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SANKOFA: Learning From The Past HIV/AIDS Prevention for African American College Students. Angela Farris Watkins, PhD Spelman College. CHAMPS Annual Meeting– April 29, 2011 WEBINAR. Project Goals.
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SANKOFA: Learning From The PastHIV/AIDS Prevention for African American College Students Angela Farris Watkins, PhD Spelman College CHAMPS Annual Meeting– April 29, 2011 WEBINAR
Project Goals • 1. Enhance a HIV/AIDS Curriculum at Spelman College and determine its effectiveness on students enrolled • 2. Sustain an HIV/AIDS prevention curriculum at Spelman College • 3. Increase HIV/AIDS prevention curriculum programming at Spelman College, by making it a requirement for all students
Implementation of the Project Year 5 Objectives for Goal 1 (Effectiveness of Curriculum) • At the end of each curriculum, 100% of student enrolled will meet the following objectives at the level of 80% or better, as evaluated on the Mid-Term and Final Exams: • demonstrate basic knowledge of HIV/AIDS • identify basic modes of transmission of HIV • identify general current statistics of HIV and AIDS with the African American community • identify methods of HIV testing and treatment of HIV
Curriculum Data From The Year • Total Number of Students • Fall, 2010 34 • Spring, 2011 36
Curriculum Data From The Year • Mid-Term Exam Data • Fall, 2010 100% met 80 or above • Spring, 2011 100% met 80 or above • Final Exam Data • Fall, 2010 100% met 80 or above • Spring, 2011 scheduled for May 4, 2011
Implementation of the ProjectYear 5 Objectives for Goal 1 (Effectiveness of Curriculum) At the end of each curriculum, 100% of all student enrollees will complete 20 service-learning hours at an HIV/AIDS related agency in Atlanta, Georgia, as evaluated by the service learning time log. • Service Learning Data • Fall, 2010 50% completed all 20 hours • Spring, 2011 to be submitted by May 4, 2011
Implementation of the ProjectYear 5 Objectives for Goal 1 (Effectiveness of Curriculum At the end of each curriculum, 100% of student enrollees will implement an approved social marketing initiative at the level of 90%, as evaluated by a social marketing assignment rubric. • Social Marketing Data • Fall, 20010 100% met 80 or above • Spring, 2011 100% met 80 or above
National Social Marketing BET’s 106 and Park with Actress Keisha Knight Pulliam, featuring Spelman’s HIV Prevention Class for World AIDS Day
Implementation of the ProjectYear 5 • Objectives for Goal 1 (Effectiveness of Curriculum • Before the implementation of social marketing, 100% of student enrollees will become certified Peer Health Educators as determined by the documentation from the Office of Health Services. **Red Cross certification was designated. • Peer Certification –Red Cross • Fall, 2010 100 % met 80 or above • Spring, 2011 100% met 80 or above
Implementation of the ProjectYear 5 Objectives for Goal 1 (Effectiveness of Curriculum • At the beginning of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors. • At the end of each curriculum 100% of students enrolled will complete a pre-evaluation of their attitudes toward risky sexual behaviors. • Pre and Post Evaluation of Risky Attitudes • Fall, 2010 97 % completion • Spring, 2011 to be determined by May 4, 2011
Implementation of the Project Objectives for Goal 1 (Effectiveness of Curriculum) • All student enrollees will demonstrate a statistically significant change between the pre and post evaluations, for each semester, as determined by statistical analysis.
Analyses • data collected from students enrolled in PSY 200b over 7 academic semesters; total- 430 (pre = 221, post = 209) • statistical analyses were run to assess changes in attitudes within and across semesters on six content areas: • 1) condom use; • 2) peer influence; • 3) HIV/AIDS personal risk perception; • 4) drug/alcohol use; • 5) safe sex planning; • 6) partner pressure.
