Welcome to INNOVATING HEALTH EDUCATION IN THE NATURAL STATE DECEMBER 12, 2013
DEBRA HOPKINS Vice President, Education at HealthTeacher
KEVIN WILDENHAUS, KEVIN WILDENHA US, PH.D PH.D. STEPHANIE NEHUS, ED.D. SC SCOTT GORDON TT GORDON Science advisor to Director of Special Projects, Executive Vice President, HealthTeacher Hot Springs (AR) Arkansas Children’s Hospital School District
SCOTT GORDON Executive Vice President, Arkansas Children’s Hospital
ARKANS ARKANSAS S • Rural • Low-median income • Challenged education system
• Health safety net for the children of AR • Move outside of the hospital • Collaborative e ff ort on a number of key issues and challenges
• 30+ Arkansas organizations identified youth health literacy as a fundamental issue
PAR ARTNERSHIP WITH TNERSHIP WITH HEAL HEALTHTEA THTEACHER CHER MO MOVES UPS VES UPSTREAM TREAM Prepare children during their formal education to: • Make healthy decisions • Practice positive health behaviors • Be informed consumers of health information
157,282 * Data derived from NCES
265,431 * Data derived from NCES
WHY MEASURE?
IMPROVE OUR WORK • Justify continued investment in the program • Determine whether we are making a di ff erence
MEASUREMENT TOOLS
TEACHER AND STUDENT MEASUREMENT • Qualitative - Annual educator survey of HealthT eacher users • Quantitative - Student pre-post test data
3 years of data proves positive impact on student attitudes, knowledge and behaviors .
476,559 * Data derived from NCES
KEVIN WILDENHAUS, Ph.D. Science advisor to HealthTeacher
THE GOAL
Alc Alcohol and ohol and Ana Anatom omy y Community & ommunity & Injury Injury Mental/Emotional Mental/Emotional ention ¡ ¡ Other Drugs Other Drugs Envir En vironmental onmental Health Health Pr Prevention Health Health Nutrition Nutrition Personal & ersonal & Ph Physical sical Family Health amily Health Tobac obacco o Consumer Health onsumer Health Activity ctivity and Se and Sexuality xuality
MEASUREMENT CHALLENGES
Schools Are Busy Complex Places: • Complex context(s) • Changing development • Carry over e ff ects • Research rigor vs. innovation
THE S THE SAMPLE AMPLE Three full academic years: • 2010/2011 • 2011/2012 • 2012/2013
243 TEA 43 TEACHERS A CHERS ACRO CROSS 183 SCHOOLS REA S 183 SCHOOLS REACHING CHING THE F THE FOLL OLLOWING NUMBER OF S WING NUMBER OF STUDENT TUDENTS: S: COHOR OHORT T GRADES INCLUDED GRADES INCL UDED TOTAL NUMBER P AL NUMBER PAR ARTICIP TICIPANT ANTS S 4 th & 5 th Primary N=2119 6 th -8 th Middle School N=1751 9 th -12 th High School N=609
THE METHODS
TEACHER AND STUDENT MEASUREMENT • Quantitative - student pre-post test data • Qualitative - annual educator survey of HealthT eacher users
THE RESUL THE RESULTS
HealthTeacher was associated with broad positive impact across the 10 health domains every year.
