Midterm 2 Flashcards

1
Q

Active transportation - 1950s

A

one of the first studies that alerted us to the importance of physical activity on health → focus on comparing individuals in sedentary jobs w those in more active roles. It was this work that really focused attention on incidental PA and active transport. Ex: mail carriers had better health than office workers.

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2
Q

What was the US dept of health and human services

“step it up!”?

A

The surgeon general’s call to action to promote walking and walkable communities

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3
Q

Which model is the best fir for understanding AT related behaviors and why?

A

Social ecological model - identifies what factors are important for making AT feasible

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4
Q

Sectors involved in AT and how

A

Health: creates opportunities to promote PA on a regular basis
Social services: increases social interactions
Environmental: reduce greenhouse gas emissions, promotes lower carbon option
Economic: saves money on gas and parking, ways to boost the economy.

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5
Q

Health sector and AT: benefits, risks

A

Benefits:
- Overwhelmingly the literature indicates that AT positively impacts individual health outcomes. 30 min low intensity (walking) 5x per week incr life expectancy by 1.3-1.5 years. Cycling improves CV fitness more than walking and more cycling to work is sufficient in duration and intensity.
Individuals who use public transit walk more than those who drive, on average. People who commute by active models have significantly better indicators of fitness (particularly cardiovasc health). Data from national surveys show that countries with the highest levels of active transportation tend to have lower rates of obesity.
Ex: countries/places where biking is part of the culture - Amsterdam.
AT also reported to enhance social connectedness and sense of belonging. Encourages use of local infrastructure, community services, businesses - ex passing a coffee shop on daily commute. Also, kids who are out in their neighborhood interacting w neighbors build a sense of community in environment.
Risks:
- 3 main concerns: crashes and collisions (bike and pedestrian), exposure to air pollution (summer fires), personal safety and security (feeling safe during active travel). Can mitigate risks through public policies on consequences for running over pedestrians, speed limits etc

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6
Q

Environment and AT - benefits

A

Small form factors - requires a lot less space, consumes less land. Ex: how much space a car takes compared to a bike.
Clean transportation - walking/biking generates no emissions/pollutants, old diesel transit fleets being retrofitted with cleaner vehicles.
Air pollution - more people taking transit or walking → less congestion and less idling.

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7
Q

Economic sector and AT - 3 ideas for charging car use, and the main issue

A

1 Downtown core - high density areas: reducing nr of cars coming in - tax for every time a car enters DT area.
2 Focuses on bridges and bottleneck areas where congestion happens - potentially taxing those crossing the bridges.
3 Multiple congestion points - cheaper further out, costs more to drive in areas w more congestion
- issue: taxes people who already cannot afford to live in DT area - inequalities.

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8
Q

Increase in cycling in vancouver between2006/2016 - 21% increase in AT → why?

A

2010 olympics - more tourism, city built more infrastructure.
People started choosing AT due to congestion/parking cost since Vancouver became such a dense and expensive city → biking is more affordable.
People becoming more aware of climate change + environmental taxes for driving into DT core.

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9
Q

How can the city of Vancouver make cycling safe, convenient, and comfortable for residents of all ages and abilities (AAA)?

A

Creating bike lanes, and bike only infrastructure (AAA)
Bike to Work Week (11000 participated in 2017)
Green Transport Initiatives
Creation of Open Streets
Mobilizing bikes in workplaces (BCAS paramedics)
School active planning

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10
Q

Barriers to skateboarding

A

Safety - skaters themselves (perceptions of danger), fears of pedestrians and public
Negative attitudes - stigmatized
Still illegal in many communities
Lack of edu/awareness (where you can and cannot skate)
Topography and environment (climate)

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11
Q

3 health promotion strategies

A

1) enable - equal opportunities + access to resources. 2) mediate - coordinated action by multiple sectors. 3) advocate - favorable conditions.

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12
Q

Structure of HP research

A

gap in the research → research → knowledge mobilization → evaluation

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13
Q

Knowledge translation (KT) =

A

dynamic and iterative process that incl synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of canadians, provide more effective health services and products and strengthen the health care system

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14
Q

Knowledge mobilization (KMb) =

A

ensuring the right info is available to the right people at the right time and in the right format, so as to influence decision making

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15
Q

Knowledge creators vs users

A

Knowledge creators - individuals who create new knowledge (researchers). Knowledge users - individuals who use created knowledge (researchers, decision/policy makers, audience). New term is next user

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16
Q

HP strategies - traditional and innovative

A

Traditional:
- Publications: journal articles, guidelines, manuals, reports
- Conference presentations: verbal presentations, posters, symposia
Innovative:
- Text based: stories, narratives, fictional narratives, poetic representation
- Media based: SoMe, websites, online tools, ted talks, 3 min thesis competition
- Arts based: short film, interpretive dance, ethnodrama, visual art, musical performances
- Relationship oriented: community engagement, gatherings

