CHPC scholars receive funding to support evaluation of “upstream” public health initiatives

A team of researchers led by Children’s Health Policy Centre scholars Kimberly Thomson and Nicole Catherine has received a 2024 Convening and Collaborating (C2) Award from Michael Smith Health Research BC. The award funding will help the research team improve the evaluation of upstream public health interventions in British Columbia.

Public health interventions are more effective when they address the bigger picture of people’s lives — the social conditions in which they are born, live, and age. These “upstream” interventions aim to tackle the root causes of health problems, addressing systemic inequities that traditional healthcare approaches may overlook. But the impacts of these interventions can be difficult to measure.

Thomson and Catherine will address this challenge by facilitating a series of conversations between policymakers, researchers and health practitioners. Through online consultations and an in-person Thought Exchange event, they will bring together researchers and research users to discuss the evaluation of upstream public health projects in BC.

The goal of these conversations is to help participants:

  • better understand current evaluation methods
  • identify opportunities for coordination between public health researchers and institutions
  • improve innovation and evaluation capacity
  • set future research priorities

“We’re really excited to have these rich discussions with our public health partners,” said Thomson. “It’s a great opportunity to shape our collaborative research priorities, including for upcoming child health policy initiatives in BC that we’ll be measuring and monitoring.”

The C2 Award supports researchers in British Columbia who are working collaboratively to address public health challenges. More information about the project and the award can be found on the Michael Smith Health Research BC website.

Home visiting programs lead to positive outcomes for children and mothers

A recent report by the Children’s Health Policy Centre found that home visiting programs can have significant benefits for mothers and children facing adversity.

The report looked at randomized controlled trial evaluations of 13 home visiting programs across Canada, the U.S. and other high-income jurisdictions to investigate the effectiveness of these programs. Seven intensive programs based on the Nurse Family Partnership (NFP) model demonstrated particularly robust benefits.

The benefits for children included:

  • reduced prenatal substance exposure
  • improved language
  • improved cognitive development
  • better mental health
  • better school readiness and reading
  • fewer injuries or maltreatment concerns

Benefits for mothers included:

  • better social supports
  • greater self-efficacy
  • fewer subsequent pregnancies
  • increased breastfeeding duration
  • better mental health
  • improved parenting
  • improved socioeconomic status
  • reduced exposure to intimate partner violence

NFP is an early intervention where nurses visit girls and women through pregnancy and their child’s early years. Nurses explore topics such as healthy pregnancy, parenting skills, healthy relationships and child development.

The report also identified six other home visiting programs that benefitted children and mothers. However, these programs had fewer positive outcomes than the NFP-based programs due to shorter durations, later interventions and the varied skill levels of providers.

These findings provide critical evidence that policymakers in British Columbia can use to build on the success of existing programs, develop new intervention strategies and ensure that children and mothers flourish.

To learn more, read the full report.

Social support can promote young people’s emotional health

Social supports may be universally beneficial for adolescents, according to a paper recently published in the Journal of Adolescence.

Written by researchers including Kim Thomson, an assistant professor of Health Sciences at Simon Fraser University and a CHPC team member, the paper tracked the emotional health of immigrant, refugee and non-immigrant early adolescents in British Columbia.

The study found that immigrant and refugee adolescents across 10 school districts started Grade 4 with poorer emotional health than their peers, highlighting the need for culturally responsive supports for these students. From Grades 4 to 7, both immigrant and non-immigrant adolescents experienced a decline in their emotional health.

However, first-generation refugees were a notable exception — they reported feeling more satisfied with life over the same time.

Despite the differences in emotional health between the groups, Thomson and her co-authors “did not find differences in the associations between improvements in emotional health and improvements in social support by immigration group.” This indicates that social supports may benefit all adolescents regardless of their immigration backgrounds.

“These results highlight social support as a modifiable factor within schools that can promote young people’s emotional health,” the study concluded.

To learn more, read the full paper.

Prevention can offer big payoffs for school children — and for society

Prevention of mental health disorders should be part of the school curriculum, according to an article written by the Children’s Health Policy Centre, appearing in The BC Counsellor, a publication of the BC School Counsellors Association.

“Nearly 13% — or more than 100,000 four-to-18-year-olds in British Columbia— will experience mental disorders at any given time,” said the authors. “[And] recent data confirms that only 44.2% of young people with mental disorders receive any services for these conditions.

“This combination of high prevalence coupled with limited service reach has resulted in the mental health of young Canadians reaching a crisis point.”

Proven programs are known from the research evidence for preventing anxiety, behaviour disorders, depression, substance misuse and eating disorders, among other problems — and could help prevent much distress and also reduce later unnecessary costs in healthcare, special education and child protection. But these programs need to be made much more widely available.

“BC’s children will benefit, as will everyone, if children’s mental health is made a public policy priority,” the article said. “School counsellors are particularly well equipped to take leadership in meeting this goal.”

Authors of the piece included: Christine Schwartz, Jessica Tang, Jen Barican and Charlotte Waddell.

Read the full article here.

CHPC plays a role in Science Meets Parliament

In the historic halls of the BC provincial legislature, Kimberly Thomson discovered how much government runs on relationships.

