Michigan State UniversityMichigan State University Healthy Campus InitiativeHealthy Campus Initiative

Using NCHA, 2010 Objectives and Using NCHA, 2010 Objectives and Standards in an Outcome-Based Logic Standards in an Outcome-Based Logic

ModelModelDennis Martell, PhD - martell1@pilot.msu.edu

Michigan State UniversityMichigan State University

Student Population

Undergraduate students: 35,197Undergraduate students: 35,197 Graduate students: 8,349Graduate students: 8,349

Professional students: 1,391Professional students: 1,391 Total enrollment: Total enrollment: 44,93744,937

MSU is the largest single campus student body of any Michigan university and MSU is the largest single campus student body of any Michigan university and among the largest in the country.among the largest in the country.

Women: 24,266Women: 24,266 Men: 20,671Men: 20,671

17.7 percent, minorities. 17.7 percent, minorities.

Nearly 88.6 percent of MSU students were from Michigan. Nearly 88.6 percent of MSU students were from Michigan.

MSU's residence hall system has a capacity of 17,197 students.MSU's residence hall system has a capacity of 17,197 students.

Students also may live in the 2,340 campus apartments.Students also may live in the 2,340 campus apartments.

“ “Bringing people together as Bringing people together as

citizens and community members citizens and community members

to decide for themselves the to decide for themselves the

kinds of lives they think are most kinds of lives they think are most

worth living.” worth living.”

David Buchanan, An Ethic For Health Promotion

Michigan State University Michigan State University Mission:Mission:

……the university provides opportunities the university provides opportunities for the fullest possible development for the fullest possible development of the potential of each student and of the potential of each student and each citizen served, and enhances each citizen served, and enhances the quality of life…the quality of life…

‘‘A’ Vision of a Healthy CampusA’ Vision of a Healthy Campusbased on the missionbased on the mission

A campus which provides opportunities A campus which provides opportunities and support for the fullest possible and support for the fullest possible development of individual free development of individual free thought and action in the pursuit of thought and action in the pursuit of learning. learning.

Questions to Begin a Campus Questions to Begin a Campus Health Initiative!Health Initiative!

Where are we now?Where are we now?

Where do we want to be?Where do we want to be?

How are we going to get there?How are we going to get there?

How will we know when we have arrived? How will we know when we have arrived?

ACHA’s TripodACHA’s TripodTools for Developing Healthy Tools for Developing Healthy

Campus InitiativesCampus Initiatives

Where are we Where are we now?now?

Where do we want toWhere do we want to be?

How are we going to How are we going to get there ?get there ?

How do we know when we are there?How do we know when we are there?

Pre-process: Pre-process:

• Define:Define:– ‘‘health’, and then who you are!health’, and then who you are!

what is more important to know: what is more important to know:

who you are or what you do’?who you are or what you do’?

– CollaborationCollaboration– StakeholdersStakeholders

• Pre-invest in ‘individual leaders’Pre-invest in ‘individual leaders’

Great Leaders are needed:Great Leaders are needed:

"A leader takes people where they want "A leader takes people where they want to go. A great leader takes people to go. A great leader takes people where they don't necessarily want to where they don't necessarily want to go but ought to be." go but ought to be."

Rosalyn CarterRosalyn Carter

A great leader has a clear vision of how A great leader has a clear vision of how a better future could or should unfold.a better future could or should unfold.

Standards of PracticeStandards of Practice, ,

• Six StandardsSix Standards– Integrate with the Learning Mission of Higher Integrate with the Learning Mission of Higher

EducationEducation– Collaborative PracticeCollaborative Practice– Cultural CompetenceCultural Competence– Theory-Based PracticeTheory-Based Practice– Evidence-Based PracticeEvidence-Based Practice– Continuing Professional Development and Continuing Professional Development and

ServiceService

An Outcome-Based Planning An Outcome-Based Planning ProcessProcess

Scan & assess the Scan & assess the population/environmentpopulation/environment

Select strategiesSelect strategiesbest suited forbest suited foroutcomesoutcomes

Generate expected Generate expected outcomesoutcomes

Set long-rangeSet long-rangeoutcomes (ultimate outcomes (ultimate goals)goals)

Clarify assumptions forClarify assumptions forindividual/environmentalindividual/environmental changechange

Outcome-Based planning Outcome-Based planning Product:Product:

A Logic ModelA Logic Model

Current Reality:

Pop.IHE

Community

TheoryModel

Frameworkfor

COREFunctions

Effortsto

StimulateChange

Vision ofChanges

for:Pop.IHE

Community

Context AssumptionsStrategies/Services

Outcomes

Standards

NCHA 2010 HCO

Where are we now? Where do we want to be?