Alc Alcohol and ohol and Ana Anatom omy y Community & ommunity & Injury Injury Mental/Emotional Mental/Emotional ention ¡ ¡ Other Drugs Other Drugs Envir En vironmental onmental Health Health Pr Prevention Health Health Nutrition Nutrition Personal & ersonal & Ph Physical sical Family Health amily Health Tobac obacco o Consumer Health onsumer Health Activity ctivity and Se and Sexuality xuality
4 TH TH & 5 & 5 TH TH GRADERS GRADERS • Significant improvement across the years and across the 10 domains • The magnitude of e ff ect ranged from 3.2% (Nutrition) to 22% (Anatomy) • Increased willingness to engage parents on health related issues is of special note
6 TH TH -8 -8 TH TH GRADERS GRADERS • Significant impact across most domains and years • Magnitude of impact ranges from 2.4% (Community/Environmental) to 11.1% (Mental/Emotional Health) • Improvements in Self-confidence – This is a critical finding as this age group is most vulnerable to peer influence and often experiences a higher incidence of bullying
9 TH TH -12 12 TH TH GRADERS GRADERS • Impact on this grade cohort is less dramatic but still shows consistent significant improvement in key areas of nutrition and physical activity • Magnitude of e ff ect ranges from 3.5% (Alcohol/Drugs and Community/Environmental Health) to 18% (Nutrition) • Specific improvements in knowledge of the risks of fad diets • Specific improvement in behavioral preparedness to handle issues of jealousy, control and abuse of special note for high school students
THE BO THE BOTT TTOM LINE OM LINE
• Positive impact across all health domains every year • Meaningful impact in all three grade cohorts • Greatest impact in 4 th & 5 th grade cohort • Consistent findings for Tobacco, Nutrition and Injury Prevention • Findings are realistically positive
IMPACT WORTH REPEATING • Analysis with Mercy is yielding similar results • Tightened up metrics and implementation
BUILDING BUILDING PAR ARTNERSHIPS TNERSHIPS
Partnerships hold promise as they reach across functional boundaries and talent pools to solve a critical challenge faced by our nation. + +
STEPHANIE NEHUS, Ed.D. Director of Special Projects, Hot Springs (AR) School District
RESEARCH MA RESEARCH MATTERS TTERS
OPPOR OPPORTUNITY F TUNITY FOR ALL TEA OR ALL TEACHERS CHERS TO TEA O TEACH HEAL CH HEALTH TH • Easy to access lessons and resources • Healthy students make better learners
DISTINCTIVE ELEMENTS OF HEALTHTEACHER • Lessons by grade level • Common Core alignment • User-friendly interface • Additional interactive resources • Easy-to-use and removes barriers
WHA WHAT MAKES A T MAKES A COLLABORA OLLABORATIVE TIVE WORK? ORK?
KEYS TO SUCCESS • Training - Promote teacher adoption • Timing - Introduce early in the school year • Sustained engagement - Communicate often
SCOTT GORDON Executive Vice President, Arkansas Children’s Hospital
Continuing Investment Fr From C om Community Benefit t ommunity Benefit to Objectiv o Objective R e Revie view
QU QUALIT ALITATIVE TIVE PROGRAM PROGRAM EV EVAL ALUATION TION
QUALITATIVE ANALYSIS BENEFITS • Convey to external sources the importance of the resource to classroom instructors • Observe impact on student interaction and student-parent interaction • Understand impact on the behaviors of instructors themselves
AN APRIL 2013 SURVEY OF 299 ARKANSAS TEACHERS USING HEALTHTEACHER IN THEIR CLASSROOMS FOUND THAT… • 85% of teachers agree that the quality of “my health lessons have improved.” • 91% agree that “my students’ health knowledge has improved.” • 85% agree that “my students’ health behaviors have improved.” • 75% agree “I have made positive changes in my own health habits.” • 91% agree that “my own personal knowledge of health has increased.”
WHA WHAT OUR TEA T OUR TEACHERS’ S CHERS’ SAY: : “Students are learning to calm themselves down.” “Since the bullying lesson, the number of bullying issues has gone down.” “They engage in the lessons because they are real life and easier to understand.” “It improved the quality of student-student interaction.” “Helped invigorate the health education experience for students.” “They were more prepared for testing. Breathing exercise helped with stress.”
MO MOVING THE NEEDLE VING THE NEEDLE
MEASUREABLE IMPACT • Qualitative and Quantitative information paint a complete picture of overall impact • Quantitative measurement documents enhanced knowledge and skills • Significant knowledge improvements from beginning to end of course modules
LOOKING F OOKING FOR ORWARD ARD
CONTINUED INVESTMENT • Measurement demonstrates benefit • Measurement informs decision-making
Q & A Q & A
THANK Y THANK YOU F OU FOR JOINING US. OR JOINING US. Be on the lookout for an email with a recording of this presentation, the research paper and slides. Questions? hello@healthteacher.com
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