HL 367 Major Project Winter 2014 Jamie Frederickson Our Mission: To promote effective coping for stress in students through education Michael DarlingtonWest Photo Source: http://www.thedailyaztec.com/content/ uploads/student-depressed.jpg 1 Table of Contents Section 1: Mission – p. 4-5 Section 2: Review of the Related Literature – p. 6-23 Section 3: Synthesis of the Related Literature – p. 24-40 Section 4: Evaluation Design/Mission Fit – p. 41-42 Section 5: Marketing and Communication – p. 43 Section 6: Granting Agency – p. 44 Section 7: Webliography – p.45-46 Section 8: Reflection – p. 47 2 Introduction Hi! My name is Jamie Frederickson. I lived the first ten years of my life in Las Vegas, Nevada, but consider myself to be from Marquette, Michigan. I am attending Northern Michigan University and majoring in Community Health Education. I love playing tennis in the summer and snowshoeing in the long winters and am passionate about being creative and innovative. Being a student while working two jobs, I have learned that stress has a vigorous bite and it is important for a person to educate themselves on how to manage stress in a healthy way. Hello! My name is Michael Darlington-West. I was born in Calgary, Alberta and lived there until I was 13 and then moved to Negaunee, MI. I am studying for my bachelor’s degree in Management of Health and Fitness and wish to become a holistic strength and conditioning coach for a professional soccer team someday. I’ve been playing soccer since I could walk and have also been practicing martial arts since I was 9 years old. I love being active and enjoy moving. Whether it be running, biking, skiing, skating, climbing, crawling, swimming or flying! Stress is a big part of my life. My family has a history of depression and anxiety. I have become interested in positive stress management techniques and wish to share what I have learned with anyone who is willing to listen. 3 Section 1: Mission 1. What is our mission? Our mission is to promote effective coping for stress in students through education. 2. What are the variables in our mission? The variables are: Dependent variable = effective coping for stress Target population = students Independent variable = education 3. In what agency could we realize our mission? We could realize our mission in Northern Michigan University’s Health Promotion Office. The Health Promotion Office’s mission is to “work toward a healthier and safer student body.” Specifically, it goes on to say, “In support of this mission, it is important that students and other members of the NMU community see the Health Promotion Office providing access to information in a non-judgmental way and see us supporting and empowering individual student choices and personal responsibility." Photo source: https://www.nmu.edu/ communicationsandmarketing/ node/38 Photo Source: http://www.nmu.edu/ healthpromotions/ node/1 4 4. What job could we have in this agency and what is the job description for that job? A job that we could have in this agency that would help to fulfill our mission would be a Health Promotion Specialist. The job description of a Health Promotion Specialist is to “help people to improve their health and increase their control over it. Roles may vary from giving face-toface advice to individuals to producing strategic policies for health promotion. They may set up schemes designed to promote a healthy lifestyle, carry them through to completion, and then assess whether they were successful.” Job Description Source: http://www.prospects.ac.uk/ health_promotion_specialist_job_description.htm 4b. What is our job for this particular project? Our job is to produce a sound program and evaluation plan to meet our mission of promoting positive palliative coping for stress among Northern Michigan University students through education. In order to do this, we intend to: Assess the need to promote effective coping for stress among students. Identify measurable objectives designed to promote effective coping for stress among students. Plan an evidence-based program shown to promote effective coping for stress among students. Implement the program shown to promote effective coping for stress among students. Evaluate to determine if we have met our needs and objectives of promoting effective coping for stress in students through our program and, therefore, met our mission. 5 Section 2: Review of Literature 5. What is our mission and the four questions for analyzing the literature in order to develop our program plan and evaluation plan in order to do our job as listed in 4b? Our mission is: To promote effective coping for stress among students through education. The mission variables are: DV= effective coping for stress TP= students IV= education The four questions: To analyze the literature for relevant information, our four questions with our mission dv and tp are: Does the piece identify need to promote effective coping for stress in students? Does the piece theoretically define effective coping for stress? Does the piece tell us how to measure effective coping for stress? Does the piece give us a model program or education that has shown to promote effective coping for stress? 6. Which pieces will we use to analyze the literature to develop our program plan and evaluation plan designed to meet our mission? We will use the following pieces: Carver, C.S. (2014) Cope. Retrieved February http://www.psy.miami.edu/faculty/ccarver/sclCOPEF.html 25, 2014 from Abstract: COPE 6 We are interested in how people respond when they confront difficult or stressful events in their lives. There are lots of ways to try to deal with stress. This questionnaire asks you to indicate what you generally do and feel, when you experience stressful events. Obviously, different events bring out somewhat different responses, but think about what you usually do when you are under a lot of stress. Then respond to each of the following items by blackening one number on your answer sheet for each, using the response choices listed just below. Please try to respond to each item separately in your mind from each other item. Choose your answers thoughtfully, and make your answers as true FOR YOU as you can. Please answer every item. There are no "right" or "wrong" answers, so choose the most accurate answer for YOU--not what you think "most people" would say or do. Indicate what YOU usually do when YOU experience a stressful event…(test continues) Does the piece identify need to promote effective coping for stress in students? No, this piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? No, this piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? Yes, this piece tells us how to measure effective coping for stress. This piece indicates that the COPE INVENTORY is a successful method for measuring effective coping for stress. Does the piece give us a program model or education that has shown to promote effective coping for stress? No, this piece does not give us a program model or education that has shown to promote effective coping for stress. Familant, D.L. (1990). Facilitating coping and self-efficacy in first-semester college Students through psychoeducation. Retrieved February 8, 2014 from http://surface.syr.edu/psy_etd/108/ Abstract: First semester college students are faced with three developmental tasks: separating from home, investing in their new setting, and meeting the academic challenge of college work (Medalie, 1981). These social and cognitive demands initiate the use of coping strategies, some of which lead to adaptive outcome and are therefore considered functional while others reduce the chance of adaptive outcomes and are considered dysfunctional (Lazarus, Cohen, Folkman, Kanner, & Schaefer, 1980). Previous research has 7 demonstrated the effectiveness of coping skills training programs with college students (e.g., Williams & Hall, 1988). Using a psychoeducational perspective, a skills training workshop was designed to help first semester college freshmen improve their ability to cope with the normative developmental challenges of the transition from home to college. Subjects consisted of 202 first semester freshmen who were recruited from the university's introductory psychology subject pool. Using the Solomon (1949) Four-Group design, subjects were randomly assigned to four experimental conditions based on the presence or absence of two variables, a pretest and the workshop. The pretest was a self-report measure of self-efficacy and coping strategies; it was included as a baseline against which improvement in coping due to the workshop could be measured. Some of the factors that would contribute to this hypothesized improvement would be the instillation of hope (Yalom, 1985), instruction in specific coping skills (Lazarus & Folkman, 1984), and increasing the sense of personal power or self-efficacy (Bandura, 1986). The results of the study showed that the workshop affected a small increase in functional coping strategies but did not raise the subjects' self-efficacy scores or diminish the use of dysfunctional coping