Regina, SK - NOVEMBER 2011

Active Canada 20/20 Consultation: Regina, Saskatchewan

November 9, 2011

Facilitators
C. Costas-Bradstreet
S. Grundy

Overall Comments

  • How can we learn from best practice policy
  • “Results oriented” policy perspective
  • Monitor accountability on policy
  • Build in accountability for policy
  • Assume responsibility for policy
  • Medical –standards of practice-broaden definition
  • Policy on infrastructure
  • Overall – collaboration is essential – coordinated policy
  • Identify and remove policy barriers
  • Ensure connection between policy and implementation re: policy

Pillars (Areas of Focus)

Pillar 1 – Policy Development, Change and Implementation

Action 1 - A special task force of F/P/T governments should be immediately established to lead the development of a Canadian Physical Activity Policy, led by Health/Sport, Physical Activity and Recreation Ministers. (This would be a distinct but parallel process to the Canadian Sport Policy and would be in consultation with F/P/T departments concerned with health, transportation, human resources, infrastructure, environments, business, heritage and tourism.)

  • Add education
  • Broaden beyond gov’t – include NGOs
  • Strategy more realistic
  • Clear distinction on legislated policy – Fed. Prov, Terr. Municipal, Local
  • CBO’S – national-local policy leadership
  • Explore where we are for omnibus health care legislation – opportunity
  • Examine existing policy - e.g. Fitness Tax Credit
  • Influence long-term municipal plans for PA
  • Linkage to other policy e.g. Rec., obesity, after-school, comprehensive school health

Action 2 - Leading Canadian employers will develop, and/or strengthen results oriented policies that support infrastructure and programs for employees to add physical activity to their daily lives, including active transportation to and from work. Employers and employees will be supported with tax incentives. Initially large employers (over 500 employees) will be specifically called on to implement policies to increase physical activity.

  • Leading Corps?
  • Workplace policies - what is the process to choose priorities – e.g. Tax incentives
  • Need action items for private sector leadership on infrastructure

Action 3 - Governments will address sub-populations with the greatest access issues, and target fiscal policies, incentives and subsidies to eliminate disparities in participation levels.

  • Avoid risk of ghetto-izing-stigma
  • Gaps in policy/supportive
  • Neighbourhood/family leadership
  • Accessibility policy
  • User pay vs. essential service policy

Action 4 - Transportation departments (federal, provincial/territorial, municipal) will implement policy to prioritize Active Transportation for short distance trips in all communities.

  • Broaden to urban planning

Action 5 - School boards across Canada will adopt and implement Quality Daily Physical Education (QDPE) including daily physical activity, school sport and after-school programming as well as active school transportation planning policies.

  • Separate QDPE
  • DPA separate
  • Implementation of PE curriculum

Action 6 - Renewal and implementation of the Canadian Sport Policy will bring priority to increasing physical activity levels as part of its sport participation goal.

  • Broaden Sport policy


Pillar 2- Targeted Information and Public Education

Overall Comments

  • Be aware of new Canadians in all pillars here
  • Coordinated – important part of this pillar
  • All four pillars-private sector
  • Be okay with many not being able to target everyone
  • How are things being rolled out?
  • People owning it?

Action 1 - Long term planning and support for national information and education campaigns that are adequately funded, linked closely with national, provincial/territorial and major municipal campaigns, will be implemented.

  • Align with private sector messages and look at policy that guides private sector messages plus health organizations
  • Support resources that help those with decreased capacity - resources for SM
  • Campaign/same message-different ads
  • Different needs in different parts of the community
  • Workshop of FPT social marketing group?
  • “Give you the mannequin and let us dress it”
  • General message but options to personalize it/tweak it for your populations/mandate
  • Focus on messages vs.  ++campaigns

Action 2 - An annual priority theme will be set across jurisdictions to guide education and marketing campaigns. Examples of themes include: Aboriginals, children and youth, new Canadians, girls and women, older adults and people with a disability.

  • Who is setting the priority/theme?
  • If we focus on one group, risk of forgetting the others (and then risk of forgetting/dropping 1st priority
  • Certain messages available - orgs use and personalize
  • Info  & education on how to take action-sectors-populations
  • Not crazy about annual priority - not enough time, creates confusion
  • Focus on age-group and within that, ensure message is inclusive
  • Need to address the barriers
  • If we don’t target, don’t drop the 1st priority group

Action 3 - The Canadian Physical Activity Guidelines will be broadly distributed and awareness will be increased among Canadians.

  • Acknowledge the people that give the information – e.g. Medical/health professionals
  • Message should always be about increasing public awareness
  • Distribution doesn’t mean action so the pillars must address actualizing the guidelines

Action 4 - A means will be identified to provide information regarding the benefits of physical activity to Canadian employers and employees. An education program targeting large employers will be implemented to stimulate workplace-based physical activity promotion.

