How can tools like the Internet support changing complicated and complex behaviours like cigarette smoking? This presentation outlines the way an eHealth promotion strategy can help people quit smoking and prevent others from starting using illustrations from the Smoking Zine program developed by the Youth Voices Research Group at the University of Toronto
If you are in need of professional writing services for your upcoming Capstone design project; then all you need to do is contact us through our easy to use website. Let us know about your project, what you are looking for and when you need your proposal by. From there we will get to work for you and make sure that you are being matched with the right writer to deliver you the assistance that you are looking for.
More information on our website http://www.capstoneproject.net/
Population Health Management Telehealth Intervention Medical Research Treatin...CrimsonpublishersMedical
Population Health Management Telehealth Intervention Medical Research Treating Comorbid Clinical Obesity and Depression in Geriatric Patients Part One: Review of Tele-Medicine Scientific Research by Robelyn A Garcia in International Journal of Medical Sciences
HXR 2016: Which Comes First: Overeating or Obesity? -Dr. David Ludwig, Boston...HxRefactored
The conventional approach to weight loss, based on the calorie balance model, offers the simple advice, “eat less and move more.” Unfortunately, few people can maintain weight loss over the long term through calorie restriction because the body fights back, with rising hunger and slowing metabolism. An alternative approach to treatment aims to target the underlying driver of weight gain – fat cells overstimulated to hoard too many calories – leading to weight loss with less struggle.
If you are in need of professional writing services for your upcoming Capstone design project; then all you need to do is contact us through our easy to use website. Let us know about your project, what you are looking for and when you need your proposal by. From there we will get to work for you and make sure that you are being matched with the right writer to deliver you the assistance that you are looking for.
More information on our website http://www.capstoneproject.net/
Population Health Management Telehealth Intervention Medical Research Treatin...CrimsonpublishersMedical
Population Health Management Telehealth Intervention Medical Research Treating Comorbid Clinical Obesity and Depression in Geriatric Patients Part One: Review of Tele-Medicine Scientific Research by Robelyn A Garcia in International Journal of Medical Sciences
HXR 2016: Which Comes First: Overeating or Obesity? -Dr. David Ludwig, Boston...HxRefactored
The conventional approach to weight loss, based on the calorie balance model, offers the simple advice, “eat less and move more.” Unfortunately, few people can maintain weight loss over the long term through calorie restriction because the body fights back, with rising hunger and slowing metabolism. An alternative approach to treatment aims to target the underlying driver of weight gain – fat cells overstimulated to hoard too many calories – leading to weight loss with less struggle.
Physical activity and Successful agingSMVDCoN ,J&K
The single most effective means by which older adults can influence their own health and functional abilities and therefore, maintain a high quality in the old age.
This presentation describes what is new public health with adapted components from the previous eras of public health. Health promotion and evolution of public health is covered here.
Steven Steinhubl, MD
Director of Digital Medicine
Scripps Translational Science Institute
Clinical Cardiologist
Scripps Health
Read his full interview - http://bit.ly/1fg5rFz
View photos from the show -
iHT² Health IT Summit San Diego - “Medicine Unplugged: Bringing the Solution to the Problem through Mobile Medicine” with Steven Steinhubl, MD, Director of Digital Medicine, Scripps Translational Science Institute, Clinical Cardiologist, Scripps Health
Extraordinary advancements in mobile technology and connectivity over the last several decades have provided the foundation needed to dramatically change the way healthcare is currently practiced. While the utilization of mobile telecommunication technologies for the delivery of healthcare (mobile health, or mHealth), is still in its earliest stages of development, the evidence supporting its potential to impact the delivery of care, to improve outcomes and lower costs is apparent. For healthcare consumers, mHealth technologies can allow for the more convenient, rapid and personalized diagnosis of some of the most common acute symptomatic illnesses. In individuals with chronic medical conditions, who account for nearly 90% of healthcare spending, mHealth technologies can transform their care through improved monitoring, tracking, and engagement of critical biometrics during routine daily activities, not only in doctor’s offices. In addition, despite greatly empowering patients to better care for themselves, this transformation in care will actually reinforce the doctor-patient relationship by allowing physicians to re-establish their role as diagnostician and educator for their patients. mHealth technologies have the potential to radically change every aspect of the healthcare environment but clinical trial evidence of its overall benefit to the patient and the healthcare system are still needed.