strategies. This finding is discussed in terms of the limited effectiveness of an intervention that is only of two hours' duration. A second finding concerned the effect of the pretest on subjects' coping and self-efficacy at the follow-up session. Unexpectedly, taking the pretest had the effect of reducing dysfunctional coping strategies and increasing self-efficacy. This finding is related to research that shows that brief pretherapy training procedures, analogous to the pretest in the current study, increase introspectiveness and boost the effect of psychological intervention. The finding that a self-assessment exercise has a therapeutic effect also supports the common practice of including self-tests in psychoeducational workshops. Studies designed explicitly to measure the effect of self-tests are needed. Also recommended are comparative studies of workshops of various durations and combinations of psychoeducational components. These would provide an empirical base for the construction of effective skills training programs. Does the piece identify need to promote effective coping for stress in students? Yes, this piece identifies need to promote effective coping for stress in students. This piece indicates that first semester students are faced with three developmental tasks: separating from home, investing in their new setting, and meeting the academic challenge of college work. Furthermore, after a study was conducted in the student population, the workshop that was given affected a small increase in functional coping strategies. Does the piece theoretically define effective coping for stress? 8 No, this piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? Yes, this piece tells us how to measure effective coping for stress. Assuming the validity, reliability, and utility, this study used the Solomon Four-Group Design, pretest/follow-up, and self-tests, but it specifically discusses that studies designed explicitly to measure the effect of self-tests are needed. Does the piece give us a model program or education that has shown to promote effective coping for stress? No, this piece does not give us a model program or education that has shown to promote effective coping for stress. Forneris, T., Stewart-Stanec, A., & Theuerkauf, B. (2010). Yoga in School Communities. Retrieved February 3, 2014 from the Northern Michigan University’s website: http://ezpolson.nmu.edu:5749/ps/retrieve.do?retrieveFormat=PDF_FROM_CALLIS TO&accesslevel=FULLTEXT_WITH_GRAPHICS&inPS=true&prodId=AONE&userGrou pName=lom_nmichu&tabID=&workId=PI-1AIC-2010-J-F00-IDSI-11.JPG%7CPI1AIC-2010-J-F00-IDSI-12.JPG%7CPI-1AIC-2010-J-F00-IDSI13.JPG&docId=GALE%7CA218119884&callistoContentSet=PER&isAcrobatAvailable =true Abstract: Research with adults has focused on aspects of physical and mental health. One study examined the effect of yoga on physiological and psychological well-being related to cardiovascular risk factors in mild-tomoderate hypertensive patients. The study included 20 adults (ages 35-55) with mild-to-moderate hypertension. The participants practiced yoga one hour daily for three months. Results showed decreases in blood pressure, blood glucose, cholesterol and triglycerides, as well as increases in subjective well-being and quality of life. There was also a decrease in VMA catecholamine and MDA level, which suggests a decrease in sympathetic activity and oxidant stress. The authors concluded that yoga can play an important role in risk modification for cardiovascular diseases in mild-to-moderate hypertension (Damodaran et al. 2002). Yet another study conducted with normal healthy individuals showed that yoga practice resulted in an increase of lean body mass and a decrease in fat skin fold thickness (Khare & Kawathekar, 2002). Does the piece identify need to promote effective coping for stress in students? No, this piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? 9 No, this piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? Yes, this piece tells us how to measure effective coping for stress. This piece focuses on physiological and psychological well-being related to cardiovascular risk factors and a study was conducted that measured blood pressure, blood glucose, cholesterol and triglycerides, VMA catecholamine and MDA levels. Does the piece give us a program model or education that has shown to promote effective coping for stress? Yes, this piece gives us a program model that has shown to promote effective coping for stress. Although it is not specific, the program used was yoga. Gefen, D.R. (n.d.). Adjustment to college: The relationship among family functioning, Stress, and coping in non-residential Freshman students. Retrieved February 8, 2014 from http://udini.proquest.com/view/adjustment-to-college-thegoid:763431048/ Abstract: This study examined the relationships among family functioning, stress, and coping strategies and their predictive utilities in student adjustment to non-residential colleges. Four research questions were explored: (a) What types of stressors do freshmen students in non-residential colleges face? (b) Is family functioning associated with specific coping strategies? (c) Do coping strategies mediate the relationship between perceived stress and freshmen student adjustment to college? (d) Do family functioning, perceived stress, and coping strategies predict freshmen student adjustment to college? One hundred and sixty seven college freshmen (ages 18- 23) were recruited from the departments of psychology at two large urban commuter colleges in the Northeast. Participants completed an online survey that was composed of a demographic information sheet and 5 questionnaires. The Undergraduate Stress Questionnaire (USQ; Crandall, Preisler, & Aussprung, 1992) was used to measure life event stress in college students. The Perceived Stress Scale (PSS; Cohen, Kamarck, & Mermelstein, 1983) was used to measure self-appraised levels of stress experienced in the last month. The 56-item Young Adult Coping Orientation for Problem Experiences (YACOPE; Patterson, McCubbin, & Grochowski, 1983) was used to assess coping styles of students. Students filled out the 42-item Family Adaptability and Cohesion Evaluation Scales (FACES-IV; Olson, Gorall, & Tiesel, 2007) to measure family cohesion and adaptability. Students also filled out the Student Adaptation to College Questionnaire (SACQ; Baker & Siryk, 1984), a 67-item self-report measure that assesses adjustment to college across four domains: 10 academic, social, personal/emotional, and goal commitment-institutional attachment. Overall, results suggest that freshmen students experience a number of stressors related to academics, finances, personal relationships, and other issues. Balanced family functioning was associated with specific coping strategies, mainly ones that are problem-focused. Coping strategies did not mediate the relationship between perceived stress and adjustment to college. However, academic adjustment, social adjustment, personalemotional adjustment, and institutional attachment were predicted by family functioning, stress, and specific coping strategies. Implications for personnel working with college freshmen such as mental health counselors are provided as well as directions for future research. Does the piece identify need to promote effective coping for stress in students? Yes, this piece identifies need to promote effective coping for stress in students. This piece indicates that freshmen students experience a number of stressors related to academics finances, personal relationships, and other issues. Does the piece theoretically define effective coping for stress? No, this piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? Yes, this piece tells us how to measure effective coping for stress. Assuming the reliability, utility, and validity of the tests, this piece indicates that the Undergraduate Stress Questionnaire, the Perceived Stress Scale, the 56-item Young Adult Coping Orientation for Problem Experiences, the 42-item Family Adaptability and Cohesion Evaluation Scales, along with the Student Adaptation to College Questionnaire and a 67-item self-report measure that assesses adjustment to college across four domains: academic, social, personal/emotional, and goal commitment-institutional attachment. Does the piece give us a program model or education that has shown to promote effective coping for stress? This piece does give us education that has shown to promote effective coping for stress. The piece indicates that mental health counselors are needed in order to help college freshman adjust in a variety of ways. Harvard School of Public Health (2014). Managing Stress: Protecting Your Health. Retrieved February 3, 2014 from Harvard School of Public Health’s website: http://theforum.sph.harvard.edu/events/managing-stress/ Abstract: Sustained over time, stress can undermine health in serious and sometimes deadly ways. In this Forum event, expert participants examined 11 what we know about the effects of stress on health, including heart disease risk, and about the role social status plays in exacerbating or mitigating these effects. In addition, panelists explored ways in which positive well-being, mindfulness, exercise and nutrition contribute to a more resilient, healthier lifestyle. