1. Healthy Built Environment (HBE) Linkages: A Toolkit for Design  Planning  Health PRESENTER Title Organization Presented at CONFERENCE NAME, CITYDATE

2. Healthy Built Environment Alliance(HBEA; the Alliance) • Members from: • Land use planning • Design fields • Provincial ministries • Health authorities • Community-based health organizations • Local government • Universities/academia • Knowledge sharing network • Forum for collaboration on priority activities to promote & develop built environments that encourage & support healthy living

3. Healthy built environments:What do they look like? e.g., Which of these neighbourhoods is more ‘walkable’? (A) (B)

4. Healthy built environments:How do we create them? How do you decide what to do? • Examine the evidence..... ≠ …?

5. Purpose Why did the Alliance develop another toolkit? • How should we share health evidence that can support good planning and the HBE? • What are our key messages about the HBE? (need for common language/consistent messaging)

6. HBE Linkages Toolkit:Approach Collected, analyzed & summarized the evidence • Consultation with experts • Advisory groups – planners and content experts • Evidence review methodology • Literature reviews of the physical features: • Neighbourhood design • Transportation Networks • Natural environments • Food systems • Housing • Grading system • Systematic clustering of findings

7. HBE Linkages Toolkit:Findings • Current evidence used to identify planning principles for each of the five physical features • User guide created to encourage consideration of context

8. HBE Linkages Toolkit:What does the evidence say? New research area New research area New research area New research area New research area Strong evidence

9. HBE Linkages Toolkit:Components • Planning principles for: • Healthy Neighbourhood Design • Healthy Transportation Networks • Healthy Natural Environments • Healthy Food Systems • Healthy Housing www.phsa.ca/populationhealth

10. HBE Linkages Toolkit: Scope of Evidence Review/Toolkit • Systematic reviews • English; North America, Europe and Australia • No specified time frame • Context: urban and rural • Focused on large-scale, outdoor physical features & environments)

11. HBE Linkages Toolkit: Limitations • See User Guide! • Indirect nature of evidence linking principles to health outcomes • Toolkit identifies what should be done to create HBEs – it doesn’t get into the how • Significantly more research is available for some physical features (e.g., neighbourhood design) vs. others (e.g., food systems)

12. HBE Linkages Toolkit:Components • Linkages Summary • Briefly describes the links shown in the literature between: • Planning principles • Intermediate impacts • Health-related outcomes www.phsa.ca/populationhealth

13. HBE Linkages Toolkit:Components • Fact Sheet • Describes the evidence behind each planning principle, and how these link to intermediate impacts & health-related outcomes www.phsa.ca/populationhealth

14. HBE Linkages Toolkit:Components • Health Evidence Diagram • Visually show the strength of evidence or expert opinion linking planning principles to impacts & health-related outcomes • Shows areas where more research needed www.phsa.ca/populationhealth

15. HBE Linkages Toolkit: Summary • It’s a “conversation-starter” • Provides an organizing framework for presenting information and facilitating discussions between & within sectors • Helps users apply health evidence • Provides consistent & clear messages to inform the development of other documents & support decision-making around health & the built environment • Identifies where more research needed • Toolkit provides a roadmap for emerging and innovative evidence

16. HBE Linkages Toolkit: Next Steps • Sustainability plan • Monitor the evidence base & periodically update the toolkit • Develop a user guide to support evidence collection/capture • Evaluation plan • Track toolkit use • Seek feedback from users for toolkit improvement & suggestions for other resources needed www.phsa.ca/populationhealth

17. Questions? • Download the HBE Linkages Toolkit www.phsa.ca/populationhealth • Contact us! pph@phsa.ca

18. Discussion Questions • Will the HBE Linkages Toolkit be useful for your work? If yes, please share some examples of how it will be useful. • Who will you share the HBE Linkages Toolkit with? • How do you think HBE Linkages Toolkit could be improved? • What additional HBE tools or resources would help support you in your work?