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Coppin State

University eHealth

Education Project

Professor Betsy D. Simon, M.S., CHES, CPPPrincipal Investigator/Project Director Scott Jackson Dantley, Ph.D., Project

EvaluatorCoppin eHealth Educators

410-951-3381bsimon@coppin.edu

Coppin State University e-Health Project

@ UNCFSP/NLM

eHealth ConferenceJune 10, 2008

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Coppin State University eHealth Presentation Overview

Overarching Goal & Supportive Goals

Statement of Problem Student Assessment

Component CSU’s NLM Solution Community Partnering Project Activities Sustainability Project Deliverables Testimonies

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Coppin eHealth Project Goals

Overarching Goal: Increase awareness of, access to, and use of the National Library of Medicine (NLM) online health resources.

Goal 1: Train Train-Of-Trainer Groups on NLM. Goal 2: Increase utilization and dissemination of NLM in all

undergraduate health education syllabi. Goal 3: Increase awareness, access, and dissemination of

NLM databases to campus and intended communities. Goal 4: Measure awareness and use of NLM among campus

and community participants.

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CSU eHealth Project Foci Diabetes, Overweight, Obesity, & Physical Activity

Charts Retrieved from NLM databases by T. Carter

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Statement of the Problem(As We Began)

Diabetes affects ONE IN FOURAfrican-American women

over 55-years-old.

Diabetes affects TWENTY-FIVE PERCENT of African-Americans

between ages 65 and 74.

SOURCE: ADA, 2005

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SOURCE: ADA, 2005

Statement of the Problem (National)

African-Americans are more likely than other ethnic

and cultural group to be diagnosed with diabetes.

7Non-Hispanic White Males

African-Americans

Non-Hispanic White Males

African-Americans

Statement of the Problem (National)

African-Americans are

2.4 TIMES2.4 TIMESmore likely than non-Hispanic white adults to have been diagnosed with

diabetes by a physician.

African-Americans are

2.2 TIMES2.2 TIMESmore likely than non-Hispanic

white adults to die from diabetes.

Source: NLM, 2006

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Statement of Problem (State) In Maryland, 9.5 percent African-American residents have

diabetes, compared to 6 percent of Whites. Many of those African-Americans are unable to receive the

necessary health care. Approximately one in every 400 to 500 children and adolescents

has Type I diabetes. Type II diabetes is becoming more common in among

African-American children and adolescents.

Sources: MD BRFSS, 2002; USRDS Data, 2001

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Statement of Problem (Local) Coppin State University (CSU) and Coppin Academy High

School students, families, peers, and neighbors mirror the Baltimore community which is disproportionately affected by chronic diseases such as diabetes.

African-Americans in Baltimore City are 15 percent more likely to die from heart disease than white City residents. In Baltimore County, African-Americans are twice as likely to die from a diabetes-related illness than whites (BCHD, 2008).

The prevalence of diabetes in Baltimore City is being addressed as a city health crisis as indicated in City Council Resolution number 03.1177 (2003).

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Student Assessment Component

Assessment of the computer, website, Internet, library usage, and NLM awareness and knowledge levels among consenting CSU HEED students.

Baseline – April 2008

Post-Intervention – August/September 2008

Follow-up – December 2008

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Research ProceduresMethodology

Sampling

The population of interest for this study consists of a convenient sample of 194 undergraduate and 4 graduate health education students from Coppin State University

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Research Procedures continued Measures

The survey instrument was designed to gather information in six domains:

Demographic InformationComputer Skills and UsageInternet and Web experienceUse of the CSU Parlett Moore or other LibrariesUse of NLM DatabasesDiabetes and other Health Issues

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Research Procedures continued

Measures continued

The survey included 86 multiple choice question and 10 open-ended question testing students’ knowledge of diabetes, obesity and the importance of physical activity.

DesignTrained Assessors administered the survey to a convenient sample of 15 health education classes selected to participate; course levels include 100, 200, 300 and 400 level courses.