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students. This piece indicates that sustained over time, stress can undermine health in serious and sometimes deadly ways. Also, it causes heart disease risk. Not included in the abstract, but after going to the link and watching the video, the speaker also indicates that over 70 percent of Americans report experiencing physical and psychological symptoms of stress. Does the piece theoretically define effective coping for stress? This piece does theoretically define effective coping for stress. Again, not included in the abstract, but after going to the link and watching the video, the speaker defines stress as something we feel when we can’t control things and those things that we can’t control have a negative impact on our physical wellbeing. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a model program or education shown to promote effective coping for stress? This piece does give us education shown to promote effective coping for stress; specifically, this piece discusses the importance of science, exercise, and mindfulness used in stress reduction. Also, this video drives home the idea that at the time it may feel like stress is individualistic, but in reality, it is a struggle between a person and his/her environment. Hayashino, D., Prince, J., Ratanasiripong, P. & Sverduk, K. (2010). Setting up the next generation biofeedback program for stress and anxiety management for college students: a simple and cost-effective approach. Retrieved February 3, 2014 from Northern Michigan University Library’s website: http://ezpolson.nmu.edu:5749/ps/i.do?action=interpret&id=GALE%7CA221 092141&v=2.1&u=lom_nmichu&it=r&p=AONE&sw=w&authCount=1 Abstract: The increasing prevalence of stress and anxiety on college campuses along with limited resources and budget reductions for many campuses has prompted the need for innovative approaches to help students effectively manage their stress and anxiety. With college students becoming more and 12 more technology-savvy, the authors present an innovative biofeedback program that can be easily implemented anywhere with minimal resources in a brief period of time. The program utilizes a portable, user-friendly biofeedback program to help students learn to take control of their stress and anxiety. Better management of stress and anxiety is expected to contribute to both the personal well-being and the academic success of students. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students. This piece indicates that stress and anxiety is highly prevalent among college students today. Numerous causes of stress and anxiety include academic pressure, adjustment to college life, financial concerns, family problems, as well as the underlying psychological issues of the individual student. College students have different coping styles and different abilities to manage their stress and anxiety. For many students, stressors during the college years will not interfere with academic performance in a significant way; but those with limited internal or external coping resources are at risk for academic failure and higher dropout rates. Several studies have shown a dramatic increase in the severity of psychological symptoms, including stress and anxiety, among college students seeking help for their mental health conditions (Kadison & DiGeronimo, 2004; Kitzrow, 2003). Does the piece theoretically define effective coping for stress? This piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. This piece indicates that various physiological processes such as muscle tension, blood pressure, breathing, heart rate, brain wave states, skin temperature, and skin conductance can be used to measure effective coping for stress. Does the piece give us a program model or education shown to promote effective coping for stress? This piece does give us a program model shown to promote effective coping for stress. This piece indicates that a biofeedback device is shown to promote effective coping for stress. 13 Hogan, P. (2014). Personal Interview. Abstract: Effective coping for stress is the ability to handle the demands of the threat in healthy ways. Two forms of coping are emotion-focused (palliative) and problem-focused (instrumental). Does the piece identify need to promote effective coping for stress in students? This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does theoretically define effective coping for stress. Effective coping for stress is the ability to handle the demands of the threat in healthy ways. Two forms of coping are emotion-focused (palliative) and problem-focused (instrumental). Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a program model or education shown to promote effective coping for stress? This piece does not give us a program model shown to promote effective coping for stress. Huljich, P. (2011). Stress Pandemic: The Lifestyle Solution. 9 Natural Steps to Survive, Master Stress & Live Well. Retrieved February 24, 2014 from http://www.stresspandemic.com/ Abstract: In short, the relentless pace and complexity of modern life has led us to forsake our privacy and our ability to live fully in the present moment. While stress is present in any life to varying degrees, it is now growing into a global problem of serious importance. Even people who wouldn’t describe themselves as “being under a lot of stress” still live in this complicated world and still encounter problems and challenges that inevitably give rise to stress. Stress negatively impacts how we experience our lives by preventing us from living in a state of contentment and fulfillment. Notice for yourself how difficult it is to feel content while you are managing some degree of stress. The truth is, it’s not possible. A state of contentment (or happiness, or whatever word we may use to describe a desirable condition) cannot coexist with real stress…According to the World Health Organization (WHO), currently one person in every four develops one or more mental disorders at some stage in life. Today, 450 million people globally suffer from mental disorders in both 14 developed and developing countries. According to the National Institute of Mental Health, an estimated 26.2 percent of Americans ago eighteen and older – about one in four adults – suffer from a diagnosable mental disorder in a given year. It is estimated that by 2020, depression will be the second greatest contributor to the global burden of disease. According to the WHO, suicide causes more deaths than homicide or war, with the global suicide rate up to 60 percent over the last forty-five years and an even more marked increase in the developed world. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students. According to the World Health Organization (WHO), currently one person in every four develops one or more mental disorders at some stage in life. Today, 450 million people globally suffer from mental disorders in both developed and developing countries. According to the National Institute of Mental Health, an estimated 26.2 percent of Americans ago eighteen and older – about one in four adults – suffer from a diagnosable mental disorder in a given year. It is estimated that by 2020, depression will be the second greatest contributor to the global burden of disease. According to the WHO, suicide causes more deaths than homicide or war, with the global suicide rate up to 60 percent over the last forty-five years and an even more marked increase in the developed world. Does the piece theoretically define effective coping for stress? This piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a program model or education that has shown to promote effective coping for stress? This piece does not give us a model or education that has shown to promote effective coping for stress. Klein, A. (2010.) Incoming college students rate emotional health at record low, annual survey finds. Retrieved January 31, 2014, from the Higher Education Research Institute’s website: http://heri.ucla.edu/pr-display.php?prQry=55 Abstract: Self-rated emotional health for incoming first-year students is at the lowest point since we first asked the question 25 years ago in 1985. The 15 percentage of students reporting that their emotional health was in the “highest 10%” or “above average” when compared to their peers dropped 3.4 percentage points from 2009, from 55.3% to 51.9%. