W E B Version L S T Pilot Program May 2009


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W E B Version L S T Pilot Program May 2009

  1. 1. Life Skills Training Pilot Project Welcome Everyone! May 25, 2009
  2. 2. An Exciting Partnership of … <ul><li>Manitoba Justice </li></ul><ul><li>Healthy Child Manitoba Office </li></ul><ul><li>Manitoba Education, Citizenship and Youth </li></ul><ul><li>… </li></ul><ul><li>To initiate a Random Control Trial LST Pilot Schools from throughout Manitoba </li></ul>
  3. 3. Pilot Project Committee <ul><li>HCMO- Teresa Mayer- Sr. Data & Statistical Analyst </li></ul><ul><li>Rob Santos- Scientific Senior Policy Advisor </li></ul><ul><li>Tina Moody- Program and Policy Consultant </li></ul><ul><li>JUS- Beth Ulrich- Director, Crime Prevention </li></ul><ul><li>MECY- Carole Bilyk- Acting Coordinator, Development Unit, Instruction Curriculum and Assessment Branch </li></ul><ul><li>Brian Hatherly- PE/HE Consultant </li></ul>
  4. 4. Agenda <ul><li>Introductions </li></ul><ul><li>Ice Breaker Activity </li></ul><ul><li>LST Program Overview </li></ul><ul><li>RCT- What does this mean? </li></ul><ul><li>Evaluation and data collection </li></ul><ul><li>Forms “101” </li></ul><ul><li>Program timelines </li></ul><ul><li>Expectations/commitments of participating schools </li></ul><ul><li>Announcing … Intervention and Control Schools! </li></ul><ul><li>Other: </li></ul><ul><ul><li>Expense forms </li></ul></ul><ul><ul><li>Exit slip </li></ul></ul>
  5. 5. Background: <ul><li>The Life Skills Training program was brought forward as one of many current community initiatives to address crime prevention. The LST program is encouraged through Public Safety Canada (NCPC). </li></ul><ul><li>The Life Skills Training Pilot Project is being evaluated as a crime prevention strategy within Manitoba schools. </li></ul>
  6. 6. Healthy Kids, Healthy Futures, All-Party Task Force Report <ul><li>Key Area Recommendations included: </li></ul><ul><li>Physical activity </li></ul><ul><li>Nutrition </li></ul><ul><li>Substance use and abuse prevention </li></ul><ul><li>Injury prevention </li></ul><ul><li>Mental health and wellness </li></ul><ul><li>… to list a few. </li></ul>
  7. 7. Further Background <ul><li>Today’s youth are surrounded by a variety of decisions that can lead to unhealthy choices related to the risk factors on the previous slide. </li></ul>
  8. 8. Overview: Life Skills Training … <ul><li>…is a research-validated substance abuse prevention program proven to decrease the risky behaviors associated with: </li></ul><ul><li>alcohol </li></ul><ul><li>drug </li></ul><ul><li>tobacco </li></ul><ul><li>violence </li></ul>
  9. 9. Overview: Life Skills Training … <ul><li>The Life Skills Training program reduces these risks by targeting social and psychological factors that may cause youth to initiate these risky behaviors including substance use. </li></ul>
  10. 10. Health behaviors and life style choices play a major role in determining youth risk. <ul><li>Smoking prevention is important … </li></ul><ul><li>Decision to smoke or not, is important because it has been found to be associated as a gateway drug, in addition to its relationship to the onset of many diseases. </li></ul>
  11. 11. Smoking is a Gateway Drug: <ul><li>According to former US Surgeon General Jocelyn Elders, </li></ul><ul><li>&quot;What is notable about tobacco use is that it consistently occurs early in the sequence of problem behaviors. When a young person starts to smoke or use tobacco, it is a signal, an alarm that he or she may get involved in other risky behaviors. This is one of the few early warning signs we have in public health. If we can prevent tobacco use in the first place, we might have a big impact on preventing or delaying a host of other destructive behaviors among our young people.&quot; From: American Lung Assoc. </li></ul>
  12. 12. LST Overview <ul><li>http://www.teachertube.com/viewVideo.php?video_id=100212&title=LST_Informational_Video </li></ul>
  13. 13. Life Skills Training … The Big Picture! <ul><li>Major Components </li></ul><ul><li>Personal Self-Management Skills </li></ul><ul><li>General Social Skills </li></ul><ul><li>Drug Resistance Skills </li></ul>