Learning Objectives:
∙ Be able to incorporate mobile health technologies into current practice.
∙ Explain to patients and colleagues the current gaps in care that can be better managed with mobile technologies
∙ List 4 devices under development that may contribute to the re-engineering of healthcare in the future.
Physical activity and Successful agingSMVDCoN ,J&K
The single most effective means by which older adults can influence their own health and functional abilities and therefore, maintain a high quality in the old age.
This presentation describes what is new public health with adapted components from the previous eras of public health. Health promotion and evolution of public health is covered here.
Steven Steinhubl, MD
Director of Digital Medicine
Scripps Translational Science Institute
Clinical Cardiologist
Scripps Health
Read his full interview - http://bit.ly/1fg5rFz
View photos from the show -
iHT² Health IT Summit San Diego - “Medicine Unplugged: Bringing the Solution to the Problem through Mobile Medicine” with Steven Steinhubl, MD, Director of Digital Medicine, Scripps Translational Science Institute, Clinical Cardiologist, Scripps Health
Extraordinary advancements in mobile technology and connectivity over the last several decades have provided the foundation needed to dramatically change the way healthcare is currently practiced. While the utilization of mobile telecommunication technologies for the delivery of healthcare (mobile health, or mHealth), is still in its earliest stages of development, the evidence supporting its potential to impact the delivery of care, to improve outcomes and lower costs is apparent. For healthcare consumers, mHealth technologies can allow for the more convenient, rapid and personalized diagnosis of some of the most common acute symptomatic illnesses. In individuals with chronic medical conditions, who account for nearly 90% of healthcare spending, mHealth technologies can transform their care through improved monitoring, tracking, and engagement of critical biometrics during routine daily activities, not only in doctor’s offices. In addition, despite greatly empowering patients to better care for themselves, this transformation in care will actually reinforce the doctor-patient relationship by allowing physicians to re-establish their role as diagnostician and educator for their patients. mHealth technologies have the potential to radically change every aspect of the healthcare environment but clinical trial evidence of its overall benefit to the patient and the healthcare system are still needed.
Learning Objectives:
∙ Be able to incorporate mobile health technologies into current practice.
∙ Explain to patients and colleagues the current gaps in care that can be better managed with mobile technologies
∙ List 4 devices under development that may contribute to the re-engineering of healthcare in the future.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Medical Governance, Health Policy, and Health Sector Reform in the PhilippinesAlbert Domingo
Suggested citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines.” De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 27 Jun. 2014. Lecture.
Medical Governance and Health Policy in the PhilippinesAlbert Domingo
An overview of key concepts and present trends in medical governance, health policy, and health sector reform in the Philippines, presented by Dr. Albert Domingo at the De La Salle Health Sciences Institute - College of Medicine on Sep. 26, 2013 for the subject "Perspectives in Medicine".
Includes the broad concept of medical governance as applied to various settings, from the point of care between provider and client/patient, to national and global health systems. Also touches on the practice of evidence-based healthcare as applied to the scale-up of innovations necessary to accelerate reform implementation, with grounding in the operational realities of implementation arrangements faced by sector managers on a day-to-day basis.
Suggested Citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines: An Overview of Key Concepts and Present Trends." De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 26 Sep. 2013. Lecture.
EMPHNET-PHE course: Module03 ethical issues in surveillance, screening and ou...Dr Ghaiath Hussein
This is a series of presentations I gave in the Eastern Mediterranean Public Health Network (EMPHNET)'s Public Health Ethics (PHE) that was held in Amman in June 2014.
This presentation outlines the ethical issues related to surveillance, screening, and outbreak investigation.
The Intersection of Medical Research and Public Healthkmbrown08
The purpose of this project is to show the necessity of collaboration between medical research and public health to improve the outlook of our nation’s future. Case studies focusing on influenza, childhood obesity and HIV/AIDS show how the fields have intersected to address health problems in the past, and how they can continue to intersect in the present and the future. Finally, this study identifies key public health advocacy messages that need to be heard on a national level in order to bolster the intersection of medical research and public health.
