1. Update on the ACHA National College Health Assessment Using the ACHA-NCHA to Examine the Health Status and Health Needs of Your Students An ACHA Professional Development Workshop November 30 – December 2, 2006 Las Vegas Pat Ketcham, PhD, CHES, Oregon State University Mary Hoban, PhD, CHES, American College Health Association

2. Objectives 1.Describe the development of the ACHA- NCHA 2.Identify trends in alcohol and other drug use, sexual behaviors, and depression from the Spring 2005 Reference Group. 3.List three ways campuses are using ACHA-NCHA data.

3. What is the ACHA-NCHA? A national, non-profit, research effort that: –Assesses college health factors that impact academic performance, retention, and campus life –Assists campus professionals in collecting data about the health of their students Health service providers Health Educators Counselors Administrators

4. What is the ACHA-NCHA? The ACHA-NCHA is a comprehensive college health questionnaire that provides important data about a wide variety of college health topics These data can be used to: –Plan programs –Prioritize campus needs –Allocate resources –Design strategies for intervention –Identify protective and risk factors associated with academic performance –Measure progress on National Health Objectives

5. What is the ACHA-NCHA? 13 waves of the survey successfully conducted since Spring 2000 More than 355,000 students from 546 campuses have participated An ever growing and increasingly rich picture of college student health!An ever growing and increasingly rich picture of college student health!

6. Historical Outline May 1997- ACHA Annual Meeting in New Orleans January 1998 – First Work Group Meeting: 25 volunteers meet in Chicago Spring 1998 Pilot – 10 IHE’s; n=2,007

7. December 1998 – Third Work Group Meeting in Chicago Spring 1999 Pilot – 11 IHE’s; n=3,649 Relationship with the Core Institute Began with Spring 2000 survey

8. January 2000 – NCHA Advisory Committee appointed by ACHA –Haines and Haubenriser are co-chairs! November 2000 – NCHA Advisory Meets in Baltimore Spring 2003 – All NCHA operations move from the Core Institute to ACHA –ACHA-NCHA web-assessment introduced

9. June 2003 – Ketcham and Orr co-chairs of ACHA-NCHA Advisory Committee May 2005 – Spring 2003 Reference Group results published in JACH June 2005 – Ketcham and Mallinson co- chairs of ACHA-NCHA Advisory Committee

10. December 2005 – ACHA-NCHA Professional Development Workshop and Subcommittee Meeting on Survey Revisions January 2006 – Spring 2004 Reference Group results published in JACH July 2006 – Spring 2005 Reference Group results published in JACH

11. Nov/Dec 2006 – ACHA-NCHA Professional Development Workshop in Las Vegas January 2007 – Spring 2006 Reference Group results to be published in JACH, and annually thereafter Spring 2007 – Pilot testing of revised ACHA- NCHA Fall 2007 – Revised ACHA-NCHA ready for implementation

12. ACHA-NCHA Participation to Date SchoolsSample (n) Spring 2000 28 16,024 Fall 2000 20 10,413 Spring 2001 31 16,813 Fall 2001 8 4,717 Spring 2002 44 28,258 Fall 2002 20 10,374 Spring 2003 33 19,497 Fall 2003 21 11,990 Spring 2004 74 47,202 Fall 2004 50 24,804 Spring 2005 71 54,111 Fall 2005 29 16,832 Spring 2006 117 94,806 TOTAL 546 355,841

13. The Instrument Health, health education, and safety Alcohol, tobacco, and other drug use Sexual behaviors Weight, nutrition, and exercise Mental and physical health Impediments to academic performance Demographics Health status and health problems Risk behaviors Protective behaviors Access to health information Perceived norms

14. Reliability & Validity Analyses Results are consistent with other nationally generalizable data sets: National College Health Risk Behavior Survey CDC 1995National College Health Risk Behavior Survey CDC 1995 Harvard School of Public Health 1999 College Alcohol StudyHarvard School of Public Health 1999 College Alcohol Study United States Department of Justice: The National College Women Sexual Victimization Study 2000 (NCWSV)United States Department of Justice: The National College Women Sexual Victimization Study 2000 (NCWSV) National Institute of Mental Health 2001National Institute of Mental Health 2001

15. Reliability and Validity Analyses Reliability –Cronbach’s alpha scores for inter-item reliability fall within the acceptable range of 0.4-0.9 Construct Validity –Measures related to other variables as expected Measurement Validity –ACHA-NCHA found to have strong measurement validity Sensitive Indicators –ACHA-NCHA found to have comparable rates of sensitive item prevalence as other surveys

16. ACHA Tools for Program Planning and Evaluation

17. Health-related impediments to academic performance Spring 2005 N = 54,111

18. Health-related impediments to academic performance Spring 2005 N = 54,111 Spring 2000 N = 16,024

19. 5 or more drinks at a sitting during the last 2 weeks Spring 2005 N = 54,111

20. 5 or more drinks at a sitting during the last 2 weeks Spring 2005 N = 54,111 Spring 2000 N = 16,024

21. Estimated BAC

22. Spring 2000 N = 16,024 Estimated Blood Alcohol Concentration MalesFemalesTotal <.0865%64% <.1072%71%72% Spring 2005 N= 54,111 Estimated Blood Alcohol Concentration MalesFemalesTotal <.0864%63%64% <.1071%

23. Sexual Partners Spring 2005 N = 54,111

24. Sexual Partners Spring 2005 N = 54,111 Spring 2000 N = 16,024

25. So Depressed Difficult to Function Spring 2005 N = 54,111

26. So Depressed Difficult to Function Spring 2000 N = 16,024 Spring 2005 N = 54,111

27. Seriously Considered Suicide Spring 2005 N = 54,111

28. Seriously Considered Suicide Spring 2005 N = 54,111 Spring 2000 N = 16,024

29. Diagnosed with Depression Spring 2005 (N=54,111) College students ever diagnosed with depression 16% Of this 16%: Dx in the last school year 36% Currently in therapy28% Currently taking medication 37%

30. Diagnosed with Depression Spring 2005 (N=54,111) College students ever diagnosed w/ depression 16% Of this 10%: Dx in the last school year 36% Currently in therapy 28% Currently taking medication 37% Spring 2000 (N=16,024) College students ever diagnosed w/ depression 10% Of this 10%: Dx in the last school year 23% Currently in therapy 17% Currently taking medication 21%

31. Self Described Weight and BMI Spring 2005 N = 54,111

32. How are campuses using ACHA-NCHA data? Develop and evaluate programs Allocate/advocate for resources Identify campus populations at increased risk Identify staff training needs

33. How are campuses using ACHA-NCHA data? Gather normative data for social norms marketing efforts Consortium participation Longitudinal research efforts Measure progress on HC2010 objectives

34. Healthy Campus 2010 HC2010 Objective2000 Baseline 2010 Target Spring 2005 Progress 1-1. Increase the proportion of college students with health insurance 83.3%100%88.5% 3-9a. Increase the proportion of college students who use sunscreen daily 14.7%23.9%18.2% 3-11c. Increase the proportion of college women who received a routine GYN exam in the LSY 63.1%83.2%63.0%

35. For more information Mary Hoban, PhD, Director, ACHA-NCHA Program Office mhoban@acha.org,mhoban@acha.org (410) 859-1500 x216 Victor Leino, PhD, Research Director, ACHA evl@acha.org,evl@acha.org (410) 859-1500 x239 Pat Ketcham, PhD, ACHA-NCHA Advisory Committee Chair, Oregon State University, pat.ketcham@oregonstate.edu, pat.ketcham@oregonstate.edu (541) 737-7553