TRIHPP A knowledge translation experience

from a health survey to on-going action

Beatrice McDonough, BScN, MScN, MSc, PhD(c) ; Ricardo Angeles, MD, MPH, MHPEd; Lisa Dolovich, BScPhm, PharmD MSc; Michelle Howard, PhD; John Riva, BA, DC; Francine Marzanek, BSc, BEd; Helen Qian, BHSc, Kiska Colwill, BSc Pharm RPh

Funded by CIHR Catalyst Grant

Trillium Primary Care Research Conference, June 6, 2012

Objectives

• To describe the integrated knowledge translation activities + participatory research approach of the Truckers Research for Innovative Health Promotion Programs (TRIHPP) group

Why Truckers?

Men 2006 Employment 2001 to 2006 Employment Change

Retail salespersons and sales clerks 285,800 63,600

Truck drivers 276,200 40,900

Retail trade managers 192,200 -8,100

Janitors, caretakers and building superintendents

154,100 18,800

Farmers and farm managers 147,800 -21,200

Material handlers 147,000 13,900

Automotive service technicians, truck and bus mechanics and mechanical repairers

143,000 20,400

Carpenters 142,400 32,900

Construction trades helpers and labourers 133,600 47,500

Sales, marketing and advertising managers 102,600 10,200

Most prevalent occupations for men in Canada , 2006

Sources: Statistics Canada, censuses of population, 2001 and 2006.

Why Truckers?• Trucking industry plays a major role in the Canadian economy

• Occupation with highest lost time injury in Ontario (WSIB 2006)

• Truck drivers have higher than average health risks and poorer than average lifestyle behaviours, in large part due to the working environment

• Trucking Association of America (2007) health screening study– 49% were obese, 39 % were overweight and 31% had high

blood pressure.• Some health issues (e.g. BP, Diabetes, sleep apnea, stroke) can

limit driver’s ability to work

• No Canadian data on prevalence of risks to inform programs and strategies

Need for Integrated KT in Trucker Research

• Few/no connections between the industry and research• Complex industry, contracted drivers, little systematic support for drivers beyond Occupational

Health and Safety at company• Challenging workplace conditions• Difficult to reach/engage participants• Research cannot be relevant without input from industry

Participatory Research ~ Integrated KT Link

Participatory Research (PR)“The systematic enquiry, with the collaboration of those affected by the issue being studied, for the purpose of education and taking action or effecting social change.”

Integrated Knowledge Translation (IKT)A collaborative way of doing research. The action-oriented co- production of knowledge engaging researchers and stakeholders (knowledge users) of the research results. Involves integrating stakeholders into the entire research process study.

From Participatory Research At McGill University (PRAM)- J. Salsberg, A. McCauley, 2008 http://pram.mcgill.ca/i/PRAM-IKT-Salsberg-CIHR-summer-inst-june2008-24july08.pdf

Centers of Disease Control, Atlanta GA, Institute of Medicine, USA, and The Royal Society of Canada Study of Participatory Research in Health Promotion 1995. - Green LW, George MA, Daniel M, Frankish CJ, Herbert CP, Bowie WR, O'Neill M.

Adapted from http://www.cihr-irsc.gc.ca/e/33747.html; Knowledge Translation at CIHR - Dr. Ian D Graham; February 28 , 2007

K2A cycle

Our research phase

Identifying issues-needs assessment

CIHR Funded Meetings

Setting the stage to:

•Adapt knowledge to local context

•Assess barriers to knowledge use

•Select/tailor implementation

Objectives: to bring together stakeholders from multiple sectors and disseminate survey results, start discussions, engage a group to continue advising research

Meeting Participants

Meeting accomplishments

Continuing work informed by partners and design team

– Website developed – www.transporthealth.ca– Tailored targeted health literacy – Behind the Grille– Customer survey development– Knowledge Transfer sessions with collaborators- IWH, WSIB– Collaborative integrated workplace wellness research projects

explored

Action Directions