How do we get there?

How do we know when we are there there?

2010 Objectives were divided into three 2010 Objectives were divided into three categoriescategories--

Broad Mission ObjectivesBroad Mission Objectives relating to relating to dissemination of health information across dissemination of health information across campus,campus,

Health and Academic Impact ObjectivesHealth and Academic Impact Objectives

concerned with decreasing the negative effect concerned with decreasing the negative effect of specific health behaviors on students ability of specific health behaviors on students ability to be successful academically &to be successful academically &

Programmatic Mission ObjectivesProgrammatic Mission Objectives relating relating to specific target goals within the service areas to specific target goals within the service areas currently offered by health education.currently offered by health education.

Broad Mission Objectives- Broad Mission Objectives- Information on HealthInformation on Health

TargetsTargets::

National National DNC DNC CollegeCollege 17.4 % 17.4 % Our CampusOur Campus 10 %10 %

Baselines:Baselines:

NationalNational DNC DNC College College 3.1% 3.1% Our CampusOur Campus 4.6%4.6%

1. Increase the proportion of Michigan State University freshman Increase the proportion of Michigan State University freshman that receive information from MSU on that receive information from MSU on all of theall of the eleveneleven priority priority health-risk behavior areas.health-risk behavior areas. (7- (7-3a.)3a.)

Target setting method:Target setting method:National:National:College: Better than the best within College: Better than the best within Healthy Healthy Campus 2010- Making It HappenCampus 2010- Making It HappenOur Campus: Best of the Best Our Campus: Best of the Best ((Freshman Males = Freshman Males = 10%10%))

Data sources:Data sources:National:National:College: Spring 2000 ACHA-College: Spring 2000 ACHA-National National College Health AssessmentCollege Health Assessment (NCHA). (NCHA).Our Campus: 2004 ACHA Spring MSUOur Campus: 2004 ACHA Spring MSU (NCHA)

Awareness

Education

Proposed Proposed

printing and printing and

distribution distribution

of a multifacetedof a multifaceted

-informational-informational

brochure onbrochure on

all eleven healthall eleven health

topics distributedtopics distributed

to all incomingto all incoming

freshmen and freshmen and

their parents of their parents of

class of fall 2005class of fall 2005

Increase in theIncrease in the

percentage of percentage of

freshmen who willfreshmen who will

utilize health utilize health

services on campusservices on campus

Increase in healthIncrease in health

protective &protective &

decrease in healthdecrease in health

risky beliefs andrisky beliefs and

perceptions about perceptions about

health health

Increase awareness Increase awareness

of protective of protective

institutional institutional

policies & practices policies & practices

Increase theIncrease the proportion of proportion of Michigan StateMichigan State University University freshman thatfreshman that receivereceive information information from MSU on from MSU on all of theall of the eleveneleven priority priority health-risk health-risk behavior areas.behavior areas. (7- (7-3a.)3a.)

Harm Reduction:

Environmental

Management

Social Norming:

Current Reality:Current Reality:

Public/LandGrantPublic/LandGrant

MidwestMidwest

ConservativeConservative

NCHA 2004NCHA 2004

4.6%4.6% of freshmen of freshmen

in 2004 reportedin 2004 reported

receiving info on receiving info on

all eleven topicsall eleven topics

(as identified by(as identified by

Healthy CampusHealthy Campus

2010 as priority2010 as priority

areas) from MSU areas) from MSU

last year.last year.

