“Commitiees for the 10th International Congress on Adolescent Health, June 11-13 2013, Istanbul” “Theme: Bridging clinical and public health perspectives to promote adolescent health” Congress Co-Chairs Prof. Russell Viner, UK Dr. JC Suris, Switzerland IAAH Linda Bearinger, USA, President Turkish Pediatric Association Fugen Cullu Cokugras, President Mehmet Vural, Secretary Scientific Committee Abstract Review Comittee Müjgan Alikasifoglu, Turkey Christina Akré, Switzerland Robert Brown, USA Richard Bélanger, Canada Oya Ercan, Turkey Kirsten Boisen, Denmark Adesegun Fatusi, Nigeria Robert Brown, USA Helena Fonseca, Portugal Veronica Gaete, Chile Verónica Gaete, Chile Gustavo Girard, Argentina Gustavo Girard, Argentina Dagmar Haller-Hester, Switzerland Elizabeth Ozer, USA Daniel Hardoff, Israel Ellen Rome, USA Ellen Rome, USA Sergey Sargsyans, Armenia Sergey Sargsyans, Armenia Susan Sawyer, Australia Susan Sawyer, Australia Kim Scott, Jamaica Kate Steinbeck, Australia Kate Steinbeck, Australia JC Surís, Switzerland Suriyadeo Tripathi, Thailand Suriyadeo Tripathi, Thailand Russell Viner, United Kingdom WORKSHOPS 1 PHW-1 Addressing Health Disparities and Improving Health and Education Outcomes Using Peer Education Smita Shah, Nihaya Al Sheyab* University of Sydney, Australia *Jordan University of Science and Technology, Jordan OBJECTIVES: 1- Develop an understanding of why peer health education is an effective way to address health disparities amongst disadvantaged adolescents. 2- Gain practical skills required for implementing and facilitating a peer education program for adolescents in a school based setting. METHODS: In this workshop participants will learn about the key principles and theoretical foundations of peer-education and how this approach can be used to effectively address health disparities and impr ove educational outcomes amongst disadvantaged adolescents. Peer-educa tion involves students undertaking organized educational activities with their younger peers aimed at developing their knowledge, attitudes, beliefs and skills and enabling them to protect and be responsible for their own health. Schools are the ideal place for initiating such programs as they provide ease of access to young people and they can also provide an inroad to parents and the community. We will demonstrate how two peer-education programs, SALSA (Students As Lifestyle Activists) and Triple A (Adolescent Asthma Action), based on sound theoretical frameworks, have been used to effectively address health disparities amongst disadvantaged communities in Australia, Jordan and China, by preventing specific risk factors such as smoking and obesity for chronic diseases. In particular, participants will have the opportunity to gain skills in implementing and facilitating the SALSA and Triple A programs, which involve a step-wise peer education process. Firstly, trained university students coach senior high school students to become Peer Leaders in an interactive one day workshop. Peer Leaders learn about specific health risk factors, including asthma, smoking and obesity, and acquire skills in group facilitation and leadership. Secondly, working in groups of three, Peer Leaders deliver health lessons to their younger peers using standardised program manuals and materials. Interactive activities, including videos, acting out, games and informative quiz shows are used to engage students, while furthering their educational skills. Finally, wider dissemination of health messages occurs when younger students relay what they have learnt to students and members of the school community, through creative performances. Peer-education programs have been found to have a positive influence across a range of health and education outcomes for adolescents. Triple A and SALSA, have been found to been found to lead to notable improvements in health behaviours and quality of life. Triple A has lead to decreases asthma attacks, school absenteeism and an increase in self-efficacy to avoid taking up smoking, while SALSA has lead to an increases in healthy eating and physical activity. In terms of educational achievement, through their involvement in the programs, adolescents have been found to develop a sense of personal responsibility and confidence as well as leadership, communication and teamwork skills. The programs also promote engagement and retention of adolescents in schools, furthering their educational outcomes. Furthermore, by involving future medical and other health and education professionals as Educators, the program offers adolescents with positive role models. Overall, feedback from high school students and staff indicate that the peer-education programs are rated highly by all involved as they help to create a supportive school environment