knowledge translation: childhood obesity prevention and treatment strategic research initiative

1
Diabetes Attitudes, Wishes and Needs (DAWN and DAWN2) program. DAWN and DAWN2 involved multi-national surveys of large samples of individuals with diabetes, family members and healthcare providers. Psychosocial issues were assessed with vali- dated scales within a comprehensive framework. The results and knowledge translation tools of DAWN, which did not include Canada, will be presented to illustrate the value of such an approach. With DAWN/DAWN2 as a model, this workshop will examine the parallels between diabetes and obesity, leading to 3 outcomes: a proposal for a consensus on a psychosocial assessment model for obesity; establishing a country-wide initiative to better integrate psychosocial assessment/management into clinical care for those with obesity; and, the creation of working groups inter- ested building on the knowledge translation accomplishments of the DAWN/DAWN2 for obesity. 706-WK Knowledge Translation: Childhood Obesity Prevention and Treatment Strategic Research Initiative PHILIP SHERMAN, MICHELLE MOTTOLA, NAZEEM MUHAJARIN, WILLIAM H. DIETZ SickKids Hospital, Toronto, Ontario, Canada The Canadian Institutes of Health Research (CIHR) is the Government of Canadas agency responsible for funding health research in Canada. Obesity and Healthy Body Weight has been a strategic research priority of CIHR Institute of Nutrition, Metab- olism and Diabetes (INMD) since its inception in 2001. In 2008, INMD and a number of partners funded three-year Operating Grants to support research targeted at Childhood Obesity Preven- tion and Treatment. These grants were designed to increase knowledge related to interventions for the prevention and treat- ment of childhood obesity in clinical settings or at the population level, and to increase the speed at which evidence is transferred into clinical practice, programs or policies. Three of the funded projects will be presented at this workshop: individual and household environmental inuences guiding the processes of changing obesogenic behaviours among overweight/obese adolescents and their families - Dr. Louise Masse, Univ. British Columbia; preventing childhood obesity: early intervention during pregnancy and rst year postpartum for overweight and obese women using a two pronged family-based Nutrition & Exercise Lifestyle Intervention Program (NELIP) - Dr. Michelle Mottola, Western; working upstream: Effecting healthy children through neighbourhood design - Dr. Nazeem Muhajarine, Univ. of Sas- katchewan. This workshop will provide an opportunity for the researchers to discuss the ndings of their specic research projects, potential policy and program implications, and identify future research directions. Dr. Philip Sherman, CIHR INMD Scientic Director, will moderate this workshop, and Dr. William Dietz, former Director, Division of Nutrition, Physical Activity and Obesity, U.S. Centers for Disease Control and Prevention, will act as a discussant to place this Canadian research in the context of the international research on childhood obesity prevention and treatment. 707-WK Interventions for the Concurrent Prevention of Eating Disorders and Obesity: Challenges, Opportunities and Implications SHELLY RUSSELL-MAYHEW University of Calgary, Calgary, Alberta, Canada Currently, children and youth are inducted into norms and messages about healthy weights which are at best inconsistent and confusing, and at worst cause harm. Obesity (OB) and eating disorders (ED) are both major public health concerns. Agreed upon strategies to prevent these issues simultaneously are lacking in part because ED and OB prevention have been seen as working at cross- purposes. Efforts to prevent OB are seen as dangerous in promoting precursors to EDs and efforts to prevent EDs are seen as encouraging complacency about healthy weight. Considering the increase in both OB and EDs and their associated health risks, there is a need to study integrative approaches that potentially prevent a range of unhealthy weight-related issues. This emerging integrative approach to OB and ED prevention involves identifying and inter- vening around shared risk factors with consistent messages for healthy growth. Prevention interventions designed to prevent both OB and EDs by focusing on shared risk factors potentially optimizes the delivery of the healthy eating/active living messages (OB prevention) without triggering weight and shape preoccupation (ED prevention). The purpose of our study was to determine if ED and OB prevention efforts could be successfully integrated in junior high school settings by providing intervention activities focused on ve shared risk factors namely (a) dieting, (b) media, (c) body image, (d) weight-based teasing, and (e) self-esteem. 708-WK Changing Social Norms Associated with Weight and Body Image SHELLY RUSSELL-MAYHEW, MARILYN MANCEAU, DR. SHELLY RUSSELL-MAYHEW, MARIE-CLAUDE PAQUETTE, GINA MORENCY, CHANTAL BAYARD, DR. CONNIE CONIGLIO University of Calgary, Calgary, Alberta, Canada Social norms for body and weight are inuenced by many factors: a unique model of beauty, images of edited bodies, weight loss treatment advertising, emphasizing appearance and perfor- mance, linking thinness and success, stigma and prejudice towards obesity and medical discourses on obesity. These norms can only be changed by acting at multiple levels. This workshop will present the main factors that shape social norms in regards to weight and body image. Then speakers will demonstrate the necessity of tackling both weight gain prevention and excessive weight preoc- cupation, which are two sides of the same coin. The workshop wills also presents interventions originating in Quebec and Canada- from government and non-prot organizations which contribute to the transformation of current social norms associated with weight and body image. 709-WK Practical Tools for Engaging "The 6th A: Awareness" COLLEEN CANNON, WENDY SHAH Craving Change Inc., Calgary, Alberta, Canada Physicians and allied health care professionals must engage skillful Awarenessof the complex range of factors causing and maintaining obesity so as to effectively Assessand Advise. It is also essential for patients to be aware of the relevant root causes of their weight status in order for them to make and sustain behaviour change. Evidence consistently identies a complex range of factors contributing directly to obesity, including emotional regulation, stimulus control, maladaptive thinking patterns, learned associa- tions, social-cultural factors, sleep, stress management and mental health. However, the practical strategies for detecting and addressing these factors are less available and as a result clinicians and their patients can be overwhelmed. This workshop provides practical tools for the rst and pivotal step in assessing these Abstracts / Can J Diabetes 37 (2013) S217eS289 S252