  • All workplace sizes
  • Don’t single out workplaces – message to all Canadians
  • Impact of physical inactivity
  • Tools and rationale, sample policies for workplaces
  • How do we position PA – not just health
  • Report back also on effectiveness of interventions

Action 5 - Targeted outreach will take place that is relevant to the needs of sub-populations.

  • Solution to other societal issues
  • Therefore build on and add to campaigns

Action 6 - Decision and policy makers will be provided with current, reliable statistics on the status of physical activity levels in Canada.

  • Where is the evidence/data to guide our decisions? Disconnect between data and a form usable by sector
  • Best practice info to others 


Pillar 3 - High Quality, Accessible Programs and Services

Overall Comments

  • Consistency in doc. re: wording of actions –make them action oriented
  • The way it is written sounds like it has to be organized
  • How do we ensure HP value PA therefore use action – “promote”
  • Needs an action
  • Value –underlying principle/foundation in document
  • How do we change/increase focus on prevention vs chronic disease? PA is one piece of this broader initiative
  • Use term “positive” vs. high quality

Action 1 - Elementary and secondary schools, with the support of provincial  Ministries of Education and the local school boards, must implement Quality Daily Physical  Education (QDPE) including daily physical activity, school sport and after-school programming as  well as active school transportation planning policies.

  • Add role of community
  • Separate QDPE from the other points
  • Quality? Define? High?
  • Don’t lose education (pre-service) training (college/universities)
  • Education and care (younger and OA)

Action 2 - Municipal recreation and health departments will set targets for increasing physical activity of residents, as part of their planning and performance objectives.

  • Expand beyond Recreation and health departments
  • Doesn’t fit here - policy embedded in mandates
  • These should be collaborative targets

Action 3 - Community schools and recreation will provide greater access for members of the community to use facilities in order to increase participation in sport and physical activity programs, and foster after school programs.

  • Does not have to be structured activities
  • Free play/unstructured –fits in whole area-opportunities
  • Change to “community resources” (schools, rec facilities, workplaces, parks, outdoor spaces etc.)

Action 4 - Staff, throughout the education system from pre-school to college and university levels, will be supported in adoption and utilization of physical education curriculum.

  • Education/training to all educators (not just PE)
  • Take out “staff”
  • Define what support means
  • Add daycare providers, early childhood education providers
  • Pre-service training (consistent message)

Action 5 - Physical activity practitioners, companies and organizations will ensure outreach, readiness and welcoming access, to support Canadians who take steps to increase physical activity.

  • Way too vague, what is really meant by this?
  • Social infrastructure related
  • Ensure leaders have the skills to deliver programming etc. with the request – tools, ability to make the case

Action 6 - Primary health care professionals value exercise, and prescribe advice and recommendations to their patients about the health benefits and need for physical activity. They are informed and able to refer patients to qualified exercise professionals.

  • Add in word “consistent”, take out “exercise”

Action 7 - Existing social networks and facilities will be utilized to deliver physical activity programming  that is relevant and sensitive to the needs and values of subpopulations such as aboriginals,  children and youth, new Canadians, girls and women, older adults and people with a disability.

  • Programming – too structured
  • Structured and non-structured
  • An opportunity to be active to go and be active

Action 8- Specific strategies will be developed by all delivery organizations to encourage participation in physical activity programs by at-risk populations.

  • Word program-theme throughout

Action 9 - Large employers will implement comprehensive physical activity programs based on best practices.

  • All employers
  • Comprehensive PA programs
  • I think the “comprehensive” should apply to workplace wellness broadly

Action 10 - The National Coaching Certification Program (NCCP) will investigate  ways to promote “health enhancing physical activity” at all levels and  for all sports.

  • Need to link/add in CSUL/LTAb and sport policy renewal
  • Training!!!.


Pillar 4 – Community Design and Social Infrastructure

Overall Comments

  • Pillar-reframe/modernize
  • Better actions re delivery of services
  • Engage those responsible
  • Co-leads
  • Pop. Health not public health
  • Supporting moms, employees and users
  • Strategy - legislation bullet
  • Strengthen social infrastructure – part of whole document plus actions

Action 1 - Every municipality will develop, review and revise municipal/local government master plans to ensure that opportunities for physical activity are explicitly included in all facets of the plan, and barriers to an active lifestyle are eliminated.

  • First step - identify community leads
  • Stronger voluntary sector language

Action 2 - Within the municipal/local government master plan for physical activity, municipal/local governments will develop a strategic plan for transportation that explicitly places priority on active transportation.

  • No comments noted.

