Social and Behavioral Sciences Commons^™

Forming Authentic And Purposeful Relationships With Racialized Communities From An Anti-Oppressive Lens: A Framework For African, Caribbean, And Black Communities, Jaimeson R. Canie

Electronic Thesis and Dissertation Repository

In collaboration with London InterCommunity Health Centre this research focused on identifying priority areas for anti-Black racism interventions in London, Ontario. Semi-structured interviews were conducted with stakeholders from London’s African, Caribbean, and Black (ACB) communities. Interpretive description methodology guided analysis and interpretation. Participants indicated that anti-Black racism is ever-present in the community, with systemic racism leading to the most harm. Racism should be addressed by creating ACB-specific services and education for non-Black communities; and increased representation, inclusion, and engagement of ACB people within organizations, especially leadership. A framework to direct how organizations can develop authentic and purposeful relationships with ACB …

Examining The Impact Of Financial Incentive Removal On Physical Activity: A Quasi-Experimental Study Of 584,760 Mobile Health Application Users, Sean Kevin Spilsbury

Electronic Thesis and Dissertation Repository

BACKGROUND: Government interest in using financial incentives (FIs) to stimulate physical activity (PA) is increasing. The cost of longer-term incentive interventions may be prohibitive, however. PURPOSE: To examine the impact of FI withdrawal on PA. METHODS: A 25-week retrospective pre-post quasi-experimental study was conducted with users of a FI-based mHealth app. Users from three Canadian provinces were included. Daily FI were removed in Ontario (ON; intervention) but not British Columbia (BC) and Newfoundland and Labrador (NL; control). Simple linear regression models were used to examine weekly mean daily step count after FI withdrawal. RESULTS: The total sample included 584,760 users …

Global Impact Of Social Determinants On Access To Childhood Hearing Healthcare: A Scoping Review, Bahar Rafinejad-Farahani

Undergraduate Student Research Internships Conference

No abstract provided.

Regional Integration: Physician Perceptions On Electronic Medical Record Use And Impact In South West Ontario, Sadiq Raji

Electronic Thesis and Dissertation Repository

Regional initiatives in the health care context in Canada are typically organized and administered along geographic boundaries or operational units. Regional integration of Electronic Medical Records (EMR) has been continuing across Canadian provinces in recent years, yet the use and impact of regionally integrated EMRs are not routinely assessed and questions remain about their impact on and use in physicians’ practices. Are stated goals of simplifying connections and sharing of electronic health information collected and managed by many health services providers being met? What are physicians’ perspectives on the use and impact of regionally integrated EMR? In this thesis, I …

The Practice Of Local Policymaking: Understanding Decision Maker Roles And Agency In Local Implementation Contexts, Katherine L. Salter

Electronic Thesis and Dissertation Repository

This dissertation presents three studies that, collectively, seek to contribute to our understanding of the practice of implementation policymaking grounded in the experience of the practitioner. Herein, policymaking is conceptualized as a shared set of practices enacted by actors purposefully engaged in collective performances. This thesis makes important contributions to the iterative processes of theorizing by advancing knowledge about local policymaking practices in the following ways: 1) creation of the Knowledge Enactment in Practice Settings (KEPS) framework as a guide to assist in the exploration of knowledge-based practices including the co-creation of context; 2) use of new insights informed by …

Development And Application Of A Teen-Informed Tool For Measuring The Power Of Food-Related Advertisements In Canadian Environments, Drew Bowman

Electronic Thesis and Dissertation Repository

Food environments are influential in shaping dietary behaviours of adolescents. Exposure to food and beverage marketing is known to impact food knowledge, behaviours, and health outcomes, yet food environment research largely overlooks advertisements. Given that marketers tend to advertise less healthy foods to teens and teens predominantly purchase low-nutrient foods, it is crucial to study the information environment in the context of secondary school environments. This thesis uses a sequential mixed-methods approach, including environmental audits and teen consultations, to develop and apply a teen-informed tool to measure the power of advertisements surrounding secondary schools. Results indicate that exposure to and …

Health Policy And Social Change: Women’S Advocacy Groups And Narrative Mobilization, Jill Moffatt

Electronic Thesis and Dissertation Repository

The goal of this study is to systematically investigate the mobilization of co-created (storyteller and story-gatherer) narratives for policy and social change. A case study format investigated the mobilization of narratives by a women’s health organization in London, Ontario. Semi-structured interviews resulted in transcripts from key actors. These transcripts were thematically coded and analyzed. All interview participants emphasized that from their perspective the organization did influence health policy or social change through their narrative use. Specific policy change examples were provided by participants, and social change was subjectively recognized as realized through the creation of awareness and affirmed through audience …

Making Occupations Possible? A Critical Analysis Of Social Assistance Policy In Ontario, Nedra R. Peter

