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CAMPUS AS COMMUNITYCOALITION-BUILDING AS A HEALTH PROMOTION TOOL

Ann Katherine Wagner, MPH, CHES

Princeton University

Alyssa Lederer, MPH, CHES

Emory University

American College Health Association Annual Meeting

June 4, 2010

Learning Objectives

By the end of this session, participants will be able to:

Describe the health promotion theories, models and evidence that support the building of campus-wide health promotion coalitions.

Explain the importance of including faculty and staff in campus health promotion efforts.

Discuss several models of campus-wide health promotion coalitions.

List strategies for creating and sustaining effective campus-wide health promotion coalitions.

Session Overview

Campus as Community

Coalitions Defined

Benefits and Challenges

Why a Coalition?◦ Health promotion standards, theories, models, and

emerging research

• Panel Discussion• Phillip Barkley, MD, University of Florida

• Gina Abrams, MPH, LSW, CHES, Princeton University

• Michelle Burcin, MPH, PhD, CHES, University of South Carolina

• Vladimir Oge, MPH, CHES, Georgia Tech

• Alyssa Lederer, MPH, CHES, Emory University

HEALTH PROMOTION IMPLICATIONS

Campus as Community

Community Coalition Defined

―… a group of individuals representing

diverse organizations, factions, or

constituencies within the community

who agree to work together to

achieve a common goal‖

(Feighery & Rogers, 1990)

Social-Ecological Model of Health

Societal Community Relationship Individual

Characteristics of the

individual (biological,

personal history, attitudinal

factors )

Proximal social

relationships

(peers/colleagues, partners,

family members)

Community contexts in which

social relationships are

embedded

(residence hall, department,

workplace, campus, etc.)

Larger societal factors (norms,

policies, laws, etc.)

Based on graphic from Kathleen C. Basile, Ph.D., of the CDC’s Division of Violence Prevention

Inclusion of Faculty and Staff

Based on the ecological model, faculty and staff must be included in campus health promotion efforts both as students’ proximal relationships and as target populations in their own right

Faculty and staff serve as role models for students, and students impact faculty and staff

―Health promotion services in colleges and universities support the academic mission by engaging students, faculty, and staff in leading healthier lives and building supportive and sustainable environments, so that health can advance the capacity to learn and work.‖CAS Professional Standards for Higher Education

Campus Coalitions

Coalitions are a promising practice on campuses supported by:

SPHPHE 2—Collaborative Practice

◦ Advocating a shared vision of health promotion is the responsibility of all campus community members, and developing and participating in campus and community partnerships that advance health promotion initiatives

Part 10–CAS Professional Standards for Higher Education calls for ―sustaining partnerships‖

Healthy Campus 2010 (2020) calls for collaboration among campus leaders, faculty, and staff.

Coalition Tasks

Coalitions work to prevent or reduce a community problem by:

◦ Analyzing the problem

◦ Gathering data and assessing needs

◦ Developing an action plan with identified solutions

◦ Implementing those solutions

◦ Reaching community-level outcomes

◦ Creating social change

(Butterfoss & Kegler, 2009)

Coalition Benefits Exchange of knowledge, ideas, and strategies

Become involved in new, broader issues without assuming sole responsibility

Demonstrate and develop community support

Maximize the power of individuals and groups through collective action

Build a constituency for a given issue

Change community norms and standards

Minimize duplication and use resources efficiently

Share costs and associated risks

(Butterfoss & Kegler, 2009)

Coalition Challenges Promised resources may not be available

Conflict over goals and methods

Conflicting interests

Loss of autonomy and the ability to unilaterally control outcomes

Loss of resources (time, money, information, status)

Possible delays in solving problems

Sustaining participation, work ethic, and morale upon competing priorities, time limitations, and attrition

(Butterfoss & Kegler, 2009)

Emerging Research/Evidence

Measures of coalition effectiveness◦ Internal functioning

◦ Community Outcomes

Research challenges◦ Methodologically difficult

◦ Assumes coalitions function as should

◦ Little research on campus community coalitions

Coalitions to reduce high risk alcohol use are a NIAAA Tier 2 evidence-based strategy

