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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
Kathy Wagner, MPH, CHES
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
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
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
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
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
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