Michigan State University Healthy Campus Initiative

1. Michigan State UniversityHealthy Campus Initiative Using NCHA, 2010 Objectives and Standards in an Outcome-Based Logic Model Dennis Martell, PhD - martell1@pilot.msu.edu

2. Michigan State University Student Population Undergraduate students: 35,197 Graduate students: 8,349 Professional students: 1,391 Total enrollment: 44,937 MSU is the largest single campus student body of any Michigan university and among the largest in the country. Women: 24,266 Men: 20,671 17.7 percent, minorities. Nearly 88.6 percent of MSU students were from Michigan. MSU's residence hall system has a capacity of 17,197 students. Students also may live in the 2,340 campus apartments.

3. “Bringing people together as citizens and community members to decide for themselves the kinds of lives they think are most worth living.” David Buchanan, An Ethic For Health Promotion

4. Michigan State University Mission: …the university provides opportunities for the fullest possible development of the potential of each student and each citizen served, and enhances the quality of life…

5. ‘A’ Vision of a Healthy Campusbased on the mission A campus which provides opportunities and support for the fullest possible development of individual free thought and action in the pursuit of learning.

6. Questions to Begin a Campus Health Initiative! Where are we now? Where do we want to be? How are we going to get there? How will we know when we have arrived?

7. ACHA’s TripodTools for Developing Healthy Campus Initiatives How are we going to get there ? Where are we now? Where do we want to be? How do we know when we are there?

8. Pre-process: • Define: • ‘health’, and then who you are! what is more important to know: who you are or what you do’? • Collaboration • Stakeholders • Pre-invest in ‘individual leaders’

9. Great Leaders are needed: "A leader takes people where they want to go. A great leader takes people where they don't necessarily want to go but ought to be." Rosalyn Carter A great leader has a clear vision of how a better future could or should unfold.

10. Standards of Practice, • Six Standards • Integrate with the Learning Mission of Higher Education • Collaborative Practice • Cultural Competence • Theory-Based Practice • Evidence-Based Practice • Continuing Professional Development and Service

11. An Outcome-Based Planning Process Scan & assess the population/environment Select strategies best suited for outcomes Set long-range outcomes (ultimate goals) Clarify assumptions for individual/environmental change Generate expected outcomes

12. Outcome-Based planning Product:A Logic Model How do we know when we are there there? Where are we now? How do we get there? Where do we want to be? Current Reality: Pop. IHE Community Theory Model Framework for CORE Functions Efforts to Stimulate Change Vision of Changes for: Pop. IHE Community Context Strategies/ Services Assumptions Outcomes NCHA 2010 HCO Standards

13. 2010 Objectives were divided into three categories- • Broad Mission Objectives relating to dissemination of health information across campus, • Health and Academic Impact Objectivesconcerned with decreasing the negative effect of specific health behaviors on students ability to be successful academically & • Programmatic Mission Objectives relating to specific target goals within the service areas currently offered by health education.

14. Broad Mission Objectives- Information on Health 1.Increase the proportion of Michigan State University freshman that receive information from MSU on all of theeleven priority health-risk behavior areas. (7-3a.) Target setting method: National: College: Better than the best within Healthy Campus 2010- Making It Happen Our Campus: Best of the Best (Freshman Males = 10%) Data sources: National: College: Spring 2000 ACHA-National College Health Assessment (NCHA). Our Campus: 2004 ACHA Spring MSU (NCHA) Targets: National DNCCollege17.4 % Our Campus10 % Baselines: NationalDNC College 3.1% Our Campus4.6%

15. Intermediate Outcomes Assumptions Theory/Model Context/ Data Strategies Long-Range Outcome Proposed printing and distribution of a multifaceted -informational brochure on all eleven health topics distributed to all incoming freshmen and their parents of class of fall 2005 Current Reality: Public/LandGrant Midwest Conservative NCHA 2004 4.6% of freshmen in 2004 reported receiving info on all eleven topics (as identified by Healthy Campus 2010 as priority areas) from MSU last year. 10% of freshman males reported receiving info on all eleven health topics Increase in the percentage of freshmen who will utilize health services on campus Awareness Education Increase the proportion of Michigan State University freshman that receive information from MSU on all of the eleven priority health-risk behavior areas. (7-3a.) Harm Reduction: Increase in health protective & decrease in health risky beliefs and perceptions about health Social Norming: Increase awareness of protective institutional policies & practices Environmental Management

17. Broad Mission Objectives- Information on Health • 2. Increase the proportion of MSU students, particularly freshmen, who report receiving information on each of the eleven priority health-risk behavior areas: ( M- NCHA q2. <7-3b>) • tobacco prevention, • alcohol and other drugs, • sexual assault/ relationship violence, • d.violence prevention, • e. injury prevention and safety, • f. suicide prevention, • g. pregnancy prevention, • h. AIDS and HIV infection prevention, • sexually transmitted disease (STD) prevention, • j. dietary behaviors and nutrition, and • k. physical activity and fitness.

