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  1. How perceptions of community environment influence health behaviours: using the Analysis Grid for Environments Linked to Obesity Framework as a mechanism for exploration

    Title: How perceptions of community environment influence health behaviours: using the Analysis Grid for Environments Linked to Obesity Framework as a mechanism for exploration
    Creator: Nieuwendyk, L.M.
    Description: Introduction: Overweight and obesity are influenced by a complex interplay of individual and environmental factors that affect physical activity and healthy eating. Nevertheless, little has been reported on people's perceptions of those factors. Addressing this critical gap and community partner needs, this study explored how people perceived the influence of micro- and macroenvironmental factors on physical activity and healthy eating. Methods: Community partners wanted the study results in a format that would be readily and easily used by local decision makers. We used photovoice to engage 35 community members across four municipalities in Alberta, Canada, and to share their narratives about their physical activity and healthy eating. A combination of inductive and deductive analysis categorized data by environmental level (micro vs. macro) and type (physical, political, economic, and sociocultural), guided by the Analysis Grid for Environments Linked to Obesity Framework. Results: Participants conceptualized health-influencing factors more broadly than physical activity and healthy eating to include "community social health." Participants spoke most often about the influence of the microenvironment (n = 792 ANGELO Framework coding tallies) on their physical activity, healthy eating and community social health in comparison to the macroenvironment (n = 93). Photovoice results provided a visual narrative to community partners and decision makers about how people's ability to make healthy choices can be limited by macroenvironmental forces beyond their control. Conclusion: Focussing future research on macro- and microenvironmental influences and localized community social health can inform practice by providing strategies on how to implement healthy changes within communities, while ensuring that research and interventions echo diverse people's perceptions.
    Subjects: environment, ANGELO Framework, physical activity, eating behaviour, photovoice
    Date Created: 2016/09
  2. Community Lenses Revealing the Role of Sociocultural Environment on Physical Activity

    Title: Community Lenses Revealing the Role of Sociocultural Environment on Physical Activity
    Creator: Belon, Ana Paula
    Description: PURPOSE: To identify perceptions of how sociocultural environment enabled and hindered physical activity (PA) participation. DESIGN: Community-based participatory research. SETTING: Two semirural and two urban communities located in Alberta, Canada. PARTICIPANTS: Thirty-five people (74.3% females, 71.4% aged 25-64 years) across the four communities. METHOD: PhotoVoice activities occurred over 3 months during the spring of 2009. Participants were asked to document perceived environmental attributes that might foster or inhibit PA in their community. Photographs and narratives were shared in one-on-one interviews. Line-by-line coding of the transcripts was independently conducted by two researchers using an inductive approach. Codes were arranged into themes and subthemes, which were then organized into the Analysis Grid for Environments Linked to Obesity (ANGELO) framework. RESULTS: Six main themes (accompanied by subthemes) emerged: sociocultural aesthetics, safety, social involvement, PA motivation, cultural ideas of recreation, and car culture. Representative quotes and photographs illustrate enablers and obstacles identified by participants. CONCLUSION: This PhotoVoice study revealed how aspects of participants' sociocultural environments shaped their decisions to be physically active. Providing more PA resources is only one step in the promotion of supportive environments. Strategies should also account for the beautification and maintenance of communities, increasing feelings of safety, enhancement of social support among community members, popularization of PA, and mitigating car culture, among others.
    Subjects: Community-Based Participatory Research, Health Behavior, Health Promotion
    Date Created: 2016/1/31
  3. Evaluation of a Pilot Community Walking Map Project in Inner-City Edmonton

    Title: Evaluation of a Pilot Community Walking Map Project in Inner-City Edmonton
    Creator: Nykiforuk, C.I.J.
    Subjects: Built Environment, Community Research, Walking Maps
  4. Department of Public Health Sciences

    Title: Department of Public Health Sciences
    Creator: ERA Administrator
    Description: For more than 50 years, the Department of Public Health Sciences has provided graduate education and engaged in research aimed at improving health and health care for citizens. The focus of research and graduate programs is on health policy and management, health technology assessment, epidemiology and biostatistics, environmental health and global health. Collectively, faculty members represent many disciplines in the natural, biomedical, clinical, social, economic and behavioral sciences.
    Subjects:
  5. Ebola Symposium, March 2015

    Title: Ebola Symposium, March 2015
    Creator: ERA Administrator
    Description: This was an interdisciplinary symposium that featured a variety of presentations that highlighted: Ebola 101, Social Consequences of the Ebola Crisis in West Africa, Experience of a Front Line Worker in West Africa's Ebola Crisis, Hospital Preparedness in Alberta for Ebola, and Music for Ebola Education and Behavioural Change (via Skype from West Africa & the USA). Over a six month period, health sciences faculty and University of Alberta staff participated with health professional colleagues and community partners on an activity to raise attention and understanding of the plight of Ebola in West Africa. Symposium committee members from the School of Public Health, Faculty of Nursing, Faculty of Medicine and Dentistry, University of Alberta International, and Alberta Health Services, as well as Princess Ocansey from Ghana, participated together to coordinate the event on Saturday, March 21, 9-1 pm. The symposium took place in the Edmonton Clinic Health Academy (ECHA) and commenced with opening remarks from Dr. James Talbot, Chief Medical Officer for Alberta Health, and included presentations from Dr. Stan Houston (Medicine), Princess Ocansey (Ghana), Dr. Geoff Taylor (Medicine), and Dr. Michael Frishkopf (Music); with musicians Samuel Morgan, Edwin Tweh, and Mark Gray. University of Alberta nursing graduate of 5 years, Stephanie Urness, provided a profound and emotional account of her six-week experience caring for Ebola patients on the front line in Sierra Leone with Doctors Without Borders. The symposium drew about 60 health care professionals, faculty, students,and public attendees. There was no cost but attendees were encouraged to consider donating on-line to non-profit organizations working with Ebola.
    Subjects:
  6. Understanding the Role of Built and Social Environments in Chronic Disease Prevention and Obesity Reduction

