Fostering Student Well-being through

Healthy Campus 2020Amy B Magnuson, PhD,

RDHealth Promotion

DirectorFlorida State University

April MooreAssistant Director, Fitness

& Movement Clinic Florida State University

Fostering Student Well-being through

Healthy Campus 2020• Well-being of students is a growing

concern • Current status of students’ well-being

in the college environment• How institutions of higher education

are promoting safe and nurturing environments that foster student well-being

Well-being is a growing concern for higher education, parents and the

public• Depressed mood is negatively correlated with academic

performance.1

• Late wake-up times are associated with lower GPAs in first-year students.2

• There are elevated risks for alcohol-related educational problems among binge drinkers.3

• More negative health behaviors prevalent in midrange students than high performing students.4

• Some health and psychosocial variables (smoking, drinking, health-related quality of life, social support, and maladaptive coping strategies) are related to retention. 5

• Classroom attendance, retention and grade point average are correlated to utilization of health services in a study of economically disadvantaged first year students.6

Current status of students’ well-being

• Over 58% of college students described their health as very good or excellent

• Over 91% of college students described their health as good, very good or excellent

• Over 70% report regularly going to the dentist

• Less than 2% of students report being diagnosed with and STD

NCHA Reference Group, Spring 2013

Current status of students’ well-being

• Over 28% report stress negatively impacted their academics

• Nearly 20% report anxiety negatively impacts their academics

• Over 11% report internet use negatively impacts their academics

• Over 35% report doing something they regretted after drinking alcohol

NCHA Reference Group, Spring 2013

Current status of students’ well-being

• Over 30% report that finances have been traumatic or difficult to handle

• Less than 12% get enough sleep every night

• Over 7% report being involved in an emotionally abusive relationship

NCHA Reference Group, Spring 2013

HOW ONE INSTITUTION IS PROMOTING A SAFE AND NURTURING ENVIRONMENT THAT FOSTERS STUDENT WELL-BEING

Ecological Approach

MAP-IT Framework• Mobilize• Assess• Plan • Implement• Track

ALCOHOLHealthy Campus Strategic Health Team

National Institutes on Alcohol Abuse and Alcoholism (NIAAA), A Call to Action:

Changing the Culture of Drinking at US Colleges

• Evidenced-based interventions• Tier 1 represents the most effective

strategies to prevent and reduce college drinking

Students who had “5 or more drinks” the last time

they partied

2002 2004 2006 2008 2010 20120

10

20

30

40

50

60

70

43 41 3731 30 29

6151

57 5650 51

FemalesMales

Students who did “something they regretted” as a result of their

drinking*

2002 2004 2006 2008 2010 201205

101520253035404550

3744 43 42 42 44

40 4246

38 37

47

FemalesMales

*Only students who drink were includedNCHA, FSU

Students who “avoided drinking games” when they partied*

2010 2011 2012 201305

10152025303540 37

32 3237

24 24 25 26

FemalesMales

*Only students who drink were includedNCHA, FSU

Healthy Campus 2020 Targets

Indicator 2013 Data

2020 Target

Students who had 5 or more drinks at a time (the last time they “partied”)

F 27%M 43%

F <22%M <38%

Students who did something they regretted as a result of their drinking

F 37%M 34%

F <32%M <29%

Students who don’t (always) avoid drinking games

F 72%M 73%

F <67%M <68%

NCHA FSU Data, 2013

Initiatives • Increase student use of alcohol “risk

reduction” practices. – “Protective” behavioral strategies – Brief motivational interviewing,

cognitive-behavioral skills training, trained student peers

– Internet based interventions – Judicial mandated programming

Initiatives• Campus-Community Partnerships

– Community-level interventions – Leon County Responsible Decision

Making Coalition

Initiatives• Increase opportunities for substance-

free entertainment – True Seminole Tailgate – Seminole Sensation Week– Celebratory events

