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In motion to en mouvement: Reducing Health Inequalities with the Francophone Population Through a Physical Activity Health Promotion Strategy CPHA Halifax,

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Presentation on theme: "In motion to en mouvement: Reducing Health Inequalities with the Francophone Population Through a Physical Activity Health Promotion Strategy CPHA Halifax,"— Presentation transcript:

1 in motion to en mouvement: Reducing Health Inequalities with the Francophone Population Through a Physical Activity Health Promotion Strategy CPHA Halifax, Nova Scotia June 3, 2008 Linda Martin, Saskatoon Health Region Dr. Anne Leis, Réseau Santé en français de la Saskatchewan

2 in motion In motion is a comprehensive community based physical activity health promotion strategy. In motion is a comprehensive community based physical activity health promotion strategy. Vision: Saskatoon Health Region will lead the collective action of community partners in making Saskatoon and Region the healthiest community in the country through physical activity. This will serve as a model for provincial, national, and international initiatives

3 How does in motion achieve its vision? Building partnershipsBuilding partnerships Building community awarenessBuilding community awareness Targeted community strategiesTargeted community strategies Measuring our successMeasuring our success Four Key Components Four Key Components:

4 Founding Partners of in motion Saskatoon Health Region City of Saskatoon University of Saskatchewan ParticipACTION Canada Over 100 organizations collaborate with in motion in motion Physicians/Healthcare Profess.Physicians/Healthcare Profess. School DivisionsSchool Divisions Business CommunityBusiness Community Non-Profit OrganizationsNon-Profit Organizations Chronic Disease GroupsChronic Disease Groups Local MediaLocal Media Community AmbassadorsCommunity Ambassadors

5 Building Community Awareness Branding - in motionBranding - in motion Consistent messaging:Consistent messaging: Regular public awareness campaignsRegular public awareness campaigns Support of community initiativesSupport of community initiatives Advertising and signage Promotional products Brochures & newsletters Information line Website Physical Activity…do it for life! 61% of residents recall seeing, hearing or reading about in motion

6 Targeted Community Strategies Children & YouthChildren & Youth Workplace WellnessWorkplace Wellness Older AdultsOlder Adults Primary Prevention of DiabetesPrimary Prevention of Diabetes Healthcare Professional ReferralHealthcare Professional Referral Inactive AdultsInactive Adults

7 Measuring Our Success Evaluation of in motion is an ongoing and critical process to the initiative.Evaluation of in motion is an ongoing and critical process to the initiative. Of fundamental importance is the strategy's built- in program evaluation and University of Saskatchewan led research.Of fundamental importance is the strategy's built- in program evaluation and University of Saskatchewan led research. Results include: increased physical activity levels, increased community capacity building, improved health behaviors, unintended outcomes, positive testimonialsResults include: increased physical activity levels, increased community capacity building, improved health behaviors, unintended outcomes, positive testimonials

8 Why En mouvement? Francophones living in a minority situation (outside Quebec):Francophones living in a minority situation (outside Quebec): –rate their health lower than their Anglophone counterparts –have less access to health services in their own language –Are less likely to visit a family physician and seek health services –Are less responsive to messages and campaigns geared toward the Anglophone majority Quality health services are based on culturally competent communication and interactions between the health provider and the client/patientQuality health services are based on culturally competent communication and interactions between the health provider and the client/patient En mouvement wants to be more inclusive by reaching the Francophone community living in minority situation…En mouvement wants to be more inclusive by reaching the Francophone community living in minority situation…

9 Are Francophones less physically active and therefore more at risk of ill health?

10 En mouvement Physical Activity Survey 2007

11 En mouvement en français- Methodology The initial/baseline survey in Saskatoon Health Region was conducted in the Spring of 2000 (n=1759) before the launch of in motion and the survey was repeated every two years.The initial/baseline survey in Saskatoon Health Region was conducted in the Spring of 2000 (n=1759) before the launch of in motion and the survey was repeated every two years. in motion physical activity 2006 survey was translated in French and adapted (2007)in motion physical activity 2006 survey was translated in French and adapted (2007) This initial baseline survey among the Francophone residents of the Saskatoon Health Region was conducted in the Fall of 2007 at the same time as En mouvement launch.This initial baseline survey among the Francophone residents of the Saskatoon Health Region was conducted in the Fall of 2007 at the same time as En mouvement launch. Targeted sample (phone lists of rural SHR Francophone towns and Saskatoon Francophone residents as identified by Francophone organisations lists )Targeted sample (phone lists of rural SHR Francophone towns and Saskatoon Francophone residents as identified by Francophone organisations lists )

12 En mouvement en français- Baseline PA Survey - 2007 En mouvement en français- Baseline PA Survey - 2007 Added qualifier questionsAdded qualifier questions –Qualifying that the household is Francophone or has Francophone background (e.g. parents or grandparents) 7 day physical activity recall (last 5 weekdays and 2 weekend days)7 day physical activity recall (last 5 weekdays and 2 weekend days) –Frequency, Intensity, Time and Type –Modified from Paffenbarger et al., 1978 & 1993 Additional questions regarding:Additional questions regarding: – demographics (e.g. age, location, SES) –perceptions (e.g. activity level, behaviour change, in motion awareness) –tobacco usage, fruit and vegetable consumption –health conditions Added preschool physical activity survey (ages 5 and under)Added preschool physical activity survey (ages 5 and under)