Evidence-Based Recommendations

for Coalition-Building

Collaborative Capacity is essential within:◦ Members

◦ Relationships

◦ Organizational Structure

◦ Programs Sponsored(Foster-Fishman, Berkowitz, Jacobston, & Allen, 2001)

6 coalition-building factors may enhance coalition effectiveness:◦ Formalization/rules

◦ Leadership style

◦ Active member participation

◦ Diverse membership

◦ Member agency collaboration

◦ Group cohesion(Zakocs & Edwards, 2006)

For more information:

Alyssa Lederer, MPH, CHES

alyssa.lederer@emory.edu

Kathy Wagner, MPH, CHES

akwagner@princeton.edu

Panel DiscussionPhillip Barkley, MD

University of Florida

Gina Abrams, MPH, LSW, CHES

Princeton University

Michelle Burcin, MPH, PhD, CHES

University of South Carolina

Vladimir Oge, MPH, CHES

Georgia Tech

Alyssa Lederer, MPH, CHES

Emory University

Healthy Gators 2010 Coalition

Orange & Blue- A Healthy You

Phillip Barkley, MD

University of Florida

pbarkley@ufl.edu

http://healthygators.hhp.ufl.edu/

www.healthygators.hhp.ufl.edu

Mission

Healthy Gators 2010 is

a campus wide health coalition created in 2004

has over 50 faculty, staff and student representatives

dedicated to promoting a healthy campus environment and a healthy body, mind and spirit for all members of the University of Florida community

www.healthygators.hhp.ufl.edu

Healthy Gators 2010

accomplishes our mission by:

Assessing health status and needs of the

campus community

Developing and supporting health

enhancing policies on campus

Providing health programming and a

website of campus health resources

www.healthygators.hhp.ufl.edu

Coalition Structure

Policy

Work Group

Phil Barkley, Chair

Programming & Communications

Work Group

Jane Emmerée, Chair

Data Collection/Analysis

Work Group

Shirley Haberman, Chair

Executive Committee

Jill Varnes, Chair

Steering Committee

Chris Machen, Chair

Jill Varnes, Vice Chair

Healthier Princeton

Gina Baral Abrams, MPH, LSW, CHES

Princeton University

gbaral@princeton.edu

http://www.princeton.edu/healthier/

Healthier Princeton: Overview

Healthier Princeton created as way to

continue the work of the Task Force on

Health and Well-Being (established

November 2005)

Charge:

◦ To facilitate the development of a campus

community that enhances the overall health,

safety and well-being of all students, staff, and

faculty as it supports the mission of Princeton

University.

Healthier Princeton: Strategies

Assessment of individual and community public health, safety, and wellness needs.

Development of programs and services that are informed by scientific evidence.

Provision of comprehensive health, safety, and wellness programs and services Careful evaluation of program and service outcomes.

Enhancement of access to services.

Reduction of stigma to help-seeking.

Continuous improvement of campus-wide services.

Promotion of individual and shared responsibility and accountability to help individuals manage and maximize their own health and well-being and enhance the health and well-being of others.

Healthier Princeton Advisory Board

Permanent standing committee composed of students, faculty, alumni, members of the administrative and biweekly staffs, and professionals in the field of preventive health.◦ Advises the offices responsible for Healthier

Princeton and the senior officers of the University.

◦ Co-chaired by Vice President for Campus Life and Vice President and Secretary.

◦ Coordinated by Director for Health Promotion and Wellness.

◦ Meets twice a year, in the spring and the fall.