10%10% of freshman of freshman

males reportedmales reported

receiving info onreceiving info on

all eleven health all eleven health

topicstopics

Long-RangeLong-Range OutcomeOutcome

Intermediate Intermediate

OutcomesOutcomes Strategies

Assumptions Assumptions Theory/ModelTheory/Model

Context/ DataContext/ Data

2. Increase the proportion of MSU students, particularly 2. Increase the proportion of MSU students, particularly freshmen, who report receiving information freshmen, who report receiving information on each of on each of the eleventhe eleven priority health-risk behavior areas: priority health-risk behavior areas: ( ( M- NCHA q2. M- NCHA q2. <7-3b>)<7-3b>)

a.a. tobacco preventiontobacco prevention, , b.b. alcohol and other drugsalcohol and other drugs, , c.c. sexual assault/ relationship violencesexual assault/ relationship violence, , d.d. violence preventionviolence prevention, , e. injury prevention and safetye. injury prevention and safety, , f. suicide preventionf. suicide prevention, , g. pregnancy preventiong. pregnancy prevention, , h. AIDS and HIV infection preventionh. AIDS and HIV infection prevention, , i.i. sexually transmitted disease (STD) preventionsexually transmitted disease (STD) prevention, , j. dietary behaviors and nutritionj. dietary behaviors and nutrition, and , and k. physical activity and fitnessk. physical activity and fitness. .

Broad Mission Objectives- Broad Mission Objectives- Information on HealthInformation on Health

2a. 2a. TOBACCO USE PREVENTIONTOBACCO USE PREVENTION (7-3b-1) (7-3b-1)TargetsTargets::

NationalNational DNC DNC CollegeCollege 55 % 55 % Our CampusOur Campus 37 % 37 %

Baselines:Baselines:

National National DNC DNC College College 21 % 21 % Our CampusOur Campus 27 %27 %

Target setting method:National:College: Better than the best Our Campus: Better than the best (Freshman = 27 % plus 10% ).

TargetsTargets:: National National DNC DNC CollegeCollege 55 % 55 % Our CampusOur Campus 70 70 %%Baselines:Baselines: NationalNational DNC DNC College College 47.1% 47.1% Our CampusOur Campus 66%66%

2b. ALCOHOL AND OTHER DRUGS

Target setting method:National:College: Better than the best Our Campus: Better than the best (Freshman = 66 % plus 5%).

Health & Academic Impact ObjectivesHealth & Academic Impact Objectives

3. 3. Academic Impact Objective- Academic Impact Objective- StressStress Reduce the proportion of MSU Reduce the proportion of MSU students who received a lower grade on an exam, project or course, or students who received a lower grade on an exam, project or course, or an incomplete or dropped a course due to stress. an incomplete or dropped a course due to stress. (18 M-NCHA 44x.a.)(18 M-NCHA 44x.a.)(This is an objective using the impediment to academic performance “Stress.” It is related to the Mental Health Leading Health Indicators and Focus Area 18.)

Target setting method:National: College: Better than the best (Male = 27 %).Our Campus: Better than the best (Male = 23 %).

TargetsTargets:: National DNC CollegeNational DNC College 27 % Our Campus27 % Our Campus 23 %23 % BaselinesBaselines:: National DNC College 33.4 % Our CampusNational DNC College 33.4 % Our Campus 29 %29 %

ACHA-National College Health Assessment (NCHA), Spring 2004.ACHA-National College Health Assessment (NCHA), Spring 2004.% Who Had and Academic Performance Affected% Who Had and Academic Performance Affected

% Did% Did % Had, % Had, % Had, % Had, GENDER GENDER RACE RESIDENCE RACE RESIDENCE

Health Problem Not HaveHealth Problem Not Have No Effect No Effect Some Effect Some Effect Male Male FemaleFemale White White Other Other On On Off Off

StressStress 22.7 48.1 22.7 48.1 29.2 23.0 29.2 23.0 34.1***34.1*** 28.3 32.1* 31.9 27.2 28.3 32.1* 31.9 27.2

4. 4. Academic Impact Objective- Academic Impact Objective- Internet UseInternet Use Reduce the proportion of Reduce the proportion of MSU students who received a lower grade on an exam, project or MSU students who received a lower grade on an exam, project or course, or an incomplete or dropped a course due to internet use or course, or an incomplete or dropped a course due to internet use or playing computer games. playing computer games. (18 M-NCHA 44P.)(18 M-NCHA 44P.)

TargetsTargets:: National DNC CollegeNational DNC College 10 % Our Campus10 % Our Campus 11 %11 % BaselinesBaselines:: National DNC College 13.4 % Our CampusNational DNC College 13.4 % Our Campus 15 %15 %

Target setting method:National: College: Better than the best (Female = 10 %).Our Campus: Better than the best (Female = 11% ).

