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Factors influencing grantee performance on youth outcomes targeted by the Safe Schools/Healthy Students (SS/HS) Initiative: Results from an exploratory meta-regression
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| Presenter(s):
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| Jim Derzon, Battelle Memorial Institute, derzonj@battelle.org
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| Bruce Ellis, Battelle Memorial Institute, ellis@battelle.org
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| Sharon Xiong, Battelle Memorial Institute, xiongx@battelle.org
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| Danyelle Mannix, United States Department of Health and Human Services, danyelle.mannix@samhsa.hhs.gov
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| Julia Rollison, MANILA Consulting Group Inc, jrollison@manilaconsulting.net
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| Abstract:
To estimate performance and grantee characteristics associated with performance in reducing violence and substance use, promoting mental health, and enhancing school safety logged odds ratios (LORs) were calculated contrasting Year 3 with Year 1 performance from grantee-provided data on 12 outcome measures. The LORs were entered as dependent variables in a series of meta-regressions in which grantee characteristics and choices were tested after controlling for pre-grant characteristics. Findings indicate that SS/HS significantly improved the six youth violence and mental health outcomes, that grantee performance varied by outcome, and that none of the variables entered consistently predict grantee performance. Across outcomes, the 12 models explain 27.3% of the variation in outcomes with 48.6% of the explained variance attributable to grantee-controlled choices. The approach demonstrates that locally collected performance data can be used to estimate and explain grantee success in improving youth outcomes.
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Evaluation of a Quitline-based Free Nicotine Replacement Therapies (NRT) Program for College Students: Is Campus Media Enough to Increase Quitline Utilization?
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| Presenter(s):
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| Joseph Lee, University of North Carolina at Chapel-Hill, jose.lee@unc.edu
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| Kathryn Kramer, University of North Carolina, kdkramer@unc.edu
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| Anna McCullough, University of North Carolina, annamc@unc.edu
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| Leah Ranney, University of North Carolina, leah_ranney@unc.edu
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| Adam Goldstein, University of North Carolina, aog@med.unc.edu
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| Barbara Moeykens, NC Health and Wellness Trust Fund, barbara.moeykens@healthwellnc.com
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| Nidu Menon, North Carolina Health and Wellness Trust Fund, nidu.menon@healthwellnc.com
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| Tom Brown, NC Health and Wellness Trust Fund, tom.brown@healthwellnc.com
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| Caroline Mage, University of North Carolina, caroline_mage@med.unc.edu
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| Mark Ezzell, North Carolina Health and Wellness Trust Fund, mark_ezell@earthlink.net
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| Abstract:
Providing free nicotine replacement therapy (NRT) through quitlines increases participation and overall quit rates. Providing free NRT in combination with social and/or earned media has been effective in some states and reduces marketing costs. North Carolina piloted a program with no media budget to provide free NRT through QuitlineNC to young adults enrolled in college. College campuses (n=5) serving 55,000 students promoted the benefit through a variety of channels, including e-mail, social media, signage, and word of mouth by means of staff and faculty. Using a collaboratively-designed program logic model, an independent evaluation team assessed promotional activities conducted on campuses using an online reporting system and QuitlineNC call volume. Three months of data yielded no measurable increase in call volume during the intervention. Immediate program evaluation feedback to funders prompted subsequent changes that opened the intervention to a wider audience. We discuss findings relevant to NRT-based quitline promotions.
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Evaluation of School Nursing in Underserved Schools: Truth, Beauty, and Justice in the Evaluation of the San Jose Unified School District (SJUSD) Nurse Demonstration Project
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| Presenter(s):
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| Eunice Rodriguez, Stanford University, er23@stanford.edu
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| Diana Austria, Stanford University, daustria@stanford.edu
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| Melinda Landau, San Jose Unified School District, melinda_landau@sjusd.org
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| Sue Lapp, School Health Clinics of Santa Clara County, suel@schoolhealthclinics.org
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| Candace Roney, Lucile Packard Children's Hospital, mcroney@lpch.org
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| JoAnna Caywood, Lucile Packard Foundation for Children's Health, joanna.caywood@lpfch.org
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| Abstract:
With increasing budget cuts, inequities in available nursing time and health services in public schools continue to deepen, as confirmed by Taliaferro’s October 2008 report, "The Impact of the School Nurse Shortage". A significant factor for this trend is the lack of quality research documenting the impact of school nurses and nurse-to-student ratios on student health outcomes. This paper presents a model of assessing the impact of school nurses through an evaluation of the Nurse Demonstration Project, a five year endeavor to provide full-time credentialed nurses at four high-need schools in San Jose Unified School District, and a nurse practitioner at School Health Clinics of Santa Clara County. Project evaluation utilizes a mixed-method, case-control design to measure the impact of increased nursing time in improving access to primary and preventative care, chronic disease management, and in facilitating the establishment of a medical home for students who do not have one.
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The Impact of School Based Health Centers (SBHCs) on Access to and Use of Health Services in New Orleans
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| Presenter(s):
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| Lisanne Brown, Louisiana Public Health Institute, lbrown@lphi.org
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| Marsha Broussard, Louisiana Public Health Institute, mbroussard@lphi.org
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| Paul Hutchinson, Tulane University, phutchin@tulane.edu
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| Nathalie Ferrell, Tulane University, natferrell@gmail.com
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| Sarah Kohler, Louisiana Public Health Institute, skohler@lphi.org
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| Abstract:
In spring 2009, 2,011 students were surveyed in six public high schools in Orleans parish to evaluate the effectiveness of School Based Health Centers (SBHCs) in increasing access to and utilization of essential health services, promoting healthy lifestyles, and facilitating good decision-making skills in a complex urban environment. A quasi-experimental research design was utilized, involving three intervention schools with SBHCs and three comparison schools slated to eventually contain SBHCs. In this paper, we utilize propensity score matching to identify the impacts of SBHCs on indicators of adolescent utilization of health services and risky behaviors. Results indicate that adolescents with access to SBHCs not only receive quality health services, particularly vital mental health services, but they are also less likely to engage in behaviors that put their health at risk, including drug use, risky sexual activity, violence, smoking, unhealthy eating habits and lack of exercise.
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