  14. 14. Personal Self-Management Skills <ul><li>Personal Behavior Change </li></ul><ul><ul><li>Self-Image & Behavior / Goal-Setting </li></ul></ul><ul><ul><li>Self-Monitoring & Reinforcement </li></ul></ul><ul><li>Problem-Solving & Decision-Making </li></ul><ul><li>Stress and Anxiety Management </li></ul>
  15. 15. General Social Skills <ul><li>Effective Communication </li></ul><ul><li>Conversational Skills </li></ul><ul><li>Meeting new people, greetings and brief social exchanges </li></ul><ul><li>Navigating Social Requests </li></ul><ul><li>Assertiveness skills </li></ul>
  16. 16. Drug Resistance Skills <ul><li>Awareness of Media and Other </li></ul><ul><li>Influences to the Use of Drugs </li></ul><ul><li>Development of Anti-Drug Use Norms </li></ul><ul><li>Prevention-Related Drug/Health Knowledge </li></ul><ul><li>Drug Refusal Skills </li></ul>
  17. 17. Life Skills Training- Lesson Topics: <ul><li>Self Esteem- high/low, “things I can do” </li></ul><ul><li>Decision-making- Stop-Think-Go! </li></ul><ul><li>Smoking information- effects and why people choose to or not to smoke </li></ul><ul><li>Advertising </li></ul><ul><li>Stress- physical changes and relaxation techniques </li></ul><ul><li>Communication skills- feelings, body language </li></ul><ul><li>Social skills- qualities of a good friend </li></ul><ul><li>Assertiveness- refusal skills- different ways to say NO. Can I copy your homework? </li></ul>
  18. 18. Sample Lesson <ul><li>Videos on LSTStart.exe </li></ul>
  19. 19. Summary of Evaluation Results <ul><li>Reduces substance abuse by up to 87% </li></ul><ul><li>Effective in reducing tobacco, alcohol, marijuana, inhalants, narcotics & hallucinogens </li></ul><ul><li>Effects last for at least 6 years </li></ul><ul><li>Effective in reducing aggressive / violent behavior </li></ul><ul><li>Researched and proven effective with African-American, Hispanic, White, Urban, Suburban and Rural Youth </li></ul>
  20. 20. Summary of Elementary Pilot Study Results <ul><li>Reduces annual smoking rates by up to 63% </li></ul><ul><li>Increases self-esteem </li></ul><ul><li>Findings show that the evidence-based LST model is equally effective at the Elementary level </li></ul>
  21. 21. Life Skills Training (LST) Research At-a-Glance <ul><li># of studies: 30 (including 6 independent studies) </li></ul><ul><li>Types of studies: Federally funded, peer-reviewed, randomized control studies that have been published in reputable scientific journals. </li></ul><ul><ul><li># of schools: 700+ </li></ul></ul><ul><ul><li># of students: 43,000+ </li></ul></ul><ul><li>Populations: Caucasian, African American, Hispanic </li></ul><ul><ul><li>Setting(s): Urban, Suburban, Rural </li></ul></ul><ul><li>Outcomes measured: Alcohol, Tobacco, Drugs, Violence/Delinquency, Risky Driving, HIV/STD Risk Behaviors </li></ul>
  22. 22. Supportive of Manitoba’s PE/HE Framework of Outcomes <ul><li>General Learning Outcomes: </li></ul><ul><li>Safety (3) strand B, safety of self and others </li></ul><ul><li>Personal/Social Management Skills (4) </li></ul><ul><li>Healthy Lifestyle Practices (5) strand D, substance use and abuse prevention </li></ul><ul><li>Note : SLO’s have been clustered for the above GLO areas relative to LST. </li></ul>
  23. 23. Smoking, Potentially Sensitive Content Area <ul><li>Substance use and abuse prevention (Strand D in GLO 5- Healthy Lifestyle Practices) </li></ul><ul><li>Check with principal as a letter will likely be required, informing parents of this topic, prior to content delivery in this area. </li></ul>
  24. 24. Evaluation Component in Manitoba Schools <ul><li>Teresa Mayer, Rob Santos … </li></ul>
  25. 25. LST Evaluation <ul><li>Randomized Controlled Trial (RCT) </li></ul><ul><li>Quick – provides results in one year (can also go beyond if linkages are in place) </li></ul><ul><li>RCT = best evaluation design: can measure cause and effect of program - most cost-effective design </li></ul><ul><li>Requires ‘pilot’ schools and ‘control’ schools </li></ul><ul><li>Questionnaires used to compare pre-program and post-program knowledge, attitudes and skills (examine changes over time) </li></ul><ul><li>Implementation (fidelity) questionnaires </li></ul>