17
Q

HP project 1 - 24 hr movement guidelines

A

wk 9

18
Q

HP project 2 - childrens independent mobility

A

wk 9

19
Q

HP project 3 - youth research

A

wk 9

20
Q

Psychopathology sxs

A

Internalizing symptoms
Thought disorders
Externalizing symptoms

21
Q

Keyes dual continual model

A

optimal mental health (flourishing) vs poor mental health (languishing)
serious mental illness vs no mental illness symptoms

22
Q

perma model (seligman, 2011)

  1. subjective well being aka flourishing
  2. people who flourish…
  3. PA: treatment and prevention
A
  1. Positive emotion - feeling good, fulfilled, content, feelings of hope
    Engagement - experience flow - absorbed into activities
    Relationships - feel authentic and meaningful connections with others
    Meaning - feelings of purpose, passion and motivation
    Achievement - feeling a sense of accomplishment/mastery
  2. Miss less time at work, more resilient to stressors, perform better in school, tend to take on leadership roles, engage in less risky behaviors → even with a diagnosed mental illness
  3. Exercise therapy programs appear to be as effective in treating MDD As other forms of psychotherapy - canadian guidelines now recommend exercise as a first line treatment for mild to moderate severity MDD
    Systematic review of 30 studies: moderate to vigorous PA is associated with a lower risk of developing depression
    Addresses physical comorbidities
23
Q

Bill 45 - healthy menu choices act

  • what is it
  • implications
  • criticism
A
  • mandated at provincial level that caloric count is included on menus.
  • Implications: over emphasis on individual responsibility for health outcomes. Being healthy is often associated w moral character
  • Criticism: not all calories are created equally, such perspectives ignore other important variables. Tensions within the discipline of sport and exercise (kin) when it comes to health and HP. common personal responsibility narrative.
24
Q

Implications of individualism culture → healthism

A

Tendency for health probs to be defined as individual problems related to the choices made by the individual.

25
Q

Characteristics of society influenced by healthism

A
  • Health as something to be achieved - blame those who are unhealthy and sick, market based solutions
  • Emphasis on self discipline , self denial and willpower
  • Emphasis on external appearance - fetishization of youthfulness, “looking healthy”
  • The body as a perpetual work in progress - something that can and should be optimized (for the sel fan others)
  • Mechanistic metaphors are really prevalent in sport and society
26
Q

Healthism diverts attention away from

A
  • Broader structural determinants of health and health related inequalities - demographics, access
  • Other hazards to health caused by external factors - generics, pollution; linked to neighborhoods
27
Q

Foundry - 5 HC streams

A

primary care, MH, peer support, social services, substance use support.

28
Q

Opportunity within service model =

A

explore how meaningful, non traditional, non clinical pro social and recreational activities impact the wellness of youth + the extent to which they encourage young people to connect with nature, each other and themselves.

29
Q

Wellness program objectives

A
  1. Improve the mental and and physical wellness of yourh thru meaningful recreational, creative or spiritual activities
  2. For young people who participate to develop emotional and social skills through involvement in wellness group activities.
30
Q

Evaluation =

A

systematic collection of info about activities, characteristics and results of programs → to make judgements, improve or develop program, inform decisions around future programs, increase understanding.

31
Q

Evaluation methods and topics/areas

A

Demographics - reaching the people we’re trying to reach?
Feedback on how the program is working.
Efficacy - how useful is it and did it help?
Participant retention
Surveys/questionnaires, interviews,

32
Q

Why is eval important?

A

Was the program implemented as intended? Were program objectives met? What went well, what could be done better? Expansion, funding, satisfaction + health outcomes. Program should have clear aims and measurable indicators.

33
Q

planning and eval guidance resources

A
  1. Frameworks and models to help guide planning and eval - precede-proceed and RE-AIM. 2: theory helps to understand concepts and ideas - diffusion of innovation theory, theoretical framework of acceptability.
34
Q

The wellness project =

A

wellness evaluation by four YPEs, one research and evaluation associate, one researcher. Used data from Foundrys internal system, online surveys and focus groups for young people, one on one interview with program staff.

35
Q

Youth peer evaluator =

A

involved throughout entire eval process, providing insights and making meaningful contributions as well as gaining eval skills and experience working in a team based approach. YPEs do training, prep focus group/interview guides, data collection ,coding and analysis.

36
Q

YPE functions

A

1 Professional and personal development for the YPEs
2 Brought youth perspectives and kept the focus on youth
3 Group process created opportunities for learning and growth for everyone on the team

37
Q

5 domains of wellness:

A

physical, social, emotional/mental, spiritual./cultural, cognitive or intellectual.

38
Q

Findings from eval:

A

1) wellness programs are having a positive impact on youth MH and wellbeing, 2) including young people as peer evaluators has been essential to eval and enhanced opportunity for growth and development.