1. SANKOFA: Learning From The Past HIV/AIDS Prevention for African American College Students Angela Farris Watkins, PhD Spelman College CHAMPS Annual Meeting– April 29, 2011 WEBINAR

2. Project Goals 1. Enhance a HIV/AIDS Curriculum at Spelman College and determine its effectiveness on students enrolled1. Enhance a HIV/AIDS Curriculum at Spelman College and determine its effectiveness on students enrolled 2. Sustain an HIV/AIDS prevention curriculum at Spelman College2. Sustain an HIV/AIDS prevention curriculum at Spelman College 3. Increase HIV/AIDS prevention curriculum programming at Spelman College, by making it a requirement for all students3. Increase HIV/AIDS prevention curriculum programming at Spelman College, by making it a requirement for all students

3. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum) At the end of each curriculum, 100% of student enrolled will meet the following objectives at the level of 80% or better, as evaluated on the Mid-Term and Final Exams:At the end of each curriculum, 100% of student enrolled will meet the following objectives at the level of 80% or better, as evaluated on the Mid-Term and Final Exams: demonstrate basic knowledge of HIV/AIDSdemonstrate basic knowledge of HIV/AIDS identify basic modes of transmission of HIVidentify basic modes of transmission of HIV identify general current statistics of HIV and AIDS with the African American communityidentify general current statistics of HIV and AIDS with the African American community identify methods of HIV testing and treatment of HIVidentify methods of HIV testing and treatment of HIV

4. Curriculum Data From The Year Total Number of StudentsTotal Number of Students –Fall, 201034 –Spring, 201136

8. Curriculum Data From The Year Mid-Term Exam DataMid-Term Exam Data –Fall, 2010100% met 80 or above –Spring, 2011100% met 80 or above Final Exam DataFinal Exam Data –Fall, 2010100% met 80 or above –Spring, 2011scheduled for May 4, 2011

9. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum) At the end of each curriculum, 100% of all student enrollees will complete 20 service-learning hours at an HIV/AIDS related agency in Atlanta, Georgia, as evaluated by the service learning time log. Service Learning DataService Learning Data –Fall, 201050% completed all 20 hours –Spring, 2011to be submitted by May 4, 2011

10. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum At the end of each curriculum, 100% of student enrollees will implement an approved social marketing initiative at the level of 90%, as evaluated by a social marketing assignment rubric. Social Marketing DataSocial Marketing Data –Fall, 20010100% met 80 or above –Spring, 2011100% met 80 or above

11. National Social Marketing BET’s 106 and Park with Actress Keisha Knight Pulliam, featuring Spelman’s HIV Prevention Class for World AIDS Day

16. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum Before the implementation of social marketing, 100% of student enrollees will become certified Peer Health Educators as determined by the documentation from the Office of Health Services. **Red Cross certification was designated. Peer Certification –Red Cross Fall, 2010100 % met 80 or above Spring, 2011100% met 80 or above

18. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum At the beginning of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors.At the beginning of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors. At the end of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors.At the end of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors. Pre and Post Evaluation of Risky AttitudesPre and Post Evaluation of Risky Attitudes –Fall, 201097 % completion –Spring, 2011to be determined by May 4, 2011

19. Implementation of the Project Objectives for Goal 1 (Effectiveness of Curriculum) All student enrollees will demonstrate a statistically significant change between the pre and post evaluations, for each semester, as determined by statistical analysis.All student enrollees will demonstrate a statistically significant change between the pre and post evaluations, for each semester, as determined by statistical analysis.

20. Analyses data collected from students enrolled in PSY 200b over 7 academic semesters; total- 430 (pre = 221, post = 209)data collected from students enrolled in PSY 200b over 7 academic semesters; total- 430 (pre = 221, post = 209) statistical analyses were run to assess changes in attitudes within and across semesters on six content areas:statistical analyses were run to assess changes in attitudes within and across semesters on six content areas: –1) condom use; –2) peer influence; –3) HIV/AIDS personal risk perception; –4) drug/alcohol use; –5) safe sex planning; –6) partner pressure.

21. Analyses (contd) 5-point Likert-type scale with a response of “1” as “totally disagree” and “5” as “totally agree”5-point Likert-type scale with a response of “1” as “totally disagree” and “5” as “totally agree” Independent samples t-tests (2-tailed) were conducted to evaluate whether post-course survey scores, both overall and within each of the six question categories, were significantly different from pre-test scores; in other words, whether a course that utilizes an HIV prevention curriculum changed the attitudes related to sexual behavior over the course of a semester.Independent samples t-tests (2-tailed) were conducted to evaluate whether post-course survey scores, both overall and within each of the six question categories, were significantly different from pre-test scores; in other words, whether a course that utilizes an HIV prevention curriculum changed the attitudes related to sexual behavior over the course of a semester.

22. Results When assessing overall attitude or endorsement of risk across 7 academic semesters, descriptive statistics indicated that post-test scores decreased in each semester, suggesting possible improvement in behavior and attitude (see Table 1 and Figure 1).When assessing overall attitude or endorsement of risk across 7 academic semesters, descriptive statistics indicated that post-test scores decreased in each semester, suggesting possible improvement in behavior and attitude (see Table 1 and Figure 1).

