1. PPHL Working Group Updates May 31, 2013 PPHL AGM

2. Overview 1.Adult Risk Factor Surveillance (ARFS) WG 2.Data Access Review Panel (DARP) WG 3.CLASP 2.0

3. Adult Risk Factor Surveillance Working Group

4. ARFS Working Group Adult Risk Factor Surveillance Working Group Includes 16 members from 10 different PPHL organizations With RHA amalgamation, there have been a few membership changes but we still have a broad representation from across sectors (expanded MB Health membership for support in methodology)

5. ARFS Year in Review Public Health and Primary Care Division of MB Health has offered expertise in determining methodologies for Adult Health Survey (AHS) Have been working on a Project Charter and Business Model to determine what is ideal and what is feasible in terms of the AHS Real commitment to collect data that is value added and not more of what we have

6. Methods ARFS represents a significant undertaking needing detailed consideration to determine the best methodology. Key areas to consider include: Sample generated Level of data collected Longitudinal capabilities Resources required

7. Sample Models 1.Health e-Plan- existing, MB-based online survey 2.Rapid Risk Factor Surveillance System (RRFS)- telephone survey system from Ontario 3.Made in Manitoba (MIM)- similar to youth, but using a random, representative sample to survey online, by phone or paper (potential to link to Health e-Plan?), potential for longitudinal data

8. Moving Forward with ARFS Where do we go from here? 1.Continue to look for funding and resources 2.Develop Adult Health Survey tool 3.Finalize survey methodologies 4.Conduct the AHS collection

9. Data Access Review Panel Working Group DARP Members Heather Sparling, MH, Chair Tannis Erickson, CCMB Landis Esposito, WRHA Bo Kinasevych, Health in Common Paul Paquin, MB Education

10. DARP PURPOSE To act as gatekeepers for access to YHS data: Review applications for access to YHS data Review presentations / papers showcasing YHS data, prior to publication Data Sharing Agreement (DSA) development

11. 2010-2013 DARP Reviews 9 approvals given between 2010 & May 2013 HCM MICH Independent Researchers Student CCMB secondary analysis of 2009 YHS data

12. Moving Forward 2009 YHS - Business as usual: Continue to review applications for access to 2009 YHS data Review publications using 2009 YHS data Support development of Data Access process for 2012 YHS

13. 2012 YHS Data Access & Sharing YHS Identifiers Expert Group Came together to develop the process & safeguards for implementing students codes 2 datasets will be maintained Anonymous survey data (CCMB) ID dataset with survey # scrambled student identifier Discussions also included guidelines to implement for access & use of this information Group included reps from RHAs (incl, privacy experts), Manitoba Health (incl. legal), Education, MCHP, HCM & CCMB

14. 2012 YHS Data Access & Sharing YHS Identifiers Expert Group Focus has shifted to development of protocols for linking anonymous survey dataset & student ID dataset (scrambled student ID & survey #) Discussions currently underway to develop guidelines for the new Data Access Forms

15. Youth Excel CLASP & CLASP2 Update

16. YE CLASP Youth Excel (YE) was about creating pan-Canadian capacity for better use of evidence, and better evidence for use to achieve youth health goals 2.5 years of funding ended March 31 st, 2012 Project received over $2.5 million YE CLASP team applied for but was not successful in obtaining Phase II renewal grant funding

17. YE CLASP Successes New Partnerships  YE CLASP created space to dialogue about shared and complementary actions regarding youth health in Canada  MB/PPHL has formed collaborative partnerships with :  SK Alliance for Youth and Community Well Being  University of PEI (Comprehensive School Health Research Group)  University of NB (Health Education Research Group)  Other CLASP partners from BC, AB, ON, and NL

18. YE CLASP Successes Common Indicators  Developed by cross jurisdiction and cross sector (policy, research and practice) working groups  Topic areas include:  Tobacco (used in YHS)  Physical Activity  Nutrition

19. YE CLASP Successes Peer Learning  MB hosted face to face meetings with SAYCW members to share YHS experiences  MB learnt about and from their previous YHS experience from PPHL members through a case study  MB shared and learned from other provinces (NB & PEI) with similar surveillance systems through a cross case study  MB partners attended 2 national forums and other project meetings to share, learn and network

20. New Opportunity CLASP2 CPAC will fund 4 new CLASP projects (CLASP2) Each CLASP2 grant is valued at $2.4 million over 3 years CCMB submitted CLASP2 proposal “Community led Knowledge to Action Systems” on behalf of partners in MB and SK CCMB hosted 2 stakeholder meetings (May & Sept) to refine CLASP2 project ideas Successful applicants will be notified in July/Aug 2013

