Transcript Town Meeting: Five Years Into the ACHA

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
Objectives
1. Describe the development of the ACHANCHA
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.
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
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
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!
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
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
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
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 cochairs of ACHA-NCHA Advisory
Committee
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
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 ACHANCHA
Fall 2007 – Revised ACHA-NCHA ready for
implementation
ACHA-NCHA
Participation to Date
Schools
Sample (n)
Spring 2000
28
16,024
Fall 2000
20
10,413
Spring 2001
31
16,813
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
Fall 2001
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
Reliability & Validity Analyses
Results are consistent with other nationally
generalizable data sets:
• National College Health Risk Behavior Survey
CDC 1995
• Harvard School of Public Health 1999 College
Alcohol Study
• United States Department of Justice: The
National College Women Sexual Victimization
Study 2000 (NCWSV)
• National Institute of Mental Health 2001
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
ACHA Tools for Program Planning
and Evaluation
Health-related impediments to
academic performance
Spring 2005
N = 54,111
Health-related impediments to
academic performance
Spring 2000
Spring 2005
N = 16,024
N = 54,111
5 or more drinks at a sitting
during the last 2 weeks
Spring 2005
N = 54,111
5 or more drinks at a sitting
during the last 2 weeks
Spring 2000
Spring 2005
N = 16,024
N = 54,111
Estimated BAC
Estimated Blood Alcohol
Concentration
Spring 2005
N = 54,111
Males
Females
Total
<.08
64.4%
63.4%
63.8%
<.10
71.3%
71.4%
71.4%
Estimated BAC
Spring 2000
N = 16,024
Estimated Blood Alcohol
Concentration
Males
Females
Total
<.08
65%
64%
64%
<.10
72%
71%
72%
Spring 2005
N= 54,111
Estimated Blood Alcohol
Concentration
Males
Females
Total
<.08
64%
63%
64%
<.10
71%
71%
71%
Sexual Partners
Spring 2005
N = 54,111
Sexual Partners
Spring 2000
Spring 2005
N = 16,024
N = 54,111
So Depressed
Difficult to Function
Spring 2005
N = 54,111
So Depressed
Difficult to Function
Spring 2000
Spring 2005
N = 16,024
N = 54,111
Seriously Considered Suicide
Spring 2005
N = 54,111
Seriously Considered Suicide
Spring 2000
Spring 2005
N = 16,024
N = 54,111
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 therapy
28%
Currently taking
medication
37%
Diagnosed with Depression
Spring 2000 (N=16,024)
College students
ever
diagnosed w/
depression
Spring 2005 (N=54,111)
10%
College students
ever diagnosed w/
depression
16%
Of this 10%:
Of this 10%:
Dx in the last
school year
23%
Dx in the last
school year
36%
Currently in
therapy
17%
Currently in
therapy
28%
Currently taking
medication
21%
Currently taking
medication
37%
Self Described Weight and
BMI
Spring 2005
N = 54,111
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
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
Healthy Campus 2010
HC2010 Objective
2000
Baseline
2010
Target
Spring
2005
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%
Progress
For more information
• Mary Hoban, PhD, Director, ACHA-NCHA
Program Office [email protected],
(410) 859-1500 x216
• Victor Leino, PhD, Research Director,
ACHA [email protected],
(410) 859-1500 x239
• Pat Ketcham, PhD, ACHA-NCHA Advisory
Committee Chair, Oregon State University,
[email protected],
(541) 737-7553