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students; specifically, this piece indicates that self-rated emotional health for incoming first-year students is at the lowest point since the question was first asked 25 years ago in 1985. The percentage of students reporting that their emotional health dropped 3.4 percentage points from 2009 to 2010. Does the piece theoretically define effective coping for stress? This piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. Assuming reliability, validity, and utility of the test, this University used a CIRP Freshman Survey. This piece also indicates that the CIRP Freshman Survey is the largest and longest-running survey of American college students, stating that more than 15 million students have completed CIRP surveys at 1,900 colleges and universities Does the piece give us a program model or education shown to promote effective coping for stress? This piece does not give us a program model or education shown to promote effective coping for stress. McGonigal, K. (n.d.). A Whole New Way to Think About Stress that Changes Everything We’ve Been Taught. Retrieved February 8, 2014 from http://www.upworthy.com/a-whole-new-way-to-think-about-stress-that-changeseverything-weve-been-taught-2?c=reccon1 Abstract: It’s not stress that’s making you sicker, it’s stressing out about stress being stressful that’s actually the problem. (Video). Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students. In this video, McGonigal begins her talk with asking the audience what kind of stress they experienced within the last year. Over 180,000 people annually die from believing that stress is bad for them. Does the piece theoretically define effective coping for stress? This piece does not define effective coping for stress. 16 Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. This video indicates that the social stress test is a valid, reliable, and utilized test. Does the piece give us a model program or education that has shown to promote effective coping for stress? This piece does give us education that has shown to promote effective coping for stress. In this video, McGonigal discusses that people who don’t view stress as harmful don’t die from it. McLeod, S. (2009). Emotion Focused Coping. Retrieved February 18, 2014 from http://www.simplypsychology.org/emotion-focused-coping.html Abstract: Emotion-focused coping involves trying to reduce the negative emotional responses associated with stress such as embarrassment, fear, anxiety, depression, excitement and frustration. Does the piece identify need to promote effective coping for stress in students? This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does define effective coping for stress. Emotion-focused coping involves trying to reduce the negative emotional responses associated with stress such as embarrassment, fear, anxiety, depression, excitement and frustration. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a model program or education that has shown to promote effective coping for stress? This piece does not give us education that has shown to promote effective coping for stress. McLeod, S. (2010). Stress Management – Problem Focused Coping with Stress. Retrieved February 18, 2014 from http://www.simplypsychology.org/problemfocused-coping.html Abstract: Problem-focused coping targets the causes of stress in practical ways which tackles the problem or stressful situation that is causing stress, consequently directly reducing the stress. 17 Does the piece identify need to promote effective coping for stress in students? This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does define effective coping for stress. Problem-focused coping targets the causes of stress in practical ways which tackles the problem or stressful situation that is causing stress, consequently directly reducing the stress. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a model program or education that has shown to promote effective coping for stress? This piece does not give us education that has shown to promote effective coping for stress. McPherson, A. (2012). College Student Life and Financial Stress: An Examination of the Relation Among Perception of Control and Coping Styles on Mental Health Functioning. Retrieved January 31, 2014 from North Carolina State University’s website: http://repository.lib.ncsu.edu/ /ir/bitstream/1840.16/7493/1/etd.pdf Abstract: Past research indicates that mental health problems of university students are on the increase. The transition to college is easy for some students, but for many others the shift can be very stressful. The college years are also a time during which most students get their first opportunity to manage money. Financial stress has been defined as the unpleasant feeling that one is unable to meet financial demands, cannot afford the necessities of life, and has insufficient funds to make ends meet (Davis & Mantler, 2004). Given the potential stress one may experience while transitioning to college in addition to the high amount of life and financial stress experienced in college, university and college students may be at increased risk for psychological problems compared to same-aged peers (Bouteyre, Maurel, & Bernaud, 2007; Dwyer & Cummings, 2001; Smyth, Hockemeyer, Heron, Wonderlich, & Pennebaker, 2008). One way to prevent poor psychological adjustment resulting from general life stress as well as financial stress would be to help college students develop skills necessary to cope with the impact of each stressor. Studies have suggested that individuals use different coping styles depending on the stressor faced. In general, studies have indicated that coping efforts intended to alter the source of stress by acting on it directly (problemfocused coping) tend to be used more often with events appraised as controllable, while palliative coping strategies to modulate emotional reactions (emotion-focused coping) are used more often with events 18 perceived as beyond personal control. The present study was designed to investigate the differential effects of coping style and perception of control on managing life stress and financial stress in a sample of undergraduate college students. Using regression analyses, the current study provides support that college students experience life and financial stress, and that those who indicated feeling stressed were also experiencing symptoms of depression and anxiety. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress in students. This piece indicates that mental health problems of University students are increasing. Specifically, this piece indicates that financial and life stress are factors. Does the piece theoretically define effective coping for stress? This piece does theoretically define effective coping for stress. This piece indicates that financial stress is an unpleasant feeling that one is unable to meet financial demands, cannot afford the necessities of life, and has insufficient funds to make ends meet (Davis & Mantler, 2004). Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. This piece indicates that regression analyses are a valid measurement of effective coping for stress. Does the piece give us a program model or education shown to promote effective coping for stress? This piece does give us education shown to promote effective coping for stress. This piece indicates that problem-focused coping and emotion-focused coping are used together to promote effective coping for stress. Michigan State University Extension (2011). RELAX: Alternatives to Anger. Retrieved February 3, 2014 from Michigan State University’s website: http://msue.anr.msu.edu/program/info/alternatives_to_anger Abstract: The goal of RELAX: Alternatives to Anger is to help young people, parents and caregivers foster health relationships so they can live, learn and grow in a safe, affirming and fair environment free from violence, abuse, bullying and harassment. Youth, parents, and caregivers will learn to better manage their anger and stress at home and in the workplace. Does the piece identify need to promote effective coping for stress in students? 19 This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a program model or education shown to promote effective coping for stress? This piece does give us a program model or education shown to promote effective coping for stress. This piece discusses an Alternatives to Anger class that focuses on presentations, group discussion and skill-building activities, participants will learn what anger is, what triggers anger, calming down and de-stressing methods, the principles of problem solving, effective communication skills and forgiving and letting go of the past. (We are assuming, with this piece, that anger and stress have a positive correlation). National Health Ministries (2006). Stress & The College Student. Retrieved February 3, 2014 from University of Illinois at Chicago’s website: http://www.uic.edu/depts/wellctr/docs/Stress%20and%20the%20College %20Student.pdf Abstract: This simple guide uses materials adapted from several college campuses with active stress reduction programs. It explores the origins of stress and provides some basic ways to assess the level of stress you may be feeling and then suggests some easy-to-incorporate ways to decrease the levels of stress. Does the piece identify need to promote effective coping for stress in students? This piece does identify need to promote effective coping for stress. This piece indicates that college students are feeling more overwhelmed and stressed than fifteen years ago, according to a recent UCLA survey of college freshman. More than 30% of all college freshman report feeling overwhelmed - a great deal of the time. Thirtyeight percent of college women report feeling frequently overwhelmed. Does the piece theoretically define effective coping for stress? This piece does theoretically define effective coping for stress. This piece indicates that stress is simply the body's non-specific response to any demand made on it. Stress is not by definition synonymous with nervous tension or anxiety. Stress provides the means to express talents and energies and pursue happiness; it can also cause 20 exhaustion and illness, either physical or psychological; heart attacks and accidents. Furthermore, individuals who are stressed are more likely to have accidents – including those involving motor vehicles, and, to be more careless with seatbelt use. According to the Centers for Disease Control and Prevention (CDC), 7.8% of men and 12.3% of women ages 18-24 report frequent mental distress – a key indicator for depression and other mental disorders. Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. This piece indicates that the College Readjustment Rating Scale is a Rutgers University (Health Services)* adaptation of Holmes and Rahe's Life Events Scale that is highly used and well excepted for measuring stress. Does the piece give us a model program or education that has shown to promote effective coping for stress? This piece does give us education that has shown to promote effective coping for stress. This piece indicates to structure each day to include a minimum of 20 minutes of aerobic exercise, eat well-balanced meals, more whole grains, nuts, fruits and vegetables, substitute fruits for desserts, avoid caffeine because the substance may aggravate anxiety, insomnia, nervousness and trembling, reduce refined sugars because excess sugars cause frequent fluctuation in blood glucose levels, adding stress to the body's physiological functioning, reduce alcohol and drugs because these substances may add to headaches, swelling, decrease coping mechanisms, and add to depression, get at least 7 hours of sleep nightly, spend time each day with at least one relaxation technique imagery, daydreaming, prayer, yoga or meditation, take a warm bath or shower, go for a walk, get in touch by hugging someone, holding hands, or stroking a pet because physical contact is a great way to relieve stress. This piece has great palliative coping skills for education. Red Orbit (2005). Task-Oriented Versus Emotion-Oriented Coping Strategies: the Case of College Students. Retrieved February 8, 2014 from http://www.redorbit.com/news/health/141147/taskoriented_versus_emotionorie nted_coping_strategies_the_case_of_college_students/ Abstract: The study examined the relationships between stress and coping strategies among 283 college students. Participants completed questionnaires relating to their stress perceptions, actual academic loads and their coping strategies. The main objective was to explore the effect of stress perceptions on coping behavior while accounting for objective loads and demographic parameters. Multilevel analyses revealed several indications: first, students’ coping behavior could be predicted from their reported stress perceptions 21 and their appraisals of their academic-related stress levels; second, students employed mainly task- and emotion-oriented coping strategies; and finally, students’ age was a significant factor in determining their coping behavior. Our findings suggest that, in stressful environments, each of the coping strategies functions independently, with the type of strategy adopted depending largely on the specific profile of each student’s stress perceptions and demographic characteristics. This study examined the relationships between stress and coping strategies among college students. Participants completed questionnaires relating to their stress perceptions, actual academic loads and their coping strategies. The main objective was to explore the effect of stress perceptions on coping behavior, while also accounting for objective loads and demographic parameters. Does the piece identify need to promote effective coping for stress in students? This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does not theoretically define effective coping for stress. Does the piece tell us how to measure effective coping for stress? This piece does tell us how to measure effective coping for stress. In this piece, a study was conducted using questionnaires, assuming their reliability, utility, and validity. Does the piece give us a program model or education shown to promote effective coping for stress? This piece does give us education shown to promote effective coping for stress. This piece indicates that coping behavior could be predicted from students’ reported stress perceptions and their appraisals of their academic-related stress levels, that students who are employed mainly use task and emotion-oriented coping strategies, and students’ age was a significant factor in determining how they cope. The findings suggest that, in stressful environments, each of the coping strategies functions independently, with the type of strategy adopted depending largely on the specific profile of each student’s stress perceptions and demographic characteristics. Wikipedia (2014). Coping (psychology). Retrieved February 8, 2014 from http://en.wikipedia.org/wiki/Coping_%28psychology%29 22 Abstract: In psychology, coping is expending conscious effort to solve personal and interpersonal problems, and seeking to master, minimize or tolerate stress or conflict. Psychological coping mechanisms are commonly termed coping strategies or coping skills. Unconscious or non-conscious strategies (e.g., defense mechanisms) are generally excluded. The term coping generally refers to adaptive or constructive coping strategies, i.e., the strategies reduce stress levels. However, some coping strategies can be considered maladaptive, i.e., stress levels increase. Maladaptive coping can thus be described, in effect, as non-coping. Furthermore, the term coping generally refers to reactive coping, i.e., the coping response follows the stressor. This contrasts with proactive coping, in which a coping response aims to head off a future stressor. Coping responses are partly controlled by personality (habitual traits), but also partly by the social context, particularly the nature of the stressful environment. Does the piece identify need to promote effective coping for stress in students? This piece does not identify need to promote effective coping for stress in students. Does the piece theoretically define effective coping for stress? This piece does theoretically define effective coping for stress. The piece indicates that in psychology, coping is expending conscious effort to solve personal and interpersonal problems, and seeking to master, minimize or tolerate stress or conflict. The piece goes on to explain that some coping strategies can be maladaptive, which will increase stress levels. Furthermore, it explains, the term coping generally refers to reactive coping which can be defined as the coping response following the stressor. Does the piece tell us how to measure effective coping for stress? This piece does not tell us how to measure effective coping for stress. Does the piece give us a program model or education shown to promote effective coping for stress? This piece gives us education shown to promote effective coping strategies. This piece suggests that reactive coping is a much better strategy to utilize than reactive coping. Also, that taking personality into account is important because it describes how different people can react differently in the same environment. 23 Section 3: Synthesis of the Literature 7. Assessing General Need (Literature Review) to Promote Effective Coping for Stress in Students What is the need for our mission? Freshmen students experience a number of stressors related to academics finances, personal relationships, and other issues (Gefen, n.d.). Over 70 percent of Americans report experiencing physical and psychological symptoms of stress (Harvard School of Public Health, 2014). Several studies have shown a dramatic increase in the severity of psychological symptoms, including stress and anxiety, among college students seeking help for their mental health conditions (Hayashino, D., Prince, J., Ratanasiripong, P. & Sverduk, K., 2010). While stress is present in any life to varying degrees, it is now growing into a global problem of serious importance. Even people who wouldn’t describe themselves as “being under a lot of stress” still live in this complicated world and still encounter problems and challenges that inevitably give rise to stress. Stress negatively impacts how we experience our lives by preventing us from living in a state of contentment and fulfillment (Huljich, 2011). Self-rated emotional health for incoming first-year students is at the lowest point since the question was first asked 25 years ago in 1985 and the percentage of students reporting that their emotional health dropped 3.4 percentage points from 2009 to 2010 (Klein, 2010). Over 180,000 people annually die from believing that stress is bad for them (McGonigal, n.d.). College students are feeling more overwhelmed and stressed than fifteen years ago, according to a recent UCLA survey of college freshman. More than 30% of all college freshman report feeling overwhelmed - a great deal of the time. Thirty-eight percent of college women report feeling frequently overwhelmed (National Health Ministries, 2006). 