Healthier Princeton Advisory Board

Statement of Purpose:◦ Provide strategic consultation to all

Princeton University programs and initiatives that promote wellness, safety, and work-life balance

◦ Advocate for institutional support for evidence-based programs and strategies to make Princeton a healthy community in which to pursue the University’s educational, research, residential, and work-related missions

◦ Help articulate the mission, accomplishments, and goals of Healthier Princeton and encourage the community’s awareness, acceptance, and support of the program

Healthy Carolina Task Force

Michelle Burcin, PhD, MPH, CHES

University of South Carolina

MBURCIN@mailbox.sc.edu

http://www.sc.edu/healthycarolina/

Healthy Carolina Task Force

Mission

• Provide Leadership in the Study and Promotion of

Healthy Campus 2010 Goals and Objectives

– Make health a priority

– Study health related data

– Identify appropriate, measurable objectives (HC2010)

– Recommend EB strategies to achieve objectives

– Identify methods to measure progress

– Provide information about progress

– Identify and promote effective programs and strategies

Health Educators Registered Dietitian

Residence Life Staff Student Leaders (Grad & Under)

Faculty/Academic Chair Campus Recreation Center Staff

Retention Staff Judicial Officer

Multi-cultural Staff Counselors

Human Resources Physicians

Marketing/Public Information University Police

Nursing Community Members/

Organizations

7 Sub-Committees

Employee Health

Mental Health & Relationships

Nutrition

Physical Activity

Sexual Health

Substance Abuse

Tobacco

(2006-2009)

A Campus/Community Wide Approach

4 Sub-Committees

Employee Wellness

Nutrition

Physical Activity

Sexual Health

(2010 – present)

Go T.E.C.H. Coalition(Teams Encouraging Campus Health)

Vladimir Oge, MPH, CHES

Georgia Institute of Technology

vladimir.oge@health.gatech.edu

http://www.gotech.gatech.edu

Vision & Mission

Founded October 2008

Vision

◦ A campus environment that inspires a lifelong

commitment to the pursuit of a healthy body, mind,

and spirit for all Georgia Tech students, faculty, and

staff.

Mission

◦ To create a healthier campus that encourages the

students, faculty, and staff of Georgia Tech to adopt

and maintain a balanced, healthy lifestyle.

Goals

1. Maintain a collaborative network of campus units

committed to advancing the health status of the campus

community.

2. Measure campus health status through ecological

assessment of health-related behaviors among community

members.

3. Develop health-related programming and services designed

to improve health status on campus.

4. Identify and review institutional policies needed to create a

health-supporting environment.

5. Increase awareness of Go T.E.C.H. Coalition and the

services offered to all members of campus community.

Accomplishments

Coordinated nutrition seminar ―Eating Right When Money’s Tight‖

Hydration Station for the ING Georgia Marathon

Sponsored 2009 Pi Mile Race and training program

Body Image Awareness Month

Creation of Monthly Newsletter

Sponsored 1st Annual National Employee Health and Fitness

Day Health Fair/Campus Walk

Go T.E.C.H. Kickoff Event for Georgia Tech students: Trick-or-

Treat Health Week

◦ Health Organization Fair

◦ Free fitness classes & Halloween Holla 5K Race

◦ Stress seminar sponsored by Counseling Center

Emory University

Healthy Campus Coalition

Alyssa Lederer, MPH, CHES

Emory University

alyssa.lederer@emory.edu

www.studenthealth.emory.edu

www.fsap.emory.edu

Rationale

Collaborative relationship between FSAP & EUSHCS

President’s Task Force on Alcohol and Other Drugs & President’s Task Force on Mental Health

Commitment to enhancing a healthy campus community and culture & community of care

Commitment to utilizing the ecological model and evidence-informed practices

Current Work

Building a foundation for the past 2 years

◦ Increased collaboration between FSAP and EUSHCS

◦ Events and initiatives for full campus community

◦ Community Needs Assessments National College Health Assessment (biennial)

Faculty and Staff Health Assessment (Sept 2010)

◦ Key Informant Interviews Emory University and Healthcare leaders

National Healthy Campus Coalition leaders

Next Steps

Continue spreading message

Fall 2010: NCHA & Faculty and Staff Health Assessment implementation

Compare and prioritize issues based on data

Coalition Formation◦ Emergent questions Branding

Facilitator(s)

Structure

Prominence

Sustainability

Question & Answer Session