lessons learned in engaging chinese and south asians in mental health dialogue in b.c

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Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.C. Dr. Kendall Ho, MD FRCPC Associate Professor, Emergency Medicine Director, eHealth Strategy Office. CCMHS Conference October 6 th , 2011. “Dizzy Gillespie”: lessons. - PowerPoint PPT Presentation



Lessons learned in engaging Chinese and South Asians in mental health dialogue in B.CDr. Kendall Ho, MD FRCPCAssociate Professor, Emergency MedicineDirector, eHealth Strategy Office

CCMHS Conference October 6th, 2011

1Use phot of mom and son2Dizzy Gillespie: lessonsThey're not particular about whether you're playing a flatted fifth or a ruptured 129th as long as they can dance to it. How do you know they like your music? If I got their toes tapping, then I know Ive got themEssence of Engagement

AgendaDescribe iCONCommonly queriesInsights and paths forwardQuestions, Discussion

Language & the WebEffective:EnglishChronic Disease mxTechnological literacyAccurate informationChinese & Punjabi?UntestedLanguage barriersTechnical challengesSources of informationSocio-cultural factors

Understanding the ProblemAccurate & quality health informationEnable self-care & health partnershipsImpact on chronic disease managementHealth consumers & health professionalsBetween generations & care giversPeer to peerServing multicultural publicInternet language marginalizationComputer skillsHunger for health knowledge

InterCultural Online Health Network (iCON)Provide 24/7 access to culturally relevant health information to support self management & wellness

Use multi-channel engagement to reach a variety of community members needs/ preferences

Unique technological opportunities to support mental wellness

6Common Queries


Diabetes events & on line 2010-11sample sizeOver 138,000 data points

Meaningful translationsStrong Parallel Reliability between languages

Variety of available avenues of analysis

Demographic ProfilePunjabi Forums: Sex and AgeChinese Forums: Sex and Age

Common QueriesIs there interest?


Health Forum, Vancouver


http://www.cbc.ca/video/#/News/Canada/BC/1258521056/ID=175787586212Live Forum ComponentLanguage/CommunityTopicWhenReachChinese VancouverDiabetesSep 2007~700Chinese VancouverHealthy HeartApr 2008~1000Chinese VancouverDementiaOct 2008~700Punjabi SurreyDementiaMar 2009~750Chinese VancouverLiver DiseaseNov 2010~1450Community health fair open house, familiar settingCommunity based interprofessional panel, Q&A Volunteers students and communityCompanion website links to live event in various ways

13Public Engagement - HighlightsApprox 95% of the surveys turned in first languageFemale 65% Male 35%Average 65 years (youth to late 90s)

14Health StatusPunjabi: Diabetes StatusChinese: Diabetes StatusN = 241N = 410Common QueriesIs there interest?Would the Internet be useful?

Internet Skills

Punjabi: Internet Skills byEnglish Language skillsChinese: Internet Skills byEnglish Language skillswww.iconproject.org

42,958as of 8/201118

19Live Forum e OutreachLanguage/CommunityTopicWhenReach at EventChinese VC workshop Van, PG, Victoria, KelownaDiabetesJun 2010~125Punjabi VC workshop Van, New West, PGDiabetesJun 2010~125Punjabi live and webcast SurreyDiabetesNov 2010~900 + 294Chinese live and webcast VancouverDiabetesDec 2010~750 + 744Chinese live and webcast RichmondMental HealthMar 2011~1100 + 373Punjabi live and webcast AbbotsfordDiabetes/Mental HealthMar 2011~450 + 168Punjabi live and webcast - KelownaDiabetesOct 2011~300 + 15Videoconference pilots FoM and Health Authority VC sitesWebcast to the whole province and beyondConnecting with social media

20Blogging & texting

Common QueriesIs there interest?Would the Internet be useful?Would self management apply?

Findings: Motivation to ActionWhat motivates self care?Desire to be an informed patientDesire to learn more about prevention and symptoms of illnessesRecognition of limited access to time with physicians

23Findings: What does Self Care Mean?Trying to make healthy choices but need culturally relevant resources available in own languageBecoming better informed so they will use the system lessHaving sufficient knowledge to be conversant with health professionalsHelping family members care for themselves

The problem with doctors is that we only go for a check-up once, but our condition may change before or after, even if we are well at our appointmentand he says ok we dont know for sure.Necessary Ingredient: Culturally relevant resources available in own language

24Common QueriesIs there interest?Would the Internet be useful?Would self management apply?Would this motivate change?

FeedbackSurveys indicated that the events stimulated participants willingness for positive behavioural changeIll change the way I would cook my food, change my lifestyle.Over 90% indicated they will attend the next event95% responded that the forum provided new information they will use to help cope with stress or worry


27Mental Health: CMHA SynergyMarch 5, 2011: Aberdeen Mall, RichmondChinese Bounce Back program collaboration

DVD: SkitsCommon situationsImmigration,isolationChidrens future/InternetRelationships, care givingChronic diseases, own healthRecognition, mx skills, seek help

Whats the Magic?FlourButterMilkEggsSugarSaltYeast

Success in Virtual EngagementeKnowledgeePresenceeTrustStepwise Strategy: 4 yr journeyCreate in-person forumsEstablish on line presenceIntroduce on line toolsAdd virtual interactivity

Building PartnershipsiCON: Whats Next?New content areas.Navigating the system, Informing the system, other?Building on social media, social drama and other channelsMobile phone communicationOpportunity to co-create e-Peer supportEngaging health professional trainees33And what can you add to a classic? Your passionate interpretation to keep it even more contemporary.Lang Langin Mont Blanc Ad

eOpportunities for Mental HealthUnderstanding the virtual social realityAppreciating the cultural perspectivesIdentifying tactics of interventionPlan, Do, Study, ActEngage the audience to co-createCreate modern classics in mental wellness!AcknowledgmentsCo-authorsHelen Novak LauscherSophia KhanEizabeth StacyNelson ShenJanice Tian

Funding SupportBC Ministry of Health ServicesLawson FoundationPublic Health Agency of CanadaCanadian Health Services Research FoundationIrving K Barber Learning Centre, UBC

Thank you to our partners, community sponsors, volunteers, and the eHealth Strategy Office staff teamPartnersProvincial Health Services AuthorityFraser Health AuthorityVancouver Coastal Health AuthoritySUCCESS Canadian Mental Health Association, Bounce BackHealthLink BCSafeway PharmacyOmni TelevisionAberdeen CentreFairchild TelevisionFairchild RadioCanadian Diabetes AssociationMing PaoTsing TaoDepartment of Medicine, UBC Telus CorporationUBC Learning Circle36Web: www.eHealth.med.ubc.caFacebook: on.fb.me/ehealthstrategyTwitter: www.twitter.com/ehealhtstrategy

eHealth Strategy OfficeChart10.33330.33330.3333


Sheet1Column1Patients33.33%Caregivers/Family33.33%Interested in Prevention33.33%