8. Theoretical Definition of Effective Coping for Stress What is the way we theoretically define effective coping for stress? Effective coping for stress is the ability to handle the demands of the threat in healthy ways. Two forms of coping are emotion-focused (palliative) and problem-focused (instrumental) (Hogan, 2014). Emotionfocused coping involves trying to reduce the negative emotional responses associated with stress such as embarrassment, fear, anxiety, depression, 24 excitement and frustration (McLeod, 2009). Problem-focused coping targets the causes of stress in practical ways which tackles the problem or stressful situation that is causing stress, consequently directly reducing the stress (McLeod, 2010). 8a. Model of Effective Coping for Stress What is a model shown to reflect the theoretical definition of effective coping for stress? McLeod, 2009 McLeod, 2009 9. Dependent Variable Test What is a test shown to measure our definition of effective coping for stress? 25 COPE INVENTORY (Carver, 2014 & revised by Frederickson, 2014) Recall a few stressful situations that have happened to you. Then respond to each of the following items by blackening one number on your answer sheet for each, using the response choices listed just below of how you chose to handle those problems. Choose your answers thoughtfully, and make your answers as true FOR YOU as you can. Please answer every item. There are no "right" or "wrong" answers, so choose the most accurate answer for YOU--not what you think "most people" would say or do. Indicate what YOU usually do when YOU experience a stressful event. 1 = I usually don't do this at all 2 = I usually do this a little bit 3 = I usually do this a medium amount 4 = I usually do this a lot Questions 1-5: Measuring problem-focused coping for stress. 1. I try to come up with a strategy about what to do. 2. I try to put myself in the other person’s shoes, so to speak. 3. I do something to take my mind off of the problem, but make sure to return to the problem later. 4. I try to think about the problem from a new perspective. 5. I go to a therapist for help. Questions 6-18: Measuring emotion-focused coping for stress. 6. I find humor in the situation. 7. I listen to music to take my mind off of the problem. 8. I visit a spa for a massage, manicure, or pedicure to try and relax. 9. I take a walk outside and take in the nature around me. 10. I go to the gym and work out to relieve my stress. 11. I let my feelings out. 12. I do yoga to calm my body and mind. 26 13. I find comfort in a hobby or sport. 14. I talk to someone about how I feel. 15. I pray about it. 16. I accept that this has happened and that it can’t be changed. 17. I pretend that it hasn't really happened. 18. I use alcohol, drugs, or cigarettes to help get me through the stress of the situation. SCORING THE COPE INVENTORY 9a. Test Validity Test Validity – A test is valid if it measures what it purports to measure and our test is valid because it reflects our theoretical definition of effective coping for stress. 9b. Test-Retest Reliability 27 Test Reliability - We will give our test to a HP200 class on a Monday and then again on a Wednesday. Scores will be similar and will therefore make our test reliable. 9c. Identifying Measurable Objectives (Using a Valid Test to Determine How Much of Effective Coping for Stress is in Students) Assess Specific Need on COPE INVENTORY Students will go from a total score of 30/64 to 50/64 by the end of the 16-week program. Students will go from a score of 8/20 to 13/20 on the problem-focused component of the test by the end of the 16-week program. Students will go from a score of 20/52 to 37/52 on the emotion-focused component of the test by the end of the 16-week program. Identify Measurable Objectives 28 9d. Planning an Evidence Based Program and Implementation Plan Which program model will we use? Model Program: Alternatives to Anger By: Michigan State University Extension The Michigan State University Extension’s anger management training program RELAX: Alternatives to Anger is designed to actively engage adult learners in a group setting to increase knowledge and skills around anger management and give them constructive ways to deal with anger. Aspects of promoting social emotional health are woven throughout the training and include expressing emotions, navigating stress, resolving interpersonal conflict, taking another’s perspective, feeling capable and whole and building skills for forming and maintaining satisfying, healthy and supportive relationships. Our Program: Alternatives to Stress Adapted from MSU Extension’s Alternatives to Anger By: Jamie Frederickson The Northern Michigan University’s stress management class Alternatives to Stress is designed to actively engage students in a group setting to promote effective coping for stress through education. Aspects of promoting instrumental and palliative coping are woven throughout the class and include components from each type of effective coping for stress and the program utilizes both right and left brain activities. Sixteen Lessons 1. Defining Stress – An Overview 2. Planning & Time Management Four Lessons 3. Cognitive Restructuring 1. What is anger? Defining anger and 4. Expanding Horizons – Hobbies* Recognizing your anger signals. 5. Using Music 2. Calming down and de-stressing. 6. Express Your Emotions Effectively Learning how to RELAX when you are 7. Using Yoga & Meditation to De-Stress* angry or stressed. 8. Problem Solving 3. Four principles of problem solving. 9. Work Out with the Wildcats-Exercise* Learning to Empathize with and Listen 10. Accepting Stress & Using Nature to others, and Accepting that their anger 11. Relaxing – Spa Treatment* is not about you. 12. Let the Laugh Out - Humor 4. Forgiving and letting go of the past. “X- 13. Your Type of Stress - Therapy ing” out the past. Staying in the present, 14. Your Type of Stress – Therapy 29 and putting the concepts of R.E.L.A.X. into practice. Lesson 1 (Week 1): What is anger? Objectives: Participants will be able to define anger, Recognize and name their on anger signals, and explore ways people use anger constructively and destructively. To Do: Discuss what anger is, styles of anger management, how parents show anger, how to Recognize your anger skills, tell a story of the “Angry Boy,” discuss what the weight of anger feels like, Anger is normal, Destructive VS Constructive Anger, tell a story of the train on the track, Think: If you can change just one thing, your life will be different. What is ONE thing you will do differently after tonight’s class? Homework: Find stories from the news or real life situations about people who used their anger in: Destructive AND Constructive ways. Bring the stories to class next time we meet so we can discuss them (Continued) 15. Denial & Substance Use 16. Using Your Social Support Network *Indicates that Guests will Participate Lesson 1 (Week 1): Defining Stress – An Overview Objectives: Students will be able to define stress, recognize causes of stress, and explore ways people use palliative and instrumental coping effectively. To Do: Handout Pretests, discuss what stress is, the difference between palliative and instrumental coping, types of palliative and instrumental coping, how people handle stress, Think: If you can change just ONE thing, you may not be stressed. What is ONE thing you will do differently after tonight’s class to be less stressed? Homework: Fill out Worksheet on types of coping and write a 1 page report on what you change to become less stressed. Due next week. Handouts for this Lesson: Pretest Coping Inventory for Stress, Key Points of Stress, Coping Worksheet Handouts for this Lesson: My Anger Management Style: Part 1 & Part 2, Key Points of Anger Lesson 2 (Week 2): Planning & Time Management 30 Objectives: Students will discover what it really means to be organized and how to utilize their time efficiently. To Do: Collect homework from previous week, discuss types of planning, the need for having a planner in school, how stress affects planning and being on time and vise-versa, show TED video “One Second Every Day” by Cesar Kuriyama Homework: Watch & Summarize in ½ page “As Work Gets More Complex, 6 Rules to Simplify” by Yves Morieux Lesson 3 (Week 3): Cognitive Restructuring Objectives: Students will learn how to look at situations from different points of view and how it applies to instrumental coping for stress. To Do: Collect homework from previous week, pass back homework from previous week, split students into groups of 3-4 and have them do Scenarios Worksheet for 30 minutes, then discuss the answers to the worksheet and how it applies to their lives Handouts for this Lesson: Scenarios Worksheet Homework: Try this week to think about situations in different ways. Nothing written due for the next week. Lesson 4 (Week 4): Expanding Horizons – Hobbies* Objectives: Students will learn about the different groups on campus that can help expand their social circles, strive academically, and utilize an effective way 31 to palliative coping for stress. To Do: Pass back homework from previous week, 4+ groups from Northern Michigan University discuss their groups and why students should join them Homework: Write a ½-1 page report on a group at NMU that you’re in or interested in joining. Lesson 5 (Week 5): Musical Engagements Objectives: Students will learn how to use their musical tastes as a way for palliative coping for stress. To Do: Collect homework from previous week, show TED videos “Shh! Sound health in 8 steps” by Julian Treasure and “How Schools Kill Creativity” by Ken Robinson and write ½ page summary of each video and what it means to you, hand out schedules on current plays, concerts, and musicals put on by Northern Michigan University and highlight ones that interest you. Handouts for this Lesson: Current Schedule of NMU Events Homework: Pick one song and write a ½ page report on what the song means to you. Lesson 2 (Week 2): Calming down and Lesson 6 (Week 6): Expressing Your de-stressing. Emotions Effectively Objectives: Adults will be aware of the Objectives: Students will be aware of the effects of anger and stress on the brain effects of stress on the brain and will and will demonstrate ways to calm down demonstrate ways to de-stress and de-stress when angry To Do: Collect and hand back homework, To Do: The Anger Thermometer, Discuss Go over The Stress Thermometer 32 how you react matters, quiz on sources of stress and how stress effects you, cortisol, road rage, what’s on your plate?, the story of Solomon Islanders, Ways to calm down worksheet, Anger Ball, Mailbox Story, Fight or Flight, how you can tell someone you’re angry, “I Statements”, Say this-Not that, 10 penny trick worksheets, Have students take Sources of Stress Quiz, Discuss the effect of Cortisol on the brain, have students do the What’s on your plate? Worksheet, Discuss Fight or Flight, Discuss Stress!!! Worksheets, road rage Handouts for this Lesson: The Stress Thermometer Worksheets, Sources of Stress Self-Quiz, bring jar of water and dirt, What’s on your plate?, Stress!!! Worksheets Handouts for this lesson: The Anger Thermometer, Sources of Stress quiz, How stress affects you quiz, what’s on your plate?, Finding Ways to Calm Down, Homework: Try this week to think about What sets you off?, Stress!!! your emotions and how you react to different situations. Nothing written due, but make sure to wear comfortable clothes to do yoga in for next week. Lesson 7 (Week 7): Using Yoga & Meditation to De-Stress* Objectives: Students will learn how yoga and meditation can be utilized as a palliative coping technique for stress To Do: Yoga Instructor will come into the classroom and do a beginning yoga lesson with the class Lesson 3 (Week 3): Four principles of problem solving. Objectives: Adults will be able to name the four principles of problem solving and will demonstrate positive communication skills To Do: Go over the four principles of problem solving: keep your cool, don’t take it personally, listen to the person Homework: Try this week to use meditation and yoga techniques to destress, such as deep breathing. Nothing written due for next week. Lesson 8 (Week 8): Problem Solving Objectives: Students will be able to name the four principles of problem solving and will demonstrate positive communication skills To Do: Go over the four principles of problem solving: keep your cool, don’t take it personally, listen to the person who is stressed, think of solutions 33 who is angry, think of solutions together, why people don’t listen, two points of view, in-laws, mind reading, problem solving Handouts: The Four Principles of Problem Solving, Reasons Why People Don’t Listen, Reasns Why Children Don’t Listen, How to Fight Fairly Homework: When a situation arises where you’d normally get angry, try to put the four principles of problem solving into practices. We will be sharing these stories next week. together, why people don’t listen, two points of view, mind reading, problem solving Handouts: The Four Principles of Problem Solving, Reasons Why People Don’t Listen, How to Fight Fairly Homework: When something stresses you out this week, try to use the four principles of problem solving and write a 1 page report on the issue and how you used the principles to solve the issue. Wear comfortable attire next week – something that you would work out in. Lesson 9 (Week 9): Work Out with the Wildcats Objectives: Students will work out in order to promote better physical health and emotional health and understand it as a way of palliative coping for stress To Do: Collect homework. The NMU Basketball team will meet the class in the PEIF and teach them different ways to effectively work out and stay in shape. Homework: Try to get physical activity into your weekly habits. Nothing written due for next week. Lesson 4 (Week 4): Forgiving and letting go of the past Objectives: to explore resources that will aid in forgiving others, to acquire skills to put knowledge of the RELAX method into play Lesson 10 (Week 10): Accepting Stress & Using Nature Objectives: to explore resources that will aid in accepting stress and learning to use nature as a way of opening up the mind To Do: What it means to “X out the past,” the four myths of forgiving, thoughts on forgiving and letting go of the past, Do To Do: Pass back homework, What it means to “X out the past,” the four myths of forgiving, DO you drive your car using 34 you drive your car using only the rearview mirror?, Letting go ritual, RELAX concepts, Just one, Where to go for more help, Evaluations, Certificates Handouts for this Lesson: Your thoughts on forgiving, four myths of forgiving, Scenarios of RELAX, Where to GO for more help only the rearview mirror?, Letting go ritual, watch & sum “9 Life Lessons from Rock Climbing” by Matthew Childs Handouts for this Lesson: four myths of forgiving Homework: Write 1 page about where you would go if you could go anywhere in the world and why. Lesson 11 (Week 11): Relaxing – Spa Treatment* Objectives: to learn how spa techniques can de-stress our body and mind through palliative coping for stress To Do: Collect homework. Three different massage therapists will be coming in and giving 15 minute massages to students who wish to have it done and a manicurist will come in to do nails to those students who wish to have them done. Homework: Watch TED’s “How to Make Stress your Friend” by Kelly McGonigal and summarize in ½ page. Watch TED’s “The Hidden Power of Smiling” by Ron Gutman and summarize in ½ page. Due for next week. Lesson 12 (Week 12): Let the Laugh Out - Humor Objectives: Students will learn to find humor in situations, to let things go, and use humor constructively as a way of palliative coping for stress. To Do: Collect and pass back homework. Watch TED’s “Less Stuff, More Happiness” by Graham Hill and summarize ½ page. Discuss the benefits of laughing on your body and mind. Divide students into 3-4 people per 35 group and hand out worksheet on scenarios of humor. Handouts for this Lesson: Worksheet on Scenarios of Humor, Benefits of Laughing worksheet Homework: No written homework due next week. Please sign up for a time within the next 2 weeks for meeting with you for 15 minutes. Thank you! No class for next week unless you have a meeting. Lesson 13 (Week 13): Your Type of Stress - Therapy Objectives: Students will understand their type of stress and the effects that it has on them personally. To Do: Students will meet, on their time, with the instructor and the isntructor will take their weaknesses from the pretest Coping Inventory and go over with each student individually what they can do to help their coping strategies for 15 minutes per student. Homework: None due for next week, no class next week unless you have a meeting. Lesson 14 (week 14): Your Type of Stress - Therapy To Do: See previous week Homework: None due for next week. Class will meet as usual for week 15. Lesson 15 (Week 15): Denial & Substance Use Objectives: Students will learn the dangers of substance abuse and denial, along with how mixing stress with these things can be very harmful To Do: Pass back homework. Watch “Generation Rx – Documentary” on 36 YOUTUBE, summarize ½ page. Discuss denial and its harms. Do worksheet individually on denial. Handouts for this Lesson: Denial handout Homework: Watch on YOUTUBE “Defeat Denial: Be open about your mental health” by Mark Freeman and summarize in 1 page. Lesson 16 (week 16): Using Your Social Support Network Objectives: Students will learn to recognize who is there for them to talk to when they need to de-stress To Do: Collect and pass back homework. Pass out Posttests for students to take. Have students write down ten people that they can talk to about anything that they’re stressed about and discuss social networking today and its harms/benefits. Handouts for this Lesson: Posttest 9e. Apps for your phone What apps are out there that will help with programming? (Photo Source: otswithapps.com) The first step in dealing with stress is figuring out exactly what causes it. Isolating the problem moments and situations can make it easier to focus on avoiding and managing them. Stress Tracker (Free, iPhone) helps you keep tabs on your encounters with stress so you can trace them to the source and figure out how to best cope with or avoid them. Dillinger, A.J. (2014). 