Presentation on theme: "Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C Dr. Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine."— Presentation transcript:
Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C Dr. Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine Director, eHealth Strategy Office CCMHS Conference October 6 th, 2011
2 “Dizzy Gillespie”: lessons They're not particular about whether you're playing a flatted fifth or a ruptured 129th as long as they can dance to it. How do you know they like your music? If I got their toes tapping, then I know I’ve got them Essence of Engagement
Language & the Web Effective: English Chronic Disease m x Technological literacy Accurate information Chinese & Punjabi? Untested Language barriers Technical challenges Sources of information Socio-cultural factors
Understanding the Problem Accurate & quality health information Enable self-care & health partnerships – Impact on chronic disease management – Health consumers & health professionals – Between generations & care givers – Peer to peer Serving multicultural public – Internet language marginalization – Computer skills – Hunger for health knowledge
InterCultural Online Health Network (iCON) 1.Provide 24/7 access to culturally relevant health information to support self management & wellness 2.Use multi-channel engagement to reach a variety of community members’ needs/ preferences 3.Unique technological opportunities to support mental wellness
Common Queries evaluation
Diabetes events & on line sample size Over 138,000 data points Meaningful translations Strong Parallel Reliability between languages Variety of available avenues of analysis
Demographic Profile Punjabi Forums: Sex and AgeChinese Forums: Sex and Age
Common Queries 1.Is there interest?
11 Health Forum, Vancouver
Live Forum Component 1.Community “health fair” – open house, familiar setting 2.Community based interprofessional panel, Q&A 3.Volunteers – students and community 4.Companion website links to live event in various ways
Public Engagement - Highlights Approx 95% of the surveys turned in first language Female 65% Male 35% Average 65 years (youth to late 90s)
Health Status Punjabi: Diabetes Status Chinese: Diabetes Status N = 241 N = 410
Common Queries 1.Is there interest? 2.Would the Internet be useful?
Internet Skills Punjabi: Internet Skills by English Language skills Chinese: Internet Skills by English Language skills
42,958 as of 8/2011
Live Forum – “e” Outreach 1.Videoconference pilots – FoM and Health Authority VC sites 2.Webcast to the whole province and beyond 3.Connecting with social media
Blogging & texting
Common Queries 1.Is there interest? 2.Would the Internet be useful? 3.Would self management apply?
Findings: Motivation to Action What motivates self care? Desire to be an “informed patient” Desire to learn more about prevention and symptoms of illnesses Recognition of limited access to time with physicians
Findings: What does Self Care Mean? Trying to make healthy choices but need culturally relevant resources available in own language Becoming better informed so they will “use the system less” Having sufficient knowledge to be conversant with health professionals Helping family members care for themselves “The problem with doctors is that we only go for a check-up once, but our condition may change before or after, even if we are well at our appointment…and he says “ok” – we don’t know for sure….” Necessary Ingredient: Culturally relevant resources available in own language
Common Queries 1.Is there interest? 2.Would the Internet be useful? 3.Would self management apply? 4.Would this motivate change?
Feedback Surveys indicated that the events stimulated participants’ willingness for positive behavioural change “I’ll change the way I would cook my food, change my lifestyle.” Over 90% indicated they will attend the next event 95% responded that the forum provided new information they will use to help cope with stress or worry
Mental Health: CMHA Synergy March 5, 2011: Aberdeen Mall, Richmond Chinese Bounce Back program collaboration
DVD: Skits Common situations Immigration,isolation Chidren’s future/Internet Relationships, care giving Chronic diseases, own health Recognition, mx skills, seek help
What’s the Magic? Flour Butter Milk Eggs Sugar Salt Yeast
Success in Virtual Engagement eKnowledge ePresence eTrust
Stepwise Strategy: 4 yr journey… 1.Create in-person forums 2.Establish on line presence 3.Introduce on line tools 4.Add virtual interactivity Building Partnerships
iCON: What’s Next? New content areas….Navigating the system, Informing the system, other? Building on social media, social drama and other “channels” Mobile phone communication Opportunity to co-create “e-Peer support” Engaging health professional trainees
“…And what can you add to a classic? Your passionate interpretation to keep it even more contemporary.” Lang in Mont Blanc Ad
eOpportunities for Mental Health Understanding the virtual social reality Appreciating the cultural perspectives Identifying tactics of intervention Plan, Do, Study, Act Engage the audience to co-create Create modern classics in mental wellness!
Acknowledgments Co-authors Helen Novak Lauscher Sophia Khan Eizabeth Stacy Nelson Shen Janice Tian Funding Support BC Ministry of Health Services Lawson Foundation Public Health Agency of Canada Canadian Health Services Research Foundation Irving K Barber Learning Centre, UBC Thank you to our partners, community sponsors, volunteers, and the eHealth Strategy Office staff team Partners Provincial Health Services Authority Fraser Health Authority Vancouver Coastal Health Authority SUCCESS Canadian Mental Health Association, Bounce Back HealthLink BC Safeway Pharmacy Omni Television Aberdeen Centre Fairchild Television Fairchild Radio Canadian Diabetes Association Ming Pao Tsing Tao Department of Medicine, UBC Telus Corporation UBC Learning Circle