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   Aboriginal Tobacco Strategy

                                 Development and Results
                                 of a Pilot Course on
                                 Commercial Tobacco
                                 Cessation Interventions
                                 with First Nations and
                                 Métis Peoples

                                 NAHO National Conference
                                 Ottawa, Ontario
                                 November 24-26, 2009
                                 Marilyn Herie, PhD, RSW
Roadmap

    •   What is TEACH?
    •   Overview of Specialty Course
    •   Course development process
    •   Evaluation results
    •   Lessons learned




2
The
    TEACH
    Project




3
The TEACH Project
    (Training Enhancement in Applied Cessation Counselling and Health)

    •   A knowledge translation (KT) project designed
        to build capacity for cessation programs
    •   40 hour certificate Program accredited by
        University of Toronto, Faculty of Medicine
    •   Community of Practice follow-up to training
    •   Open to health/community workers from all
        disciplines
    •   2000+ course participants since 2006


4
Overview of TEACH Certificate Program

  Application              Accept
                          Application

   Declined               Complete
  application                                           U of T
                            OTRU
                                                       Certificate
                         online course
 Refer to minimal
contact intervention     Attend Core
      training              Course
                       (& Learning Assessments)



                       Attend Specialty           Join Community
                           Course
                       (& Learning Assessments)
                                                     of Practice
Tobacco Interventions with
               Aboriginal Peoples

    •   2-day Specialty Course
         – Certificate in Intensive
          Cessation Counselling


    •   Piloted May 28 – 29,
        2009, Toronto




6
Course Faculty
•   Nicole Brisson, De dwa da dehs nye>s Aboriginal Health Centre,
    Hamilton
•   Hillary Connolly, CAMH TEACH Project
•   Jeff D’Hondt, Aboriginal Service, CAMH
•   Kevin Fitzmaurice, Native Studies Dept. University of Sudbury
•   Ghislaine Goudreau, Sudbury and District Health Unit and
    Laurentian University
•   Elder Vern Harper, CAMH
•   Allan Pelletier, De dwa da dehs nye>s Aboriginal Health Centre,
    Hamilton
•   Richard San Cartier, North Shore Tribal Council
•   Peter Selby, CAMH and University of Toronto
•   Sasha Sky, Thunder Bay District Health Unit
•   Brian Slegers, St. Joseph’s Hospital Sudbury and Rainbow District
    School Board
•   Senator Roland St. Germain, Elder, Métis Nation of Ontario
Course Content
    •   Smudging and opening prayer (Elder Vern Harper)
    •   Social determinants of health
    •   Tobacco interventions with youth; youth panel
    •   Legal and political framework
    •   Promising practices & examples
    •   Diabetes and tobacco use
    •   Barriers & enablers to practice change
    •   Drumming circle
    •   Closing prayer (Elder Harper)


8
How did we get there?
    •   Participatory research (Schnarch, 2004)

    •   Community-based research (Shannon et al. 2007)

    •   OCAP principles (First Nations Centre, 2007)

    •   Apply  knowledge translation of
        educational practices
                         (Masching, Allard and Prentice 2006)




9
Planning Group            Collaborative Network

       Needs Identification
                                    OTRU Conference
                                 Curriculum Working Group

     Curriculum Development
                                 Bi-weekly Teleconferences
                                  Core Course Meeting
                                    Engagement Group

     Promotion & Applications
                                  “Snowball” Promotion
                                    CWG Partnerships

         Course Offering            Specialty Course
                                 ApplicationReview
                                      Group Monitoring
                                   Evaluation: 4.7 / 5
                                           2 days
                                 Learning Assessments
            Evaluation              160+ participants;
                                        Final 2, 3)
                                           (1, Edits
                                       8 facilitators;
                                        Evaluations
                                     2 elders; 5 youth
     Implementation of Results   Open-Access Resources
                                 (Formative; Summative)



10
Lessons Learned
     •   Time
         – Build relationships
         – Large planning group = slow process
     •   Flexibility
         – Range of commitment
         – Create and maintain space
         for differing ideas
     •   FN-centred
         – How to engage Métis and
         Inuit planners?



