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

1. Describe the development of the ACHA-NCHA
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.

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 IHEs n2,007

7

• December 1998 Third Work Group Meeting in
  Chicago
• Spring 1999 Pilot 11 IHEs n3,649
• 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
  Schools Sample (n)
Spring 2000     28    16,024
Fall 2000     20    10,413
Spring 2001     31    16,813
Fall 2001       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
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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

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Reliability and Validity Analyses

• Reliability
• Cronbachs 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
Spring 2000 N 16,024 Spring 2000 N 16,024 Spring 2000 N 16,024 Spring 2000 N 16,024
Estimated Blood Alcohol Concentration Males Females Total
lt.08 65 64 64
lt.10 72 71 72
Spring 2005 N 54,111 Spring 2005 N 54,111 Spring 2005 N 54,111 Spring 2005 N 54,111
Estimated Blood Alcohol Concentration Males Females Total
lt.08 64 63 64
lt.10 71 71 71
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
Spring 2005 (N54,111) Spring 2005 (N54,111) Spring 2005 (N54,111)
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
30
Diagnosed with Depression
Spring 2005 (N54,111) Spring 2005 (N54,111) Spring 2005 (N54,111)
College students ever diagnosed w/ depression 16
Of this 10
Dx in the last school year 36
Currently in therapy 28
Currently taking medication 37
Spring 2000 (N16,024) Spring 2000 (N16,024) Spring 2000 (N16,024)
College students ever diagnosed w/ depression 10
Of this 10
Dx in the last school year 23
Currently in therapy 17
Currently taking medication 21
31
Self Described Weight and BMI
Spring 2005 N 54,111
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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
HC2010 Objective 2000 Baseline 2010 Target Spring 2005 Progress
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
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For more information

• Mary Hoban, PhD, Director, ACHA-NCHA Program
  Office mhoban_at_acha.org,
• [phone] x216
• Victor Leino, PhD, Research Director, ACHA
  evl_at_acha.org,
• [phone] x239
• Pat Ketcham, PhD, ACHA-NCHA Advisory Committee
  Chair, Oregon State University,
  pat.ketcham_at_oregonstate.edu,
• [phone]