Linda Hancock, FNP, PhD lhancock@vcu.edu www.thewell.vcu.edu Research to Real Life How to Cross the Divide Research Bench to Bar Room Linda Hancock, FNP, PhD lhancock@vcu.edu www.thewell.vcu.edu

Who am I? A PRACTITIONER FNP, VCU Student Health Director of “The Well” All the “S’s” Sex Substances Smoking Stress Social norms Silliness The REAL LIFE IS MESSY

https://failuretolisten https://failuretolisten.com/2013/01/21/social-ecology-model-a-model-for-a-pro-active-approach/

OBAMA: "I wasn't always as responsible as I am today  OBAMA: "I wasn't always as responsible as I am today. In many ways I was lucky, because for whatever reason addiction didn't get it's claws on me ... except cigarettes."

I love smokers! Remember, smoking doesn’t kill people. People who are quitting smoking kill people.

“Nothing about us, without us”

Research to Real Life Research Science Practice Stories

Am I busy? or Am I effective? Linda’s big question as a preventionist…. Am I busy? or Am I effective?

In the past, prevention practitioners have rushed to act without research…

Different Pathways of Risk for Substance Use Disorder Externalizing: sensation-seeking, impulsivity Internalizing: Drinking to cope, anxious Physiological: Low level of response to alcohol So what we know from our research is that there are different pathways by which individuals engage in risky drinking. One factor is physiological response…Other people are more high sensation-seeking, others drink to cope. So there are very different reasons why people drink, but alcohol programming is all one size fits all. Imagine if when you went in to your primary care physician for a wellness check, instead of asking you about you’re your behavior and talking to you about your risks, they rattled off all the health risks for someone of your age. Probably not the most effective way to go. We can do better.

What would be the WORST possible prevention program for “externalizing” (Impulsive, sensation seeking) youth?

“PreVenture” Program in Europe Researcher Jasmin Vassileva VCU VCU Institute for Alcohol and Drug Studies Addresses Impulsivity and Sensation Seeking Conrod, Castellanos-Ryan, Strang (2010). Arch Gen Psychiatry

What would you do for the internalizing types? (anxious, using to cope)

How do you reach 32,000 students?

Fall 2016 Student group at VCU n=86

Biological Response High/Low Research by Marc Schuckit

Level of Response is a genetic thing High Response “Cheap Drunk” Low Response “Hollow leg”

Fall 2015 XYZ college freshmen all male group n=312

“Research Crush” Practitioners/Scientists who cross the divide

“Research Crush” William Miller PhD HUMBLE LISTENS WELL One hour youtube: https://www.youtube.com/watch?v=6EeCirPyq2 Article: Miller, W. R. (2000). Rediscovering fire: Small interventions, large effects. Psychology of Addictive Behaviors, 14, 6-18.

Motivational Interviewing is the MOST useful tool!

The Name of the Game is… WIN AS MUCH AS YOU CAN! If it’s okay with you… Stand up Find a partner Place right foot to right foot “shake” right hands

people just naturally push back. If you push… people just naturally push back.

Frameworks & Sound Bites/Stories Spectrum of Use Substance Use Disorder http://www.addictionpro.com/article/new-research-redefining-alcohol-disorders

Perception vs. Reality Social Norms Matter “Research Crush” Michael Haines “Look for hidden goodness” Perception vs. Reality Social Norms Matter Respects others. Open to their ideas.

Social Norms Health & MISPERCEPTIONS Overestimate Unhealthy visible behaviors -smokers, drunks, violence, goofing off, credit card debt, etc. Underestimate Healthy less visible behaviors -non-smokers, moderate drinkers academic seriousness, prayer Perception REALITY GAP As some of you have said, we tend to overestimate the more unhealthy visible behaviors and underestimate the healthy less visible behaviors. What’s more fun to talk about goof off behaviors or study behaviors? (Goof off) It’s more fun to talk about last night’s party instead of Friday’s calculus test. Prayer is underestimated but studies have shown that 60-80% of people pray on a daily or weekly basis. It is a less visible behavior…like right now you could be saying, “oh my, this lady is so boring, I think I’ll talk to God instead.”

“If you focus on problem, you grow more problem.” “If you focus on health, you grow more health.” -Michael Haines

Posted in 1300 Bathrooms MONTHLY at VCU Feb 2015 Spit for Science Follow up survey n=4290 Never seen it 6% Seen it don’t read it 3% Skim the headlines 14% Read less than half 15% Read more than half 20% Read it all 19% Read it all multiple times 22% Data consistently show 60% of students read at least half, read it all or read it all multiple times!

Analysis by Spit 4 Science Undergrad Research Team

Multiple Regression Analysis VCU Spit 4 Science Data Spring 2015 Survey all cohorts n= 4,290 As SSJ Readership increased: Perceptions became more accurate Quantity of alcohol consumption decreased Blackouts decreased

The key: Strategic partnerships http://blogs.lse.ac.uk/socialcareevidenceinpractice/2012/11/21/bridging-the-gap-between-research-and-practice-exploring-methods/

“Research Crush” VCU COBE PARTNERSHIP -Research faculty -Students -Administrators -Practitioners

How do you cross the divide? BE HUMBLE Listen to individuals, Respect your population & Be a good partner

Wisdom of A.D.G.O.S Another Darn Growth Opportunity Solution - The Wisdom of Recovery Wisdom of A.D.G.O.S Another Darn Growth Opportunity

How are you feeling? A little confused? Any questions?