• Research project opportunities with faculty

EATING DISORDERS PREVENTION TEAM

Healthy Campus Team for the Prevention of Eating Disorders

Students who received information about eating disorders at FSU

2010 2011 2012 201305

10152025303540

29

36 38 38

28 28

3530

FemalesMales

Goals • To increase the number of students

who receive information about eating disorders at FSU

• To decrease the number of students who are dieting to lose weight

• To decrease the number of students who are exercising to lose weight

Healthy Campus 2020 Targets

Indicator 2013 Data

2020 Target

Students who received information about eating disorders at FSU

F 38%M 30%

F >42%M >35%

Students who are dieting to lose weight F 55%M 27%

F <50%M <22%

Students who are exercising to lose weight

F 65%M 43%

F <60%M <38%

NCHA FSU Data, 2013

Limitations of existing data

• Are students “dieting” or “exercising” in an extreme or harmful manner?

• Current data only includes students who report being diagnosed

• Subclinical behaviors are often undiagnosed and untreated

Initiatives• Gather additional data

– Employ the Healthy Bodies Survey instrument

• To evaluate current behaviors, attitudes and concerns of the students

• To Identify target populations and specific initiatives to address these concerns

Initiatives• Utilize a primary prevention campus-

wide curriculum– Develop (or adopt) a curriculum and

facilitate discussion “Battling the Pressures of a Thin-obsessed, Diet-obsessed Society”

– Pilot the curriculum with various student groups (Housing, Sororities, Campus Rec student staff)

MENTAL HEALTHHealthy Campus Strategic Health Team

Top Academic Impediments

2010 2011 2012 20130

5

10

15

20

25

30

35 3127 26

2924

21 21 2223

1819

20 StressSleep difficultiesAnxiety

NCHA FSU

2011, Colds/flu 22.5%

Public Health Approach to Mental Health

• FSU provides high quality mental health services and treatment

• Prevention should focus on changing cultural norms and increase help seeking behavior.

• Efforts should identify students at risk, assist in the development of life skills, and promote social networks.

Healthy Campus 2020 Targets

Indicator 2013 Data

2020 Target

Students report that stress impaired their academics

F 38%M 30%

F <33%M <25%

Students who received information on how to help others in distress

F 38%M 30%

F >43%M >35%

Students who received information on stress reduction from FSU

F 38%M 30%

F >43%M >35%

NCHA FSU Data, 2013

Initiative• Develop a comprehensive mental

health resource guide of all FSU resources

Initiatives• Strengthen and expand the current

suicide prevention initiatives on campus through collaborative efforts

• Develop a comprehensive suicide prevention plan

Initiatives• Develop a brief video series that

addresses:– Removing the stigma of mental health

services– Bystander intervention/how to help

others • Identify pertinent legislation that

may have an impact on the mental health needs of students.

Initiatives• Assist with Academic Achievement,

School Burnout and Cardiovascular Health Research Study.

• Psychological status has been linked to cardiovascular health in college students in research conducted here at FSU

NUTRITION & FITNESS

Healthy Campus Strategic Health Team

Students who received information about nutrition at FSU

2010 2011 2012 201344

46

48

50

52

54

56

58

5048 48

5452

48

56

52FemalesMales

Students who received information about physical activity at FSU

2010 2011 2012 20130

10

20

30

40

50

60

70

49 53 556259 57 61 61

FemalesMales

Healthy Campus 2020 Targets

Indicator 2013 Data

2020 Target

Increase the proportion of students who report receiving information on nutrition from their institution.

F 54%M 52%

F >59%M >57%

Increase the proportion of students who report receiving information on physical activity from their institution.

F 62%M 61%

F >67%M >66%

Reduce the proportion of faculty/staff who engage in no leisure time PA

N/A  

Increase the proportion of students, faculty/staff who meet current federal physical activity guidelines for aerobic physical activity

F 50.9%M 55.9%

F >55%M >60%

NCHA FSU Data, 2013

Initiatives• Development and distribution of

“Every Step Adds Up” campaign to encourage students to make small steps towards a healthier lifestyle.

Initiatives• Development and distribution of a

Health Risk Assessment (HRA) to faculty and staff to assess health behaviors and attitudes.

