i ncreasing h ealthy b ehaviors through o rganizational c ulture c hange marion terenzio phd...
TRANSCRIPT
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INCREASING HEALTHY BEHAVIORS THROUGH ORGANIZATIONAL CULTURE CHANGE
Marion Terenzio PhD (Bloomfield College)([email protected])
Patricia O’Connor PhD (The Sage Colleges)
Presented at the 2011 Hawaii Cross-Culture Health Care Conference
Honolulu, October 7, 2011
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SETTING FOR CHANGE
Higher education institutions:
oPrimary mission: educationoSecondary mission: enhance quality of student life to enable learning
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SETTING FOR CHANGE
Student health concerns
domain of Wellness Centers
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SETTING FOR CHANGE
Current structures for health have expanded:
1.Wellness centers2.Co-curricular activities3.Academic supports
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CONTEXT FOR CHANGE: NEED FOR INTERVENTIONS
Known relationships: Poor student health = decreased academic success (Von Ah et al. 2005)
Healthy students = greater capacity for involvement in educational experiences (Silverman et al. 2008)
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CONTEXT FOR CHANGE Early recognition that effective
health promotion strategies should:
Take culture into account Incorporate health promotion into
curriculum (Keeling 1991)
Healthy faculty (and staff) encourage better learning environment (Silverman et al. 2008)
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FRAMEWORK FOR CHANGE
Higher education institutions
Changing organizational culture focus on inclusion of health concerns
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FRAMEWORK FOR CHANGE
BTtoP domains critical for student engagement:
1. Student mental health and well-being
2. Engaged learning3. Civic development
AA
C&
U: Fin
ley &
Sw
aner 2
00
8)
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OUR SETTING: BLOOMFIELD COLLEGE
Minority-serving institution Low rates of academic successFewer healthy behaviors among
students
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BC STUDENTS COMPARED…
Health Domain Indicator National BCPhysical General health very good 60% 52%
Mean Body Mass Index 24.1 27.8
Psychological Diffi cult to handle finances 36% 53%Diffi cult to handle health of family member partner 19% 25%
PracticesZero days cardio/aerobic exercise 41% 56%two or fewer servings of fruit/vegetables per day 66% 84%
Am
erica
n C
olle
ge H
ealth
Asso
ciatio
n
(AC
HA
) Natio
nal A
ssessm
ent (2
00
8)
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THE INTERVENTION: CHANGING CULTURE
Application of BTtoP domains$2.4mil funding through PBI for
four years
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THE INTERVENTION: CONTEXT
o PBI (predominantly Black institution)
o Inclusive Excellence model adopted (AAC&U 2005)
• Active efforts toward diversity• Use of scorecard to measure
achievement
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PROJECT AIM
To increase healthy behaviors, developing them as life-long habits, among all BC students through a systematic change in the organizational culture of BC.
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BASIC INTERVENTION PRINCIPLES
I. All student-connected units will assess the evidence of their commitment to, and implementation, of a ‘healthy habits’ perspective.
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MONITORING BY
“Healthy Habits” team:
Student AffairsAcademic AffairsAcademic depts.FacultyEnrollment Mgmt
Food servicesAdvisement OfficeHuman ResourcesFinance/AdministrationEvaluator
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ROLE OF HEALTHY HABITS TEAM
Address identified gapsLack of culture of healthy lifestylesLow retentionLack of optimal services and
opportunities to increase academic success
Lack of understanding of diversity in healthcare professions
Lack of technology to assist in data-driven decisions
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BASIC INTERVENTION PRINCIPLES
II.Evaluation of programmatic efforts in two ways:
1.Feedback loop through process evaluations2.Outcome evaluations
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PROGRAM ONE
Develop outreach plan focusing on the physical, psychosocial well being of students.
Evaluation: baseline data
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PHASES IN PROGRAM ONE
1. Target first year students, transitioning from high school to college
Evaluation
2. Create outreach education program for continuing students
Evaluation
3. Develop inventory of College-wide policies and practices
Evaluation
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PROGRAM TWO
Develop and implement “CHAMPS” (Coaching Health for AA Males to Promote Success) Program.
Evaluation
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PROGRAM THREE
Support collaborative research opportunities for faculty and students in health related fields, focusing on enhancing the health of the entire BC community.
Evaluation
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PROGRAM FOUR
Create health-focused study abroad experiences.
Evaluation
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PROGRAM FIVE
Develop and implement a data-based decision-making model for “Healthy Habits” interventions.
Evaluation
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PROGRAM SIX
Create a faculty development program to encourage and support faculty innovations related to “Healthy Habits” in the classroom and in their curricula, particularly enhancing student engagement.
Evaluation