Electronic Thesis and Dissertation Repository

This thesis reports on a two-part study exploring the occupational possibilities of people receiving social assistance in Ontario. The research conducted in this thesis was guided by the research question: How does social assistance in the form of Ontario Works and the Ontario Disability Support Program influence occupational possibilities for adults living in poverty? Guided by a governmentality perspective, Laliberte Rudman (2010) proposes that social and political processes shape expectations and possibilities for occupations. Occupational possibilities refer to the occupations that are supported and promoted by various aspects of the broader systems and structures in which lives are lived (Laliberte …

The Development And Implementation Of The Off-Premise Outlet Density Expansion Initiative Within Ontario's New Beer Framework: A Case Study, Stephanie A. Simpson

Electronic Thesis and Dissertation Repository

Background: In April 2015, the Ontario government announced the expansion of beer sales in up to 450 grocery stores, thereby substantially increasing access to alcohol. This policy was introduced despite a robust body of research demonstrating a positive relationship between increased outlet density, alcohol consumption, and consequent harm. Methods: This qualitative case study explored the role of health information, and the contexts and factors which shaped its use, in the development and implementation of Ontario’s policy to expand alcohol outlet density. Kingdon’s Streams Model (2011) guided a directed content analysis of policy-related documents (n=69) and transcripts from semi-structured interviews with …

The Impact Of Prior Experience Employees’ Perceptions And Beliefs About Workplace Policies And Practices, Michael D. Saxton

Electronic Thesis and Dissertation Repository

Domestic violence (DV) is associated with negative consequences for victims, children, families, and even national economies. More recently, research has demonstrated that DV also has a serious impact on workers and workplaces. Less is known about Canadians’ beliefs toward the impact DV has on workers or the extent to which individuals are able to identify co-workers’ experiences of DV. Using data from a pan-Canadian sample of 7,834 men and women, the current study examined: 1) how prior experiences with DV relates to beliefs toward the impact DV has on workers, 2) how gender and age relates to beliefs toward DV’s …

An Exploration Of Service Needs For Adults Who Live With Fetal Alcohol Spectrum Disorder, Armush Salahadin

Electronic Thesis and Dissertation Repository

Families who care for children with disabilities feel that supports are essential. However, little is known about the support needs of adults who live with Fetal Alcohol Spectrum Disorders, and few specialized services exist to meet their needs. This study examined caregivers' perceived support needs for their children when they grow into adults. Sixteen caregivers of children aged 10 years or older with FASD participated in telephone interviews. Participants provided responses to the following two questions: “What do caregivers need to help young adults live as independently as possible?” and “What services would help young adults live as independently as …

Sustainable Development Goals Worth Sharing, Erika Simpson

Political Science Publications

The international community has agreed upon another set of goals for the next 15 years. On the table are no less than 169 objectives and 17 Sustainable Development Goals (SDGs). The new aspirations are summarized and the merits and demerits of further elaboration and measurement including country-specific deadlines and targets are discussed. The hefty budget to achieve all 17 goals is estimated at more than $4 trillion US a year. North American policy-makers need to be aware of humankind’s shared aspirations as they consider the new and expensive SDGs. Foreign aid is one of the instruments of North American foreign …

The Social Costs Of Industrial Growth In The Sub-Arctic Regions Of "Canada", Caylee T. Cody

Electronic Thesis and Dissertation Repository

Colonialism in the land that is now called “Canada” is rooted in the ongoing dispossession of Indigenous people’s way of existing and interacting with the world. The present study identifies that the social costs of industrial growth are part of an ongoing process of colonialism which continues to annex Indigenous lands to feed the capitalist economy and reify the power of the state. Through a comparative analysis of literature written about the Attawapiskat First Nation and the Innu Nation, the study reveals that the financial rewards of industrial growth are few, while the cultural, human, and environmental costs are many. …

The Silver Bullet To Ontario’S Organ Shortage: The Case For Presumed Consent For Post-Mortem Organ Donations, Taylor Rodrigues

2015 Undergraduate Awards

Over 85% of Ontarians would like their organs to be donated after they die.1 Yet strangely, less than 25% of Ontarians are registered organ donors and Ontario law assumes that unless the deceased registered to be an organ donor prior to their death they did not want their organs to be donated after their death.2 As a result, every year, hundreds of Ontarians die awaiting an organ transplant while thousands of healthy organs from individuals who are in favour of organ donation, but failed to register as organ donors, are disposed of instead of transplanted.3 This situation is tragic, preventable …

Comparison Of Housed And Homeless Patients With An Orthopedic Diagnosis, Susan M. Williams