Action 3- Inactive segments of at-risk populations, such as Aboriginals, children and youth, new Canadians, girls and women, older adults and people with a disability should be an integral part of plans and strategies to increase physical activity.

  • Focus on inactive and at risk –first nations and new Canadians – build on their experience (vs. underserved –priority pops.)
  • Training and education
  • Champion peer modeling
  • Where are families?

Action 4 - Governments will address the infrastructure deficit in order to ensure all Canadians have access to spaces and facilities where they can learn, experience and practice physically active pursuits.

  • Free Play – access to nature/outside
  • Physical & Social Environments
  • Actions for private companies/developers

Action 5 - Communities, in partnership with other levels of government, will target human and financial investment in recreation and sport for underserviced areas such as rural, low income communities or isolated areas, or high density areas with inadequate facilities.

  • Community-municipal
  • Supportive social capital - welcoming environments
  • Rural is missing/different – e.g. A.T.
  • Park & Recreation may be  distinct
  • Add education plus health & rec.

Action 6 - Communities will identify existing facilities, (public, private, and others) and develop plans to maximize community wide shared use in order to increase access by community members for physical activity.

  • Concept of community
  • Disconnect between good design and as built – address this
  • Developers

Foundations

Strategic Investments

Overall Comments

  • Foundations - current diagram suggest all are equal
  • This is most important - diagram should reflect
  • All implicated in this
  • Formalize cost-sharing agreements – can these bind the above?

Action 1 - Governments (Federal, Provincial/Territorial, Municipal) will identify physical activity as a priority and dedicate ongoing budgets to increase physical activity. This includes substantive investments in the voluntary sector delivery system that are clearly linked to expected results.

  • Investments in tax policy etc. – need to reduce barriers
  • All levels
  • When do we hold other sectors/Feds responsible and how? – for what you agreed to do
  • How do we address responsibility
  • Need to understand what responsibility in this strategy implies – ownership

Action 2 - Investments in physical activity will support community development approaches to ensure ownership, relevance and sustained action.

  • Child audience
  • Investment should span sectors – public, private
  • Investment in children/youth priority
  • Investment in other resources – should be valued/included
  • Define what we mean by investments - $-other investments or be clear if we just want $
  • Investments – clarify should include human resources
  • Have to take this further and talk to the orgs doing the work and listen to what is being said
  • Difference between you are responsible for x vs. we need some investment
  • Investing in, creating innovative PA opportunities
  • All implemented/responsible for actions –implementation-resources $, resources-human and continued support

Action 3 - Public and private sector employers will invest in increasing the physical activity levels of their employees.

  • HR, facility, leadership
  • Public and Private Sector orgs will dedicate resources/invest in increasing PA
  • Excludes voluntary sector
  • Employers will invest in……
  • Add employees and their families (family friendly policies)

Action 4 - Business and industry will shift existing sponsorship and marketing efforts to invest in physical activity for Canadians.

  • Caution on sponsors/marketing partners
  • Link to other issues
  • AL -the word “shift” may be problematic
  • Need a national PA policy and spell out who is responsible to fund


Mobilization

  • No further feedback


Evidence and Knowledge Exchange

Overall Comments

  • Does the word surveillance imply “wrongdoing”?  Surveillance is the common term
  • How does this inform the strategic responsibilities of others - link to accountability (strategic investments)
  • Need funding that drives the overall agenda and give attention and funding to what the provinces need (that is meaningful)
  • Need actions on KE & T

Action 1 - The system for monitoring physical activity levels in Canada and the impacts of national and provincial/territorial strategies will be enhanced and maintained to ensure quality, relevant data is collected that is consistent and comparable for systemic measurement of progress toward the vision and goal of Active Canada 20/20.

  • No additional comments

Action 2 – The effectiveness of social marketing and education campaigns will be monitored.

  • Action 2 & 3 -link together
  • Can’t evaluate components in isolation (add other interventions  not noted in this bullets)
  • How do we get info out to those who need to see it?
  • Out of the basement….

Action 3 - The effectiveness of interventions, including community-based interventions and policy initiatives will be assessed as to their impact on individuals.

  • We need what is working?
  • Encourage innovation – go beyond the status quo
  • KT-not reinventing the wheel – we have info and programs – need to be shared

Action 4 - Ongoing research will be conducted on barriers, determinants, prevalence, and correlates of physical activity.

  • Don’t need any more of this

Action 5 - A new research agenda, informed by other research agendas will be developed to inform activities related to evidence and knowledge exchange.

  • Last bullet-has to include who is going to fund it?
  • CFLRI must be funded
  • How do we deploy resources to ensure research and practice receive?
  • Research funding – must ensure that funds received for an initiative fund not only the implementation but also go towards measurement of initiatives
Comments