Objectives: Increase physical activity among all populations to improve health and reduce chronic disease.
evelopment.
Increase the level of physical activity among children and youth for optimal growth and d
Main Components Implementation Objectives (Best Practices) Outputs Linking Constructs Short-term Outcomes
Long-term Outcomes
Advocacy and Public Policy
• Model healthy physical activity within the health authority.
Encourage and promote physical activity policies and progra
• ms to decisio
makers.
Promote positive public support for physical activity through the media and othe public forums.
• Advocate with municipal councils and planners for neighbourhood designs that facilitate healthy physical activities.
• Proactively support access to physical activity opportunities for individuals in need, particularly marginalized groups, through one-on-one advocacy.
• Meetings and
Awareness and Social encourage/assist them in integrating physical activity into client/patient services.
• Information and educational materials.
or health
•
• I e
• Increased physical activity programs for children in schools and child care centres.
• Provide educational resources targeted to key professional groups to
• Collaborate with major sectors such as the school system and child care centres to enhance their knowledge/ability to provide physical activity programs to children.
Develop targeted educational strategies for specific priority popul
• ations and key
settings (e.g., workplaces, populations with chronic disease or at-risk of chronic disease).
• Develop a promotion plan to shift attitudes and behaviours.
• Workshops f professionals.
Training for teachers and child care workers.
• Social marketing campaigns.
ncreased knowledg of, and support for, physical activity among
Community Capacity nicipal
cal
• ps and sectors to
• g partners on best practices, technical advice
Workshops.
its.
•
• Increased community
• I llaboration
y.
• Enhanced
n Building
• Facilitate the education, training and support for local organizations (mu councils, schools, worksites, recreation centres) to plan and organize physi activity initiatives.
Encourage an integrated approach among key community grou
develop a comprehensive community needs assessment and action plan.
Facilitate information exchange amon
and other assistance to assist communities in the planning process.
•
• ellness programs that
integrate physical activity, for the health authority and other organizations.
• Coordinate, promote and enable the integration of physical activity initiatives into other relevant health care programs.
• Collaborate with community organizations in delivering targeted programs for priority groups (e.g., children with special needs, chronic disease patients, Aboriginal people, those with low socio-economic status, seniors, etc.).
•
networks implement plans and programs.
• Resource materials.
• Standards and indicators..
• Increased community access to wellness programs that include physical activity.
• Increased opportunities for at-risk groups. Develop and promote effective evidence-based employee w Partnerships and
A
PP RCES OFD
ATA FORH
EALTHYL
IVINGI
NDICATORSTable 1: General Indicators for Healthy Living Surveillance and Monitoring
i Canadian lth Survey provides data on an HSDA level.
ii Prevale vailable from Canadian Community Health Survey on an HSDA and health authority level, by
iii Preval structive Pulmonary Disease is available from the Canadian Community Health Survey on a hea
iv The BC Cancer Agency can generate prevalence data (number of existing cancer cases in the population in a time period) on a health a rity level, on request. Incidence data (the number of new cancer cases in a time period) is available fr r Agency website, www.bccancer.bc.ca
Commun
om the BC Cance (in the Health Professionals Information
section, under Cancer Statistics, Facts and Figures, Regional Statistics).
v Prevalenc ht and obesity is provided by Canadian Community Health Survey on a HSDA and health authority le nual basis.
vi Provin a ailable from Canadian Community Health Survey, cycle 2.2 (Nutrition Survey), every 5 years. A di stic fields in the Ministry of Health hospital and Medical Services Plan data would provide crude es th authority level.
vii See B y data, as noted in iii. Above.
viii See B data, as noted above.
ix Preval and obesity is provided by CCHS (cycle 2.1) on a HSDA and health authority level, on a biannual
Population Health and Wellness, Ministry of Health Page 56
only on a provincial level. It is used as the preferred source where it does provide information on a health authority level.
The Canadian Community Health Survey (CCHS) is a large survey, which in some cases is the only source of data on a hea l
nadia se Surve s sed on a relatively
pl alid on a
na Health Survey (NPHS) also gathers considerable data on at s. It is a gitudin tu that began in 1994/1995, and is conducted on nual basis. Because of the dimin size of the respondent gro it does not
a complete r trends, especially among y g p le
AT on smoking patterns; however, much of i
lth au
x bo usage data is available from the QuitNow program on a health authority level.
