1. 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

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

4. 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."

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….
Am I busy? or Am I effective?

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

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
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.

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 HUMBLE LISTENS WELL
One hour youtube:
Article: Miller, W. R. (2000). Rediscovering fire: Small interventions, large effects. Psychology of Addictive Behaviors, 14, 6-18.

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

25. Frameworks & Sound Bites/Stories
Spectrum of Use
Substance Use Disorder

26. 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.

27. 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.”

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

29. 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!

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

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
Wisdom of A.D.G.O.S Another Darn Growth Opportunity

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