Arts Based Translation of Health Research / Application par les arts de la recherche en santé

By day David Phipps (@researchimpact ; @mobilemobilizer) is a knowledge mobilization professional. In the evenings and weekends David is a student in the adult program of Canada’s National Ballet School (@DavidBallet). On April 20, those two identities collided when Canada’s National Ballet School (NBS) hosted a knowledge translation workshop http://www.nbs-enb.ca/Sharing-Dance/Sharing-Dance-Programs/Dance-Classes-for-People-with-Parkinson-s/Translating-Knowledge-Into-Action

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I’m a researcher, why do I blog? / Je suis un chercheur, qu’est-ce que je fais ici à bloguer?

Will Gage, Associate Dean, Research & Innovation, Faculty of Health, York University This week's blog post is a guest post from Dr. Will Gage. Dr. Gage is the Associate Dean, Research & Innovation in the Faculty of Health at York University the owner of the blog Don't Fall, which shares on falls prevention

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Small steps towards a big problem: Addressing the social determinants of health at the community level

David Phipps (ResearchImpact, York) wrote the following guest blog post for “Health Policiesabout a new initiative with UWYR that is focused on community solutions for community health challenges arising from the social determinants of health.

Health isn’t a problem.  Not being healthy is a wicked problem.  Wicked problems are persistent social problems characterized (among other things) by:

  • Lack of clarity on all stakeholders associated with the problem
  • Lack of clarity on the causes of the problems
  • Lack of clarity on end points and outcomes
  • Interventions change the nature of the wicked problem challenging evaluation

Social determinants of health (SDOH) are wicked problems.

There is an increasing amount of attention paid to SDOH at the international, national and local levels:

  • International: The World Health Organization recently released the technical paper for the World Conference on Social Determinants of Health to be held in Rio de Janeiro in October 2011.
  • National: National Collaborating Centre for Determinants of Health (NCCDH) is one of six NCCs funded by the Public Health Agency of Canada (PHAC). In 2010 it released an environmental scan of the role of public health agencies in supporting policy responses to social determinants of health in Canada.
  • Local: On June 22 York Region’s Human Services Planning Board release their report, Making Ends Meet which identifies poverty and income insecurity as the single human service priority for York Region.  Health indicators and outcomes are included in the planning.

But how do you tackle such large, wicked problems.  According to WHO Commission on Social Determinants of Health, all you need to do is:

  1. Improve living conditions
  2. Tackle inequitable distribution of power, money and resources
  3. Measure and understand the problem and assess the impact of action.

I’ll get right on that. I’ll also get right on solving the upstream political issues underlying SDOH that were pointed out in a previous Healthy Policies blog.

NOT (and therein lies the problem – where do you start with a wicked problem like SDOH?)

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What determines your health? / Qu’est-ce qui détermine votre santé?

By David Phipps (ResearchImpact, York)

A KM in the AM on social determinants of health brought consensus on the challenge but fell short of imagining solutions. At ResearchImpact-York we will continue this dialogue to try to nudge the discussion forward. What will you do?

La dernière matinée de mobilisation des connaissances (KM in the AM) portant sur les déterminants sociaux de la santé a permis d’arriver à un consensus concernant les défis, mais n’a pu dégager clairement des pistes de solution partagées. Chez ResearchImpact – York, nous poursuivrons le dialogue afin de faire avancer la discussions. Et vous, qu’allez-vous faire?

Denis Raphael (School of Health Policy and Management, York University has written, “the primary factors that shape the health and well-being of Canadians – the factors that will give us longer, better lives – are to be found in the actual living conditions that Canadians experience on a daily basis.” WHO defines these conditions as social determinants of health (SDOH), “the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. The SDOH are mostly responsible for health inequities.” On April 12, ResearchImpact-York hosted a KM in the AM on social determinants of health (SDOH). Part of our suite of KMb services, KM in the AM is a monthly breakfast meeting where university researchers and non-academic stakeholders exchange information and sow the seeds of future collaborations.

Mina Singh and Beryl Pilkington from York’s School of Nursing presented along with Carolyn Mooi from the Heart & Stroke Foundation and Nicky Wright from the York Region District School Board. The presentations kicked off a discussion among the 18 attendees from community and municipal agencies and throughout York Region. Discussion (and there was plenty) focused on the health outcomes related to SDOH: immigration, poverty, homelessness, disability, seniors with people experiencing increased health challenges when more than one of these SDOH intersect. Everyone in the room could speak to the challenges but few were moving to solutions. Local solutions like Mississauga’s investment in community fitness program like Pilates were cited as one example. Nicky charged us to go home and help one person that evening illustrating that we all bear responsibly for being part of the solution. 

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Social Inclusion for Health and Well Being in Program Evaluation – Thursday, April 30

The York Institute of Health Research led a dynamic and participatory conference that drew a capacity audience of almost 100 registrants. Supported by the Ministry of Research and Innvoaiton and York University, YIHR is home to an emerging Evaluation Unit that will be offering evaluation services and capacity building.

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Social Inclusion for Health and Well Being in Program Evaluation – April 30

York Institute for Health Research (YIHR) Social Inclusion for Health and Well Being in Program Evaluation Thursday April 30, 2009, 8:30am-5:00pm, York University The York Institute for Health Research is hosting a full-day workshop on program evaluation and social inclusion to launch their a program eavluation centre. The day includes a keynote address

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