21. Community Led Knowledge to Action CLASP Purpose: To develop and implement community led knowledge to action systems within real life contexts To learn from community experiences to further our understanding on how to best support and implement effective and coordinated planning, delivery and continuous improvement of healthy living and chronic disease prevention

22. Community Led Knowledge to Action CLASP Plan: Communities will implement their own plans to take/ develop local knowledge, local data, partner support and expertise, and use it to develop evidence to inform their chronic disease prevention/health promotion activities Four communities are engaged Sagkeeng First Nation(MB) Lac Brochet, Northlands Denesuline First Nation(MB) Ochapowace First Nation (SK) NorWest Co-op (Wpg) Plan to engage 3 additional communities if successful in receiving funding

23. 2013 Youth Health Survey (what a ride!!) May 31, 2013 PPHL AGM

24. YHS Working Group Members – RHAs, CCMB, Education, HCM & others Oversees overall workplan for 2012 YHS Avenue for communications between all Task Groups Responsible for evaluation of project

25. 2012 YHS – Where are we at? Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

26. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

27. YHS Tool Development Expert Working Groups were brought together to provide input that would shape the next Youth Health Survey Prior to bringing the expert working groups together, an environmental scan of existing questionnaires was conducted Questions from various pre-existing & validated surveys were pulled together into a ‘dictionary’, organized by topic area

28. Each expert group reviewed, chose & amended the questions to ‘best’ gather the information they felt was important The questionnaire that was developed through the Expert Working Group process was then referred to the YHS Methods Task Group, which conducted the final review & revisions YHS Tool Development

29. 2012 YHS Survey Tool 84 questions, 10 pages Approx. 30 – 45 minutes to complete Topics repeated from previous survey (with slight changes): –Student demographics incl. height & weight –Physical activity –Healthy eating –Smoking –Alcohol & substance use –Safety/injury prevention

30. Enhanced topics: –Mental health –School connectedness New topics: –Sleep patterns –Sun/UV exposure –Sexual health (optional content) –Physical education curriculum for grades 11 & 12 students 2012 YHS Survey Tool

31. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

32. Regional Implementation Team Consists of one delegate per RHA who responsible for coordinating the YHS in their region Collectively planning/coordinating survey implementation including: –Survey refinement –Survey printing –School recruitment materials –Supporting survey materials e.g. parental notification & consent forms Cost sharing of survey printing & scanning Newer members learn from “experienced” members

33. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

34. YHS Methodology Task Group New task group formed –Consists of broad representation from research, policy & practice Methodology group decisions: 1) Census of grades 7 to 12 province-wide 2) Possible sub-sample for direct measures (height, weight, step-count) if funding becomes available 3) Inclusion of student codes

35. Adding Student Codes Codes are comprised of a scrambled PHIN to protect students Allows for –Tracking over time to assist in program planning & evaluation –Connection to other datasets such as EDI and future YHS data Student codes and survey data stored on separate computer systems to protect confidentiality

36. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

37. Pilot Testing YHS pilot tested with approx. 300 students across the province representing: –Grades 7 - 12 –Urban & rural communities –Communities from Northern & Southern Manitoba Four objectives of pilot testing: To explore... 1) Survey length 2) Survey questions 3) Implementation 4) Identifiers

38. Pilot Testing Regional Implementation Team refined & finalized survey tool & implementation process based on findings from the pilot test YHS survey was also translated to French & piloted with a small sample of francophone students

39. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

40. Ministers letter of support A joint letter of support for the YHS has been signed by the ministers of: –Education –Healthy Living Seniors and Consumer Affairs –Children and Youth Opportunities/Healthy Child MB The letter has been sent to all superintendents in the province

41. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

42. School Recruitment RHAs made contact with school administrators and staff to recruit and make arrangements for the YHS implementation RHA approached all schools within their regions (independent, francophone, First Nations, colony etc)

43. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

44. Administration Survey New component for this cycle Online survey of school administrators to obtain school environment data Data will be used to help identify & analyze environmental factors that contribute to the health behaviors of Manitoba youth Draft developed & pilot tested 160+ responses to date

45. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

46. Implementation 95% complete 37 school divisions plus Independent, Faith- based, Colony and First Nations Schools 434 schools agreed to participate to date 50% of SDs used survey with sexual health section 30% of SDs used survey without sexual health section 20% of SDs used some combination of both surveys 2012 YHS Implementation

