The aim of this study is to identify which psychosocial factors of the theory of planned behavior better predict and explain the adoption of heat and flood adaptation behaviors by municipal authorities in the Province of Quebec, Canada, and to explore the cognitive structures motivating municipal officers to adopt adaptation behaviors. The results of structural equation analyses showed that municipal authorities’ attitude toward the adoption of adaptation behaviors (i.e., the degree to which the performance of an adaptive behavior is positively or negatively valued by municipal officers) and perceived control (barriers) over adaptation behaviors significantly contributed to the prediction of readiness to adopt the behavior.

Given that flooding episodes are occurring at a greater rate due to climate change, individuals must adopt certain adaptation behaviors to prevent or mitigate the anticipated or negative impact of such events. However, few studies have assessed if and how households and individuals have actually taken action in this regard. Because some individual beliefs can be linked to facilitating factors and barriers to action, a better understanding of the adoption of adaptive behaviors requires a combined analysis of individual psychosocial factors. The purpose of this study was to develop a better understanding of the reasons underlying the adoption of behaviors related to structural adaptation to flooding by people living in or near flood‐prone areas in the Province of Québec (Canada). Results of a series of structural equation modeling showed that behavioral, normative and control beliefs were all significant predictors of the respondents' intention to adopt structural flood protective behaviors, with normative beliefs being the strongest. By identifying the best psychosocial predictors of the adoption of such behaviors, the results of this study provide valuable insights regarding the most effective factors to be used in public health messages to promote the adoption of behaviors related to structural adaptation to flooding.

One of the consequences of climate change is the growing number of extreme weather events, including heat waves, which have substantial impacts on the health of populations. From a public health standpoint, it is vital to ensure that people can adapt to high heat, particularly in cities where heat islands abound. Identifying indicators to include in a parsimonious index would help better differentiate individuals who adapt well to heat from those who do not adapt as well. This study aimed at developing and validating a summer heat adaptation index for residents of the 10 largest cities in the province of Québec, Canada. A sample of 2000 adults in 2015 and 1030 adults in 2016 completed a telephone questionnaire addressing their adoption (or non-adoption) of behaviours recommended by public health agencies to protect themselves during periods of high temperature, and their perceptions of how high summer heat affects their mental and physical health. Item analysis, confirmatory factor analysis, multiple correspondence analysis, measurement invariance analyses and criterion-validity analyses were used to develop a 12-behaviour heat adaptation index for distinguishing between individuals who adapt well to high temperatures and those who do not adapt as well. The results indicated that the measurement and the factor structure of the index were invariant (equivalent) across the two independent samples of participants who completed the questionnaire at different times one year apart, an important prerequisite for unambiguous interpretation of index scores across groups and over time. The results also showed that individuals who perceived more adverse effects on their physical or mental health adopted more preventive behaviours during periods of high temperatures and humidity conditions compared to those who felt lesser or no effects. This study thus presents support for the validity of the index that could be used in future studies to monitor preventive behaviours adoption during summer periods of high temperature.

The aim of this study is to document climate change adaptation interventions targeting Lyme disease at the municipal level in the province of Quebec (Canada). This exploratory study relies on the theory of planned behavior and certain constructs from the health belief model to identify the factors leading municipal authorities to implement preventive interventions for Lyme disease (PILD). Data were obtained from an online survey sent, during the summer of 2018, to municipal officers in 820 municipalities in Quebec, in all health regions where the population is at risk of contracting Lyme disease (response rate = 36%). The questionnaire was used to measure the implementation of PILD, the intention to implement these interventions, attitudes, perceived social pressure, perceived control (levers and barriers) over interventions, perceived effectiveness of preventive measures, risk, and perceived vulnerability. Results of structural equation analyses showed that attitudes were significantly associated with municipal authorities’ intention to implement PILD, while the intention to implement PILD was a significant predictor of the implementation of PILD. Additional analyses showed that perceived barriers added a moderating effect in the intention-implementation relationship. The prediction of behaviors or practices that municipal authorities could implement to prevent Lyme disease will enable the evaluation over time of the evolution of Quebec municipalities’ adaptation to Lyme disease. Moreover, the examination of the associations of specific psychosocial factors revealed important implications for the design of effective behavior-change interventions, which would allow health officials doing awareness work to create personalized interventions better suited to municipal officers and their specific contexts.

Evidence-based decision-making and managing for results are terms often heard from politicians and senior government officials at both federal and provincial levels of government in Canada. But, while there is some level of understanding at the federal level in terms of the role and use of evaluation in measuring results, there is significantly less information readily available about the extent to which evaluation is being used at other levels of government. This paper provides a cross-Canada synopsis on the capacity and use of systematic evaluation at the provincial and territorial levels of government. Authors from nine provinces and two territories provide a succinct analysis of the extent to which evaluation is being used in their provincial/territorial government, as well as a description of the challenges and opportunities that lie ahead for evaluation. There is a paucity of published information on this subject, but the paper uses research conducted in 2001 as a benchmark to compare the state of affairs for evaluation within provincial/territorial governments. With limited progress over the past two decades, the paper offers an overview of findings and some proposed actions for the way ahead.

Les changements climatiques entraînent des perturbations importantes en milieu côtier, manifestées notamment par l’augmentation du niveau de la mer ou encore pa...