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Research Procedures continued

ProceduresThe survey was administered from April 8, 2008 to April 23, 2008. Follow ups will be done in September 2008 and December 2008. SPSS 13.0 and Microsoft Excel were used to analyze data collected. SPSS 13.0 was used to construct frequency distribution tables and the single variable analysis approach was used to illustrate overall findings.

Descriptive Statistics were used to present quantitative data collected from the questionnaire. Data was collected from ten open-ended questions into Microsoft Excel and used to measure the student’s basic knowledge of diabetes and obesity and the importance of physical activity.

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Sample DemographicsAge % of Population

17-24 69%

25-35 14%

36-49 9%

50-50 5%

Over 60 2%

Missing Value 1%

Sex % of Population

Male 23%

Female 76%

Missing Value 1%

Race % of Population

African-American 93%

Hispanic/Latino American 1.50%

European-American 3%

Other 2%

Missing Value 0.50%

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Sample Findings: Computer Skills & Internet/Web Experience (N=198)

Fifty-one (51%) percent (101 students) identified themselves as having good computer skills, while 31% (62 students) viewed themselves as having excellent computers skills.

Twenty-five (25%) percent (50 students) spent 15-30 hours per week on the Internet, while the majority, 42% (84 students) spent 6-15 hours per week on the Internet.

Thirty-nine (39%) percent (78 students) used the Internet daily for studying, while 48% (94 students) used the web weekly for studying.

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Sample Findings: Use of the CSU Parlett Moore or Other Libraries (N=198)

Thirty-nine (39%) percent (78 students) used the Library for studying once a week each academic semester.

Seventeen (17%) percent (34 students) referenced online resources at least once a month while 44% (88 students) never referenced online resources.

Eleven (11%) percent (22 students) used periodicals twice a semester while the majority 58% (115 students) never use periodicals.

Seventeen (17%) percent (34 students) used E-Databases/Indexes/E-journals twice a semester; 50% (99 students) never used E-Databases/Indexes/E-journals.

9.6% (19 students) used electronic classrooms weekly each semester; 62% (123 students) never used electronic classrooms.

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Sample Findings: Use of NLM Databases (N=198)

Seventy-seven (77%) percent (154 students) never heard of the National Library of Medicine databases prior to taking the survey. Seventy-three (73%) percent (145 students) identified the BMI as a method to estimate critical fat values. Fifty-three (53%) percent (104 students) identified Google as their main online source. Twenty (20%) percent (40 students) identified WebMD as their main online source. Eleven (11%) percent (21 students) of participants identified Yahoo as their main online source. Sixteen (16%) percent (29 students) used others sources.

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Sample Findings: Diabetes and Physical Activity (N=198)

Seventy (70%) percent (138 students) listed at least one sign of diabetes, while 30% left this section of the survey blank.

Seventy-five (75%) percent (148 students) listed one or more types of diabetes.

Fifty-one (51%) percent (100 students) identified the importance of the releasing of insulin into the blood stream.

Seventy-three (73%) percent (145 students) identified the BMI as a method to estimate critical fat values.

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Sample Findings: Diabetes and Physical Activity (N=198)

Fifty-seven (57%) percent (113 students) identified 30 minutes as the amount of physical activity recommended for adults by the Guidelines for Americans (CDC).

Thirty-one (31%) percent (62 students) identified 60 minutes as the amount of physical activity recommended for children by the Guidelines for Americans (CDC).

Thirty-four (34%) percent (68 students) identified 26.6-29.9 as a body mass index considered overweight.

Twenty (20%) percent (40 students) identified the percentage of Americans who report no physical activity according to CDC.

Seventy-five (75%) percent (148 students) identified that the health status of minorities has a direct impact on the health of the majority.

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In SummationThese preliminary findings support our original premise that students are not aware of the massive resources offered by the National Library of Medicine Databases.

Further analysis of the data will enable us to design a needs based awareness and knowledge transfer service model that will improve NLM databases access and utilization by students at Coppin State University.

