Keeping Pace

Keeping Pace

The Health Information Prescription Project

Keeping Pace

The Roman Army expected its soldiers to march 25 miles a day.

They set the standard for what is now considered a pace.

In Grey Bruce, we are trying to set a new standard.

Keeping Pace

Who are we?Grey Bruce Rural Community Partnership

for Resource Exchange for Health Living

Grey Bruce Health Unit Grey Bruce District Stroke Centre Grey and Bruce Libraries Grey Bruce Health Services Health Sciences Library Regional Diabetes Program Recreation Centres Ontario Early Years Parks Canada Bruce Trail

Keeping Pace

Library Pedometer Lending Program

The process began with the pedometer program.

Keeping Pace

Library Pedometer Program

Based on a model developed by Ottawa Public Health Unit

31 libraries participating – 100% 2 pedometers in each library Borrow like a library book

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Library Pedometer Program

Benefits Increase interest in

physical activity More books on

physical activity accessed

Increased membership

Challenges Late returns Lack of

understanding of equipment function

Extra work Lack of storage

space

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Library Pedometer Program

Enhancements Increase number of pedometers to

decrease waiting time Libraries becoming informed health

information hubs

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Library Pedometer Lending Program

Based on the success of the Pedometer program in the public library system, it was decided that this might be a good way to introduce selected medical information

Keeping Pace

Health Information Prescription

The aim of the program was to provide a consistent, reliable and

understandable selection of information regarding stroke easily

accessible to the general public.

Keeping Pace

Method

The method chosen was to placeselected resources (books – web sites)in the public library system to give easyaccess to information regarding stroke

Keeping Pace

Background

Why Stroke? Why Grey and Bruce? Why now?

Keeping Pace

Why Stroke?

Estimated that 4.1% of Canadians over 65 years of age (approximately 300,000 individuals) currently live with the effects of stroke.

Between 2000 and 2010, the number of strokes in Ontario will have increased by 9%.

Keeping Pace

Why Grey and Bruce?

In 2000-2001, 496 individuals were hospitalized for stroke or transient ischemic attacks in the Grey and Bruce counties. It is estimated that another 473 individuals had a stroke or transient ischemic attack but were not admitted to hospital.

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Why Grey and Bruce?

The population is more elderly than most areas

Many seniors live in rural area or hamlets

Public transport is essentially non-existent

Public libraries are wide spread, convenient and trusted.

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Why Grey and Bruce?

Grey Bruce Health Services was designated as a District Stroke Centre (DSC) for Grey and Bruce Counties in the spring of 2002. The District Stroke Centre is a component of the Ontario Stroke Strategy.

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District Stroke Centres

District Stroke Centres provide care to stroke patients at all points in the spectrum of stroke care – promotion, prevention, acute care, rehabilitation and “return to the community”.

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Stroke and Community

Increasingly the emphasis is on the return to the community and rehabilitation of the client in the community

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Healthy Living and Community

The successful uptake of healthy living concepts needs to be at the individual and community level.

Health information and motivational tools empower people to consider behaviour change to improve their health.

Keeping Pace

Why now?

Various programs have money and mandate!

Ontario Stroke System, Ministry of Health Promotion Ontario’s Rural Plan Active 2010 Regional Diabetes Program

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Budget

We received 3000$ and used it to purchase book sets which were placed in each of libraries.

The book titles: Stroke . A Comprehensive Guide to

“Brain Attacks” Stroke and the Family: A New Guide, 1st

Edition Stroke for Dummies

Keeping Pace

Health Prescription Project – The Journey Begins…The Original Proposal

Would allow individuals to access health information at their local library

Would allow health professionals to recommend credible information including websites to the individual.

Would allow consistency in the message

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Objectives To allow patients/clients to access appropriate stroke

and stroke prevention information close to home.

To assist the libraries in obtaining and dispensing appropriate information on stroke and stroke prevention both in print and on the web.

To ensure information dispensed is consistent and available across each community.

To strengthen the relationship between community libraries and DSC programs and GBHS Health Sciences Library

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Evidence

We decided to chose the information prescription approach on the basis of:

Literature Search Paediatric Experience Webinar with Don Buchanan following

his presentation at OLA Conference Internet use Library pedometer project

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Process

Discussion Paper and feedbackHealth Unit Expresses

Interest to Partner

First Contact Meeting

Information Packages

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Health Information Prescription

Activities: Develop the prescription Develop a relationship between GBHS

Health Sciences Library and the community libraries

Disseminate the books and prescriptions

Develop an evaluations framework

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The Prescription Instruction Suggested

Resources Special Requests Books Websites

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Statistics As yet no definite results. Hard to measure who is taking and using

the materials How does one measure the outcomes Sustainability

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Problems We needed to be mindful of time

stresses placed on the libraries\cataloguing - Record keeping

Communication Did the material fit within the

collections policy of the organizations?

Were we setting a precedent for other groups?

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Falling into Step

ResourceExchange

Library Pedometer Project

Stepping out on the Bruce Trail Project

Health Information Prescription Project

Collaborated with 2 other projects to form

Grey Bruce Rural Community Partnership for Resource Exchange for Healthy Living

Keeping Pace

Stepping Out on the Bruce Trail

Keeping Pace

Stepping Out on the Bruce Trail Virtual Walk of the

Bruce Trail 480 km End to End 10,000 steps = 8

km Two months to

complete Competition and

prizes

Keeping Pace

Stepping Out on the Bruce Trail

Pilot just finished Two school boards and the Dental

Association 1,300 people participated Now expanded to the public and

workplaces As of Friday – 500 teams of 4 people

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Time lines

Phase I (May 2005 to January 2006)

Local Program Assessment Phase II (February to October 2006)

Incorporation of EvidenceDevelopment of Evaluation Protocol

Phase III (November 2006 to March 2007)

Implementation

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Outcomes Increased use of motivational tools to

improve physical activity Increase in number residents using

community partners for health information. Strengthened relationships with community

partners Increased community responsibility for

healthy living Increase in number of participating

community partners

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Conclusion

When you change your attitude,You change your behaviour.

When you change your behaviour,You change your performance.

When you change your performance,

You change your life!

,

Keeping Pace

Questions?

Keeping Pace

PresentersKeeping PaceMary Solomon, Grey Bruce District Stroke Centre

Coordinator, Grey Bruce Health Services, Owen Soundmsolomon@gbhs.on.ca

Lynda Bumstead, RDProgram Manager Chronic Disease

PreventionGrey Bruce Health Unit, Owen Soundlbumstead@publichealthgreybruce.on.ca

Elyse Pike, Health Sciences LibrarianGrey Bruce Health Services, Owen SoundLibrary@gbhs.on.ca