13 En mouvement en français- Methodology Interviewers began telephone survey in French (CATI System)Interviewers began telephone survey in French (CATI System) One adult (age 19+) was surveyed and if possible, one of each child category per household (preschooler: 0-4; child: 5-12 ; youth:13-19)One adult (age 19+) was surveyed and if possible, one of each child category per household (preschooler: 0-4; child: 5-12 ; youth:13-19) 225 surveys occurred in French and 26 in English225 surveys occurred in French and 26 in English Response rate: 37%Response rate: 37%

14 En mouvement en français- Analysis- KKD (kilocalorie/kilogram/day) is simply a way of expressing energy expenditureKKD (kilocalorie/kilogram/day) is simply a way of expressing energy expenditure An energy expenditure of 3 KKD is equivalent to walking one hour every dayAn energy expenditure of 3 KKD is equivalent to walking one hour every day Cut-offs of energy expenditure for health benefitsCut-offs of energy expenditure for health benefits –for adults: >3 kkd –for children: >8 kkd

15 Images viewed on October 29, 2004 from http://www.tourismsaskatoon.com/gallery/ Results of the Francophone survey Results of the Francophone survey

16 Caractéristiques des 201 répondants Adultes 133 femmes et 68 hommes 133 femmes et 68 hommes Âge entre 20 ans et 100 ansÂge entre 20 ans et 100 ans 31% provenant de localités rurales31% provenant de localités rurales Éducation : 32% ( secondaire); 25% (diplôme collégial ou un peu duniversité); 42% (diplôme universitaire)Éducation : 32% ( secondaire); 25% (diplôme collégial ou un peu duniversité); 42% (diplôme universitaire) 18 % à la retraite et 25% en enseignement18 % à la retraite et 25% en enseignement 14 dorigine autochtone, 17 métis et 19 de minorités visibles14 dorigine autochtone, 17 métis et 19 de minorités visibles

17 Caractéristiques des répondants (enfants et jeunes n= 50) 21 garçons et 29 filles21 garçons et 29 filles 0-4 ans = 14; 5-12= 20 ; 13-19 =16 )0-4 ans = 14; 5-12= 20 ; 13-19 =16 ) 70% sont à lécole canadienne-française de Saskatoon 70% sont à lécole canadienne-française de Saskatoon 90% sont physiquement actifs90% sont physiquement actifs

18 Bénéfice sur la santé de lactivité physique chez les adultes se disant physiquement actifs

19 Bénéfice sur la santé de lactivité physique chez tous les adultes ayant répondu au sondage

20 Francophone Adults URBAN % RURAL % Do you use tobacco regularly: yes daily and occ. 105 Average fruit and vegetable consumption:5 and more 5742 Strongly agree PA reduces the incidence of diabetes, cancer and CVD 8372 Strongly agree that stopping tobacco reduces incidence of diabetes, cancer and CVD 8390 Strongly agree that vegetable and fruit consumption reduce the incidence of diabetes, cancer and CVD 63

21 Bénéfice sur la santé de lactivité physique chez les enfants et jeunes se disant physiquement actifs

22 Bénéfice sur la santé de lactivité physique chez les enfants et jeunes ayant participé au sondage

23 A few results from the preschoolers survey

24 How much PA or sport do you think is required on a daily basis for a child's well- being and health?

25 When your child plays actively outdoors, where does he or she do this most often?

26 On a typical week day, how much time does your child spend actively playing outdoors?

27 On a typical weekend day, how much time does your child spend actively playing outdoors?

28 How much time does your child spend in organized physical activities such as gymnastics, swimming lessons, etc…

29 Thinking about the kinds of things you typically do with your child, how often do you play active games or sports

30 Influence of In motion messages Percentage of Adults who think in motion Advertising messages have prompted them to.... Anglophones 2006 (%) Francophones URBAN (%) Francophones RURAL (%) Eat a healthier diet 453741 Reduce inactivity 413529 Encourage family, friends and co-workers to become physically active 373039 Provide opportunities for family to be active together 332727 Reduce screen time for yourself/your children 322423 Look for information on health, recreation, nutrition 312239 Visit a recreation facility 262214 Speak up for more physical activity opportunities in your community 232330 Contact a recreation department, seniors club, fitness centre or other service provider 171616 Quit Smoking 1297 Purchase physical activity clothing/equipment 91323

31 En mouvement in motion has partnered with the Saskatchewan Network for Health Services in French and is now being offered in French and adapted to be culturally appropriate – coined en mouvementin motion has partnered with the Saskatchewan Network for Health Services in French and is now being offered in French and adapted to be culturally appropriate – coined en mouvement in motion/en mouvement Francophone Action Committeein motion/en mouvement Francophone Action Committee –Saskatoon Health Region –Réseau Santé en français de la Saskatchewan –Association des parents fransaskois –Fédération des aînés fransaskois –Conseil des écoles fransaskoises

32 en mouvement Goal: to increase the awareness and levels physical activity for health benefits within the Francophone community of the Saskatoon Health RegionGoal: to increase the awareness and levels physical activity for health benefits within the Francophone community of the Saskatoon Health Region –aims to translate and adapt the in motion program for the Francophone population e.g., resources, marketing and communication tools, promotional items, evaluation toolse.g., resources, marketing and communication tools, promotional items, evaluation tools

33 The Francophone population within the Saskatoon Health Region is being mobilized and energized to become more physically active for health benefits!


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