18. 2a. TOBACCO USE PREVENTION (7-3b-1) Targets: National DNCCollege55 % Our Campus 37 % Baselines: National DNC College 21 % Our Campus27 % Target setting method: National: College: Better than the best Our Campus: Better than the best (Freshman = 27 % plus 10% ). 2b. ALCOHOL AND OTHER DRUGS Targets:National DNCCollege55 % Our Campus70 %Baselines:NationalDNC College 47.1% Our Campus66% Target setting method: National: College: Better than the best Our Campus: Better than the best (Freshman = 66 % plus 5%).

19. Health & Academic Impact Objectives 3. Academic Impact Objective- Stress Reduce the proportion of MSU students who received a lower grade on an exam, project or course, or an incomplete or dropped a course due to stress. (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.) Targets: National DNC College27 % Our Campus23 % Baselines: National DNC College 33.4 % Our Campus29 % Target setting method: National: College: Better than the best (Male = 27 %). Our Campus: Better than the best (Male = 23 %). ACHA-National College Health Assessment (NCHA), Spring 2004. % Who Had and Academic Performance Affected % Did % Had, % Had, GENDER RACE RESIDENCE Health Problem Not Have No Effect Some Effect Male Female White Other On Off Stress 22.7 48.1 29.2 23.0 34.1*** 28.3 32.1* 31.9 27.2

20. 4. Academic Impact Objective- Internet Use Reduce the proportion of 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 playing computer games. (18 M-NCHA 44P.) Targets: National DNC College10 % Our Campus11 % Baselines: National DNC College 13.4 % Our Campus15 % 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 % Did % Had, % Had, GENDER RACE RESIDENCE Health Problem Not Have No Effect Some Effect Male Female White Other On Off Internet 43.6 41.4 15.0 20.0 11.1*** 15. 13.6*** 19.6 11.5***

21. Mission Objectives- Program Related 7. Mission Objective- ExerciseIncrease the proportion of MSU students who report exercising at least 3 or more times a week and vigorously enough to promote cardiovascular fitness. (M-NCHA 39a.) Targets: National DNC College55 % Our Campus46 % Baselines: National DNC College 40.3 % Our Campus41 % Note: College data reflects number of days in the last week students had participated in moderate or vigorous exercise. Target setting method: National: College: Better than the best (Males = 55 %). Our Campus: Better than the best (College Females = 41 % plus 5 %= 46 %). ACHA-National College Health Assessment (NCHA) MSU TABLE 3. % Distribution of Weight Status, Exercise, and Fruit and Vegetable Intake Among Respondents, by Background Characteristics % GENDER RACE RESIDENCE Health Problem- Exercise n Overall Male Female White Other On Off Participate in vigorous exercise for 20 minutes 1285 or moderate exercise for 30 minutes. . . 3 or more days per week 40.0 38. 41.340.9 37.1 38.4 41.2

22. Intermediate Outcomes Assumptions Theory/Model Context/ Data Strategies Long-Range Outcome Proposed collaboration between Healthy U, Olin Health Ed, and MSU Intra- Mural and Recreative Sports to sponsor an online activity logging/ tracking and incentive program open to students, faculty & staff for fall 2005 Current Reality Data on MSU students NCHA 2004 41% of females in 2004 reported participating in vigorous/ moderate exercise 3 or more times in the last week for 20- 30 minutes. 38% of males males reported in 2004 reported participating in vigorous/ moderate exercise 3 or more times in the last week for 20- 30 minutes. Increase in the percentage of students who will utilize exercise facilities on campus Awareness Education Increase the proportion of MSU students who report exercising at least 3 or more times a week and vigorously enough to promote cardiovascular fitness. (M-NCHA 39a Harm Reduction: Increase in health protective & decrease in health risky beliefs and perceptions about exercise Social Norming: Increase practices that facilitate access and decrease barriers to exercise thru awareness and change of institutional policies & practices Environmental Management

23. Learn More • 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% 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 obese. • Simple changesAmerica 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... • Take 2000 more steps (about 1 mile) • Eat 100 fewer calories. • Getting startedEverything 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: • Active living — 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. • Healthy eating — learn simple, easy ways to reduce calories by 100 a day and record your progress over time. • Pacesetter — compare your progress against other America On the Move participants. • Move 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 feature you can view each other’s progress from your computer. • Links — 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. • Goal setting — this handy feature allows you to set health goals and keep notes on your progress throughout your America On the Move experience. • Events — discover what America On the Move events are going on around the country, in your state, and even your town. • On the Move e-newsletter — 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...... and more. America On the Move is growing and we’re adding new features and content to our site every week.  • Individuals and groupsYou can register yourself as well as your group to participate in America On the Move.

24. Strategic Considerations & Challenges: • Bring students/groups/government ‘individual leaders’ in on it early! • Cultivate academic and research partners: credibility and assistance! • Sell yourself as the health leader/ resource of choice for the community! • Cultivate media relations assistance and support! • Challenge: Collaboration with Healthy U, Residence Life, and Student Affairs-