  26. 26. Evaluation Questionnaires for LST <ul><li>Will help us determine if the LST works well in Manitoba </li></ul><ul><li>Data is collected under authority of The Healthy Child Manitoba Act </li></ul><ul><li>All personal information is kept locked (paper files) or on a secure computer (firewalls) </li></ul><ul><li>People who have access to personal information are data entry or researchers who have sworn oaths </li></ul><ul><li>PHIA and FIPPA rules adhered </li></ul>
  27. 27. Evaluation Questionnaires for LST <ul><li>Children’s questionnaire to determine if LST is ‘working’ </li></ul><ul><ul><li>Parental consent- likely passive consent (TBA) </li></ul></ul><ul><ul><li>Both ‘pilot’ and ‘control’ schools </li></ul></ul><ul><li>Teacher’s implementation checklists </li></ul><ul><ul><li>1 page </li></ul></ul><ul><ul><li>Eight questionnaires </li></ul></ul><ul><ul><li>Also called ‘fidelity’ questionnaires </li></ul></ul><ul><ul><li>Only required for ‘pilot’ schools </li></ul></ul>
  28. 28. Evaluation Questionnaires for LST <ul><li>Linkages needed </li></ul><ul><ul><li>Assess pre- and post-program </li></ul></ul><ul><ul><li>Assess dose effect (‘pilot’ schools only) </li></ul></ul><ul><ul><li>long-term outcome evaluation with other data </li></ul></ul><ul><ul><li>Class lists to pre-fill questionnaires </li></ul></ul><ul><ul><ul><li>Has: School name, Room number, Teacher name, Student name, MET, PHIN, </li></ul></ul></ul><ul><ul><ul><li>Wish list: School code, Child’s birth date, postal code, gender </li></ul></ul></ul><ul><ul><ul><li>Names are not put into database </li></ul></ul></ul><ul><ul><ul><li>Class lists sent to HCMO by Sept . 18 </li></ul></ul></ul>
  29. 29. Evaluation Questionnaires for LST <ul><li>Teleform 101 </li></ul><ul><ul><li>Computer software </li></ul></ul><ul><ul><li>Creates databases </li></ul></ul><ul><ul><li>Creates forms / questionnaires </li></ul></ul><ul><ul><li>Reads questionnaires </li></ul></ul><ul><ul><ul><li>Uses markings to put Q into temporary database </li></ul></ul></ul><ul><ul><ul><li>Forms can be faxed… </li></ul></ul></ul><ul><ul><ul><li>… or mailed in and read in like a photocopier </li></ul></ul></ul><ul><ul><li>Rules to allow data checking </li></ul></ul><ul><ul><li>After data checking, data is put into final database </li></ul></ul>
  30. 30. LSTQ: Children’s Questionnaire <ul><li>Pre-LST and Post-LST </li></ul><ul><ul><li>Both ‘pilot’ and ‘control’ schools </li></ul></ul><ul><ul><li>Pre-LST in September/October, Post-LST in ~May </li></ul></ul><ul><ul><li>Mail in the questionnaires </li></ul></ul><ul><li>Cover page – tear off </li></ul><ul><li>Questionnaire sections: </li></ul><ul><ul><li>Linkage information </li></ul></ul><ul><ul><li>Section A: Demographics </li></ul></ul><ul><ul><li>Section B: LST Knowledge </li></ul></ul><ul><ul><li>Section C: Attitudes towards alcohol & tobacco use </li></ul></ul><ul><ul><li>Section D: Life Skills Assessment </li></ul></ul>
  31. 31. LSTQ: Children’s Questionnaire <ul><li>Cover page is used so that kids have the correct questionnaire </li></ul><ul><li>Pre-filled top section </li></ul><ul><ul><li>Kids (or teachers) don’t have to fill in MET, school code or room number </li></ul></ul><ul><ul><li>Easier for ‘Teleform’ to read </li></ul></ul>
  32. 32. LSTQ
  33. 33. LSTQ: Children’s Questionnaire
  34. 34. LSTQ: Children’s Questionnaire
  35. 35. LSTQ: Children’s Questionnaire
  36. 36. LSTQ: Children’s Questionnaire
  37. 37. LSTQ: Children’s Questionnaire
  38. 38. LSTQ: Children’s Questionnaire
  39. 39. LSTQ: Children’s Questionnaire
  40. 40. LSTQ: Children’s Questionnaire
  41. 41. LSTQ: Children’s Questionnaire
  42. 42. Fidelity: Teacher’s Questionnaires <ul><li>Why </li></ul><ul><ul><li>Helps us know if the LST curriculum works in your school (does the LST work in real life?) </li></ul></ul><ul><ul><li>Helps us know how much of the LST curriculum was taught (dose effect only ) </li></ul></ul><ul><ul><li>Teacher names requested only for purposes of possible data entry problems </li></ul></ul><ul><ul><ul><li>too busy and no interest to be watchdogs! </li></ul></ul></ul><ul><ul><ul><li>Teacher names not put into fidelity database </li></ul></ul></ul><ul><ul><ul><li>Our data entry person may call the teacher to confirm/verify data submitted </li></ul></ul></ul>