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Coppin State University and NLM Databases A Part of the Solution

NLM Databases are being used by persons trained through the UNCFSP/NLM ACCESS Project, sponsored by the CSU eHealth Project, and designed to train others.

NLM on-line resources are being accessed for academic, personal, and familial purposes; proving to be an empowering experience.

Coppin State University uses its role as the leader of the educational corridor for the surrounding communities (Baltimore City Data Collaborative, 2006) to partner with key stakeholders.

Coppin students are being introduced to NLM in health education classes and through campus-wide activities.

The VMC Model of Engagement enables an equal partnering with underserved communities which will help to ensure long term sustainability.

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Community Partnering (examples)A Sustaining Tool

Addie Johnson, Principal The Woodbourne Center

Walter O. Ginn, Placement Coordinator Baltimore City Department of Social Services

Michelle N. McEachern, Executive Director Coppin Heights Community Development Corporation

Tonya Johnson, Director

Baltimore City Health Department Health Education & Outreach William Howard, Principal Coppin Academy High School

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The Village ModelThe Participants Engagement Plan

The Village Model of Engagement is being used to increase the utilization of NLM Databases by the Coppin family and community residents.

The Model is a highly structured ecological program that is termed the Village Model of Care (VMC) founded and developed by Betsy Simon (Simon, Owens, 1995 UP), and guided by the African concept, “It Takes a Whole Village to Raise a Child” (Dickerson, 1995; Daley, et al., 1995).

VMC had been used in community, faith-based, and school-based settings for a number of years prior to its use as a research and program evaluative model for youth and their families from at-risk communities (seamless funding-NIDA, CSAP, NINR via Friends Research Institute 1993 to the present).

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Project Activities Phase I Start-Up, NLM Awareness & Training Highlights

July – September 2007 eHealth Grant Proposal Review Session Infused health disparities and NLM Databases into HEED Syllabi Conducted NLM Sessions for Health Education faculty Recruitment and Training of Student eHealth Educators UNCFSP/NLM Orientation and Grant Award Announcement Program Health Education NLM infused course syllabi distributed to studentsOctober 2007 Campus Meetings/Trainings with CSU eHealth Educators ORISE NLM On-Site Training for eHealth Team (30 participants)November – December 2007 eHealth Team and eHealth Educators Trainings and Meetings End of Semester Student Led NLM Awareness & Health Education Forum Video Teleconference-Dr. Dantley, Dr. Powell, et al

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February -April 2008 CSU eHealth Educators Trainings-D. Curbeam, Instructional Technologist Webnair Teleconference with Dr. Powell, et al CSU eHealth Team/Educators Trainings and Meetings Site Visit from Dr. Powell (March 12, 2008) IRB Approval for Assessment (March 31, 2008) Training Session and OJT for Assessors by FRI (April 8, 2008) Fifteen HEED Classes Assessed (April 8, 2008 – April 21, 2008) Thirteen In-Class NLM Databases Presentations by eHealth Educators Professor Simon, PI, and Kamilah Dickens, eHealth Educator, presented

NLM/eHealth for Faculty Research Committee at Brown Bag Lunch

Project Activities Phase II: Research, Training, Assessment, and Intervention Highlights

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Project Activities Phase III: Campus Sharing, Community Out-Reach, Training, and eHConference

May 2008 – July 2008 4th Annual CSU Students Mentor for a Day with VMC/ALC (May

7, 2008) End of Semester Student Led HEED Forum supported by NLM

Databases (May 7, 2008-evening and May 8, 2008-day) Final examination with permission to use NLM online resources

(group exam/two upper level HEED classes, May 13, 2008) Next Phase eHealth Team Luncheon Meeting (May 27, 2008) Mini-Training Institute for eHealth Educators (June 4, 2008) eHealth Conference in Bethesda Maryland (June 9-10, 2008)

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Project Activities Phase IV: Interventions and Sustainability Highlights

NLM information/facts mailing to participants (July 2008) Launch eHealth Website & continued Marketing (July 2008) NLM Awareness & Factual session (campus-wide, August) Post-Assessment for Coppin HEED student participants eHealth NLM Sessions for Community (September 2008) Campus/Community eHealth Conference (September) Community Presentations Continue Follow-up Assessment for Coppin HEED student participants National Diabetes Goal Champion Activities Begin (CSU invited) COPPIN GOES FLAT by Eliminating Belly Fat Campaign December 2008 & Beyond – Sustainability Initiatives continue.

