1. 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

2. 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

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

4. 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."

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

6. “Nothing about us, without us”

7. Research to Real Life Research Science Practice Stories

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

9. In the past, prevention practitioners have rushed to act without research… Putting the cart before the horse

11. Different Pathways of Risk for Substance Use Disorder Externalizing: sensation-seeking, impulsivity Internalizing: Drinking to cope, anxious Physiological: Low level of response to alcohol

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

13. “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

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

15. How do you reach 32,000 students?

16. Fall 2016 Student group at VCU n=86

17. Biological Response High/Low Research by Marc Schuckit

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

19. Fall 2015 XYZ college freshmen all male group n=312

20. “Research Crush” Practitioners/Scientists who cross the divide

21. “Research Crush” William Miller PhD One hour youtube: https://www.youtube.com/watch?v=6EeCirPyq2https://www.youtube.com/watch?v=6EeCirPyq2 Article: Miller, W. R. (2000). Rediscovering fire: Small interventions, large effects. Psychology of Addictive Behaviors, 14, 6-18. HUMBLE LISTENS WELL

22. Motivational Interviewing is the MOST useful tool!

23. 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

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

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

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

27. Social Norms Health & MISPERCEPTIONS Perception REALITY GAP 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

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

29. 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! Posted in 1300 Bathrooms MONTHLY at VCU

30. Analysis by Spit 4 Science Undergrad Research Team

31. 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

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

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

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

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

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