23. Semester Test Type P value PrePost NM (SD)N Spring 20063069.9 (18.8)2665.3 (17.9).362 Fall 20062770.8 (14.5)2564.7 (13.8).126 Fall 20073569.9 (15.9)3060.5 (13.1).013* Fall 20082873.0 (18.9)3164.1 (18.7).075 Spring 20093379.2 (18.2)3465.5 (15.4).001** Fall 20093570.5 (15.6)3260.4 (15.3).009** Spring 20103372.0 (13.7)3162.1 (13.7).005** Table 1. Overall risk endorsement according to test type and semester Please note: Higher mean scores = greater endorsement of risky behavior, *p<.05, **p<.01

24. Figure 1. Graphical representation of overall risk endorsement according to test type and semester *p<.05, **p<.01 Cumulative test averages

25. Results (contd) the greatest improvement was seen in the condom use categorythe greatest improvement was seen in the condom use category There were no significant improvements in the peer influence category for any semesterThere were no significant improvements in the peer influence category for any semester When evaluating HIV/AIDS personal risk, two academic semesters, Fall 2008 and Spring 2009, yielded significant improvements from pre- to post- completion of the course, and one semester, Spring 2010, approached significanceWhen evaluating HIV/AIDS personal risk, two academic semesters, Fall 2008 and Spring 2009, yielded significant improvements from pre- to post- completion of the course, and one semester, Spring 2010, approached significance

26. Results (contd) In the drug/alcohol use category, the Fall 2009 semester showed a reduction in post-survey scores that approached significanceIn the drug/alcohol use category, the Fall 2009 semester showed a reduction in post-survey scores that approached significance For both the safe sex planning and partner pressure categories in Spring 2009, significant differences in endorsement of risky behavior were seen pre- to post- course completionFor both the safe sex planning and partner pressure categories in Spring 2009, significant differences in endorsement of risky behavior were seen pre- to post- course completion

27. Results (contd) Significant findings while minimal in some semesters were found across all content areas except two, peer influence and drug/alcohol use. The Fall 2007, Spring 2009, Fall 2009, and Spring 2010 academic semesters revealed the greatest improvement from pre- to post- with the Spring 2009 semester showing the most improvement overall and across four out of six question categories (condom use, HIV/AIDS personal risk, safe sex planning, and partner pressure).Significant findings while minimal in some semesters were found across all content areas except two, peer influence and drug/alcohol use. The Fall 2007, Spring 2009, Fall 2009, and Spring 2010 academic semesters revealed the greatest improvement from pre- to post- with the Spring 2009 semester showing the most improvement overall and across four out of six question categories (condom use, HIV/AIDS personal risk, safe sex planning, and partner pressure).

28. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum) At least 80% of the advisory committee will convene 3 times a year or more, as determined by attendance records of meetings.At least 80% of the advisory committee will convene 3 times a year or more, as determined by attendance records of meetings. -Ongoing communication via phone and email.

29. Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum) The curriculum will be updated by the end of each year, by the advisory committee, with at least 80% representation of the full committee, determined by attendance records of meetings. *In lieu of face to face meetings, communication by phone and email.The curriculum will be updated by the end of each year, by the advisory committee, with at least 80% representation of the full committee, determined by attendance records of meetings. *In lieu of face to face meetings, communication by phone and email. Curriculum Updated – see “ Year 5 Activities”Curriculum Updated – see “ Year 5 Activities”

30. Goal 1 Objective A reference manual for the curriculum will be created by the end of the Year 4 of the projectA reference manual for the curriculum will be created by the end of the Year 4 of the project –Met In Year 4 - See Curriculum Manual

31. Goal 2 Objective The HIV/AIDS prevention curriculum will be approved as a permanent one for Spelman College by the end of the project period, as determined by documentation from the Curriculum Committee.The HIV/AIDS prevention curriculum will be approved as a permanent one for Spelman College by the end of the project period, as determined by documentation from the Curriculum Committee. –Met in Year 3

32. Goal 3 Objective The HIV/AIDS prevention curriculum will be approved by Spelman College administration, as a requirement for all Spelman students, by the end of the project period, as determined by the official bulletin of Spelman College.The HIV/AIDS prevention curriculum will be approved by Spelman College administration, as a requirement for all Spelman students, by the end of the project period, as determined by the official bulletin of Spelman College. -Not Met. -Not Met.

33. Year 5 Activities Implement Curriculum – added “Truth Behind Hip Hop” viewing and discussionImplement Curriculum – added “Truth Behind Hip Hop” viewing and discussion Implement procedures for mandating curriculum as a requirement – Joined First Year Seminar and Curriculum PlanningImplement procedures for mandating curriculum as a requirement – Joined First Year Seminar and Curriculum Planning Identify additional funding to support the prevention curriculum - Submitted Proposal to Office of HIV/AIDS Policy MSI HIV Prevention Sustainability Demonstration Initiative– Not awarded/fundedIdentify additional funding to support the prevention curriculum - Submitted Proposal to Office of HIV/AIDS Policy MSI HIV Prevention Sustainability Demonstration Initiative– Not awarded/funded Final Project Evaluation – In ProgressFinal Project Evaluation – In Progress Interview for PBS Frontline DocumentaryInterview for PBS Frontline Documentary

34. Other Year 5 Activities – World AIDS Day Presentation by Dazon Dixon Diallo, founder and President of Sister Love, Inc. “Healthy Loving is Healthy Living. Women Taking Risks For Love In The Age of HIV/AIDS”Presentation by Dazon Dixon Diallo, founder and President of Sister Love, Inc. “Healthy Loving is Healthy Living. Women Taking Risks For Love In The Age of HIV/AIDS” Testing Party- Food, DJ, Student Organization CompetitionsTesting Party- Food, DJ, Student Organization Competitions

35. “HIV Is My Adversity. What’s Yours? Depression, Poverty, Jail, Pride, Drugs?” World AIDS Day Lunch Time Speaker, David Robertson (diagnosed with HIV in 2007) - http://youtube/Stxc2uYPn5k

36. Final Evaluation In ProgressIn Progress Seeking New FundingSeeking New Funding Updated Curriculum ManualUpdated Curriculum Manual