CAMPUS AS COMMUNITY COALITION-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
Campus as Community HEALTH PROMOTION IMPLICATIONS
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 Community Relationship Individual Societal Larger societal factors (norms, Proximal social Community contexts in which Characteristics of the policies, laws, etc.) social relationships are relationships individual (biological, embedded (peers/colleagues, partners, personal history, attitudinal (residence hall, department, family members) factors ) workplace, campus, 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 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
Healthy Gators 2010 Coalition Orange & Blue- A Healthy You Phillip Barkley, MD University of Florida pbarkley@ufl.edu http://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 Steering Committee Chris Machen, Chair Jill Varnes, Vice Chair Executive Committee Jill Varnes, Chair Policy Programming & Communications Data Collection/Analysis Work Group Work Group Work Group Phil Barkley, Chair Jane Emmerée, Chair Shirley Haberman, Chair www.healthygators.hhp.ufl.edu
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/
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