Healthy Campus 2010 Midcourse Review Percent of Targeted Change Quotients Healthy Campus Overarching Goals 1. Increase quality and years of healthy life 2. Eliminate health disparities Prepared by Jim Grizzell, MBA, MA, CHES, ACSM-HFS Past Chair & Co-Chair ACHA National Health Objectives Task Force

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review2 Contents  Overview of progress  Focus Areas and Objectives  Data sets used  Limitations of the data & data needs  Goals Improve Quality and Quantity of Healthy Life Eliminate Health Disparities  Progress quotient calculation  Top 10 Health impediments to academic performance  Top 10 physical and mental health problems  Focus area 1-28 objectives  Ideas for Recommendations

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review3 Overview of Progress  Progress for 87 objectives and sub-objectives 5 (6%) met or exceeded target 32 (37%) moved toward targets 9 (10%) had no change 37 (43%) moved away from the targets 4 (5%) unable to calculate at this time  Receipt of Health Information, Health Problems, Health Impediments to Academic Performance 6 of 11 receipt of information topics moved away from the targets (1 had no change) 7 of the 10 health problems moved away from the targets 9 of top 10 health impediments to academic performance have moved away from the targets

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review4 Healthy People 2010 and Healthy Campus 2010 Focus Areas 1. Access to Quality Health Services (16/6/1)* 2. Arthritis, Osteoporosis & Chronic Back Conditions (11/0/0) 3. Cancer (15/3/2) 4. Chronic Kidney Disease (8/0/0) 5. Diabetes (17/4/3) 6. Disability & Secondary Conditions (13/2/1) 7. Educational & Community-Based Programs (12/5/1) 8. Environmental Health (30/8/0) 9. Family Planning (13/6/5) 10. Food Safety (7/3/0) 11. Health Communication (6/3/0) 12. Heart Disease & Stroke (16/6/2) 13. HIV (17/4/3) * Healthy People objectives / Healthy Campus objectives / Healthy Campus objectives with baseline data

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review5 Healthy People 2010 and Healthy Campus 2010 Focus Areas 14. Immunization & Infectious Diseases (31/8/1) 15. Injury and Violence Prevention (39/20/13) 16. Maternal, Infant, & Child Health (23/3/0) 17. Medical Product Safety (6/6/0) 18. Mental Health & Mental Disorders (14/6/2) 19. Nutrition & Overweight (18/15/4) 20. Occupational Safety & Health (11/6/0) 21. Oral Health (17/3/1) 22. Physical Activity & Fitness (15/11/3) 23. Public Health Infrastructure (17/11/3) 24. Respiratory Diseases (17/4/1) 25. Sexually Transmitted Diseases (19/9/6) 26. Substance Abuse (25/17/5) 27. Tobacco Use (21/8/1) 28. Vision and Hearing (18/3/0)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review6 ACHA-NCHA Data Sets FrequencyPercent Spring , Spring , Spring , Spring , Spring , Spring , Spring , Spring , Total348, Data sets by gender and ethnic groups are on the last slides.

Limitations  Cross-sectional data collection  Self-selected IHEs Random representative sampling of students  ACHA member institutions only  Sampling method varied Classroom and online  Self-report data for the “past year” ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review7

Goal 1: Quality of Healthy Life ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review8

Goal 1: Quality of Healthy Life ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review9

Excellent, Very Good, Good Goal 2: Eliminate Health Disparities ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review10

Excellent, Very Good, Good Goal 2: Eliminate Health Disparities ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review11

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review12 Percent of Targeted Change Achieved  Calculation (most recent value – baseline )/(2010 target - baseline)  Met or exceeded target 100% or greater (positive percent)  Movement toward target >0% to 99% of targeted change  Moved away from target Negative percent (i.e., -60%)

Example from Healthy People 2010 Percent of Target Achieved Chart ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review13

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review14 Percent of Targeted Change Achieved Received Low Grade on exam/project, course, took incomplete/dropped Top 10 Health Impediments to Academic Performance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review15 Percent of Targeted Change Achieved Took Incomplete or Dropped Course Top 10 Health Impediments to Academic Performance

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review16 University Learning Mission Objectives Health Impediments to Academic Performance NCHA data: N = ~17,000 to 46,000/yr, HIAP = Health Impediment to Academic Performance  9 away from target: Ave: 19%, Range: 5% - 79%  1 toward target: 8%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review17 Percent of Targeted Change Achieved Top 10 Physical and Mental Health Problems (q43)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review18 Top 10 Medical / Mental Health Problems (Q43) Health Problems in the Last Year  7 away from target  3 toward target Low grade exam/project, course, took incomplete or dropped course. ACHA-NCHA data: N = ~16,000 to ~95,000/yr

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 1-7

00-07 Percent of Targeted Change Achieved Sub-Objectives 7-3: Received Information ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review20

00-07 Percent of Targeted Change Achieved Objectives from Focus Area 9 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review21

00-07 Percent of Targeted Change Achieved Objectives from Focus Area 12 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review22

00-07 Percent of Targeted Change Achieved Objectives for Focus Area 13 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review23

00-07 Percent of Targeted Change Achieved Objective from Focus Area 14 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review24

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ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objective from Focus Areas 19

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00-07 Percent of Targeted Change Achieved Objectives from Focus Area 23 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review31

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ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review34 Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2008). Monitoring the Future national survey results on drug use, 1975–2007: Volume II, College students and adults ages 19–45 (NIH Publication No B). Bethesda, MD: National Institute on Drug Abuse. Accessed on Feb, 18, 2007 at vol2_2007.pdf

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ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Area 27

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review37 Ideas for Healthy Campus 2020 Recommendations  Delete or revise objectives that require Merging of variable responses Multiple crosstab layers Keep data simple and easy to use by anyone  Select priority health issues from: Top 10 health impediments to academic performance (q44)  Related to academic mission of universities Top 10 medical/mental health problems (q43)  Support mission of clinics while helping reorient health services toward health promotion and disease prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review38 Ideas for Healthy Campus 2020 Recommendations  Use NCHA data for binge drinking objective 26-11b Instead of Healthy People 2010 Monitoring the Future data source Use: Women: 4+ drinks, Men: 5+ drinks  Edit HC2010 Appendix D to use terms used in SPSS Transform > recode into different variable Analyze > Descriptive Statistics  > Frequencies  > Crosstab

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review39 Ideas for Healthy Campus 2020 Recommendations  Implement a campaign to influence behavior of campus decision makers to: Focus on 1 to 3 of ~10 priority health objectives committee recommends Use evidence-based, evidence-informed and theory-based interventions  Provide evidence- and theory-based intervention recommendations Include ACHA Tools  ACHA-NCHA, Healthy Campus 2020, Standards of Practice for Health Promotion in Higher Education, Vision Into Action, Hiring Guidelines for Health Promotion Professionals in Higher Education CDC Guides to Clinical and Community Preventive Services  /p asp /p asp 

Contact Information  Jim Grizzell, MBA, MA, CHES, ACSM-HFS   (909) ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review40

Data by Gender ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review41

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review42

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review43

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review44