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Public Health Agency of Canada | Agence de la santé publique du Canada How Age-Friendly is your community? Developing indicators to measure Age- Friendliness Dr. Heather Orpana Public Health Agency of Canada

Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

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Page 1: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

How Age-Friendly is your community?

Developing indicators to measure Age- Friendliness

Dr. Heather OrpanaPublic Health Agency of Canada

Page 2: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Acknowledgements• AFC Team and colleagues at PHAC: Cathy Bennett,

Mitulika Chawla, Marie-Lynne Foucault, Maggie Linton, Kathie Paddock, Drs Louise Plouffe & Arne Stinchcombe

• Age-Friendly Communities Reference Group• Contractors: Drs Elaine Gallagher, Dawn Nickel,

Denise Cloutier Fisher, Danielle Maltais– Activity One: Environmental Scan and Document

Review – Age-Friendly Communities (AFC) Outcome Indicators

• All the communities who have committed to becoming Age-Friendly!

Page 3: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

The AFC Story• Healthy Aging in Canada:

A New Vision, A Vital Investment

• WHO Age-Friendly Cities Project

• Age-Friendly Rural/Remote Communities Initiative

Page 4: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Age-Friendly Communities in Canada

33

38

328

30

8586

v. May 2012

Over 600 AFCs in Canada

Page 5: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Why an Outcome Indicators Project?

• AFC Milestones– Council resolution to embark on an AFC initiative;– Establishment of an advisory committee (with

active engagement of seniors);– Development of an action plan;– Public posting of the action plan;– Commitment to measuring activities and

reporting publicly on action plan outcomes (e.g., ongoing or every 3-5 years).

Page 6: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Current activities• Goal – a coherent set of outcome indicators that

communities can chose from based on their specific activities related to becoming Age-Friendly

• 1 year project to develop, categorize and prioritize a set of outcome indicators for Age-Friendly Communities in Canada

• Literature review and environmental scan• Stakeholder consultations• Categorization and prioritization process

Page 7: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

AFC Domains

• Outdoor spaces and buildings• Transportation• Housing• Social participation• Respect and social inclusion• Civic participation employment• Communication and information• Community support and health services

Page 8: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Example of potential indicators• Outdoor spaces and

building– “Proportion of housing

within walking distance (500 m [550yd.]) of public transportation”

– “Average distance between pedestrian resting places (for example, benches) along sidewalks”

Public Health Agency of Canada | Agence de la santé publique du Canada

Source: Canada Mortgage and Housing Corporation. (2008). Community indicators for an aging population. p. 3.

Page 9: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Example of potential indicators• Social Participation

– “Proportion of residents 65 years old or older who engage in social activities at least once a week.”

– “Proportion of residents 65 years old or older who are able to access a dedicated senior centre or other place of interest”

Public Health Agency of Canada | Agence de la santé publique du Canada

Source: Canada Mortgage and Housing Corporation. (2008). Community indicators for an aging population. p. 4

Page 10: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Promising indications

• Increasing interest in the topic by provinces, municipalities and NGOs

• Increasing number of Canadian researchers focussing on AFC– http://www.cagacg.ca/ Resources / Age-Friendly

Communities• WHO Community of Practice on Outcome

Indicators

Page 11: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

“In spite of geographic and other diverse variations across the country and internationally, it was remarkable the extent to which agreement and convergence of issues emerged.” (Gallagher, 2012, p. 4)

Public Health Agency of Canada | Agence de la santé publique du Canada

Source: Gallagher, E. (2012). Environmental Scan and Document Review. Gerotech Research Associates.

Page 12: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Challenges• Great diversity of communities across Canada: One

size does not fit all• Varying evaluation capacity in communities• Overwhelming number of potential indicators• Some domains are better developed than others• A variety of methods and data may be desired

– Qualitative/quantitative, primary/secondary data, administrative data, etc.

• Some data are not readily available

Page 13: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Conclusions• The Age-Friendly Initiative has seen increasing

attention over recent years in both Canada and globally

• High interest in developing ways to measure progress towards becoming age-friendly is increasing as communities have progressed in implementing their plans

• Number of challenges in measuring progress towards outcomes

• PHAC looks forward to providing leadership and support in this area of indicator development

Page 14: Developing indicators to measure Age- Friendliness …resources.cpha.ca/CPHA/Conf/Data/2012/A12-477e.pdf · Developing indicators to measure Age- Friendliness. Dr. Heather Orpana

Public Health Agency of Canada | Agence de la santé publique du Canada

Contact Information

Heather Orpana, PhDDivision of Aging and SeniorsPublic Health Agency of [email protected]