Let’s talk about secondhand smoke: A Gitxsan TRYAMF (Tobacco Reduction for Young Aboriginal Mothers and Families) community report

This study grew out of concerns about the secondhand cigarette smoke exposure that women and children experience as they go about their daily lives in the Hazeltons and Gitxsan area. This project is a collaboration between the Gitxsan Health Society and Gitsegukla Health Programs and Services, First Nations and Inuit Health Branch, and the University of British Columbia.Health and Social Development, Faculty of (Okanagan)Nursing, School of (Okanagan)Non UBCNursing, School ofApplied Science, Faculty ofUnreviewedFacult

A family caregiver decision guide : caregiving at home for someone with life-limiting illness

Providing care for a family member is a process that often changes, sometimes quite suddenly. You may provide more care over time – alone, or with help from others. Careful planning allows you to care for your family member at home for as long as possible if you choose to do so. This guide will help you with this plan. To work through the guide online, visit www.caregiverdecisionguide.ca. [This guide was updated with minor changes on February 13, 2019.]Health and Social Development, Faculty of (Okanagan)Nursing, School of (Okanagan)UnreviewedFacult

The right time. The right reasons: Dads talk about reducing and quitting smoking

This booklet is based on fathers’ experiences of reducing and quitting smoking. The quotes in the booklet are from expectant and new dads who smoke or have recently reduced or quit and offer their thoughts and ideas. This booklet is for men who identify with the challenges around being an expectant or new dad who smokes. Knowing that you are not alone in your desire to reduce or quit will help you to take that first step on the journey to becoming a smoke-free dad. The route you choose is up to you but the resources provided in this booklet are included to help you along the way.Health and Social Development, Faculty of (Okanagan)Applied Science, Faculty ofNursing, School ofNursing, School of (Okanagan)UnreviewedFacult

Reducing Smoking Among Mothers: The FACET Program

The Families Controlling and Eliminating Tobacco (FACET) Program analyzed the reasons that standard smoking cessation programs don't work for females. As a result the booklet called "Couples and Smoking: What You Need to Know" was created for pregnant and postpartum women. Findings from the FACET research plus the factors that made the booklet successful are discussed in this resource.Health and Social Development, Faculty of (Okanagan)Nursing, School of (Okanagan)UnreviewedFacult

Personal and social determinants sustaining smoking practices in rural China: a qualitative study

Introduction: Tobacco use in China is disproportionally distributed among rural and urban populations with rural people smoking more. While there is a wealth of evidence on the association between tobacco use among rural people and their lower socio-economic status (SES), how social structural factors contribute to rural smoking is not well understood. Guided by a socio-ecological model, the objective of this study was to explore the personal and social determinants that play a key role in sustaining smoking practices among Chinese rural people. Methods: An ethnographic study was conducted in a rural area of Central Jiangsu, China. Participants (n = 29) were recruited from families where there was at least one smoking resident and there were young children. In-depth interviews and unstructured observations were used to collect data, which were then analyzed with an interpretive lens. Results: Although individuals had limited knowledge about the risks of smoking and lack of motivation to quit, social factors were in effect the main barriers to quitting smoking. Cigarette exchange and cigarette gifting permeated every aspect of rural family life, from economic activities to leisure pastimes, in family and wider social interactions. Traditional familism and collectivism interplayed with the pro-smoking environment and supported rural people’s smoking practices at the community level. Living in the rural area was also a barrier to quitting smoking because of the lack of information on smoking cessation and the influence of courtyard-based leisure activities that facilitated smoking. Conclusion: Development of comprehensive smoking cessation interventions in rural China needs to extend beyond an individual level to take into account the social determinants influencing smoking practices.Other UBCReviewedFacult

Cameras, knowledge, action: The potential for participant produced photographs to inform smoking cessation interventions amongst new fathers

Many fathers mitigate the harm of their smoking by physically separating their smoking from their children and child care activities. In this presentation we empirically locate smoking and masculinities to detail the highly gendered nature of the everyday places where fathers smoke. The data (including 308 participant produced photographs drawn from a study of 20 men were analyzed to describe the locations and contexts that facilitate and restrict participants’ smoking. Three thematic findings, smoking on the job, the bifurcated domestic sphere, and solitary confinement were derived to detail when and where smoking does and does not occur. Drawing on these findings, we discuss next steps for developing and disseminating father-centred tobacco reduction interventions. Guided by developments in knowledge exchange, our research activities are now focusing on engaging potential end users (fathers, partners, health care providers, other stakeholders) in knowledge broker (KB) facilitated group consultations to recommend messages/resources for smoking fathers based on research findings. Involving a KB ensures that knowledge exchange activities benefit from mutual learning among interested stakeholders, a full understanding of the intended audiences for the tobacco reduction interventions, and strong relationships with those who can ensure that our interventions reach the intended audience. We discuss the effectiveness of strategies used in this integrated KT project in engaging smoking fathers, a difficult-to-reach group at the intersections of class and changing gendered roles, and potential future directions for new tobacco reduction interventions.Applied Science, Faculty ofNursing, School ofUnreviewedFacultyResearche