Electronic Thesis and Dissertation Repository

Studies on homelessness have shown that people who are homeless are admitted to hospital more frequently, for longer periods of time, and at a younger age than people who are housed. Once admitted to hospital, discharge planning is difficult and resource intensive, often leading to discharge back to the streets or a shelter. This puts this population at risk for complications and readmission. Although people who are homeless are prone to orthopedic injuries, there is no research on the outcomes of patients who are homeless with orthopedic injuries. This retrospective, case control study, based on the social determinants of health, …

Perceptions About Equity In Public Health: A Comparison Between Frontline Staff And Informing Policy In Ontario, Katherine E. Rizzi

Electronic Thesis and Dissertation Repository

Background: Recent changes in Ontario public health policy call for increased emphasis on equity. However, it is not clear how equity is understood as a concept and how equity is understood as practice. Methods: The aim of this study was to understand public health frontline staff (FLS) perspectives on health equity and how these align with provincial public health policy documents. A qualitative content analysis design was used to examine transcripts from six focus group interviews with frontline public health workers and seven key provincial public health documents that have shaped or influenced public health program planning in Ontario. Perceptions …

Authority Migration And Accountability In Canadian Type Ii Multilevel Governance, Robert W. Waterman

Electronic Thesis and Dissertation Repository

In advanced industrial democracies, including Canada, elections act as important mechanisms of democratic accountability. However, the migration of public decision-making responsibility away from elected representatives and toward new governance models may alter accountability relationships. As authority is dispersed horizontally to new governance actors that exist beyond the reach of the ballot box, questions of public input and accountability within the democratic governance process arise.

The objectives of the dissertation are: 1) to evaluate the extent to which Canadian provinces have opted to migrate decision-making authority horizontally in response to policy issues and why; and 2) to evaluate the existence and …

Children At-Risk For Hearing Impairment: A Retrospective Study Of The Ontario Infant Hearing Program Population, Katherine M. Smith

Electronic Thesis and Dissertation Repository

There is widespread agreement that infant hearing screening programs are effective but such programs may fail to detect all hearing impairment and children can develop subsequent hearing loss after passing the initial screen. This is the core rationale for surveillance programs that are analyzed in this thesis. Infants with hearing risk factors are followed using surveillance programs that include monitoring by audiological assessment.

The study population in this thesis consists of 2,390 children with normal hearing and 248 children with hearing impairment from different referral routes. The Infant Hearing Program Surveillance group is 1.48% of the number of hearing-impaired children. …

Continuity Of Care In Children’S Mental Health: Development Of A Measure, Juliana I. Tobon

Electronic Thesis and Dissertation Repository

Continuity of care, which is how a patient experiences care over time as coherent and linked, has been identified as an indicator of health system performance and is considered an ethical principle of care. Yet, no instrument exists to measure continuity of care as experienced by families receiving services through the children's mental health (CMH) system. A new measure, Continuity of Care in Children’s Mental Health (C3MH), is presented. The project involved four phases: item generation, pre-testing, pilot testing, and validation. In the validation study, the 42-item C3MH was administered to 364 parents of children and youth (M =12 …

Getting To The Root Of The Problem: Health Promotion Strategies To Address The Social Determinants Of Health, Dana Gore, Anita Kothari

Anita Kothari

Although extensive research shows that the social determinants of health influence the distribution and course of chronic diseases, there is little programming in public health that addresses the social determinants as a disease prevention strategy. This paper discusses different types of health promotion initiatives and differentiates them based on whether they attempt to impact intermediate (environmental) determinants of health or structural determinants of health. We argue for the importance of programming targeted at the structural determinants as opposed to programming targeted solely at the immediate environment. Specifically, the former has more potential to create significant improvements in health, contribute to …

Strategies To Improve Health Coverage And Narrow The Equity Gap In Child Survival, Health, And Nutrition, Mickey Chopra

Aboriginal Policy Research Consortium International (APRCi)

Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the effective coverage of essential interventions. First, we identify four different intervention delivery channels—ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions’ deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to …

The Quest For Universal Health Coverage: Achieving Social Protection For All In Mexico, Felicia Marie Knaul, Eduardo GonzáLez-Pier, Octavio GóMez-DantéS, David GarcíA-Junco, HéCtor Arreola-Ornelas, Mariana Barraza-LloréNs, Rosa Sandoval,, Francisco Caballero, Mauricio HernáNdez-Avila, Mercedes Juan, David Kershenobich, Gustavo Nigenda, Enrique Ruelas, Jaime SepúLveda, Roberto Tapia, Guillermo SoberóN, SalomóN Chertorivski, Julio Frenk

Aboriginal Policy Research Consortium International (APRCi)

Mexico is reaching universal health coverage in 2012. A national health insurance programme called Seguro Popular, introduced in 2003, is providing access to a package of comprehensive health services with financial protection for more than 50 million Mexicans previously excluded from insurance. Universal coverage in Mexico is synonymous with social protection of health. This report analyses the road to universal coverage along three dimensions of protection: against health risks, for patients through quality assurance of health care, and against the financial consequences of disease and injury. We present a conceptual discussion of the transition from labour-based social security to social …

Examining The Effects Of Policies On The Delivery Of Shelter Services To Women Who Have Experienced Intimate Partner Violence, Camille J. Burnett

Electronic Thesis and Dissertation Repository

Problem: Shelters for abused women function within a broad context that includes intersecting social structures, policies and resources, which may constrain and limit the options available to abused women and tacitly reinforce the cycle of abuse.

