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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
Keeping Pace
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
Keeping Pace
Library Pedometer Program
Enhancements Increase number of pedometers to
decrease waiting time Libraries becoming informed health
information hubs
Keeping Pace
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.
Keeping Pace
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.
Keeping Pace
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.
Keeping Pace
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”.
Keeping Pace
Stroke and Community
Increasingly the emphasis is on the return to the community and rehabilitation of the client in the community
Keeping Pace
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
Keeping Pace
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
Keeping Pace
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
Keeping Pace
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
Keeping Pace
Process
Discussion Paper and feedbackHealth Unit Expresses
Interest to Partner
First Contact Meeting
Information Packages
Keeping Pace
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
Keeping Pace
The Prescription Instruction Suggested
Resources Special Requests Books Websites
Keeping Pace
Statistics As yet no definite results. Hard to measure who is taking and using
the materials How does one measure the outcomes Sustainability
Keeping Pace
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?
Keeping Pace
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
Keeping Pace
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
Keeping Pace
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
Keeping Pace
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 [email protected]
Lynda Bumstead, RDProgram Manager Chronic Disease
PreventionGrey Bruce Health Unit, Owen [email protected]
Elyse Pike, Health Sciences LibrarianGrey Bruce Health Services, Owen [email protected]