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Abstracts / Can J Diabetes 37 (2013) S217eS289S252

Diabetes Attitudes, Wishes and Needs (DAWN and DAWN2)program. DAWN and DAWN2 involved multi-national surveys oflarge samples of individuals with diabetes, family members andhealthcare providers. Psychosocial issues were assessed with vali-dated scales within a comprehensive framework. The results andknowledge translation tools of DAWN, which did not includeCanada, will be presented to illustrate the value of such anapproach. With DAWN/DAWN2 as a model, this workshop willexamine the parallels between diabetes and obesity, leading to 3outcomes: a proposal for a consensus on a psychosocial assessmentmodel for obesity; establishing a country-wide initiative to betterintegrate psychosocial assessment/management into clinical carefor those with obesity; and, the creation of working groups inter-ested building on the knowledge translation accomplishments ofthe DAWN/DAWN2 for obesity.

706-WK

Knowledge Translation: Childhood Obesity Prevention andTreatment Strategic Research InitiativePHILIP SHERMAN, MICHELLE MOTTOLA, NAZEEM MUHAJARIN,WILLIAM H. DIETZSickKids Hospital, Toronto, Ontario, Canada

The Canadian Institutes of Health Research (CIHR) is theGovernment of Canada’s agency responsible for funding healthresearch in Canada. Obesity and Healthy Body Weight has beena strategic research priority of CIHR Institute of Nutrition, Metab-olism and Diabetes (INMD) since its inception in 2001. In 2008,INMD and a number of partners funded three-year OperatingGrants to support research targeted at Childhood Obesity Preven-tion and Treatment. These grants were designed to increaseknowledge related to interventions for the prevention and treat-ment of childhood obesity in clinical settings or at the populationlevel, and to increase the speed at which evidence is transferredinto clinical practice, programs or policies. Three of the fundedprojects will be presented at this workshop: individual andhousehold environmental influences guiding the processes ofchanging obesogenic behaviours among overweight/obeseadolescents and their families - Dr. Louise Masse, Univ. BritishColumbia; preventing childhood obesity: early intervention duringpregnancy and first year postpartum for overweight and obesewomen using a two pronged family-based Nutrition & ExerciseLifestyle Intervention Program (NELIP) - Dr. Michelle Mottola,Western; working upstream: Effecting healthy children throughneighbourhood design - Dr. Nazeem Muhajarine, Univ. of Sas-katchewan. This workshop will provide an opportunity for theresearchers to discuss the findings of their specific researchprojects, potential policy and program implications, and identifyfuture research directions. Dr. Philip Sherman, CIHR INMD ScientificDirector, will moderate this workshop, and Dr. William Dietz,former Director, Division of Nutrition, Physical Activity and Obesity,U.S. Centers for Disease Control and Prevention, will act asa discussant to place this Canadian research in the context ofthe international research on childhood obesity prevention andtreatment.