Initiatives• Conduct a large scale on campus

collaborative event to promote the health and wellness services to FSU students

• Conduct many smaller experiential programs (cooking classes, Couch to 5K programs)

Campus Action Team for the Improvementof Sexual HealthCATFISH

Goals• To increase knowledge and awareness

of sexual health and sexual violence issues across FSU’s campus*

• To increase healthy behaviors related to sexual health across FSU’s campus*

• To influence social norms in support of gender equality, respect, and safety using target media directed at FSU men & women

*especially among at-risk populations.

Initiatives• To Be Completed• Goal 1:

– Social Media Hashtag #FSUSexIQ• Post Themes and Facts via SM and Newsletters

– GYT and Sexual Assault Awareness Month – April• Goal 2:

– Increase free condom distribution across campus• Create an online map for students to utilize

• Goal 3:– Develop service list of SH/SV resources on campus– Analyze women’s SVP data

Goal 1: The Numbers

STI Prevention Sexual Assault Prevention0

10

20

30

40

50

60

70

80

57.4 58.456.660.4

53.561.562.6

69.7

2010201120122013

Percent of students who said they have received information about STI prevention and sexual assault/relationship violence prevention from FSU (in percent)

2020 Target: STI>70%, SA>75%

NCHA Data,FSU, 2010-2013

Goal 2: The Numbers

Male Female0

10

20

30

40

50

60

70

55.6

64.6

54.8

63.3

53.958.9

48.2

58.7

2010201120122013

Used a contraceptive the last time they had vaginal intercourse (in percent, if sexually active)

2020 Target: M>55%, F>60%

NCHA Data, 2010-2013

TOBACCO & OTHER DRUGS

Tobacco Free Implementation Team

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120

5

10

15

20

25

30 27.222.9

20.118.818.220.7

17.520.3

17.313.314.9

Percent of Students who report Cigarette Use Within the last

30 Days

Healthy Campus 2020 Targets

Indicator 2013 Data

2020 Target

Any cigarette use within the last 30 days* F 10.6%M 14.6%

F < 6%M <10%

Awareness of current smoking policy (Survey on Tobacco Use and Exposure, FSU 2011)

68% 90%

*NCHA FSU Data, 2013

Goals• Effectively address questions and

concerns about the policy and the implementation of the policy

• Provide maximum awareness of the availability of Smoking Cessation Services

• Provide comprehensive smoking cessation services

Initiatives• Development of videos, signs,

decals, brochures and mailings to inform FSU community of tobacco free policy

• Development of tobaccofree.fsu.edu• Correspond with nearby

neighborhoods• Develop a “White Paper” on the

scientific support for the policy

Future Plans• Maintain the Tobacco-Free FSU policy

and materials• Recruit students, faculty and staff

with an interest in other drug education and prevention

• Develop a priority list of “other drug” objectives and a strategic plans for achieving those objectives

References• 1. Haines ME, Kashy DA, Norris MP. “The effects of depressed mood on academic performance in

college students.” J of Coll Student Dev. 1996; 37(5):219-526.• 2. Trockel MT, Barnes MD, Egget DL. “Health-related variables and academic performance among

first-year college students: Implications for sleep and other behaviors.” J Am Coll Health.2000;49(3):125-131.

• 3. Wechsler H, Dowdall GW, Maenner G, Gledhill-Hoyt J, Lee H. “Changes in binge drinking and related problems among American college students between 1993 and 1997: Results of the Harvard School of Public Health College Alcohol Study.” J Am Coll Health.1998; 47(2):57-68.

• 4. Poston I, Bowman JM, Rouse JO. “Health behaviors and academic success.” Nurs Educ.1994;19(2):24-27

• 5. De Be r a rd, M. S., Spielmans, G., Julka, D. “Predictors of academic achievement and retention among college freshmen: a longitudinal study.” Coll Student J; Mar 2004, Vol. 38 Issue 1, p. 66.

• 6. Conciatore, J. “Rutgers university uses health services to stimulate retention.” Black Issues in Higher Education . 1991; 8:11,14.