Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods

Richard  de Visser; Rebecca Graber; Charles Abraham; Angie Hart; Anjum  Memon

doi:10.1093/her/cyaa006

Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods

Richard de Visser, Rebecca Graber, Charles Abraham, Angie Hart, Anjum Memon

Centre for Arts and Wellbeing

Research output: Contribution to journal › Article › peer-review

Abstract

Alcohol education must ensure that young people have appropriate information, motivation and skills. This article describes the fifth phase in a program of intervention development based on principles of social marketing and intervention mapping. The aim was to enhance drink refusal self-efficacy (DRSE) and help develop skills for non-drinking or moderate drinking. We conducted a mixed-methods feasibility trial that measured intervention effects among 277 UK
secondary school students aged 14–16, and used qualitative methods to explore four teachers’ experiences of delivering the intervention. The intervention did not produce the desired changes in DRSE or alcohol use, but nor did it increase
alcohol use. In the qualitative process evaluation, time constraints, pressure to prioritize other topics, awkwardness and embarrassment were identified as barriers to fidelitous delivery. A more intense and/or more prolonged intervention delivered with greater fidelity may have produced the desired changes in DRSE and alcohol use. This study illustrates how principles of social marketing and intervention mapping can aid development of resilience-based education
designed to help students develop skills to drink moderately, or not drink. It also highlights theneed to consider the constraints of micro-social (school) and macro-social (societal) cultures when designing alcohol education

Original language	English
Pages (from-to)	123-133
Number of pages	11
Journal	Health Education Research
Volume	35
Issue number	2
DOIs	https://doi.org/10.1093/her/cyaa006
Publication status	Published - 19 Mar 2020

Bibliographical note

This is a pre-copyedited, author-produced version of an article accepted for publication in Health Education Research following peer review. The version of record Richard O de Visser, Rebecca Graber, Charles Abraham, Angie Hart, Anjum Memon, Resilience-based alcohol education: developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods, Health Education Research, Volume 35, Issue 2, April 2020, Pages 123–133, is available online at: https://academic.oup.com/her/article/35/2/123/5811059 and https://doi.org/10.1093/her/cyaa006

Keywords

resilience
alcohol education
mixed methods
intervention
adolescents

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10.1093/her/cyaa006

deVisser_etal_inPress_HER ACCEPTED MSAccepted author manuscript, 356 KB

Cite this

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title = "Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods",

abstract = "Alcohol education must ensure that young people have appropriate information, motivation and skills. This article describes the fifth phase in a program of intervention development based on principles of social marketing and intervention mapping. The aim was to enhance drink refusal self-efficacy (DRSE) and help develop skills for non-drinking or moderate drinking. We conducted a mixed-methods feasibility trial that measured intervention effects among 277 UKsecondary school students aged 14–16, and used qualitative methods to explore four teachers{\textquoteright} experiences of delivering the intervention. The intervention did not produce the desired changes in DRSE or alcohol use, but nor did it increasealcohol use. In the qualitative process evaluation, time constraints, pressure to prioritize other topics, awkwardness and embarrassment were identified as barriers to fidelitous delivery. A more intense and/or more prolonged intervention delivered with greater fidelity may have produced the desired changes in DRSE and alcohol use. This study illustrates how principles of social marketing and intervention mapping can aid development of resilience-based educationdesigned to help students develop skills to drink moderately, or not drink. It also highlights theneed to consider the constraints of micro-social (school) and macro-social (societal) cultures when designing alcohol education",

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Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods

Abstract

Bibliographical note

Keywords

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Rebecca Graber

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Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods

Abstract

Bibliographical note

Keywords

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Rebecca Graber

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