The Assistant Professor in the Faculty of Health Sciences at Simon Fraser University and member of the Children’s Health Policy Centre was attending a two-day session at the legislature as part of a Science Meets Parliament event in April.

With the goal of improving conversation between policymakers and scientists, the Science Meets Parliament organizers had arranged for Thomson and the other delegates, including several members of SFU’s Faculty of Health Sciences, to meet with MLAs and government staff.

As part of the experience, all delegates met with Raj Chouhan, the Speaker of the Legislative Assembly, and with Lieutenant Governor Janet Austin. Thomson also met with BC Green Party representatives, including Party Leader Sonia Furstenau, and with NDP MLA Dan Coulter, the Minister of State for Infrastructure and Transit. Despite working in different fields, Thomson and the MLAs she met with discovered several points of connection, including shared interests in child rights, diversity and inclusion, and youth justice. These conversations helped Thomson better understand how policymakers set their agendas.

“It was really beneficial to spend the day immersed in their world and understand what their priorities are, the considerations that they are juggling when making different policies,” Thomson said.

“Research is important for policy making, but it’s only one part. Your researcher brain says that if you just construct the best possible evidence and present it to them, they’ll make the decision based on that. But that’s not entirely how it works. At the end of the day, policymakers want to make the best decisions for people living in BC and there are a number of factors to consider.”

For Thomson, this experience also highlighted the importance of the work the Children’s Health Policy Centre does to share its research with policymakers.

“Building connections with policymakers allows you to be part of their process so they might call on you for advice,” she said. “This experience made me respect and appreciate the time and effort that goes into building these relationships and how special it is that the Centre has these relationships.”

Thomson spent the rest of the program attending Question Period, listening to panel discussions with legislators, and networking with the 30 other Science Meets Parliament delegates from universities across BC. She left the legislature with several new connections and a stronger sense of how she could support policy decisions through her work.

“I would absolutely recommend it [Science Meets Parliament] to other researchers,” Thomson said. “This was an invaluable experience to better understand the roles and responsibilities of policy makers, their priorities, and how science can best support decision-making.”

Science Meets Parliament is hosted by the Canadian Science Policy Centre, a non-profit organization dedicated to building a strong and inclusive science policy community in Canada. Since 2018, the annual event has brought emerging science leaders to Parliament Hill in an effort to strengthen the connection between Canada’s scientific and political communities. The Science Meets Parliament BC program was the event’s first expansion into a provincial legislature.

Showcasing Indigenous-led-research

Centre Director Charlotte Waddell gave a virtual talk about a Nuu-chah-nulth-led study on healthy child development to the child health advisory board at the Canadian Institutes of Health Research on April 10.

The talk was titled, “Everything is One, Everything is Connected.”

Waddell presented together with SFU scholar Pablo Nepomnaschy, on behalf of Lynnette Lucas and the Nuu-chah-nulth Tribal Council team, the study leads.

The presentation described a multi-generational study being conducted by and within the 14 Nuu-chah-nulth Nations, whose ancestral lands are located on the west coast of Vancouver Island.

“As non-Indigenous research allies,” Waddell said, “team members from SFU are helping to merge the best of Indigenous and ‘Western’ science while upholding high ethical standards including ensuring Indigenous data sovereignty.”

“This study will be ‘the Framingham’ of Indigenous Peoples,” Waddell added, quoting Indigenous scholar Jeff Reading, who is co-leading the Nuu-chah-nulth project. Framingham refers to a famous long-term cardiovascular health study that began in 1948 and is now on its third generation of participants, helping to improve population wellbeing.

Funding and community consultations for the Nuu-chah-nulth project began in 2017 and continued in 2022 with a grant of $15 million over six years from the Canadian Institutes of Health Research, in partnership with Alberta First Nations.

“Everything we do,” Waddell said, “involves constant reciprocity and respect for Indigenous Knowledge and wishes.

“We are working to overcome some of the harmful legacies of colonialism by supporting Indigenous leadership of research that is by and about them, as one step towards truth and reconciliation.”

Why we need to do a better job of serving children who are neurodiverse

Centre Director Charlotte Waddell gave a Zoom talk to close to 300 parents, practitioners and policy makers on Dec. 2. The talk was titled, “Neurodiversity and mental health: Serving children better.”

The presentation covered the following themes:

  • The need to create communities where all children are welcomed and celebrated, and where services are delivered according to needs so that all children can flourish and meet their potential.
  • The prevalence of anxiety, ADHD, behaviour disorders and depression, which are higher for children experiencing three particular forms of neurodiversity (autism spectrum disorder, fetal alcohol syndrome disorder and intellectual disability).
  • The research evidence for effective treatments for these four conditions for children with the three forms of neurodiversity.
  • The effective treatments for other common childhood mental disorders that can also be offered, with adaptations when needed

“We need to ensure that timely and effective treatments are offered to all children, particularly if they are neurodiverse, given higher prevalence rates,” Waddell told the group.

The talk ended with celebrating people who are neurodiverse, and the communities that support them over the lifespan.

Waddell then stayed on the Zoom call to respond to questions and comments. She also joined a small breakout group discussion to learn more about parent’s perspectives.

A recording of the talk can be seen here.