An example for an internet based drug prevention

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1 An example for an internet based drug prevention Prague, 2. November 2009 Marc-Dennan Tensil 1, Peter Lang 2, Evelin Strüber 2 & Peter Tossmann 1 1 delphi Gesellschaft, Berlin 2 Federal Centre for Health Educatio (BZgA), Köln

2 Overview Project Framework Background Aims and methods Selection of modules Knowledge test Self-tests: check your drinking/cannabis check quit the shit 2/18

3 Project Framework Federal Ministry of Health Federal Centre for Health Education Project management & coordination delphi Concept of prevention & evaluation, Information & personal communication, Evaluation Technical Support Webworker Lippke & Wagner Drug advice centre Cooperation with 9 drug advice centres Other Design special events 3/18

4 Background High drug affinity amongst youths Every second young person (12-25) in Germany is confronted with the opportunity of using drugs (BZgA, 2004) Prevalence of drug use: 43% lifetime prevalence of illegal drugs in years young adults (Kraus et al., 2008); even higher in special scenes, e. g. techno-party-scene (Tossmann et al., 2001) Developmental Psychology Drug use as normal behaviour in youth has to be differentiated from ongoing misuse as adults (e. g. Silbereisen & Reese, 2001; Moffit, 1993) Risk perception and risk competence Secondary preventions aims at educating young people about the dangers of drugs, encouraging a critical stance about drug use, reducing harms of drug use (e. g. Franzkowiak, 2001) 4/18

5 Target population Drug using young people (adolescents & young adults, years old). Young people who are confronted with the opportunity of using drugs or with drug use in the social context Young people with problematic drug use (abuse, depencence) 5/18

6 Aims Knowledge Information about the risks of drug use Attitude Behaviour Stimulating risk perception and a critical stance about own drug use Supporting less harmfull drug use Supporting soberness in critical situations, moderate consume in tolerated situations Promoting Skills for reducing or stop taking drugs 6/18

7 Methods of prevention Knowledge Attitude Behaviour Frequently asked questions Drug lexicon Knowledge tests cannabis, alcohol, ecstasy, nicotine, hallucinogens, amphetamines, cocaine, opiates News/Newsletter Special topic / Voting Poly drug use Chat discussions with moderation Counselling via Counselling via Chat check your drinking cannabis check change your drinking quit the shit 7/18

8 Design 8/18

9 Screenshot Cannabis drug lexicon cannabis check knowledge test quit the shit FAQs special topics news 9/18

10 Website statistics Visits per day : Visits 9.6 Mio. Page impressions Age Ø: years Sex: 51 70% 10/18

11 Knowledge test - cannabis Question 1 Example Answer more info Question 2 Result Age/Sex/ drug use Statistics Example 11/18

12 Self-tests cannabis check (cannabis) and check your drinking (alcohol) Aim: Stimulating a critical stance about own drug use and behavioural change Questions Age / sex Consumption patters consumption motives problematic use life satisfaction (cc) Analysis Feedback tailored differentiated motivational giving advice cannabis check: completed tests per month check your drinking: completed tests per month quit the shit change your drinking 12/18

13 quit the shit - Aims Target group Adolescent and young adult who want to reduce or quit their cannabis use Aims Significant reduction of cannabis use within 50 days Abstinence Temporarily quitting Reducing the frequency or intensity of cannabis use 13/18

14 quit the shit Basics Transtheoratical modell (Prochaska & DiClemente, 1983, 1984; Prochaska, DiClemente & Norcross, 1992 ) Motivational Interviewing (Miller & Rollnick, 1999) Self monitoring (Kanfer, 1970, 1986) Solution focused short term intervention (Berg & Miller, 2000; Marlatt & Gordon, 1985) 14/18

15 qui the shit - Programme Registration Questionnaire (~20 min.) Chat with expert (~50 min.) 50-days-programme Information/FAQs Diary Weekly feedback of expert Tutorials Feedback chat Example Final chat (~30 min.) Evaluation 15/18

16 quit the shit expert team drugcom-team: 4 psychotherapists Hamburg 9 cooperating drug advice centres in Germany Düren Dortmund Delmenhorst Detmold Berlin Leipzig Germersheim München 16/18

17 quit the shit - Evaluation Results of a randomized controlled trial (BZgA, 2009) 17/18

18 Thank you for your attention! Corresponding author: Marc-Dennan Tensil delphi-gesellschaft Behaimstr Berlin phone:

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