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CSU eHealth Project Deliverables VMC Peer eHealth Educators Manual

Youth through older adults teams How to Establish, Train, and Monitor teams

NLM Peer eHealth Educators Presentation PowerPoint * NLM infused Health Education Course Syllabi (lower and

upper level courses) NLM HEED Faculty Presentation PowerPoint ** eHealth Campus Community NLM Awareness Conference

Proceedings

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CSU eHealth Project Deliverables Publications

Feasibility of using urban HBCU undergraduates and eHealth Technology as a strategy for campus to community outreach

Assessing the technology, library usage, and NLM awareness/knowledge levels of urban HBCU undergraduates

eHealth baseline, post, and follow-up survey Annotated Timeline for NLM infusion on an HBCU campus

and surrounding communities*Special Appreciation to Dionne Curbeam, Instructional Technologist, OIT, for CSU Peer eHealth Educators PowerPoint

Presentation, design, development, and training.**Special Appreciation to Professor Antoinette W. Coward, Health Education Instructor, CSU, for HEED Faculty PowerPoint

Presentation, design and development.

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NLM Conference Testimonies*CSU Student eHealth Educators

Sherrie Alford

Christin Braswell

Tierra Carter

*Onsite at June 10, 2008 eHealth Conference

Kamilah Dickens

Lakiesha Williams

Joyce Castro

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Special Acknowledgements and Appreciation To:

Dr. Sadie Gregory

University Provost and Vice President of Academic Affairs

Dr. Reginald AveryUniversity President

AND

All Persons that supported the eHealth Project

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CSU eHealth Educators Sherrie Alford

Christin Braswell

Tierra Carter

Joyce Castro

Shante’ Corbitt

Yvette Davis

Kamilah Dickens

Eyituoyo Ebigbeyi

Taneka Lee

Candice Sewell

Paul Williams

Lakiesha Williams

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Project Staff Professor Betsy D. Simon, M.S., CHES, CPP

Principal Investigator and Project Director

Scott Jackson Dantley, Ph.D.Project Evaluator

Sherrie AlfordAdministrative Assistant

Professor Antoinette W. CowardProcess Recorder

Carolyn McGlotten Budget Manager and Public Forum Facilitator

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Project Staff Robernette Smith

Head of Reference Services, Parlett Moore Library

Emanuel Owusu-Sekyere Director, Information Technology Services

Abby Byrnes Instructional Technology Trainer

Dionne Curbeam.Instructional Technology Trainer

Tahira RashidAssessment Facilitator

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Consulting and Resource Personnel

Edna Simmons, Ed.D., Chairperson Department of Health, Physical Education, Recreation & Dance

Mary Wanza, Ph.D., Director Parlett Moore Library

Scott Jackson Dantley, Ph.D., Interim Associate Provost Office of Academic Affairs and Office of Planning and Accreditation

Ahmed El-Haggan, Ph.D., Vice President Division of Information Technology

Joann Christopher-Hicks, Ed.D., Associate Vice President Division of Student Affairs

James Roberts, Acting Vice President Division of Institutional Advancement

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Community Partnerships

William Howard, Principal Coppin Academy High School

Walter O. Ginn, Placement Coordinator Baltimore City Department of Social Services

Michelle N. McEachern, Executive Director Coppin Heights Community Development Corporation

Tonya Johnson, Director Baltimore City Health Department, Reproductive Health Health Education & Outreach Department

Addie Johnson, Principal The Woodbourne Alternative Learning Center