Biopsychosocial Model in Psychiatry- Revisited.pptxDevashish Konar
Over time our understanding of Psychiatric illnesses has undergone sea changes but yet the age old Bio-psycho-social model of etiology remains relevant. This presentation is an effort to explore the model in context of the newer developments.
Bias in Healthcare: An Evidence-Based OverviewKR_Barker
Bias can be both conscious and unconscious, and affects all areas of life including healthcare, with unfortunate (and sometimes deadly) consequences for patients. Join Kimberley for an evidence-based exploration of this topic which will include learning about biases in several different areas (sexual identity, physical weight, race, socioeconomic status, education, age, and disability), defining the scale of the problem, and how some in healthcare are working to combat bias and improve outcomes for patients.
Social Media & Public Health CommunicationCameron Norman
This is from the Introduction to Public Health graduate course at the Dalla Lana School of Public Health at the University of Toronto. The focus of the presentation was to provide an overview of ways to consider social media and it's role in supporting public health.
Points of Departure: A journey in research and discoveryCameron Norman
This keynote presentation to the Western University undergraduate research conference was designed to highlight the different paths toward success in research from a variety of disciplines, drawing on my career in psychology, public health, design and social innovation.
We are finding wicked problems everywhere with no shortage of needs for new thinking and ideas. This keynote presentation was delivered at the Think Toronto Global Health competition to attendees with the aim of inspiring new ways to approach the problems of global health and the strategies that can help solve them.
Creativity and design thinking is introduced to audience of students, faculty and community members as part of the Hart House Health Summit at the University of Toronto. This presentation outlines research and experience-based steps on how to frame problems, generate exciting ideas to address them, synthesize, prototype, evaluate and implement possible solutions to support health innovation. The presentation marked the launch of a Healthy Campus innovation competition where teams competed to win up to $1000 cash, mentorship and institutional support to make the idea happen.
Systems Thinking in Public Health for Continuous Quality ImprovementCameron Norman
Opening presentation at the first meeting on CQI in Public Health in Ontario, held at the Dalla Lana School of Public Health at the University of Toronto. Practitioners from across the province gathered to learn more about quality assurance measures, metrics, theories and ideas. This presentation provides a simple overview of systems thinking as it might apply to CQI in public health. This simple overview looks at the nature of systems, how they apply to CQI, how design thinking and developmental design can aid public health in creating relevant, appropriate means of quality assessment in its work.
Developmental Evaluation for Social InnovationCameron Norman
Morning lecture given to the Social Innovation Generation graduate program from the University of Waterloo (Dr. Dan McCarthy, instructor). Slides focus on some of the key tenets of developmental evaluation and how it can apply to complex systems.
Presentation delivered at the Canadian Evaluation Society Conference in Toronto in June 2013. The results and process behind the development evaluation and outcome evaluation with the Break It Off social media campaign for youth smoking cessation were discussed.
Social Media, Medicine and Health Literacy: Chronic Disease PreventionCameron Norman
A presentation made to the International Roundtable on Health Literacy and Chronic Disease Management held in Vancouver, BC from May 1-4th and sponsored by the Peter Wall Centre for Advanced Studies.
How is social media being used to support health promotion efforts to engage young people? This review of the literature and active resources aimed at preventing substance use among youth and providing early intervention exposure was conducted for Health Canada in 2012. The purpose of the report is to explore the ways in which social media is being used, the challenges and opportunities it brings, and examine the evidence on what works, doesn't and consider what is needed.
Evaluating Health Promotion Strategies for Public Health ImpactCameron Norman
Workshop presentation at the 2013 Ontario Public Health Convention (TOPHC) looking at social media use in public health and the strategies available for evaluating those strategies in practice. Tools, methods and approaches are outlined along with the inherent challenges in dealing with a dynamic social communication environment.
This is a short presentation given to the Evaluating Community Impact conference hosted by the Tamarack Institute for Community Engagement on May 17, 2011 in Kitchener, ON
Canadian Psychological Association For Cameron NormanCameron Norman
Presentation at the CPA convention on the work done by the CAN-ADAPTT project. Norman, C.D. & Selby, P. (2010, June). CAN-ADAPTT: Developing a Canadian Smoking Cessation Guideline. Presentation at the annual meeting of the Canadian Psychological Association, Winnipeg, MB, June 3, 2010.