    Title: Understanding the Role of Built and Social Environments in Chronic Disease Prevention and Obesity Reduction
    Creator: Nykiforuk, C.I.J.
    Subjects: Obesity Reduction, Chronic Disease Prevention, Built Environment
  7. Chapter 5 Supplement B: Meta-Analyses of Quality Improvement Interventions – Influenza Vaccinations

    Title: Chapter 5 Supplement B: Meta-Analyses of Quality Improvement Interventions – Influenza Vaccinations
    Creator: Lau, Darren
    Description: Chapter 5, Supplement B of a doctoral dissertation (Lau, D. Diabetes and Influenza-Attributable Illness: The Rationale for Targeted Influenza Vaccinations in Adults with Diabetes. Edmonton, AB: University of Alberta, Fall 2012). This supplement contains forest plots from meta-analyses of interventions to improve influenza vaccination rates. Each forest plot is accompanied by two tables showing performance on the attributes of the Downs and Black instrument, and modified Risk of Bias characteristics for each study.
    Subjects: influenza vaccinations, vaccinations, systematic review, primary care, quality improvement, pneumococcal vaccinations
    Date Created: 2012/08/17
  8. The Jericho Project - Bringing Mental Well-being to the Forefront of Student Agenda

    Title: The Jericho Project - Bringing Mental Well-being to the Forefront of Student Agenda
    Creator: Assi, Ali
    Subjects: Public Health, Mental Health, Students
  9. Examining Aspects of the Built Environment: An Evaluation of a Community Walking Map Project

    Title: Examining Aspects of the Built Environment: An Evaluation of a Community Walking Map Project
    Creator: Nykiforuk, Candace I.J.
    Description: OBJECTIVE: Interventions that address the built environment present an opportunity to affect behaviours such as physical activity. The purpose of this study was to evaluate a community walking map developed for eight neighbourhoods in the City of Edmonton (COE). METHOD: A walking map developed in partnership with the COE’s Walkable Initiative was distributed to 11,994 households across eight neighbourhoods in July 2010. In total, 149 respondents completed an online follow-up survey that assessed the effectiveness of the walking maps in influencing physical activity. RESULTS: Of the 149 respondents, 89 (59.7%) reported that they had received a copy of the map, and 60 (40.2%) reported that they had not. Of those who had a copy, 76.4% (n=68) indicated that the routes and destinations on the map encouraged them to walk more in the community, 64.0% (n=57) stated they would walk more often to get to destinations, and 55.1% (n=49) indicated they would walk more often for physical activity or exercise as a result of having a copy of the map. Finally, 91.0% (n=81) stated that they found the map to be useful, as it provided walking routes (60/81, 74.1%,) and places to go in the community (57/81, 70.4%). Of those who did not receive a copy, 95.0% (n=57) indicated that they would use a community walking map. CONCLUSION: This evaluation demonstrated that a community walking map was a valuable tool for not only encouraging walking for physical activity but also motivating individuals to explore their communities and visit local community destinations.
    Subjects: built environment, walking, physical activity, health promotion, urban health
    Date Created: 2012
  10. Photovoice as a Method for Revealing Community Perceptions of the Built and Social Environment

    Title: Photovoice as a Method for Revealing Community Perceptions of the Built and Social Environment
    Creator: Nykiforuk, Candace I.J.
    Description: Over the last number of years there has been growing interest in the use of community-based participatory research (CBPR) for preventing and controlling complex public health problems. Photovoice is one of several qualitative methods utilized in CBPR, as it is a participatory method that has community participants use photography, and stories about their photographs, to identify and represent issues of importance to them. Over the past several years photovoice methodology has been frequently used to explore community health and social issues. One emerging opportunity for the utilization of photovoice methodology is research on community built and social environments, particularly when looking at the context of the neighbourhood. What is missing from the current body of photovoice literature is a critique of the strengths and weaknesses of photovoice as a method for health promotion research (which traditionally emphasizes capacity-building, community-based approaches) and as a method for revealing residents’ perceptions of community as a source of health opportunities or barriers. This paper will begin to address this gap by discussing the successes and challenges of using the photovoice methodology in a recent CBPR project to explore community perceptions of the built and social environment (with the ultimate goal of informing community-based chronic disease prevention initiatives). The paper concludes with methodological recommendations and directions for future research.
    Subjects: community-based participatory research, photovoice, built environment
    Date Created: 2011