InterCultural Online health NetworkMulti-cultural; multi-

channel mental wellness support through eHealth

Dr. Kendall Ho, MD FRCPC

Associate Professor, Emergency Medicine

Director, eHealth Strategy Office Se

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“Dizzy Gillespie”: lessons

• They'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 I’ve got them

Essence of Engagement

InterCultural Online Health Network (iCON)

1. Provide 24/7 access to culturally relevant health information to support self management & wellness

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

3. Unique technological opportunities to support mental wellness

Stepwise Strategy

1. Create in-person forums

5

Health Forum, Vancouver

http://www.cbc.ca/video/#/News/Canada/BC/1258521056/ID=1757875862

Live Forum Component

Language/Community Topic When Reach

Chinese – Vancouver Diabetes Sep 2007 ~700

Chinese – Vancouver Healthy Heart Apr 2008 ~1000

Chinese – Vancouver Dementia Oct 2008 ~700

Punjabi – Surrey Dementia Mar 2009 ~750

Chinese – Vancouver Liver Disease Nov 2010 ~1450

1. Community “health fair” – open house, familiar setting

2. Community based interprofessional panel, Q&A

3. Volunteers – students and community

4. Companion website links to live event in various ways

Stepwise Strategy

1. Create in-person forums

Building Partnerships

Mental Health: CMHA Synergy

• March 5, 2011: Aberdeen Mall, Richmond

• Chinese Bounce Back program collaboration

Stepwise Strategy

1. Create in-person forums

2. Establish on line presence

Building Partnerships

www.iconproject.org

Stepwise Strategy

1. Create in-person forums

2. Establish on line presence

3. Introduce on line tools

Building Partnerships

Live Forum – “e” OutreachLanguage/Community Topic When Reach at Event

Chinese VC workshop – Van, PG, Victoria, Kelowna

Diabetes Jun 2010 ~125

Punjabi VC workshop – Van, New West, PG Diabetes Jun 2010 ~125

Punjabi live and webcast – Surrey Diabetes Nov 2010 ~900 + 38 +…

Chinese live and webcast –Vancouver Diabetes Dec 2010 ~750 + 218 +…

Chinese live and webcast – Richmond Mental Health Mar 2011 ~1100 + 100 +…

Punjabi live and webcast – Abbotsford Diabetes/Mental Health

Mar 2011 ~450 + 20 +…

1. Videoconference pilots – FoM and Health Authority VC sites

2. Webcast to the whole province and beyond

3. Connecting with social media

4. New formats – social spaces, social drama, demonstrations….

DVD: Skits

Common situations

• Immigration,isolation

• Chidren’s future/Internet

• Relationships, care giving

• Chronic diseases, own health

Recognition, mx skills, seek help

Stepwise Strategy

1. Create in-person forums

2. Establish on line presence

3. Introduce on line tools

4. Add virtual interactivity

Building Partnerships

Blogging & texting

iCON: Core Components

Web 2.0 Portal

Live Forum

Evaluation and Student Involvement

Interactive Community:“Youtube for Health”

Public Engagement - Highlights

• Approx 95% of the surveys turned in first language

• Female 65% Male 35%

• Average 65 years (youth to late 90s)

Findings: Motivation to Action

What motivates self care?

• Desire to be an “informed patient”

• Desire to learn more about prevention and symptoms of illnesses

• Recognition of limited access to time with physicians

Findings: What does Self Care Mean?

• Trying to make healthy choices but need culturally relevant resources available in own language

• Becoming better informed so they will “use the system less”

• Having sufficient knowledge to be conversant with health professionals

• Helping 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 appointment…and he says “ok” –we don’t know for sure….”

Necessary Ingredient: Culturally relevant resources available

in own language

Feedback

• Surveys indicated that the events stimulated participants’ willingness for positive behavioural change

“I’ll change the way I would cook my food, change my lifestyle.”

Over 90% indicated they will attend the

next event

95% responded that the forum provided new

information they will use to help cope with stress or worry

“Virtual” Insights

• “Anonymity”

• Personal connection

• 24/7 presence

• Moment of action

• Ongoing support

eTrust

ePresenceeKnowledge

iCON: What’s Next?

• 2010: First Nations & Aboriginal communities

• Navigating the system, Informing the system, other?

• Social media, social drama and mobile channels

• Opportunity to co-create “e-Peer support”

• Expanding inter-professional involvement

• Continuous research and evaluation

“…And what can you add to a classic? Your passionate interpretation to keep it even more contemporary.”

Lang Lang

in Mont Blanc Ad

eOpportunities for Mental Health

• Understanding the virtual social reality

• Identifying tactics of intervention

• Plan, Do, Study, Act

• Engage the audience to co-create

• Create modern classics in mental wellness!

Acknowledgments

Co-authors•Helen Novak Lauscher•Sophia Khan•Eizabeth Stacy•Nelson Shen•Janice Tian

Funding Support•BC Ministry of Health Services•Lawson Foundation•Public Health Agency of Canada•Canadian Health Services Research Foundation•Irving K Barber Learning Centre, UBC

Thank you to our partners, community sponsors, volunteers, and the eHealth Strategy Office staff team

PartnersProvincial 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 Circle

e H e a l t h S t r a t e g y O f f i c e

Web: www.eHealth.med.ubc.ca

Facebook: on.fb.me/ehealthstrategy

Twitter: www.twitter.com/ehealhtstrategy