This presentation was to showcase the way that social media combined with systems and design thinking can improve the ways to engage the public. Presented at the Lung Association\'s 2011 Canadian Respirology Conference, Niagara Falls, ON
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
1. Public
eHealth:
Promo1ng
personal
and
popula1on
health
through
ICT's
Cameron
D.
Norman
PhD
Assistant
Professor
Dalla
Lana
School
of
Public
Health
University
of
Toronto
2. Public
eHealth
&
Behaviour
Change
If
you
want
to
understand
something,
try
to
change
it
– Kurt
Lewin
(1951)
3. Ten
Great
Public
Health
Achievements
-‐-‐
United
States,
1900-‐1999
• VaccinaNon
• Motor-‐vehicle
safety
• Safer
workplaces
• Control
of
infecNous
diseases
• Decline
in
deaths
from
coronary
heart
disease
and
stroke
• Safer
and
healthier
foods
• Healthier
mothers
and
babies
• Family
planning
• FluoridaNon
of
drinking
water
• RecogniNon
of
tobacco
use
as
a
health
hazard
Centers
for
Disease
Control
(1999).
Morbidity
&
Mortality
Weekly
Report,
48
(12),
241-‐243.
4. Cancer
• In
the
United
States,
the
overall
cancer
death
rate
decreased
by
12%
between
1991
and
2003.
• A
significant
proporNon
of
this
decline
(40%)
is
not
due
to
breakthroughs
in
molecular
medicine,
gene
therapy,
or
other
highly
technical
treatments,
but
to
a
behavioral
intervenNon:
smoking
cessa1on
• Thun,
M.
J.
et
al.(2006).
Tobacco
Control,
15,
345-‐347.
5. Obesity
Overweight
(BMI
=
25-‐29.9)
associated
with
a
loss
of
>
3
years;
BMI
>
30
associated
with
loss
of
7
years
6. Cardiac
RehabilitaNon
• “Although
the
efficacy
of
stand-‐alone
psychosocial
intervenNons
remains
unclear,
both
exercise
and
mulNfactorial
cardiac
rehabilitaNon
with
psychosocial
intervenNons
have
dem-‐
onstrated
a
reducNon
in
cardiac
events.”
Rozanski,
Blumenthal,
Davidson,
Saab
&
Kubansky
(2005).
Journal
of
the
American
College
of
Cardiology,
45
(5),
637-‐651.
7. HIV
/
AIDS
• “Interpersonal,
structured
adherence
support
was
associated
with
improved
long-‐
term
medicaNon
adherence
and
virologic
and
immunologic
HIV
outcomes”
Mannheimer,
S.B.
et
al.
(2006).
JAIDS,
43,
S41-‐S47
8. Chronic
Disease
Management
• “Chronic
disease
self-‐
management
programs
probably
have
a
beneficial
effect
on
some
(but
not
all)
physiologic
outcomes
that
have
been
assessed
in
controlled
trials”
Chodosh,
J.
et
al.
(2005).
Annals
of
Internal
Medicine,
143,
427-‐438.
9. Tobacco
Use
• Tobacco
was
responsible
for
more
than
100
million
deaths
worldwide
in
the
20th
century
and
is
forecast
to
kill
at
least
one
billion
more
in
the
century
to
come
[1]
– 80%
of
such
deaths
are
projected
to
occur
in
the
developing
world
[2]
• Half
of
the
current
smokers
today
(about
650
million
people)
will
die
as
a
result
of
tobacco
use,
with
tobacco
use
accounNng
for
the
premature
death
of
4.9
million
people
worldwide
[3].
1. World
Health
OrganizaNon:
WHO
Report
on
the
global
tobacco
epidemic,
2008:
The
MPOWER
Package.
Geneva,
CH:
World
Health
OrganizaNon;
2008.
2. Sabrie
E,
Glantz
SA:
The
tobacco
industry
in
developing
countries.
BriJsh
Medical
Journal
2006,
332:313-‐314.
3. Shafey
O,
Dolwick
S,
Guindon
GE
(Eds.):
Tobacco
Control
Country
Profiles
2003.