% Who Had and Academic Performance Affected By Gender & Race% Who Had and Academic Performance Affected By Gender & Race

% Did % Had,% Did % Had, % Had, % Had, GENDER GENDER RACE RESIDENCE RACE RESIDENCEHealth Problem Not Have No Effect Some Effect Male Female White Other OnHealth Problem Not Have No Effect Some Effect Male Female White Other On Off Off

InternetInternet 43.6 43.6 41.4 41.4 15.015.0 20.0 20.0 11.111.1****** 15. 13.6*** 19.6 15. 13.6*** 19.6 11.5*** 11.5***

Mission Objectives- Program RelatedMission Objectives- Program Related

7. 7. Mission ObjectiveMission Objective- - ExerciseExercise Increase the proportion of MSU Increase the proportion of MSU students who report exercising at least 3 or more times a week and students who report exercising at least 3 or more times a week and

vigorously enough to promote cardiovascular fitness. vigorously enough to promote cardiovascular fitness. (M-NCHA 39a.)(M-NCHA 39a.)

TargetsTargets:: National DNC CollegeNational DNC College 55 % Our Campus55 % Our Campus 46 %46 %BaselinesBaselines:: National DNC College 40.3 % Our CampusNational DNC College 40.3 % Our Campus 41 %41 %

Target setting method:National: College: Better than the best (Males = 55 %). Our Campus: Better than the best (College Females = 41 % plus 5 %= 46 %).

Note: College data reflects number of days in the last week students had participated in moderate or vigorous exercise.

ACHA-National College Health Assessment (NCHA) MSUACHA-National College Health Assessment (NCHA) MSUTABLE 3.TABLE 3.% Distribution of Weight Status, Exercise, and Fruit and Vegetable Intake Among Respondents, by Background % Distribution of Weight Status, Exercise, and Fruit and Vegetable Intake Among Respondents, by Background CharacteristicsCharacteristics

%% GENDER RACE GENDER RACE RESIDENCE RESIDENCE Health Problem-Health Problem- ExerciseExercise n Overall n Overall Male Female White Other Male Female White Other On Off On OffParticipate in vigorous exercise for 20 minutes Participate in vigorous exercise for 20 minutes 12851285 or moderate exercise for 30 minutes. . .or moderate exercise for 30 minutes. . .3 or more days per week3 or more days per week 40.0 38. 40.0 38. 41.341.3 40.9 37.1 38.4 41.240.9 37.1 38.4 41.2

AwarenessAwareness

EducationEducation

Proposed Proposed

collaboration collaboration

between Healthybetween Healthy

U, Olin Health Ed, U, Olin Health Ed,

and MSU Intra-and MSU Intra-

Mural and Mural and

Recreative SportsRecreative Sports

to sponsor an to sponsor an

online activity online activity

logging/ tracking logging/ tracking

and incentiveand incentive

program openprogram open

to students, to students,

faculty & stafffaculty & staff

for fall 2005for fall 2005

Increase in theIncrease in the

percentage of percentage of

students who willstudents who will

utilize exerciseutilize exercise

facilities on campusfacilities on campus

Increase in healthIncrease in health

protective &protective &

decrease in healthdecrease in health

risky beliefs andrisky beliefs and

perceptions about perceptions about

exerciseexercise

Increase practicesIncrease practices

that facilitate accessthat facilitate access

and decrease and decrease

barriers to exercisebarriers to exercise

thru thru awareness awareness

and change of and change of

institutional institutional

policies & practices policies & practices

Increase the Increase the

proportionproportion

of MSU studentsof MSU students

who report who report

exercising atexercising at

least 3 or moreleast 3 or more

times a week times a week

and vigorously and vigorously

enough to enough to

promote promote

cardiovascular cardiovascular

fitness. fitness.

(M-NCHA 39a(M-NCHA 39a

Harm ReductionHarm Reduction::

Environmental Environmental

ManagementManagement

Social NormingSocial Norming::

Current RealityCurrent Reality

Data on MSU Data on MSU

studentsstudents

NCHA 2004NCHA 2004

41%41% of females of females

in 2004 reportedin 2004 reported

participating inparticipating in

vigorous/ moderatevigorous/ moderate

exercise exercise 3 or more 3 or more

times in the lasttimes in the last

week for 20- 30week for 20- 30

minutes.minutes.

38%38% of males of males

males reportedmales reported in 2004 reportedin 2004 reported

participating inparticipating invigorous/ moderatevigorous/ moderateexercise 3 or more exercise 3 or more

times in the lasttimes in the lastweek for 20- 30week for 20- 30

minutes.minutes.