to promote health lifestyles and foster educational development. CONCLUSIONS: There is a clear need in public health for programs which are focused on the prevention of chronic diseases and are developmentally and culturally appropriate for adolescents, specifically from disadvantaged communities. Previous research has found that successful preventative programs for adolescents in schools include using: appropriate age peers as educators (as opposed to adult providers), interactive learning strategies, and including training and practice in the use of refusal and other life skills. Our proposed peer-education programs encompass all these elements, thus presenting a unique, innovative and effective means to addressing health disparities and improving health and education outcomes amongst adolescents. Keywords: Public Health Türk Ped Arş 2013 Özel Sayı 2; 1-15 2 WORKSHOPS Turk Arch Ped 2013 Suppl 2; 1-15 CW-1 Overweight Adolescents: How to Involve Parents in the Treatment? Catherine Chamay Weber, Francoise Narring, Helena Fonseca* University hospital of Geneva, Switzerland *Faculdade de Medicina da Universidade de Lisboa, Portugal OBJECTIVES::•To understand the principle of family systems theory applied to the assessment and treatment of overweight adolescents and their families. •To discuss some tools for involving parents in the weight management process in order to facilitate and support adolescent behavioral changes. METHOD: Adolescence is a crucial period of development. Overweight adolescents are at risk of poor psychosocial development. Weight management at this stage faces multiple challenges besides weight loss, including allowing a successful transition into adulthood. Involving parents in the program, although challenging, has shown to be a key element for supporting life style changes. This workshop is designed for professionals who have some familiarity with overweight, but desire to gain further knowledge and skills to involve parents and families in the treatment. The facilitators will discuss the approach they have developed in their respective programs. Case based presentations will guide the session and practical problem solving and solution focused strategies will be discussed. CONCLUSIONS: The incidence and prevalence of overweight and obesity among adolescents, as well as the demand for treatment for these individuals and their families, is increasing every day. This workshop provides tools for involving families in the treatment of overweight adolescents in order to effectively achieve weight control and a better quality of life. CW-2 Legally Young – Everyday Ethics and Young Patients’ Rights Kirsten Boisen, Mary Ott Leads*, Anne Meynard** Center of Adolescent Medicine, Copenhagen University Hospital Rigshospitalet, Denmark *Indiana University School of Medicine, United States **Department of Pediatrics and Department of Community Medicine, University Hospital Geneva, Switzerland OBJECTIVES: After the workshop, the participants will be able to identify core ethics principles in global adolescent health, how adolescent development intersects with these core principles, and the practical application in clinical settings, focusing on confidentiality and informed consent. 2- have a personal agenda on how to encourage self-management and competencies of young people in a developmentally appropriate manner in their local clinical setting METHODS: Because of the cognitive, psychological, physical, family, legal, and social transitions that mark adolescence, professionals in contact with young people (health care providers but also teachers, social educators or social workers) may be confronted with legal and ethical challenging situations. Of particular importance is the transition in responsibility and decision-making in health care. Adolescents have a greater need for involving their family and network in relation to critical or chronic illness compared to adult patients. However, the role and involvement of the parents may be challenging in a clinical setting e.g. managing the gap between the adolescent´s right to confidential care versus the parents´ rights to know and care. Adolescent providers have an obligation to support and stimulate emerging autonomy, protect adolescents with diminished autonomy, and provide the most beneficial care possible. Ethical dilemmas are resolved with case-based reasoning. This workshop will use case scenarios, adapted from the facilitators’ experience, to illustrate key points and meet learning objectives. A systematic approach to case-based analysis will be taught. These cases represent a spectrum of ethics and legal dilemmas in adolescent health, and will include issues related to confidentiality, consent, capacity and disclosure. Specific examples include HIV