Atlanta,
GA:
American
Cancer
Society;
2003.
10. Knowledge
TranslaNon
• Volume
of
informaNon
and
knowledge
is
currently
greater
than
ever
before,
yet
relaNvely
linle
is
being
translated
into
pracNce
across
the
spectrum
of
discovery
and
pracNce
• Hyan,
Best
&
Norman
(2008).
Knowledge
integraNon:
Conceptualizing
communicaNons
in
cancer
control
systems.
PaJent
EducaJon
&
Counseling,
71,
319-‐327.
• EsNmates
that
it
is
taking
up
to
17
years
to
translate
innovaNons
into
everyday
clinical
pracNce
• Balas
EA,
Boren
SA.
(2000).
Managing
clinical
knowledge
for
health
care
improvement.
In:
Yearbook
of
medical
informaNcs.
p.
65–70.
11. Looking
Forward
to
Change
• The
only
people
who
truly
welcome
change
are
wet
babies
13. Some
Wisdom
from
Kurt
Lewin
(1890-‐1947)
“There
is
nothing
so
pracNcal
as
a
good
theory”
14. Likelihood
of
AcNon
Scale
A
person
more
likely
to
act
if…
• View
themselves
as
personally
suscepNble
• Sees
the
(potenNal)
problem
as
serious
• Believes
change
will
reduce
risk
• Assesses
pros
as
outweighing
cons
of
change
• Believes
that
others
endorse
change
• Is
moNvated
to
comply
with
others’
wishes
15. Likelihood
of
AcNon
Scale
A
person
more
likely
to
act
if…
• Environment
is
supporNve
of
acNon
• Person
has
necessary
knowledge
and
skills
• Confident
that
they
can
carry
out
acNon
• Intrinsically
moNvated
to
change
Skinner,
H.A.
Promo1ng
Health
Through
Organiza1onal
Change.
San
Francisco:
Benjamin
Cummings
Publishers,
2002.;
Norman,
C.D.,
Maley,
O.,
Li,
X.,
&
Skinner,
H.A.
Using
the
Internet
to
iniNate
and
assist
smoking
prevenNon
in
schools:
A
randomized
controlled
trial.
Health
Psychology,
2008,
27,
799-‐810.
18. Social
CogniNve
Theory
• Emphasizes
the
reciprocal
role
of
environment
(physical,
social,
cultural)
and
behaviour
– Social
learning
• EvaluaNng
expectaNons
and
capabiliNes
-‐-‐
focus
on
skill
development
and
self-‐efficacy
(confidence)
19. Self-‐DeterminaNon
Theory
• People
are
more
likely
to
change
if
they
genuinely
want
to
change
– “want
to
change”
vs.
“have
to
change”
• RelaNng
goals
of
change
to
personal
values,
preferences
&
aspiraNons
• Emphasis
on
supporNng
an
individual’s
autonomy
(freedom)
to
make
decisions
about
their
life
20. TranstheoreNcal
Model
&
Stages
of
Change
• Precontempla1on
– No
desire
to
change
within
6
months
• Contempla1on
– Considering
change
within
6
months
• Prepara1on
– Considering
change
within
30
days
• Ac1on
– AcNvely
engaged
in
change
behaviours
• Maintenance
– Maintaining
changed
state
21. Why
InformaNon
Technology?
• Allows
for
tailoring
and
customized
programming
for
diverse
audiences
• 24/7
&
“always
on”
• Easily
modifiable
• AnracNve
and
interacNve
• Scalable
&
portable
• Permits
a
conversaNon
on
health
behaviour
at
a
populaNon
level
(Web
2.0)
29. 1.
Makin’
Cents
ParNcipants
input
the
number
of
cigarene
packs
they
smoke
in
one
month;
market
value
is
calculated
into
annual
total
ParNcipants
spend
this
amount
in
virtual
shopping
mall
Helps
users
recognize
consumer
opNons,
the
value
of
a
dollar
relaNve
to
purchasing
power
Promotes
understanding
of
the
economic
impact
of
decision
to
smoke
and
economic
challenges
of
those
who
are
nicoNne
dependent
30.