Couples and smoking: What you need to know when you are pregnant

This is a self-help booklet for pregnant women who smoke. In this booklet you will learn how routines, habits, and ways of interacting with your partner influence smoking. Understanding how smoking is influenced by others and everyday routines is an important first step in changing smoking behaviours. If you decide to reduce or stop smoking, you can use this booklet along with other resources to support you in reaching your goals.Health and Social Development, Faculty of (Okanagan)UnreviewedFacult

A RE-AIM evaluation of Healthy Together: a family-centred program to support children’s healthy weights

Background: Healthy Together (HT) is family-centered program to support healthy eating and physical activity designed for implementation in community organizations serving families who may be experiencing vulnerabilities (e.g., related to low income, isolation, ethnicity, immigrant/refugee status, and/or Indigenous background). The purpose of this study was to conduct an evaluation of HT in a real-world, scale-up phase using the RE-AIM framework. Methods: Using a cross-sectional, non-comparative design, a community-based program evaluation was conducted in 29 organizations implementing HT as part of their core service programs. Data were collected using questionnaires with program participants and facilitators, and interviews with directors of participating organizations. Quantitative data were analyzed using descriptive statistics and qualitative data were content analyzed. Results: With regards to Reach, over 3400 caregivers, children and youth attended community programming that offered HT. Among those attending on the scheduled day for the evaluation, 663 completed the questionnaires. The majority of caregiver respondents (n = 431) were female (92%) and attended with children 0–6 years. Respondents also included children 4–6 years (n = 142) and 7–12 years (n = 65), and youth 13–18 years (n = 25). Effectiveness was demonstrated in reported improvements in physical activity, healthy eating, and strengthened social connections. HT was also widely supported by participants and facilitators. Adoption was influenced by the desire to enrich core service programs for families, HT’s fit within existing programs, organizational commitment, and funding support. Implementation experiences indicated that fidelity to the HT program was generally maintained, with some setting specific adaptations. Maintenance of HT was influenced by financial and non-financial resources within community organizations. Most organizations also introduced new initiatives to extend support for healthy eating and physical activity. Conclusion: Our findings indicate improvements in healthy eating and physical activity, and social connections among program participants, as well as efforts by community organizations to create environments to support healthy weights. HT was successfully delivered in “real-world” community settings across multiple contexts and with families with diverse backgrounds. This along with strategies to support program implementation and sustainability indicate that HT provides a model for other public health interventions to promote family health and wellbeing. Trial registration: ClincialTrials.gov NCT03550248. Registered May 25, 2018Other UBCNon UBCReviewedFacult

Relief-oriented use of marijuana by teens

Background. There are indications that marijuana is increasingly used to alleviate symptoms and for the treatment of a variety of medical conditions both physical and psychological. The purpose of this study was to describe the health concerns and problems that prompt some adolescents to use marijuana for therapeutic reasons, and their beliefs about the risks and benefits of the therapeutic use of marijuana. Methods As part of a larger ethnographic study of 63 adolescents who were regular marijuana users, we analyzed interviews conducted with 20 youth who self-identified as using marijuana to relieve or manage health problems. Results Thematic analysis revealed that these teens differentiated themselves from recreational users and positioned their use of marijuana for relief by emphasizing their inability to find other ways to deal with their health problems, the sophisticated ways in which they titrated their intake, and the benefits that they experienced. These teens used marijuana to gain relief from difficult feelings (including depression, anxiety and stress), sleep difficulties, problems with concentration and physical pain. Most were not overly concerned about the risks associated with using marijuana, maintaining that their use of marijuana was not 'in excess' and that their use fit into the realm of 'normal.' Conclusion Marijuana is perceived by some teens to be the only available alternative for teens experiencing difficult health problems when medical treatments have failed or when they lack access to appropriate health care.Applied Science, Faculty ofNursing, School ofOther UBCNon UBCReviewedFacult

Year two in review, 2010-2011

Applied Science, Faculty ofHealth and Social Development, Faculty of (Okanagan)Nursing, School ofNursing, School of (Okanagan)UnreviewedFacult