8 Apps That Help Relieve Stress. Retrieved March 19, 2014 from http://www.maclife.com/article/gallery/8_apps_help_relieve_stress#slide-0 37 According to the Cleveland Clinic Stress Mediation ($0.99, iPhone) app, up to 90 percent of all doctor's office visits are related to stress. The app is designed to keep you out of the waiting room and in the right state of mind, with eight unique guided meditations designed to reduce stress and return control to you in any situation. (Photo Source: My.clevelandclinic.org) Dillinger, A.J. (2014). 8 Apps That Help Relieve Stress. Retrieved March 19, 2014 from http://www.maclife.com/article/gallery/8_apps_help_relieve_stress#slide-0 Each person responds to stress in a different way. It may kick up anxiety in some while activating anger in others. No matter your response, breathing exercises can help regulate the reaction and stabilize moods. Breathe2Relax (Free, Universal) will walk you through diaphragmatic breathing techniques that can calm any situation. (photo source: Play.google.com) Dillinger, A.J. (2014). 8 Apps That Help Relieve Stress. Retrieved March 19, 2014 from http://www.maclife.com/article/gallery/8_apps_help_relieve_stress#slide-0 It's amazing how something we usually consider to be background noise can actually have an impact in our lives. The idea behind White Noise ($1.99, iPhone) is that common ambient sounds can calm the mind. It offers over 40 familiar looped sounds that can ease nerves, offer stress relief, and block out distractions. (photo source: Play.google.com) Dillinger, A.J. (2014). 8 Apps That Help Relieve Stress. Retrieved March 19, 2014 from http://www.maclife.com/article/gallery/8_apps_help_relieve_stress#slide-0 9f. First do NO harm and then do good 38 What safety considerations for our program are there? We do not foresee any safety considerations for our program since it is all done through NMU. Perhaps a liability waiver may be needed in case something were to happen so that Northern doesn’t get sued, but because it is just a class that they are enrolling in, we don’t foresee a need for that. 9g. Social Cognitive Theory Light 39 Section 4: Evaluation Design/Mission Fit 10. What evaluation design will we use? Pretest Posttest Control Group 40 11. Internal validity has to do with our ability to say that our education, intervention, and program caused students to experience effective coping for stress, and not something else. What threats to internal validity accompany the design we selected in #10? The students in our target population are given the option to take the class and due to this, there is no random selection process that occurs, which threatens our internal validity of the program. Self-selection is a threat to our program. 41 12. Evaluation in program planning is about mission fit. What is our mission fit question and what is the evidence that we met our mission? 42 Section 5: Marketing and Communication 13. How can we use social media or traditional media to market our program (make our target populations aware that it exists and make them want to come to the program)? We will market our program through a commercial and posters posted around Marquette, MI and on Northern Michigan University’s Campus. Our social marketing campaign can also be executed through advisors with incoming Freshman students, as the program is extremely useful during the first year of education on a college campus. The goal of our social marketing campaign is to promote effective coping for stress and to promote our Alternatives to Stress program. Visit: http://NMUalternativestostress.weebly.com Photo Source: http://www.n mu.edu/ healthpromotio ns/node/ 14. How can we use social media or traditional media to communicate with students about the program? Because students are most commonly using social media such as Instagram, Twitter, and Facebook, we will post our posters on these websites as well as running our commercial advertisement. 43 Section 6: Granting Agency 15. Identify a granting agency to help us fund our program. Indicate the agency and the mission and tell what the grant is and how it is compatible with our mission. Student Health 101 Award The American College Health Foundation’s Student Health 101 Award was established to support creative efforts to improve and promote projects in health promotion on college campuses that have measurable results. The college environment is an important place and opportunity to engage young adults and influence them to establish life-long healthy habits, while avoiding behaviors with adverse consequences. Health promotion delivered in creative ways with measurable outcomes is an invaluable tool. The StudentHealth 101 Award is designed to fund the development of a creative initiative that involves student peers in an effort to promote healthy behaviors. Visit: http://www.acha.org/achf/funding_awards.cfm 44 Section 7: Webliography Carver, C.S. (2014) Cope. Retrieved February http://www.psy.miami.edu/faculty/ccarver/sclCOPEF.html 25, 2014 from Familant, D.L. (1990). Facilitating coping and self-efficacy in first-semester college Students through psychoeducation. Retrieved February 8, 2014 from http://surface.syr.edu/psy_etd/108/ Forneris, T., Stewart-Stanec, A., & Theuerkauf, B. (2010). Yoga in School Communities. Retrieved February 3, 2014 from the Northern Michigan University’s website: http://ezpolson.nmu.edu:5749/ps/retrieve.do?retrieveFormat=PDF_FROM_CALLIS TO&accesslevel=FULLTEXT_WITH_GRAPHICS&inPS=true&prodId=AONE&userGrou pName=lom_nmichu&tabID=&workId=PI-1AIC-2010-J-F00-IDSI-11.JPG%7CPI1AIC-2010-J-F00-IDSI-12.JPG%7CPI-1AIC-2010-J-F00-IDSI13.JPG&docId=GALE%7CA218119884&callistoContentSet=PER&isAcrobatAvailable =true Gefen, D.R. (n.d.). Adjustment to college: The relationship among family functioning, Stress, and coping in non-residential Freshman students. Retrieved February 8, 2014 from http://udini.proquest.com/view/adjustment-to-college-thegoid:763431048/ Harvard School of Public Health (2014). Managing Stress: Protecting Your Health. Retrieved February 3, 2014 from Harvard School of Public Health’s website: http://theforum.sph.harvard.edu/events/managing-stress/ Hayashino, D., Prince, J., Ratanasiripong, P. & Sverduk, K. (2010). Setting up the next generation biofeedback program for stress and anxiety management for college students: a simple and cost-effective approach. Retrieved February 3, 2014 from Northern Michigan University Library’s website: http://ezpolson.nmu.edu:5749/ps/i.do?action=interpret&id=GALE%7CA221 092141&v=2.1&u=lom_nmichu&it=r&p=AONE&sw=w&authCount=1 Hogan, P. (2014). Personal Interview. Huljich, P. (2011). Stress Pandemic: The Lifestyle Solution. 9 Natural Steps to Survive, Master Stress & Live Well. Retrieved February 24, 2014 from http://www.stresspandemic.com/ 45 Klein, A. (2010.) Incoming college students rate emotional health at record low, annual survey finds. 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Retrieved February 8, 2014 from http://en.wikipedia.org/wiki/Coping_%28psychology%29 46 Section 8: Reflection This project challenged our understanding of program planning and evaluation techniques and how to use the Missimer Model to create a sustainable program. We were able to engage ourselves in an innovative way that explored critical thinking and creativity, thus allowing us to indulge ourselves into literature and articles while still working together as a team. Due to the time constraint, we were able to understand what it would be like out of a college setting to have a deadline and were capable of achieving that goal. We ran into a few snags and had some troubles, but overall, we learned to overcome the obstacles that formed and found the experience important for our future endeavors. Because our project specifically dealt with stress and how students should cope with it, it was important that after learning the techniques we used in our model program to see that we could use these techniques as well. As we moved forward with our project, we kept reminding ourselves of the gratification of the end result and now that we have achieved it, we are very proud of our work and satisfied to have all of the hours put into this project. 47