  43. 43. Fidelity: Teacher’s Questionnaires <ul><li>What </li></ul><ul><ul><li>Eight Questionnaires representing the eight units/lessons: </li></ul></ul><ul><ul><ul><li>Self-esteem, decision-making, smoking information, advertising, dealing with stress, communication skills, social skills, assertiveness </li></ul></ul></ul><ul><ul><li>To be filled out when the classroom teaching and activities for the unit have been completed </li></ul></ul><ul><ul><li>Only one page </li></ul></ul><ul><ul><li>Friendly reminders to fax the Q to HCMO </li></ul></ul><ul><ul><li>Only for ‘pilot’ schools </li></ul></ul>
  44. 44. Sample Fidelity Questionnaire
  45. 45. Sample Fidelity Questionnaire
  46. 46. Sample Fidelity Questionnaire
  47. 47. Sample Fidelity Questionnaire
  48. 48. Sample Fidelity Questionnaire
  49. 49. Points for Small Group Discussion <ul><li>Launch or announcement of LST Pilot Project in the fall of ’09. </li></ul><ul><ul><ul><li>Would you host this event (intervention or control school)? </li></ul></ul></ul><ul><li>Asking teachers to fax-back teacher implementation checklist (8 x single-page sections). </li></ul><ul><li>Any concerns or questions for your group to discuss … </li></ul>
  50. 50. Important Program Timelines <ul><li>September 18, 2009: Class Lists Template will be sent to schools, please return by the 18 th . </li></ul><ul><li>October 5, 2009: LST Teacher Orientation Day for all Intervention Schools </li></ul><ul><li>Pre- test Student Questionnaire to complete and returned in October 2009 </li></ul><ul><li>Post-test Student Questionnaire completed and returned in May 2010 </li></ul><ul><li>Other time-lines to be shared on Oct. 5th </li></ul>
  51. 51. Key Considerations: Program Commitment <ul><li>Best results are achieved with provider fidelity </li></ul><ul><ul><ul><li>Teach the full scope and sequence </li></ul></ul></ul><ul><ul><ul><li>Teach the units in order </li></ul></ul></ul><ul><ul><ul><li>Teach at least 1 X week </li></ul></ul></ul><ul><ul><ul><li>Use interactive teaching techniques </li></ul></ul></ul><ul><ul><ul><li>Teach the booster sessions </li></ul></ul></ul>
  52. 52. Other Program Commitments <ul><li>Implementation checklist fax-backs </li></ul><ul><li>Pre and Post LST Questionnaires in self addressed envelopes </li></ul>
  53. 53. Life Skills Training Schools <ul><li>Announcing … </li></ul>
  54. 54. LST Control Group: <ul><li>Walter Whyte School </li></ul><ul><li>Hamstead School </li></ul><ul><li>Aborgate School </li></ul><ul><li>Boissevain School </li></ul><ul><li>Juniper Elementary </li></ul><ul><li>Ruth Betts School </li></ul><ul><li>Erickson Elementary </li></ul><ul><li>Elkhorn School </li></ul><ul><li>OV Jewitt Community School </li></ul><ul><li>Wanipigow School </li></ul><ul><li>St. Rose School </li></ul><ul><li>Inwood School </li></ul><ul><li>Lavallee School </li></ul><ul><li>Sigurborg Stephansson Early Years School </li></ul><ul><li>Lake St. Martin First Nation School </li></ul><ul><li>Soiux Valley School </li></ul><ul><li>Gillis School </li></ul>
  55. 55. LST Intervention Group <ul><li>Long Plain School </li></ul><ul><li>Waywayseecappo Community School </li></ul><ul><li>Joe Ross School </li></ul><ul><li>Wawanesa School </li></ul><ul><li>Cormorant Lake School </li></ul><ul><li>Anola School </li></ul><ul><li>Lt Colonel Barker VC School </li></ul><ul><li>Westwood School </li></ul><ul><li>Gladstone Elementary School </li></ul><ul><li>King Edward Community School </li></ul><ul><li>Anicinabe Community School </li></ul><ul><li>Skowan School </li></ul><ul><li>Charles Sinclair School </li></ul><ul><li>Amos Okemow Memorial School </li></ul><ul><li>William Whyte School </li></ul><ul><li>Douglas School </li></ul>
  56. 56. LST Pilot Project Schools Thank You: <ul><li>Willingness to participate! </li></ul><ul><li>Finding parking!! </li></ul><ul><li>Expense forms </li></ul><ul><li>Please complete the exit slip </li></ul><ul><li>Information contact: </li></ul><ul><li>[email_address] </li></ul>