47. 18 SDs – reports distributed to RHAs 6 SDs – determining school groupings 3 SDs – currently being scanned 10 SDs – to be scanned 2012 YHS Reporting

48. 2012 YHS Regional Implementation group formed YHS Pilot testing Ministerial letter of support sent out Pilot Admin Survey Recruit school divs, schools YHS methodology YHS Implementation Knowledge Exchange We are here! YHS tool development

49. YHS KE working group is preparing for the YHS 2012 result dissemination Developed a 2012 YHS Report template with inclusion of best practices Developing a KE strategy and workplan to support partners in moving knowledge to action Identifying future opportunities for KE Knowledge Exchange – Future plans

50. Next Steps……..

51. Understanding and Using the Youth Health Survey May 31, 2013 PPHL AGM

52. Reflection Purpose of Knowledge Exchange (KE) is to Move Knowledge into Action YHS 2009 KE: – Variety of activities (reports, fact sheets, presentations, press release, YHS video, symposiums etc. ) – Variety of audiences (government, schools, school divisions, HTN committees, parents, RHAs, national and international)

53. KE Impacts Face to Face interactions increase understanding and uptake of data. Linking with existing infrastructure, systems and partners can extend KE reach Youth are important stakeholders but often overlooked

54. KE Impacts Senior management buy-in is critical to increasing KE capacity Sharing success stories motivate & inspire others to take action Grants tied to data can encourage data use in planning

55. Notes on Analysis 1)Suppression rules 2)Denominators 3)Generalizing and comparing reports (don’t do it!) 4)Comparing to the last YHS and Provincial Report

56. Small Group Work Six content areas: 1.Physical activity 2.Healthy Eating 3.Tobacco and Substance Use 4.Mental Health & Bullying 5.Healthy Sexuality 6.Sleep

57. Experts in the audience… A special welcome to two members of our healthy sexuality expert working group who are here to help facilitate and answer questions around this new topic area: Chad Smith, Rainbow Resource Centre Michelle Kowalchuk, Healthy Child Manitoba

58. Small Group Work In content area groups: a)Review your content section, look at highlighted results: I.What do these results mean to you? II.What is important about this graph/results? III.What stakeholders need to know about this? IV.What are your next steps? (Be specific!) b)What do you need to help move this evidence into action? ($$, connections, human resource, etc)

59. Perceptions of Mental Health and Wellbeing Emotional, Psychological and Social Wellbeing:

60. Perceptions of Mental Health and Wellbeing Never in the past year 1 or more times in the past year a. Physically threatened or injured you 75%25% b. Threatened or injured you with a weapon such as a gun, knife or club 94%6% c. Bullied, taunted or ridiculed you 62%38% d. Said something bad about your race or culture 85%15% e. Said something bad about your sexual orientation or gender identity 90%10% f. Said something bad about your body shape or size 64%36% g. Asked for personal information over the internet (e.g. address, phone # or last name) 82%18% h. Made you feel unsafe when you were in contact with them over the internet 92%8% i. Bullied or picked on you through the internet (e.g. posted something on Facebook or emailed you) 83%17% Bullying:

61. Physical Activity Students' Physical Activity Rates:

62. Physical Activity Participation in Physical Activities Inside and Outside of School:

63. Healthy Eating & Healthy Weights Salty and Sugary Snacks and Fast Foods:

64. Healthy Eating & Healthy Weights Drinks:

65. Healthy Eating & Healthy Weights

66. Tobacco Use Who Smokes?

67. Tobacco Use Student Susceptibility to Future Smoking:

68. Alcohol, Marijuana and Other Drug Use Youth Binge Drinking:

69. Alcohol, Marijuana and Other Drug Use Use in Past Year It is estimated that between 17 and 32% of Canadian (ranging by province) and 22% of Manitoba students reported past-year marijuana use (Young et al., 2011). In the past year, 24% of all students reported using an illegal, prescription or over- the-counter drug for the purposes of getting high. 21% of all students reported using marijuana or hashish in the past year. Use in Past Month 17% of Canadian (ranging by province) and 13% of Manitoba students reported past- month marijuana use (Young et al., 2011). In the past month, 16% of all students reported using an illegal, prescription or over- the-counter drug for the purposes of getting high. The most common type of drug used in the past month was marijuana/hashish (14%). Youth Marijuana and Other Drug Use:

70. Healthy Sexuality Where Youth Prefer to Get Information About Sex:

71. Healthy Sexuality Age of Initiation of Sexual Behaviours: When asked at what age they first had sex, 81% of students reported that they have not had sex. The most common age that students first reported having sex was 15 years old.

72. Sleep