Development and Results

of a Pilot Course on

Commercial Tobacco

Cessation Interventions

with First Nations and

Métis Peoples

Image c/o Cancer Care Ontario

Aboriginal Tobacco Strategy

NAHO National Conference

Ottawa, Ontario

November 24-26, 2009

Marilyn Herie, PhD, RSW

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Roadmap

• What is TEACH?

• Overview of Specialty Course

• Course development process

• Evaluation results

• Lessons learned

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The

TEACHProject

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The TEACH Project (Training Enhancement in Applied Cessation Counselling and Health)

• A knowledge translation (KT) project designed

to build capacity for cessation programs

• 40 hour certificate Program accredited by

University of Toronto, Faculty of Medicine

• Community of Practice follow-up to training

• Open to health/community workers from all

disciplines

• 2000+ course participants since 2006

Overview of TEACH Certificate Program

Application

Declined

application

Attend Core

Course(& Learning Assessments)

Complete

OTRU

online course

Accept

Application

Refer to minimal

contact intervention

training

Join Community

of Practice

U of T Certificate

Attend Specialty

Course(& Learning Assessments)

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Tobacco Interventions with

Aboriginal Peoples

• 2-day Specialty Course

– Certificate in Intensive

Cessation Counselling

• Piloted May 28 – 29,

2009, Toronto

Course Faculty• Nicole Brisson, De dwa da dehs nye>s Aboriginal Health Centre,

Hamilton

• Hillary Connolly, CAMH TEACH Project

• Jeff D’Hondt, Aboriginal Service, CAMH

• Kevin Fitzmaurice, Native Studies Dept. University of Sudbury

• Ghislaine Goudreau, Sudbury and District Health Unit and Laurentian University

• Elder Vern Harper, CAMH

• Allan Pelletier, De dwa da dehs nye>s Aboriginal Health Centre, Hamilton

• Richard San Cartier, North Shore Tribal Council

• Peter Selby, CAMH and University of Toronto

• Sasha Sky, Thunder Bay District Health Unit

• Brian Slegers, St. Joseph’s Hospital Sudbury and Rainbow District School Board

• Senator Roland St. Germain, Elder, Métis Nation of Ontario

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Course Content

• Smudging and opening prayer (Elder Vern Harper)

• Social determinants of health

• Tobacco interventions with youth; youth panel

• Legal and political framework

• Promising practices & examples

• Diabetes and tobacco use

• Barriers & enablers to practice change

• Drumming circle

• Closing prayer (Elder Harper)

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How did we get there?

• Participatory research (Schnarch, 2004)

• Community-based research (Shannon et al. 2007)

• OCAP principles (First Nations Centre, 2007)

• Apply knowledge translation of

educational practices(Masching, Allard and Prentice 2006)

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Collaborative Network

Curriculum Working Group

Engagement Group

OTRU Conference

Core Course MeetingBi-weekly Teleconferences

CWG Partnerships

Group Review

“Snowball” Promotion

Application MonitoringSpecialty Course

2 days

160+ participants;

8 facilitators;

2 elders; 5 youth

Learning Assessments

(1, 2, 3)

Evaluations

(Formative; Summative)

Evaluation: 4.7 / 5

Final Edits

Open-Access Resources

Evaluation

Implementation of Results

Needs Identification

Curriculum Development

Promotion & Applications

Course Offering

Planning Group

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Lessons Learned• Time

– Build relationships

– Large planning group = slow process

• Flexibility– Range of commitment

– Create and maintain space

for differing ideas

• FN-centred– How to engage Métis and

Inuit planners?

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Thank you!

Marilyn Herie (marilyn_herie@camh.net)

www.teachproject.ca

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www.teachproject.ca