Method: This feminist, qualitative study drew on in-depth interviews and focus groups conducted with 37 staff and 4 executive directors from 4 shelters in Ontario, Canada, along with a critical discourse analysis of salient policy texts in order to explore how salient policies and structures shape shelter service delivery and may indirectly contribute to the health and quality of life of women who access …

Canada Curbs Aboriginal Health Leadership, Paul C. Webster

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Evaluation Of A Culturally Adapted Training In Indigenous Mental Health And Wellbeing For The Alcohol And Other Drug Workforce, Racheal Hinton, Tricia Nagel

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australians have high rates of mental illness comorbid with substance misuse. The complex needs of this client group create challenges for the alcohol and other drug (AOD) workforce. This paper describes the outcomes of an Indigenous-specific “Yarning about Mental Health” training for the AOD workforce to strengthen knowledge and skills in mental health approaches and in their engagement with Indigenous clients. The training provides culturally adapted strategies and tools for understanding mental health, promoting wellbeing, and delivering brief interventions in the substance misuse setting. A nonexperimental evaluation which incorporated pre-post questionnaires was conducted with workshop participants attending one of …

Growing Up Our Way : The First Year Of Life In Remote Aboriginal Australia, Sue Kruske, Suzanne Belton, Molly Wardaguga, Conceptual Narjic

Aboriginal Policy Research Consortium International (APRCi)

In this study, we attempted to explore the experiences and beliefs of Aboriginal families as they cared for their children in the first year of life. We collected family stories concerning child rearing, development, behavior, health, and wellbeing between each infant’s birth and first birthday. We found significant differences in parenting behaviors and childrearing practices between Aboriginal groups and mainstream Australians. Aboriginal parents perceived their children to be autonomous individuals with responsibilities toward a large family group. The children were active agents in determining their own needs, highly prized, and included in all aspects of community life. Concurrent with poverty, …

Do Indigenous Australians Age Prematurely? The Implications Of Life Expectancy And Health Conditions Of Older Indigenous People For Health And Aged Care Policy, Philippa R. Cotter, John R. Condon, Tony Barnes, Ian P.S. Anderson, Leonard R. Smith, Teresa Cunningham

Aboriginal Policy Research Consortium International (APRCi)

Objective. To assess whether Indigenous Australians age prematurely compared with other Australians, as implied by Australian Government aged care policy, which uses age 50 years and over for population-based planning for Indigenous people compared with 70 years for non-indigenous people.

Methods. Cross-sectional analysis of aged care assessment, hospital and health survey data comparing Indigenous and non-indigenous age-specific prevalence of health conditions. Analysis of life tables for Indigenous and non-indigenous populations comparing life expectancy at different ages.

Results. At age 63 for women and age 65 for men, Indigenous people had the same life expectancy as non-indigenous people at age 70. …

Using First Nations Children's Perceptions Of Food And Activity To Inform An Obesity Prevention Strategy, Ashlee-Ann E. Pigford, Noreen D. Willows, Nicholas L. Holt, Amanda S. Newton, Geoff D.C. Ball

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Enacting Accountability: Networked Governance, Canadian Ngos And The Fctc, Raphael Lencucha, Anita Kothari, Ronald Labonte

Anita Kothari

Accountability is a pressing challenge within the present system of international lawmaking. Scholars continue to examine the role of non-governmental organizations (NGOs) to encourage the accountability of governments during this process. The negotiation of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) provides an important context to examine accountability as it is and was inherently influenced by corporate interests and government economics, and involved extensive NGO participation. We conducted in depth interviews and document analysis to examine the role of Canadian NGO representatives in the negotiation of the FCTC. We highlight two sets of findings about Canadian …

Health Conditions And Health-Policy Innovations In Brazil: The Way Forward, Cesar G. Victoria, Mauricio L. Barreto, Maria Do Carmo, Carlos A. Monteiro, Maria Ines Schmidt, Jairnilson Paim, Francisco I. Bastos, Celia Almeida, Ligia Bahia, Claudia Travassos, Michael Reichenheim, Fernando C. Barros

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.