traditional perspective of engaging a person with a problem orientation and risk focus, a strengths-based approach seeks to understand and develop the strengths and capabilities that can transform the lives of people in positive ways (Alvord & Grados, 2005; Barton, 2005; Benson, Leffert, Scales, & Blyth, 1998).

Intuitively, the idea of focusing on the strengths of a person is considered to be a respectful and meaningful starting point in supporting positive change. While many health practitioners agree with the idea of working from a strengths-based perspective, few have been thoroughly trained or given the support to work from an underlying set of values, principles and philosophy of strengths-based practice (Rapp & Goscha, 2006). In response to this challenge, the current research project will explore:
  1. The capacity (knowledge, skills, beliefs, resources) among public health staff (and their organization) to implement a strengths-based approach in their practice.
  2. The essential steps towards integrating a strengths-based culture for professional practice.
  3. The implications for organizational capacity and leadership support required to effectively integrate strengths-based practice in collaboration with community partners.

For more information, contact ldcp@oahpp.ca.


Project Title: 
Evaluation of the quality, impact, value and sustainability of a model to collect provincial data for the Rapid Risk Factor Surveillance System (RRFSS)

Lead Health Unit: Durham Region Health Department

PROJECT LEAD
Janet Phillips
Durham Region Health Department

PARTNERS
Halton Region Health Department
Sudbury and District Health Unit
Haliburton, Kawartha, Pine Ridge District Health Unit
Institute for Social Research (ISR), York University
Rapid Risk Factor Surveillance System

Overview
The Rapid Risk Factor Surveillance System (RRFSS) is an ongoing telephone survey used by many public health units to gather public health-related information from residents of their communities. In 2011, RRFSS began a pilot project to collect data from across Ontario and produce, for the first time, provincial estimates from RRFSS data. 

This project is an evaluation of that provincial sample pilot project (PSPP). The evaluation will summarize the implementation and results of the RRFSS PSPP, documenting:
  • what worked
  • the challenges
  • the benefits
  • value and cost-effectiveness

Four sources of data will be used. The quality of the provincial RRFSS data will be assessed by comparing them with data from the Census, the Canadian Community Health Survey and pseudo provincial estimates from the 2010 and 2011 RRFSS. The perceived benefits and limitations of the provincial RRFSS sample will be assessed through an electronic survey of Ontario health units as well as telephone interviews with a sample of health units, including both health units that did and did not participate in RRFSS in 2011. Telephone interviews will also be conducted with provincial agencies and other health partners to determine levels of interest in RRFSS. Finally, the impact and value of a provincial RRFSS sample and assessment of sustainability will be assessed using a cost analysis. The information provided by the evaluation will be used to inform decisions related to future provincial sampling in RRFSS.

For more information, contact ldcp@oahpp.ca.

Project Title: The meaning of “food skills” for two Ontario priority populations

Lead Health Unit: Haliburton, Kawartha, Pine Ridge District Health Unit

PROJECT LEAD
Elsie Azevedo
Haliburton, Kawartha, Pine Ridge District Health Unit

PROJECT PARTNERS
Chatham-Kent Public Health Unit
City Of Hamilton Public Health Services
Huron County Health Unit
Middlesex-London Health Unit
Perth District Health Unit
Sudbury & District Health Unit
Windsor Essex County Health Unit

OVERVIEW
There is a link among choosing healthy food, preparing and cooking food, healthy eating and overall health. The art and skill of choosing, preparing and cooking safe, healthy and culturally appropriate food, which can also be described as “food skills,” appears to be fading. People’s ability to choose and prepare healthy food and the food skills that are needed to do this may be unique to specific groups or people, from youth to people living in poverty, to pregnant and breastfeeding women, to higher income families with children. The proposed research project aims to understand the meaning of food skills for two specific groups of people in Ontario.

A team of public health experts and researchers will work together with community partners to identify these two specific groups of people. Next we will look at past research and other sources of information so we can describe concerns, needs, barriers and supports to obtaining food skills. The next step will be to use the information to help us develop questions and  conduct interviews with members of the two different groups so we can learn directly from them what they think of when they hear the term food skills. Up to eight of the 36 health units in Ontario are participating in this research. We will look for common and unique themes or ideas from the interviews. Finally, we will share what we learned with health units across Ontario so they can use the findings when they plan and deliver food skills programs in their areas.

For more information, contact ldcp@oahpp.ca.


Learn More

For more information about the locally driven collaborative projects and the new program, the paper A New Program Model for Supporting Applied Research and Program Evaluation, Education and Professional Development, and Knowledge Exchange in Public Health, is available online and questions can be sent to feedback@oahpp.ca

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