1. 1 PRESENTER Title Organization Presented at CONFERENCE NAME, CITY DATE Healthy Built Environment (HBE) Linkages: A Toolkit for Design  Planning  Health

2. Healthy Built Environment Alliance (HBEA; the Alliance) Members from: –Land use planning –Design fields –Provincial ministries –Health authorities –Community-based health organizations –Local government –Universities/academia Knowledge sharing network Forum for collaboration on priority activities to promote & develop built environments that encourage & support healthy living

3. Healthy built environments: What do they look like? (A) (B) e.g., Which of these neighbourhoods is more ‘walkable’?

4. How do you decide what to do?  Examine the evidence..... Healthy built environments: How do we create them? ≠ …?

5. Purpose Why did the Alliance develop another toolkit?  How should we share health evidence that can support good planning and the HBE?  What are our key messages about the HBE? (need for common language/consistent messaging)

6. HBE Linkages Toolkit : Approach Collected, analyzed & summarized the evidence 1.Consultation with experts Advisory groups – planners and content experts 2.Evidence review methodology Literature reviews of the physical features: –Neighbourhood design –Transportation Networks –Natural environments –Food systems –Housing 3.Grading system Systematic clustering of findings

7. HBE Linkages Toolkit: Findings  Current evidence used to identify planning principles for each of the five physical features  User guide created to encourage consideration of context

8. HBE Linkages Toolkit: What does the evidence say? Strong evidence New research area

9. HBE Linkages Toolkit: Components www.phsa.ca/populationhealth Planning principles for: Healthy Neighbourhood Design Healthy Transportation Networks Healthy Natural Environments Healthy Food Systems Healthy Housing

10. HBE Linkages Toolkit: Scope of Evidence Review/Toolkit Systematic reviews English; North America, Europe and Australia No specified time frame Context: urban and rural Focused on large-scale, outdoor physical features & environments) 10

11. HBE Linkages Toolkit: Limitations See User Guide! Indirect nature of evidence linking principles to health outcomes Toolkit identifies what should be done to create HBEs – it doesn’t get into the how Significantly more research is available for some physical features (e.g., neighbourhood design) vs. others (e.g., food systems) 11

12. HBE Linkages Toolkit: Components www.phsa.ca/populationhealth Linkages Summary Briefly describes the links shown in the literature between: Planning principles Intermediate impacts Health-related outcomes

13. HBE Linkages Toolkit: Components www.phsa.ca/populationhealth Fact Sheet Describes the evidence behind each planning principle, and how these link to intermediate impacts & health-related outcomes

14. HBE Linkages Toolkit: Components www.phsa.ca/populationhealth Health Evidence Diagram Visually show the strength of evidence or expert opinion linking planning principles to impacts & health-related outcomes Shows areas where more research needed

15. HBE Linkages Toolkit: Summary 1)It’s a “conversation-starter” Provides an organizing framework for presenting information and facilitating discussions between & within sectors 2)Helps users apply health evidence Provides consistent & clear messages to inform the development of other documents & support decision-making around health & the built environment 3)Identifies where more research needed Toolkit provides a roadmap for emerging and innovative evidence

16. HBE Linkages Toolkit: Next Steps www.phsa.ca/populationhealth Sustainability plan Monitor the evidence base & periodically update the toolkit Develop a user guide to support evidence collection/capture Evaluation plan Track toolkit use Seek feedback from users for toolkit improvement & suggestions for other resources needed

17. Questions? Download the HBE Linkages Toolkit www.phsa.ca/populationhealth Contact us! pph@phsa.ca 17

18. Discussion Questions 1)Will the HBE Linkages Toolkit be useful for your work? If yes, please share some examples of how it will be useful. 2)Who will you share the HBE Linkages Toolkit with? 3)How do you think HBE Linkages Toolkit could be improved? 4)What additional HBE tools or resources would help support you in your work? 18