31. Makin’
Cents:
Process/Concept
• This
stage
is
designed
to
raise
consciousness
of
the
cost
of
cigarene
purchases
relaNve
to
other
consumer
goods
32. 2.
It’s
Your
Life
ParNcipants
complete
short
assessment
about
their
smoking
behaviour
(frequency,
amount)
Program
tailored
to
whether
person
is
a
smoker,
non-‐
smoker,
experimental/social
smoker
ParNcipants
become
aware
of
why
they
smoke,
smoking
panerns,
smoking
triggers
and
urges
33.
34. It’s
Your
Life:
Process/Concept
• This
stage
is
both
an
assessment
of
smoking
status
and
provides
personalized
feedback
on
the
level
of
relaNve
risk
based
on
the
results
of
the
assessment
35. 3.
To
Change
or
Not
to
Change
• Allows
parNcipant
to
assess
readiness
to
change
(quit
or
reduce
smoking)
• ParNcipants
assess
importance
of
change
• ParNcipants
assess
their
confidence
in
being
able
to
change
• Quiz
is
tailored
to
user’s
smoking
status
idenNfied
in
previous
stage
36.
37. To
Change
or
Not
to
Change:
Process/
Concept
This
component
assesses:
Readiness
to
change
(stage
of
change)
Confidence
(self-‐efficacy)
Importance
for
change
(self-‐determina7on)
38. 4.
It’s
Your
Decision
• Creates
a
decision
balance
displaying
pros
and
cons
of
smoking/being
smoke
free
• ParNcipants
can
clearly
see
their
thoughts
about
smoking
and
reasons
to
quit,
cut
down,
or
remain
the
same
• May
help
the
parNcipant
to
advance
their
readiness
to
change
39.
40. It’s
Your
Decision:
Process/Concept
This
stage
examines
the
pros
and
cons
of:
Being
a
non-‐smoker
versus
Being
a
smoker
Decision
Balance
41. 5.
What
Now?
• This
secNon
brings
together
the
results
from
the
previous
stages
• If
idenNfied
as
a
smoker,
the
Smoking
Zine
will
guide
them
in
creaNng
a
personalized
quit
programme
• If
not
ready
to
quit,
then
parNcipant
is
guided
to
the
Personal
Forecast
quiz
secNon
42.
43. What
Now?
Process/Change
IdenNficaNon
of
readiness
Helps
to
develop
quit
plan
Date
Method
of
cessaNon
Support
mechanisms
Relapse
prevenNon
strategies
Outcome
rewards
Produces
a
cogniNve
behaviour
change
plan
and
a
cue
to
acJon
48. Virtual
Classroom
on
Tobacco
Control
Developed
in
partnership
with
TakingITGlobal,
youth-‐driven
acNvism
and
educaNon
network
Goals:
To
posiNvely
influence
behavioural
intenNons
and
resistance
to
smoking
iniNaNon
among
young
people
To
inform
youth
about
global
tobacco
issues
and
understand
the
impact
of
their
choices
To
increase
the
number
of
youth
involved
in
tobacco
control
49. Virtual
Classroom
on
Tobacco
Control
Features
four
interrelated
units
Facts
and
Figures
examines
the
health
effects
of
tobacco,
both
first-‐hand
and
second-‐hand
The
Smoking
Zine
allows
students
to
explore
their
smoking
behaviours
and
intenNons
Denormaliza1on
invesNgates
how
the
tobacco
industry
targets
youth
Global
and
Social
Jus1ce
focuses
on
the
tobacco
industry’s
exploitaNve
pracNces
in
the
developing
world
52. Approaches
to
EvaluaNng
InformaNon
Third
Party
Verifica1on
Cri1cal
Appraisal
• “Seals
of
approval”
• “Informed
Consumer”
• Expert-‐reviewed
content
• Individuals
are
approved
for
use
responsible
for
learning
how
to
evaluate
• Centralized,
informaNon
straighyorward
process
• EvoluNonary,
responsive
• Slow,
resource-‐intensive
and
can
be
tailored
to
and
subject
to
fraud
individual
needs
• Complex
skill
set
53. Literacy
as
a
Tool
for
CommunicaNon
• Literacy
refers
to
a
person’s
ability
to
communicate
at
a
level
that
allows
them
to
understand
the
world
around
them
[interpret
the
signals
coming
in]
and
to
contribute
to
that
world
through
personal
expression
that
is
meaningful
to
others
[sending
useful
signals
out]
54. Literacy
is
about
Content
• For
online
content
to
adequately
inform
it
must
be:
– Accessible
– Complete
– Accurate
– Timely
– Evidence-‐based
&
verifiable
– Balanced
• Many
media
messages
to
consumers
address
none
of
these
points!
