The framework project of the Advisory Committee on Cancer Control (ACOCC), National Cancer Institute of Canada (NCIC), was based on the NCIC/ACOCC conceptual framework for bridging the gap between research and action. The project was carried out under the auspices of the Sociobehavioural Cancer Research Network (SCRN) of the NCIC. It focused on 3 research areas of cancer control research: smoking control, palliative care and screening for breast cancer. In this introductory paper, the criteria and methodology used for the framework project are described, the main features of the framework are outlined and the definitions of terms used in the framework are summarized. It was expected that the framework project would lead to a better understanding of the strengths and weaknesses of the NCIC/ACOCC conceptual framework. The project was also expected to assist the SCRN in its ongoing efforts to develop and refine an action-oriented research agenda.
This article describes the collaborative efforts of the Sitka Turning Point Towards Health partnership in Sitka, Alaska. Key steps to its success include defining our terms, finding consensus, maintaining an attitude of respect, engaging people--building relationships, creating work groups, sharing leadership, committing to collaborative leadership, building in sustainability, and telling our story. We have chosen to interlace a weaving metaphor to reflect our Alaskan Native American culture and the vision of our partnership.
Comment In: J Public Health Manag Pract. 2002 Jan;8(1):34-511789035
Comment In: J Public Health Manag Pract. 2002 Jan;8(1):36-811789036
Since the beginning of the 1970s, the province of Quebec has undergone a major reform of its health and social services system. Following this reform, the state has become a major protagonist, and the participation of the population is a built-in element in the system, guaranteed by law. Now, about 20 years later, there is a major effort to reorganize health services, in the wake of a "dewelfarization" mood that has reached Canada and Quebec. This article reviews the successes and pitfalls of public participation in Quebec's health system, presents the way in which participation is dealt with in current reform proposals, and draws lessons for people in many countries who have recently been encouraged to jump onto the bandwagon of participation as a strategy to promote the health of populations.
Rapidly increasing enrollment in Canadian schools of nursing has triggered the development of innovative clinical placement sites. There are both opportunities and challenges inherent in the delivery of clinical nursing education in diverse community settings. As part of the Canadian Association of Schools of Nursing's (CASN) ongoing work to assist its members and ensure baccalaureate graduates are prepared to meet the Canadian Community Health Nursing Standards of Practice at an entry-to-practice level, the CASN Sub-Committee on Public Health (funded by the Public Health Agency of Canada) conducted extensive national consultations with representatives from both academic and practice settings, as well as key national organizations. The resultant Guidelines for Quality Community Health Nursing Clinical Placements, released by CASN in 2010, aim to provide direction to Canadian schools of nursing and practice settings in addressing the challenges and opportunities arising from the changing context of community health nursing student clinical placements.
The population in Canada and other developing countries is aging, increasing the need for palliative care services. In rural communities, care of dying people is normally provided by health care professionals as part of a generalist practice, not by palliative care specialists. Despite a lack of specialists and resources, some rural communities have developed local palliative care programs. The goal of this research was to conceptualize rural communities' process of developing palliative care programs using a theoretical perspective of community capacity development. Data were from nine focus groups of interdisciplinary rural health care providers who provided palliative care in seven provinces/territories of Canada. The outcome is a theoretical model that conceptualizes the process of developing palliative care programs in four sequential phases: antecedent community conditions, a catalyst, creating the team, and growing the program. The activities of each phase are outlined. This research offers practical and theoretical knowledge to guide practitioners and planners seeking to develop palliative care programs in other rural communities.
Health determinants are not only biology and genetic endowment, but also income and social status, education, employment and working conditions, physical environment, social support networks, healthy childhood development, health services and personal health practices and coping skills. Successful health promotion means working together with local and regional authorities and politicians in every administrative sector in firm cooperation with health education, health professionals and local residents. The project for developing health promotion knowledge in management and decision-making contributes to the requirements of partnership working.
A bylaw to regulate the contamination of the environment by tobacco smoke was introduced in the Capital Regional District, Victoria, British Columbia as of January 1st, 1991. This smoking control bylaw rigorously limits smoking in all public premises and restricts size, ventilation and location of designated smoking areas. As of January 1st, 1992 all workplaces in this area have become completely smoke-free. This paper describes the process of developing and implementing a municipal smoking control bylaw. Publicity is essential to raise awareness of the issue and to provide information. Engendering of political and public support and the adoption of an appropriate time line for introduction of the bylaw are also important components of the process. Legislation to control tobacco use has been shown to be an effective component of a comprehensive tobacco reduction strategy. Public health officials are urged to consider the implementation of similar policies to combat the health risks posed by environmental tobacco smoke.
We designed an obesity prevention intervention for American Indian families called Healthy Children, Strong Families using a participatory approach involving three Wisconsin tribes. Healthy Children, Strong Families promotes healthy eating and physical activity for preschool children and their caregivers while respecting each community's cultural and structural framework. Academic researchers, tribal wellness staff, and American Indian community mentors participated in development of the Healthy Children, Strong Families educational curriculum. The curriculum is based on social cognitive and family systems theories as well as on community eating and activity patterns with adaptation to American Indian cultural values. The curricular materials, which were delivered through a home-based mentoring model, have been successfully received and are being modified so that they can be tailored to individual family needs. The curriculum can serve as a nutrition and physical activity model for health educators that can be adapted for other American Indian preschool children and their families or as a model for development of a culturally specific curriculum.
University of Nebraska Medical Center, College of Public Health, Department of Health Promotion, Social and Behavioral Health, 984365 Nebraska Medical Center, Omaha, NE 68198-4365, USA. firstname.lastname@example.org