Long-RangeLong-Range OutcomeOutcome

Intermediate Intermediate

OutcomesOutcomes StrategiesStrategies

Assumptions Assumptions Theory/ModelTheory/Model

Context/ DataContext/ Data

• Learn MoreLearn More• Why Americans are getting on the move...Why Americans are getting on the move...• The eating and physical activity patterns of many Americans have made us the most overweight nation in the world. More than 60% The eating and physical activity patterns of many Americans have made us the most overweight nation in the world. More than 60%

of American adults do not get the recommended 30 minutes of physical activity a day, and 25% of American adults aren’t physically of American adults do not get the recommended 30 minutes of physical activity a day, and 25% of American adults aren’t physically active at all. More than 120 million Americans — 64.5% of the adult population — are overweight; nearly 59 million, or 31%, are active at all. More than 120 million Americans — 64.5% of the adult population — are overweight; nearly 59 million, or 31%, are obese.obese.

•   • Simple changesSimple changes

America On the Move’s pilot program, Colorado On the Move, demonstrated that Americans can stop weight gain by balancing America On the Move’s pilot program, Colorado On the Move, demonstrated that Americans can stop weight gain by balancing energy expenditure and calorie consumption. The message is simple: move more and eat less by making 2 small daily changes...energy expenditure and calorie consumption. The message is simple: move more and eat less by making 2 small daily changes...

• Take 2000 more steps (about 1 mile) Take 2000 more steps (about 1 mile) • Eat 100 fewer calories.Eat 100 fewer calories.• Getting startedGetting started

Everything you need to begin making simple changes for better health is online at America On the Move. Here are just a few of the Everything you need to begin making simple changes for better health is online at America On the Move. Here are just a few of the features and benefits:features and benefits:

• Active livingActive living — track your physical activity on some of America’s most famous trails. And there are motivating articles to help you — track your physical activity on some of America’s most famous trails. And there are motivating articles to help you get moving and stay active.get moving and stay active.

• Healthy eatingHealthy eating — learn simple, easy ways to reduce calories by 100 a day and record your progress over time. — learn simple, easy ways to reduce calories by 100 a day and record your progress over time. • PacesetterPacesetter — compare your progress against other America On the Move participants. — compare your progress against other America On the Move participants.• Move MatesMove Mates — this is a fun way to offer and receive support from others in America On the Move. When you and a buddy opt in to — this is a fun way to offer and receive support from others in America On the Move. When you and a buddy opt in to

this feature you can view each other’s progress from your computer.this feature you can view each other’s progress from your computer.• LinksLinks — we’ve highlighted some of our favorite health, nutrition, and physical activity websites for you — the best of the Web is just — we’ve highlighted some of our favorite health, nutrition, and physical activity websites for you — the best of the Web is just

a click away. a click away. • Goal settingGoal setting — this handy feature allows you to set health goals and keep notes on your progress throughout your America On the — this handy feature allows you to set health goals and keep notes on your progress throughout your America On the

Move experience.Move experience.• Events Events — discover what America On the Move events are going on around the country, in your state, and even your town. — discover what America On the Move events are going on around the country, in your state, and even your town. • On the Move e-newsletterOn the Move e-newsletter — sign up for our every-other-month update on the latest in healthy eating and active living as well as — sign up for our every-other-month update on the latest in healthy eating and active living as well as

the movement known as America On the Move...the movement known as America On the Move...... and more. America On the Move is growing and we’re adding new features and content to our site every week.  ... and more. America On the Move is growing and we’re adding new features and content to our site every week. 

• Individuals and groupsIndividuals and groupsYou can register yourself as well as your You can register yourself as well as your groupgroup to participate in America On the Move. to participate in America On the Move.

Strategic Considerations & ChallengesStrategic Considerations & Challenges::

•Bring students/groups/government ‘individual leaders’ in on it Bring students/groups/government ‘individual leaders’ in on it early!early!

•Cultivate academic and research partners: credibility and assistance!Cultivate academic and research partners: credibility and assistance!

•Sell yourself as the health leader/ resource of choice for the Sell yourself as the health leader/ resource of choice for the community!community!

•Cultivate media relations assistance and support!Cultivate media relations assistance and support!

•Challenge: Collaboration with Healthy U, Residence Life, and Challenge: Collaboration with Healthy U, Residence Life, and Student Affairs-Student Affairs-