See:
Eysenbach,
G.
(2002).
Infodemiology:
The
epidemiology
of
(mis)informaNon.
American
Journal
of
Medicine,
113
(0),
763-‐765
55. The
Role
of
Networks
in
Decision
Making
"In
a
world
where
individuals
make
decisions
based
not
only
on
their
own
judgments
but
also
on
the
judgments
of
others,
quality
is
not
enough”
WaXs,
D
(2003).
Six
Degrees:
The
science
of
a
connected
age.
New
York:
Norton,
p.250
56. Bearman,
P.S.,
Moody,
J.
&
Stovel,
K.
(2004).
Chains
of
affecNon:
The
structure
of
adolescent
romanNc
and
sexual
networks.
American
Journal
of
Sociology,
110
(1).
57. Viewing
Literacy
as
A
ConNnuum
• Literacy
levels
are
not
dichotomous
(literate
/
illiterate)
• Literacy
levels
ebb
and
flow
over
Nme
as
new
knowledge
is
formed,
new
experiences
take
place,
and
new
technologies
and
tools
are
introduced
• What
passes
as
high
literacy
today
may
not
be
the
same
tomorrow
because
the
content
and
context
in
which
those
skills
are
applied
changes
58. eHealth
Literacy
• “the ability to seek, find, understand,
and appraise health information from
electronic sources and apply the
knowledge gained to addressing or
solving a health problem.”
• Norman & Skinner (2006). Journal of
Medical Internet Research 8(2) e9.
59. Traditional
Literacy
In Lite
fo r
rm ac
at y
io
n
Li t al t h
cy
e ra
He
eHealth
Literacy
Co terac
Lite dia
y
Li
rac
mp y
Me
ute
r
Science
Literacy
Norman
&
Skinner
(2006a).
JMIR,
8
(2)
e9
60. General
Skills
Traditional
Literacy
C ite
om r a
L
pu c y
te
r
Lit alth
cy
e ra
He
eHealth
Literacy
Inf itera
Lit dia
cy
or
L
ma cy
era
Me
tio
n
Science
Literacy
Traditional
(Basic)
Literacy
&
Numeracy
Media
Literacy
Information
Literacy
61. Specific
Skills
Traditional
Literacy
C ite
om r
L
pu cy
te
a
r
Lit alth
cy
e ra
He
eHealth
Literacy
Inf itera
Lite dia
y
orm cy
rac
L
Me
ati
on
Science
Computer
Literacy
Literacy
Science
Literacy
Health
Literacy
62. Resources
Youth
Voices
Research
hnp://www.youthvoices.ca
The
Smoking
Zine
hnp://www.smokingzine.org
Taking
IT
Global
hnp://www.takingitglobal.org
Cameron
Norman
cameron.norman@utoronto.ca
63. Contact
InformaNon
Cameron
D.
Norman
PhD
Dalla
Lana
School
of
Public
Health
5th
Floor
Office
586,
Health
Sciences
Building
416.978.1242
cameron.norman@utoronto.ca
Editor's Notes
Language – despite the attempts by many to standardize it – is not top-down. It is dynamic and constantly in flux. Slang is one way that young people can take control of language and resist the conventions of society, while still finding a mechanism to communicate with one another.
This is a critical point. When we work with young people, we are often concerned primarily with the part of the equation that deals with information coming in, yet in a networked world it is also about what information goes out and how that knowledge is exchanged with others.
In the health field, the implications of poor quality information can literally be the differences between life and death. Content quality is something we pay particular attention to, yet often have little influence over.
Controlling for demographic and Internet use characteristics, youth who received an aggressive sexual solicitation were almost 2.5 times as likely to report experiencing physical abuse, sexual abuse or high parent conflict.