QuitN
is availab the QuitNow program on a health ority level.
As a
Table for Tobacco Use – Surveillance
xvii Smok es are collected monthly by BC Stats from the Community Health Education and Social Services Daily and occasional smokers are groups together in the survey results as “current smokers survey refers only to cigarette smoking. Health authorities will need to identify baseline as a ba or determining specific goals and measuring changes over time.
xviii BC STATS CHESS survey records 12-month rolling averages for the age of initiation for youth smokers, on a health auth
xix Canad Health Survey (CCHS) data is the only current source for cessation rates on a health authority is working to develop this data). CCHS is conducted through a telephone survey. HAs will need data to determine the current level of cessation in their area.
xx BC ST nformation from its CHESS Survey, on a health authority level.
xxi The S ing- table Mortality (SAM) rate is derived by the BC Ministry of Health, Vital Statistics Agency by calculating portion of SAM to the total number of deaths. The data is available in BC Vital Statistics Annual Repor
4: Indic
ing prevale (CHESS) S
”. Tobacco data
ators
nce rat urvey.
use in the sis f
ority le ian Com level (B to gathe ATS gat mok
vel.
mu C S r b her Att
nity TATS aseline s this i ribu the pro ts.
Population Health and Wellness, Ministry of Health Page 58
HEALTHY EATING
Table 5: Indicators for Healthy Eating
plan” is a formal policy / plan which focuses on increasing access to e
iii A baseline survey conducted by Ministry of Education in Spring 2005, will be conducted periodically (possibly
ve appropriate goals over time.
hether targeted programs for priority
http://www.dialadietitian.com
xxii A “healthy food policy and action
nutritional n eds, food security, and healthy weights.
xx
annually) to collect this information.
xxiv PHSA is gathering information on the Number of municipalities and regions with healthy food policies, on an annual basis.
xxv A health authority survey instrument would be required to gather baseline data, and then, to determine reasonable performance targets to achie
xxvi A survey of programs within the health authority will be required to estimate the Percentage of employees who have access to an employee wellness program that incorporates healthy eating.
xxvii A review of health authority programs will be required to determine w populations are provided.
xxviii The provincial Dial-A-Dietitian ( ) program collects data on the number of calls,
n a semi-annual basis (October and May), by region.
Canadian Community Health Survey collects information on fruit and vegetable consumption; sample size is l.
el in health authorities.
xi Health authority income levels may be identified from Statistics Canada Low-Income Cutoff Data.
xxxii Provincial level data only is available; it is gathered and published annually in The Cost of Eating in BC, published by the Dietitians of Canada, BC Region and the Community Nutritionists Council of BC.
xxxiii Canadian Community Health Survey collects this food security data biannually; sample size is meaningful to a sub-regional level in health authorities. CCHS collects the data for both children over 12, and for adults.
o
able 6: Indicators for Healthy Eating – Surveillance T
ix xx
meaningful on a HSDA and health authority leve
xxx The Canadian Community Health Survey collects this information biannually; sample size is meaningful to a sub-regional lev
xx
PHYSICAL ACTIVITY
Table 7: Indicators for Physical Ac
xxxiv tivity
A su targ to
xxxv BC N by Ministry of Health, Health Canada, and the University
of British Columbia.
xxxvi Data BCRPA website
(www.bc
rvey instrument would be required to gather baseline data, and then, to determine reasonable performance ets achieve appropriate goals over time.
utrition Survey, conducted on an irregular basis
(updated monthly) on ActNowBC “active communities” is available from rpa.bc.ca)
xxxvii at
individuD a available on “Action Schools” (a best practice model to assist BC elementary schools in creating actionschoolsbc.ca alized school action plans to promote physical activity) website, www. . Statistics are updat d
Table 8
xxxviii Can evel.
e monthly on a provincial and HSDA level are provided.
: Indicators for Physical Activity – Surveillance
adian Community Health Survey provides data on an HSDA level and health authority l