707-WK

Interventions for the Concurrent Prevention of EatingDisorders and Obesity: Challenges, Opportunities andImplicationsSHELLY RUSSELL-MAYHEWUniversity of Calgary, Calgary, Alberta, Canada

Currently, children and youth are inducted into norms andmessages about healthy weights which are at best inconsistent and

confusing, and at worst cause harm. Obesity (OB) and eatingdisorders (ED) are both major public health concerns. Agreed uponstrategies to prevent these issues simultaneously are lacking in partbecause ED and OB prevention have been seen as working at cross-purposes. Efforts to prevent OB are seen as dangerous in promotingprecursors to EDs and efforts to prevent EDs are seen as encouragingcomplacency about healthy weight. Considering the increase inboth OB and EDs and their associated health risks, there is a need tostudy integrative approaches that potentially prevent a range ofunhealthy weight-related issues. This emerging integrativeapproach to OB and ED prevention involves identifying and inter-vening around shared risk factors with consistent messages forhealthy growth. Prevention interventions designed to prevent bothOB and EDs by focusing on shared risk factors potentially optimizesthe delivery of the healthy eating/active living messages (OBprevention) without triggering weight and shape preoccupation(ED prevention). The purpose of our study was to determine if EDand OB prevention efforts could be successfully integrated in juniorhigh school settings by providing intervention activities focused onfive shared risk factors namely (a) dieting, (b)media, (c) body image,(d) weight-based teasing, and (e) self-esteem.

708-WK

Changing Social Norms Associated with Weight and BodyImageSHELLY RUSSELL-MAYHEW, MARILYN MANCEAU,DR. SHELLY RUSSELL-MAYHEW, MARIE-CLAUDE PAQUETTE,GINA MORENCY, CHANTAL BAYARD, DR. CONNIE CONIGLIOUniversity of Calgary, Calgary, Alberta, Canada

Social norms for body and weight are influenced by manyfactors: a unique model of beauty, images of edited bodies, weightloss treatment advertising, emphasizing appearance and perfor-mance, linking thinness and success, stigma and prejudice towardsobesity andmedical discourses on obesity. These norms can only bechanged by acting at multiple levels. This workshop will presentthe main factors that shape social norms in regards to weight andbody image. Then speakers will demonstrate the necessity oftackling both weight gain prevention and excessive weight preoc-cupation, which are two sides of the same coin. The workshop willsalso presents interventions originating in Quebec and Canada- fromgovernment and non-profit organizations which contribute to thetransformation of current social norms associated with weight andbody image.

709-WK

Practical Tools for Engaging "The 6th A: Awareness"COLLEEN CANNON, WENDY SHAHCraving Change Inc., Calgary, Alberta, Canada

Physicians and allied health care professionals must engageskillful ‘Awareness’ of the complex range of factors causing andmaintaining obesity so as to effectively ‘Assess’ and ‘Advise’. It isalso essential for patients to be aware of the relevant root causes oftheir weight status in order for them tomake and sustain behaviourchange. Evidence consistently identifies a complex range of factorscontributing directly to obesity, including emotional regulation,stimulus control, maladaptive thinking patterns, learned associa-tions, social-cultural factors, sleep, stress management and mentalhealth. However, the practical strategies for detecting andaddressing these factors are less available and as a result cliniciansand their patients can be overwhelmed. This workshop providespractical tools for the first and pivotal step in assessing these