MyStudentBody-Community College: A Health Website for Students

描述(由申请人提供)：在当前的经济环境下，社区学院在教育劳动力方面发挥着比以往任何时候都更重要的作用。自2007年秋季以来，社区大学的招生人数增长了17%，达到800万人(AACC，2010a)。此外，奥巴马总统呼吁社区大学在2020年前再培养500万名毕业生(冈萨雷斯，2010)。然而，社区大学生有许多心理社会和健康行为的危险因素，导致他们达不到学业目标。在四年制大学的第一批学生中，大约四分之三的人坚持到第二年，而在两年制大学的第一批学生中，大约有一半的人坚持到第二年(McIntosh和Rouse，2009)。这项拟议研究的目标是创建第一个专门针对社区大学生的全面健康和酒精及其他药物(AOD)干预预防计划。成功完成了以下第一阶段的具体目标：(1-3)采访学生、卫生工作人员和机构决策者；(4)制定内容、设计和发展计划；(5)创建演示；(6)与学生进行可用性和验收测试；(7)与机构决策者和卫生工作人员进行验收测试；以及(8)完成第二阶段研究设计。结果表明，MSB-社区学院项目作为一种干预和技术项目是可行的。第二阶段的具体目标是：(1)召集一个由社区学院校长和卫生专业人员组成的顾问委员会，为实施战略提供信息；(2)制定在线计划，以及(3)进行随机对照试验，以测试在线计划的效果。我们假设，与对照组的学生相比，接触MSB社区大学的学生将表现出：(1)减少压力；(2)增加保护性行为策略的使用；(3)减少物质使用的负面后果；(4)减少物质使用；(5)增加大学适应。第二个假设是，学生将报告：(1)达到个人学术目标的可能性增加，(2)获得学位/证书的可能性增加，或坚持学习计划。目前第二阶段应用的创新之处在于适应了一种新的人口理论方法，这些方法在四年制学生的研究中取得了成功。这将通过创建一个由四年制大学健康计划的进展情况提供信息的计划来实现，同时将社区大学学生的研究结果纳入其中，以创建适当的内容、特点和交付方法。成功完成这一第二阶段申请的目标将通过承认和满足大量多样化但未得到充分服务的人口的需求来扩大大学卫生领域。如果该方案成功，它将在改善几乎一半本科生的健康方面对公共卫生产生重大影响(AACC，2010a)，次要目标也是增加保留率。 公共卫生相关性：拟议研究的目标是创建第一个专门针对社区大学生的全面健康和酒精及其他药物(AOD)干预预防计划。目前第二阶段应用的创新之处在于，将在四年制学生中成功进行研究的理论方法应用于新的人群。如果该方案成功，它将在改善几乎一半本科生的健康方面对公共卫生产生重大影响(AACC，2010a)，次要目标也是增加保留率。

DESCRIPTION (provided by applicant): In the current economic climate, community colleges are playing a more vital role than ever in educating the workforce. Enrollment at community colleges has grown by 17 percent since fall 2007 to a total enrollment of 8 million (AACC, 2010a). Moreover, President Obama has called on community colleges to produce five million more graduates by 2020 (Gonzalez, 2010). However, community college students have a number of psychosocial and health behavior risk factors for failing to meet their academic goals. Among first-time students who start at a four-year college, approximately three-quarters persist to the second year, compared to roughly half of first-time students who start at a two-year college (McIntosh and Rouse, 2009). The objectives of the proposed research are to create the first comprehensive wellness and alcohol and other drug (AOD) intervention prevention program specifically for community college students. The following Phase I specific aims were successfully completed: (1-3) Interview students, health staff, and institutional decision makers; (4) Produce Content, Design, and Development Plans; (5) Create a demonstration; (6) Conduct usability and acceptance testing with students; (7) Conduct acceptance testing with institutional decision makers and health staff, and (8) Complete the Phase II research design. Results indicate that the MSB-Community College program has feasibility as an intervention and as a technical project. The specific aims of the Phase II are to: (1) Convene an advisory board of community college presidents and health professionals to inform implementation strategy; (2) Produce the online program, and (3) Conduct a randomized controlled trial to test the efficacy of the online program. We hypothesize that, compared to students in the control group, students exposed to MSB-Community College will demonstrate: (1) decreased stress; (2) increased use of protective behavioral strategies; (3) decreased substance use negative consequences; (4) decreased substance use, and (5) increased college adjustment. Secondary hypotheses are that students will report: (1) increased likelihood of reaching a personal academic goal and (2) increased likelihood of attainment of a degree/certificate, or persistence with a program of study. The innovation of the current Phase II application is in adapting to a new population theoretical approaches that have been successful in research with four year students. This will be achieved by creating a program that is informed by advances in four-year college health programs while incorporating findings from research with community college students to create appropriate content, features, and a delivery method. Successful completion of the aims of this Phase II application will expand the field of college health by acknowledging and addressing the needs of a large and diverse, yet underserved, population. If the program is successful, it will have a significant public health impact in terms of improving the health of almost half of all undergraduates (AACC, 2010a), with the secondary goal of also increasing retention. PUBLIC HEALTH RELEVANCE: The objectives of the proposed research are to create the first comprehensive wellness and alcohol and other drug (AOD) intervention prevention program specifically for community college students. The innovation of the current Phase II application is in adapting theoretical approaches that have been successful in research with four year students to a new population. If the program is successful, it will have a significant public health impact in terms of improving the health of almost half of all undergraduates (AACC, 2010a), with the secondary goal of also increasing retention.