CPHA Halifax, Nova Scotia June 3, 2008 Linda Martin, Saskatoon Health Region

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. 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? Four Key Components: • Building partnerships • Building community awareness • Targeted community strategies • Measuring our success

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

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

6. Targeted Community Strategies • Children & Youth • Workplace Wellness • Older Adults • Primary Prevention of Diabetes • Healthcare Professional Referral • Inactive Adults

7. Measuring Our Success • Evaluation of in motionis 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. • Results 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): • 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/patient • En mouvementwantsto 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 mouvementPhysical 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. 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 mouvementlaunch. 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 Added 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) Frequency, Intensity, Time and Type Modified from Paffenbarger et al., 1978 & 1993 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)

13. En mouvement en français- Methodology 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) 225 surveys occurred in French and 26 in English Response rate: 37%

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

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

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

17. Caractéristiques des répondants (enfants et jeunes n= 50) • 21 garçons et 29 filles • 0-4 ans = 14; 5-12= 20 ; 13-19 =16 ) • 70% sont à l’école canadienne-française de Saskatoon • 90% sontphysiquementactifs

18. Bénéfice sur la santé de l’activité physique chez les adultes se disant physiquement actifs

19. Bénéfice sur la santé de l’activité physique chez tous les adultes ayant répondu au sondage

20. Francophone Adults

21. Bénéfice sur la santé de l’activité physique chez les enfants et jeunes se disant physiquement actifs

22. Bénéfice sur la santé de l’activité 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

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 mouvement • in 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 Region • aims to translate and adapt the in motion program for the Francophone population • e.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!