11
Thank you!




     Marilyn Herie (marilyn_herie@camh.net)
              www.teachproject.ca
12
www.teachproject.ca




13

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Development and Results of a Pilot Course on Commercial Tobacco Cessation Interventions with First Nations and Métis Peoples

  • 1. Image c/o Cancer Care Ontario Aboriginal Tobacco Strategy Development and Results of a Pilot Course on Commercial Tobacco Cessation Interventions with First Nations and Métis Peoples NAHO National Conference Ottawa, Ontario November 24-26, 2009 Marilyn Herie, PhD, RSW
  • 2. Roadmap • What is TEACH? • Overview of Specialty Course • Course development process • Evaluation results • Lessons learned 2
  • 3. The TEACH Project 3
  • 4. The TEACH Project (Training Enhancement in Applied Cessation Counselling and Health) • A knowledge translation (KT) project designed to build capacity for cessation programs • 40 hour certificate Program accredited by University of Toronto, Faculty of Medicine • Community of Practice follow-up to training • Open to health/community workers from all disciplines • 2000+ course participants since 2006 4
  • 5. Overview of TEACH Certificate Program Application Accept Application Declined Complete application U of T OTRU Certificate online course Refer to minimal contact intervention Attend Core training Course (& Learning Assessments) Attend Specialty Join Community Course (& Learning Assessments) of Practice
  • 6. Tobacco Interventions with Aboriginal Peoples • 2-day Specialty Course – Certificate in Intensive Cessation Counselling • Piloted May 28 – 29, 2009, Toronto 6
  • 7. Course Faculty • Nicole Brisson, De dwa da dehs nye>s Aboriginal Health Centre, Hamilton • Hillary Connolly, CAMH TEACH Project • Jeff D’Hondt, Aboriginal Service, CAMH • Kevin Fitzmaurice, Native Studies Dept. University of Sudbury • Ghislaine Goudreau, Sudbury and District Health Unit and Laurentian University • Elder Vern Harper, CAMH • Allan Pelletier, De dwa da dehs nye>s Aboriginal Health Centre, Hamilton • Richard San Cartier, North Shore Tribal Council • Peter Selby, CAMH and University of Toronto • Sasha Sky, Thunder Bay District Health Unit • Brian Slegers, St. Joseph’s Hospital Sudbury and Rainbow District School Board • Senator Roland St. Germain, Elder, Métis Nation of Ontario
  • 8. Course Content • Smudging and opening prayer (Elder Vern Harper) • Social determinants of health • Tobacco interventions with youth; youth panel • Legal and political framework • Promising practices & examples • Diabetes and tobacco use • Barriers & enablers to practice change • Drumming circle • Closing prayer (Elder Harper) 8
  • 9. How did we get there? • Participatory research (Schnarch, 2004) • Community-based research (Shannon et al. 2007) • OCAP principles (First Nations Centre, 2007) • Apply  knowledge translation of educational practices (Masching, Allard and Prentice 2006) 9
  • 10. Planning Group Collaborative Network Needs Identification OTRU Conference Curriculum Working Group Curriculum Development Bi-weekly Teleconferences Core Course Meeting Engagement Group Promotion & Applications “Snowball” Promotion CWG Partnerships Course Offering Specialty Course ApplicationReview Group Monitoring Evaluation: 4.7 / 5 2 days Learning Assessments Evaluation 160+ participants; Final 2, 3) (1, Edits 8 facilitators; Evaluations 2 elders; 5 youth Implementation of Results Open-Access Resources (Formative; Summative) 10
  • 11. Lessons Learned • Time – Build relationships – Large planning group = slow process • Flexibility – Range of commitment – Create and maintain space for differing ideas • FN-centred – How to engage Métis and Inuit planners? 11
  • 12. Thank you! Marilyn Herie (marilyn_herie@camh.net) www.teachproject.ca 12