engaging student voices in discussions on youth health knowledge exchange donna murnaghan, courtney...
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Engaging Student Voices in Discussions on Youth Health
Knowledge Exchange
Donna Murnaghan, Courtney Laurence and Melissa Munro-Bernard
CU EXPO Cornerbrook, NFLD
June 15, 2013
Acknowledgements
Project Funders:• SHAPES/YSS-PEI (DEECD, DoHW, Health Canada)• Youth Excel (CPAC)• Student and Parent workshops (CIHR, CPAC)
Project Partners:• PEI Department of Education and Early Childhood Development• PEI Department of Health and Wellness• Propel Centre, University of Waterloo
What is SHAPES-PEI?• School-based, province wide survey of youth behaviours
(physical activity, healthy eating, mental fitness, and tobacco, drug, and alcohol use)
• Completed by all grades 5-12 students (with parental permission) from participating schools.
• Two surveys in one: SHAPES (provincial) and Youth Smoking Survey (YSS) (national)
UnderlyingResearch
School
Health
Assessme
nt
Feedback for
Planning
ActionEvaluation and
Adaptation
“Local” Strategy
and Contexts
School Health Action, Planning, and Evaluation System (SHAPES)
• Survey conducted provincially every 2 years since 2008-2009• 90% of schools participated in most recent data collection (2012-2013)
• Data collection:– Student level
• students from grades 5-12• physical activity, healthy eating, mental fitness, and tobacco use modules• grades 7-12 students also complete an alcohol/drug use module
– School level• school administrator surveys (Healthy School Planner – JCSH)• foundational and (4) health behaviour express modules
School Health Assessment: SHAPES-PEI
Feedback for Planning:School Health Profiles
• School-level Profiles– Health behaviours & attitudes of students– Data (e.g., charts), resources, & ideas for action
• Board-level Profiles– Aggregated data from all participating schools
in the board
• Provincial Profile– Health profile of students within the province
of PEI
Youth Excel (2009-2012)• Funders:
– Canadian Partnership Against Cancer (CPAC) as part of an initiative called Coalitions Linking Action and Science for Prevention (CLASP).
• A team of teams:– (2) National partners: Joint Consortium for School Health and Propel– (7) Provincial teams: NL, PE, NB, ON, MB, AB, BC
• Youth Excel (nationally) has three aims:– Aim 1: Establish and advance priorities for youth health;– Aim 2: Accelerate development of KE capacity in provinces;– Aim 3: Strengthen collaboration among research, policy, and practice
Youth Excel: PEI Case Study• 1 of 3 case study provinces (MB, NB), selected as a result of existing
capacity and leadership in KE (existing youth health knowledge exchange systems)
• The PEI Case Study had three objectives:1) To document and understand the development of SHAPES-PEI
(i.e. “telling the story of SHAPES-PEI”)2) To explore SHAPES-PEI evidence synthesis, distillation, and use
(i.e. Use of SHAPES-PEI feedback reports and other youth health evidence) 3) To understand stakeholder perspectives on youth health KE
(i.e. stakeholder perspectives and lessons learned, beliefs and visions for the future, program and policy development processes, etc.)
• As part of this project, PEI conducted focus groups to gain youth perspectives
Student and Parent Workshops
• “Meeting, Planning and Dissemination” grant funded by CIHR (2011)
• Engaging student and parent voices in school health knowledge translation
• Purpose of workshops was to share health information with participants and to identify school health priorities for students and parents
MethodologyFocus Groups
• 7 focus groups (plus one follow-up focus group) were conducted between October 2010-May 2011• 50 students from grades 7-12
representing 3 schools• Students identified by
principals/teachers• Semi-guided discussion format
with prompting questions (approx. 45-60 minutes long)
Workshop• All day event held in the fall of
2011• 28 students from grades 7-12
representing 14 schools• Students identified by
principals/teachers• Small and large group activities
and discussions
Findings From Focus Groups and Workshop
School/Youth Health Priorities and Issues
• Healthy eating• Price, food quality, availability of fast food options
nearby
• Physical activity• Lack of opportunities, fewer classes, lack of extra-
curricular/sport options
• Bullying• Spreading rumours, making fun of others
Youth Voices…“it is not as good taste wise, but better health wise.”
“I find the majority of girls are getting less and less, like they don’t like gym as much. In elementary school,
everybody looked forward to gym and was excited and stuff, but now I think girls like it less and less, for the most
part.”
Youth Voices…Student 1: “I don’t know if [it’s] bullying…as much as just mocking. But
sometimes you don’t even know if they are just kidding around as friends...”
Student 2: “It just depends, some kids they get picked on.”
Student 1: “It happens either not at all or a whole lot. Almost everyone in the school picks on each other as a joke, or because they don’t like the people.”
Student 3: “But then there are some people who are actually, like, bullied. Everything they do, they get made fun of.”
Student 1: “Yeah, it gets really serious in those cases.”
Current Actions Supporting Youth Health
• Family and Friends:• Buy healthy foods and have home cooked meals• Encourage youth to be active, join teams, play outside• Help youth have high self-esteem
• School Level • Cafeteria specials with healthy options, breakfast/snack programs• Variety of sports teams/intramurals, fitness rooms• Various clubs and groups related to anti-bullying, self-esteem,
acceptance, etc. • Teachers/administrators acting as positive role models
Youth Voices…“[school] is doing a good job now. They are promoting a lot of healthy stuff. They put in weights, treadmills, and
in the cafeteria all the food is healthy.”
“I have to say, we have the best teachers here. You can talk to anyone. Some teachers will stop me in the
hallway and ask me how my day is going and stuff like that. We have a really supporting staff behind us.”
Improving Youth Health
• Facilitators• High quality food at low cost• Better access to school and community fitness facilities• Positive relationships with teachers/administrators
• Barriers• Long lines and not enough time to eat lunch• Costs associated with physical activity• Youth not being listened to
Lack of Student Voice
• Youth felt they do not have ability to influence change within their school
• Their opinions and perspectives are often ignored
• Youth want to participate, but are not involved in the conversations and decisions that directly impact them
Youth Voices…
“I guess we never really tried that hard, but there are certain things that we tried to fight for
that it just doesn’t work because we are kids. They don’t look at us as responsible and that we
know what we are doing.”
Youth Voices…“[the school] just push us away because they think
we don’t really know what we are talking about, but on subjects like that [cafeteria food, gym classes, tobacco on school grounds] we could
actually have something against it, like it is true, but they just don’t listen to us because of our age. If
they did, I am sure the school would be way better.”
Lessons Learned• Students were less candid regarding
behaviours that were socially less desirable (bullying, smoking, drinking)
• Youth would like to be involved, but are not often given the opportunity to participate in decisions
• Positive relationships and role models within the school are important to the students
Questions?
Contact Information
Web: www.upei.ca/cshr/
Donna MurnaghanPrincipal Investigator
(902) [email protected]
Courtney LaurenceResearch Coordinator
(902) [email protected]
Melissa Munro-BernardResearch Coordinator
(902) [email protected]