1. How is an electronic intervention received in a student population?
Eindrapport: beoordeling filmpjes stoppen met roken
How is an electronic intervention received in a student population?
INEBRIA
Friday November 9th 2009, h
Jessica Fraeyman
Junior researcher
University of Antwerp, Belgium

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Belgium

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Antwerp

4. Drinking behaviour in Belgium
Eindrapport: beoordeling filmpjes stoppen met roken
Drinking behaviour in Belgium
Alcohol consumption in 2003*:
Belgium: 14th in world – 8,8 l
UK: 7th in world – 9,6 l
Beer consumption:
Belgium: 7th place
*World drink trends, 2003

5. Eindrapport: beoordeling filmpjes stoppen met roken
Students in Antwerp
5,500 students
97% ever drunk alcohol
Binge drinking (>5 dr/occasion)
male: 2,0% daily
high risk for problematic alcohol use :
10,3-11,1% of male students
1,8-6,2% of female students

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Research questions
How is an electronic SBI received in a student population?
Who is reached by the intervention?
What are the experiences of students with the intervention?
How can the intervention motivate students who show risk for problematic alcohol use to think about their alcohol use and to change their drinking behaviour?

8. Qualitative research method
Eindrapport: beoordeling filmpjes stoppen met roken
Qualitative research method
Experiences of users!
UNEXPLORED
Focus group discussions

9. Eindrapport: beoordeling filmpjes stoppen met roken
Intervention
Brief intervention
Website 24h/7d
Personalised electronic feedback
Behaviour change
Aimed at college students
Screening for problematic alcohol use, AUDIT + BMA
Information provided

10. Eindrapport: beoordeling filmpjes stoppen met roken
Results
10.5% per institution
3,528 students
54.6% male
 45.8% in general student population
High risk: male > female*
*Van Hal et al, 2007
Only Unique visits
6 different participating institutions

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Results
AUDIT- high risk
unique visits: 18.1%
repeated visits: 29.0%
Students in high risk groups are more likely to do the test again
« a shocking result can stimulate one to do more tests »
Underestimation
We see the same result in the FGD.
Shocking results increases the motivation of the students to think, talk and eventually change their alcohol use.
However, we see that students tend to underestimate their own alcohol use and the risks of hazardous drinking. Students tend to relativate the results of the test.

12. Eindrapport: beoordeling filmpjes stoppen met roken
Results
High risk VS low risk
no referral:
info:
referral:
Students in high risk group are more likely to choose for referral
« …it made me think whether to take another drink or not. »
Intervention can not make the students stop drinking, but can make them think about their alcohol use and decrease the amount of usage

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Results
Alcohol use of others
Friend as help
Internet suited for information on issue
Intervention suited for certain group of drinkers
« for someone who has the feeling ‘it’s maybe a bit too much now’, the website can have an influence. »
Students underestimate their own use and at the same time overestimate the alcohol use of others (friends, fellow students).
In every FGD the subject of friends as signpost for problematic alcohol use was mentioned.
Therefore, they found the internet-based test very suited for this kin do problems. Someone who doesn’t want to be confronted with their problems but wants to look for information, can search the internet totally anonymously without confrontation. (link with lit).
The website is suited for people who might have a drinking problem, who are thinking about it and are motivated to search information on the subject.

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Results
Appearance: influence?*
no results
further research
*Walters, 2005
Content: influence?*
*Bewick, A systematic review
Content: BAC, normative feedback

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Conclusion
Well received
threshold
attention
High risk groups
To think about alcohol use
Misperceptions
The intervention seems to be well received in the student population. They were quite enthusiastic about the usefullness of the website. However, we see some conditions for this succes: internet as anonymous source of information  low threshold. To look for referral is a too high threshold. More campaign to keep the attention of the students.
The intervention aims to reach students from high risk groups: succeeded! We reach more men than women, and we reach more problematic users than in the previous Antwerp research. Plus, we see that this group is more incited to search for information or referral than the low risk group.
We see that students are stimlated to think about their alcohol use and that this motivation is increased when being assessed in the high risk group.

16. Current and future research
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Current and future research
Alcohol in traffic
alcohol tester
Alcohol and drug policy in Antwerp
students’ opinions
RCT

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Thank you very much for your attention!
Are there any questions?