Analyses (contd) 5-point Likert-type scale with a response of “1” as “totally disagree” and “5” as “totally agree” Independent samples t-tests (2-tailed) were conducted to evaluate whether post-course survey scores, both overall and within each of the six question categories, were significantly different from pre-test scores; in other words, whether a course that utilizes an HIV prevention curriculum changed the attitudes related to sexual behavior over the course of a semester.
Results When assessing overall attitude or endorsement of risk across 7 academic semesters, descriptive statistics indicated that post-test scores decreased in each semester, suggesting possible improvement in behavior and attitude (see Table 1 and Figure 1).
Table 1. Overall risk endorsement according to test type and semester Please note: Higher mean scores = greater endorsement of risky behavior, *p<.05, **p<.01
Figure 1. Graphical representation of overall risk endorsement according to test type and semester Cumulative test averages *p<.05, **p<.01
Results (contd) the greatest improvement was seen in the condom use category There were no significant improvements in the peer influence category for any semester When evaluating HIV/AIDS personal risk, two academic semesters, Fall 2008 and Spring 2009, yielded significant improvements from pre- to post- completion of the course, and one semester, Spring 2010, approached significance
Results (contd) In the drug/alcohol use category, the Fall 2009 semester showed a reduction in post-survey scores that approached significance For both the safe sex planning and partner pressure categories in Spring 2009, significant differences in endorsement of risky behavior were seen pre- to post- course completion
Results (contd) Significant findings while minimal in some semesters were found across all content areas except two, peer influence and drug/alcohol use. The Fall 2007, Spring 2009, Fall 2009, and Spring 2010 academic semesters revealed the greatest improvement from pre- to post- with the Spring 2009 semester showing the most improvement overall and across four out of six question categories (condom use, HIV/AIDS personal risk, safe sex planning, and partner pressure).
Implementation of the ProjectYear 5 Objectives for Goal 1 (Effectiveness of Curriculum) • At least 80% of the advisory committee will convene 3 times a year or more, as determined by attendance records of meetings. -Ongoing communication via phone and email.
Implementation of the ProjectYear 5 Objectives for Goal 1 (Effectiveness of Curriculum) • The curriculum will be updated by the end of each year, by the advisory committee, with at least 80% representation of the full committee, determined by attendance records of meetings. *In lieu of face to face meetings, communication by phone and email. • Curriculum Updated – see “ Year 5 Activities”
Goal 1 Objective • A reference manual for the curriculum will be created by the end of the Year 4 of the project • Met In Year 4 - See Curriculum Manual
Goal 2 Objective • The HIV/AIDS prevention curriculum will be approved as a permanent one for Spelman College by the end of the project period, as determined by documentation from the Curriculum Committee. • Met in Year 3
Goal 3 Objective • The HIV/AIDS prevention curriculum will be approved by Spelman College administration, as a requirement for all Spelman students, by the end of the project period, as determined by the official bulletin of Spelman College. -Not Met.
Year 5 Activities • Implement Curriculum – added “Truth Behind Hip Hop” viewing and discussion • Implement procedures for mandating curriculum as a requirement – Joined First Year Seminar and Curriculum Planning • Identify additional funding to support the prevention curriculum - Submitted Proposal to Office of HIV/AIDS Policy MSI HIV Prevention Sustainability Demonstration Initiative– Not awarded/funded • Final Project Evaluation – In Progress • Interview for PBS Frontline Documentary
Other Year 5 Activities – World AIDS Day • Presentation by Dazon Dixon Diallo, founder and President of Sister Love, Inc. “Healthy Loving is Healthy Living. Women Taking Risks For Love In The Age of HIV/AIDS” • Testing Party- Food, DJ, Student Organization Competitions
“HIV Is My Adversity. What’s Yours? Depression, Poverty, Jail, Pride, Drugs?” World AIDS Day Lunch Time Speaker, David Robertson (diagnosed with HIV in 2007) - http://youtube/Stxc2uYPn5k
Final Evaluation In Progress Seeking New Funding Updated Curriculum Manual