Click for Support Guidelines for effective web-based interventions in selective drug prevention Wissenschaftliches Gespräch, DG Sucht April 22 nd 2015, Hamburg Co-funded by the EU Doris Sarrazin und Rebekka Steffens 1
Background 1. In Europe, new media and new technologies are a part of young people s daily life; they are online almost 24/7. 2. Conventional prevention methods can only reach a part of young drug consumers. 3. Current challenge: New psychoactive substances 4. Web-based interventions (WBIs) offer easy access to adolescents, are low threshold, anonymous, can be contacted 24 hours a day and are cost-effective. 5. Usually, professionals working in prevention don t belong to the same age group as the target group and are therefore not familiar with their preferences. There is still limited knowledge regarding the factors that influence the efficiency of web-based interventions. Guidelines can support the work of prevention workers. 2
Objectives 1. Guidelines for the development and implementation of effective webbased interventions for young consumers of illicit drugs 2. Raising awareness of professionals in prevention work for the importance of new media and technologies for their daily work Framework - Co-funded by the European Commission - Project management: LWL-Coordination Office for Drug-Related Issues - Project duration: February 2014 September 2015 Wissenschaftliches Gespräch der DG Sucht - Hamburg
Participants: 14 organizations in 13 countries Project development within the European prevention network euro net, founded in 1996 Wissenschaftliches Gespräch der DG Sucht - Hamburg
Project course March June 2014: June Aug. 2014: Aug. Dec. 2014: Dec. 2014: Jan. June 2015: June Sept. 2015: EU-wide research & assessment of web-based interventions Workshops with young drug consumers Country reports and summary Interim conference Development of guidelines (Delphi method) Dissemination of guidelines
EU-wide research and assessment of existing webbased interventions (WBIs) Six criteria: 1. Web-based (Website or app) 2. Professional offer 3. Target group: Young drug consumers 4. User have to use interactive elements in order to receive an individual feedback 5. Focus on illicit drugs, especially new psychoactive substances 6. Evaluation of effectiveness If no adequate offers have been found, the research was expanded. The WBIs were rated from A to AAAAAA, according to how many of the criteria they met. 6
Results 45 WBIs in partner countries 22 of those in Germany, Belgium und the Netherlands No results for Luxembourg, Portugal und der Slovakia 7
Another 7 international examples were included from Australia, New Zealand, the United States, Spain & France, the UK and Switzerland. In total 11 WBIs met five criteria ( AAAAA ), only 1 met all six (Quit the Shit).
Target group Focus Young drug users Young people Drug users Broad population Total New psychoactive substances - - - - 0 (Illicit) drugs 12 3 10 1 26 (Illicit) drugs (among other topics 1 ) 2 3 3 7 15 Only alcohol 2 2 1 3 8 Only tobacco - 1 1-2 Other focus 2 1 - - - 1 Total 17 9 15 11 52 1) E.g. education, health, gaming, media, depression 2) Family and health planning in Latvia 9
Summary Less WBIs in partner countries than expected. Focus of research had to be expanded. Twelve offers met five of the defined criteria, only one met all of them. The effectiveness of six offers has been evaluated. 10
www.quit-the-shit.net Wissenschaftliches Gespräch der DG Sucht - Hamburg
Drank en Drugs, Netherlands, http://www.drankendrugs.nl/quiz/index/index/quiz/11 12
Good-Practice from Australia: Clear Your Vision http://clearyourvision.org.au/ Wissenschaftliches Gespräch der DG Sucht - Hamburg 13
Different forms of WBIs Form Website + structured intervention program Website + App 3 Anzahl 13 Website 28 Campaign (Billboards, tv, radio) 1 App 5 Only Facebook 1 Only Skype 1 Total 52 14
Interactive elements Self-tests, forums, chats, email counselling, blogs, games, quizzes, eye catcher (e.g. DrugDancer in BE and NL) More advanced WBIs are structured intervention programs Examples: Quit the Shit, Change Your Drinking and Lass das Gras (DE), DrugHulp, CannabisHulp and AlcoholHulp (BE) and Cannabisdebaas, WinvanCannabis and VNN Jongeren (NL), Clear Your Vision and Reduce Your Use (AUS), PotHelp (NZ) and Know Cannabis (UK) Interactive consumption diary Program: Quit the Shit (DE),Change Your Drinking (DE), Lass das Gras (DE), DrugHulp, CannabisHulp and AlcoholHulp (BE), WinvanCannabis (NL), Clear Your Vision (AUS), Reduce Your Use (AUS), Know Cannabis (UK) and PotHelp (NZ) Apps: DrogArt/Reduser (SLO) Ottomitta (FI) 15
Assessment with young drug consumers Objective: Feedback on WBIs in general and specific feedback on national WBIs Requirement: Feedback from at least 20 youngsters with a risky consumption per country = 260 younsters total Content of workshops with youngsters: General discussion, presentation of national WBIs, individual exploring of the WBIs, completing the surveys 16
Organisation Recruitment of participants - Partners contacts - Cooperating organisations - Personal contacts - Street work - Advertising, e.g. flyers Incentives: Invitations for dinner, gift vouchers, bowling vouchers, food, sweets and drinks 273 Participants in workshops milestone 17
Impressions of workshops in Austria and Slovakia
Participants: Gender & age group (N=273) 0% 7% 19% 31% 30% 69% 41% male female < 14 14-15 16-17 18-21 > 21 19
General feedback (N=258) General interest: 73% no differences between males and females, older participants had slightly more interest 36% of the participants have known WBIs before 32% have used WBIs before, mostly information, self-tests and quizzes Several things have been missed: Interesting information specifically for young people (16%) Accurate information (12%) More specific information (12%) Exchange with other (ex-)users (10%) Better and/or faster feedback (5%) Useful advice or help (7%) Device: 50 % would use a smart phone, 69 % a PC or laptop and 19 % a tablet 20
What should a WBI include? (n=258) 180 160 155 140 120 118 110 100 98 80 73 60 40 20 21 0 Help/advice Exchange with others Self-test Only information Intervention program Something else 21
What information does the target group want? (n=258) 200 180 172 160 140 128 120 100 106 101 97 80 60 63 40 20 0 Riscs Effects Experience Background Safety Tips Contact info Other 5 22
Key points for guidelines Preliminary considerations Technical aspects Design, structure and usability Content and presentation Theoretical foundation Attitude Interactive elements Involvement of target group Marketing strategy 23
Further procedure April/May 2015: Delphi-study 1 st round completedanalyses 2 nd round in May Panel: 75 international experts until today Recruitment through LinkedIn-Network and project partners Study complete at the end of May June 2015: July 2015: Aug. 2015: Final conference in Münster Finalizing and translation of guidelines National conferences for disseminating the guidelines 24