Update on the ACHA National College Health Assessment

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 • Describe the development of the ACHA-NCHA • Identify trends in alcohol and other drug use, sexual behaviors, and depression from the Spring 2005 Reference Group. • 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!

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

13. The Instrument • Health status and health problems • Risk behaviors • Protective behaviors • Access to health information • Perceived norms • 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

14. 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

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 2000 N = 16,024 Spring 2005 N = 54,111

21. Estimated BAC

22. Estimated BAC

23. Sexual Partners Spring 2005 N = 54,111

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

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

30. Diagnosed with Depression

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

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