Transcript ACL Teen Centers

ACL Teen Centers
School-Based Health Centers serving
Acoma, Laguna & To’Hajiilee since 1983
Assessment of the To’Hajiilee
Life Skills Training Program
NNR 06-197
Findings and Recommendations
Presented to
Na’nizhoozhi Center, Inc.
October 29, 2010
To’Hajiilee LST – Navajo IRB
• September 2006 - The ACL Teen Centers Prevention
Services submitted a study application to the Navajo
Nation Human Research Review Board (NN HRRB).
• The NN HRRB sets forth "the conditions under which
investigators, physicians, researchers, and others may
perform research activities on living human subjects
within the territorial jurisdiction of the Navajo Nation”.
• NN HRRB is under the auspices of the Navajo Nation
Department of Health, Window Rock, AZ
To’Hajiilee LST – Navajo IRB
• January 2007 – NN HRRB granted approval.
• January 2007 - The To’Hajiilee LST program was
implemented at To’Hajiilee Community School.
• Annual Reports are given to NN HRRB.
• Evaluation results are from Spring 2010.
• Recommendations for program improvement
To’Hajiilee LST - Program
• The “Life Skills Training” (LST) Program is a schoolbased and evidence-based substance abuse prevention
curriculum.
• The LST Program utilizes the “Life Skill Training
Program curriculum developed by Gilbert Botvin,
Ph.D.
• The program aims to help reduce and delay the onset of
alcohol, tobacco and other drugs (ATOD) among 3rd
and 5th grade students attending To’Hajiilee
Community School.
To’Hajiilee LST - Program
• Research has shown that students who develop
skills in three domains are far less likely to engage
in a wide range of high-risk behavior.
• Three types of skill sets include:
1. Drug Resistance Skills
2. Personal Self-Management Skills
3. General Social Skills
To’Hajiilee LST - Program
• A 10-week program for 3rd & 5th grade students attending
To’Hajiilee Community School (TCS)
• One session per week for 45-60 minutes
• Pre/Post-surveys are administered (w/ signed parental
consent forms)
• Students complete a student workbook and engage in
experiential activities
• Incentives and Certificates of Completion are given to
students and teachers
To’Hajiilee LST - Program
• 47 students participated in the Life Skills Program
* 22 – 3rd grade students
* 25 – 5th grade students
• Staff include:
1. Health Educator
2. Data Analyst
3. Program Manager
4. Evaluator
To’Hajiilee - Surveys
• “Life Skills Training Health Survey”
Constructs:
* Exposure to Tobacco
* Relationships w/ Friends
* Knowledge of Tobacco
* Life Skills
* Decision-Making
* Risk-taking Behaviors
* Advertising Knowledge * Self-Esteem
• “New Mexico K-6 Youth Instrument”
Constructs:
* Alcohol, Tobacco and Other Drug use
* Risk of Harm
* Intentions to Smoke
* Parents and Youth Attitudes of ATOD use
To’Hajiilee LST –
Highlights of Results
Life Skills Training Health Survey
(3rd and 5th grade )
• Of the 47 students, 45 students had parental
consent to take the pre/post-surveys
 Ages 8 -12
 51% - Male
 49% - Female
To’Hajiilee LST
Highlights of Evaluation Results
• From pre-survey to post-survey:
* Students increased their knowledge about
tobacco use and about illness and disease
related to smoking.
* Students increased their advertising
knowledge. Example – Students
answered “True” to “Some commercials
try to trick you into buying things that
you do not want”.
To’Hajiilee LST
Highlights of Evaluation Results
• From pre-survey to post-survey:
* Students showed a statistically
significance increase in knowledge about
stress and its effects.
* Students were more likely to agree that
“worrying too much can cause you to get
sick”.
To’Hajiilee LST
Highlights of Evaluation Results
• From pre-survey to post-survey:
* Students increased their exposure to
tobacco from friends and family.
Students may not have any control over
having family members smoke, but they
may be able to disengage from those who
are smokers, in an effort to lower their
exposure to second hand tobacco smoke.
To’Hajiilee LST –
Highlights of Results
NM K-6 Youth Instrument (5th grade)
• Of the 25 students, 16 students had parental
consent to take the pre/post-surveys
 Ages 10 -12
 56% - Female
 44% - Male
To’Hajiilee LST –
Highlights of Evaluation Results
NM K-6 Youth Instrument (5th grade)
* In the pre-test, students reported no
Alcohol, Tobacco and other Drug use
(ATOD) in the past 30-days.
To’Hajiilee LST
Highlights of Evaluation Results
* In the post-test, a few students reported
they had tried smoking and marijuana.
This is more likely an effect of the
maturation of the children and reaching an
age where experimentation is developing.
To’Hajiilee LST
Highlights of Evaluation Results
• From pre-survey to post-survey:
• * Most of the students stated they would
not bend to peer pressure to try smoking.
* Of the students who had not tried ATOD,
all of them indicated they would not start
smoking soon.
Recommendations &
Lessons Learned to Enhance the
School-based Program
• Invite Community Facilitators to co-teach the
sessions & give Certificates of Appreciation
• Work closely with a school personnel, such as the
Elementary Counselor
• Offer a classroom incentive
• Give “pre” thank-you gift/incentive to school liaison
and teachers
Recommendations &
Lessons Learned to Enhance the
School-based Program
• Be flexible regarding data collection
appointments
• Include experiential activities (hands-on,
storytelling, indoor/outdoor activities, etc.)
• Have Facilitators/Health Educators complete
the Facilitators’ Implementation forms
Recommendations &
Lessons Learned to Enhance the
School-based Program
• Collect Student Satisfaction Surveys
• Distribute “Certificate of Completion”
• Give “post” thank-you gift/incentives to
school liaison and teachers
Recommendations &
Lessons Learned to Enhance the
School-based Program
• Develop a brief summary report on the
program and its evaluation results
• Report program updates and evaluation
results to your stakeholders
• Include brief summary report in next year’s
parental consent packets....
It starts all over again…
Questions?
Thank you.
UNM/Acoma-Canoncito-Laguna (ACL) Teen Centers
Prevention Research Center
MSC 11-6145
2703 Frontier N.E., Suite 120
Albuquerque, NM 87131
Tele. 505-272-4462 / Fax. 505-272-4857