1. Prevention Plus Wellness Program Implementer Training
Prevention Plus Wellness, LLC
©All Rights Reserved, 2018
PreventionPlusWellness.com

2. Today’s Objectives
Identify the critical need for effectively addressing multiple health risks in youth & young adult substance use programs as in Prevention Plus Wellness (PPW) interventions.       
Describe PPW programs and the settings where they can be implemented.
List positive outcomes proven to result from PPW programs.
Identify the models underpinning PPW programs and their components.
Describe how to implement and evaluate PPW programs.

3. The Need For addressing multiple health risks among youth and young adults

4. The Problem
Today’s youth and young adults are exposed to a greater number and variety of risks to their physical and mental health and well-being than ever before in modern history.

5. Multiple, Co-existing Risks
addictions
Chronic disease risks
Marijuana use
Alcohol use
Tobacco use
Other substance use/addictions
Physical inactivity
Unhealthy eating
Lack of sleep
Uncontrolled daily stress
Other CD risks

6. Benefits of a Healthy lifestyle
Improved physical & mental health & quality of life
More positive self-image, self-esteem, self-regulation, self-confidence & life skills
Less depression, anxiety, unsafe sex, alcohol, tobacco & illicit drug use
Greater brain development & cognitive functioning
More opportunities to socialize, have fun & friendships
Greater academic success (suspensions, attendance, dropouts, college)
Less heart disease, diabetes, cancer, stroke, obesity & osteoporosis

7. A solution
Practical evidence-based programs that integrate substance use prevention with health promotion/protection - or Prevention Plus Wellness

8. Programs & Settings

9. Sport & InShape Prevention Plus Wellness (PPW)
Integrated multi-health behavior - strengths-based
Evidence-based
Single-session (< 50 minutes)
Scripted implementation with slides: one- on-one or in a group
Screening and brief intervention
Cues positive images via Behavior-Image Model
Optional parent materials (SPORT PPW)
Optional booklet versions

10. Other Prevention Plus Wellness Programs
Integrated multi-health behavior - strengths-based
Evidence-informed
Scripted implementation with slides: one-on-one or in a group
Screening and brief intervention
Cues positive images via Behavior-Image Model
Marijuana PPW
Vaping PPW
SPORT 2 PPW
In God’s Image

11. Implementation options
Option 1: Stand-alone intervention
Option 2: Add-on to other prevention, health, sports, fitness, recreation, intervention or treatment programs or activities

12. Implementation Settings: 50 states & abroad
During school health, PE, lunch break, & in lieu of suspension
After school and community sports, recreation, clubs
Youth & family organizations (e.g., B&G Clubs, YMCA’s)
Youth & peer leadership training & clubs
Hospitals & health clinics
Sports & school physical exams
Faith-based organizations
Juvenile justice
Homes
College campuses, dorms & wellness events
Counseling

13. Research findings

14. SPORT PPW Published research Articles
Journal of School Health
Prevention Science
Journal of Child and Adolescent Substance Abuse
Journal of Behavioral Medicine

15. SPORT PPW Published Outcomes
Decreased alcohol use initiation, quantity, frequency, binge drinking & alcohol problems
Increased physical activity
Reduced cigarette smoking with some effects one-year later
Reduced binge drinking, smoking, marijuana use, and increased physical activity among drug users one-year after program
Increased parent-youth communication
Parent flyers reduced alcohol use, problems & marijuana use and increase parent communication

16. InShape PPW Published research Articles
Annals of Behavioral Medicine
Preventive Medicine
Journal of Adolescent Health
Journal of American College Health

17. InShape PPW Published Outcomes
Reduced frequency and heavy alcohol use
Reduced drinking and driving one-year after program
Reduced initiation, quantity and heavy use of marijuana
Increase sleep, exercise, and healthy eating
Improved social and spiritual health-related quality of life
Improved body image satisfaction

18. Evidence-based registries
Blueprints for Healthy Youth Development
NREPP
Clearinghouse for Military Family Readiness
Promising Practices Network
Child Trends
Injury Center at the University of Michigan
Washington State Institute for Public Policy

19. Underlying Concepts & models

20. Lifestyle branding We’ve not been successful in selling prevention
Over use of negative messaging
Branding is having “customers” see outcomes they want
Lifestyle branding is selling a lifestyle, e.g., beer as fun, fitness & attractive
Provide messages appealing to a target audience’s aspirations or images of what they want to be like in the future
Prevention is a lifestyle business

21. Positive image marketing
Marketers say pleasure sells, not prevention of bad or scary things
We know the bad of drug use all too well
We may have a bias toward negative content about drug use
We don’t want to think of bad or deny it exists for our youth, school, etc.
Need to re-brand prevention as providing good and positive outcomes, not preventing bad things

22. Conceptual model: Behavior-image model (BiM)
BIM is a marketing-related theoretical road map for developing brief programs that connect wellness with substance use prevention.
1. Using positive images to increase motivation to change, and
2. Using multiple behavior goal setting to increase self-control.

23. Effectiveness of Using Positive Images
1. Image has conceptual support in multiple health behavior theories, e.g., Social Cognitive Theory.
2. Youth likely to use intuitive vs. empirical approach in health decision-making.
3. The use of appealing images has practical support in image advertising.

24. constructing Image-based messages
Goal: Create a mental picture of the healthy behavior using vivid terms and illustrations.
Step 1: Present positive images & other benefits of health enhancing behaviors.
Step 2: Present how SU behaviors are barriers.

25. Step #1: Positive Images & Other Benefits of Health Enhancing Behaviors
“Young people who engage in regular physical activity tend to feel energetic, sleep better, and look more active, fit and confident.”

26. Step #2: Health Risk Behaviors as Barriers
“Alcohol use can get in the way of participating in moderate exercise and achieving your fitness goals of being in-shape, looking good, and feeling fit and active.”

27. Practice Model: Screening and Brief Intervention (SBI)
Step 3
Assist youth to set and monitor goals to avoid substance use and increase healthy behaviors
Step 2
Provide feedback and positive image messages using script & PowerPoint slides
Step 1
Screen youth current health habits using screening survey
Practice Model: Screening and Brief Intervention (SBI)

29. Awareness of positive images & other benefits of wellness behaviors
Awareness of how SU harms positive images & behaviors
Peer & desired future self-comparisons
Awareness of discrepancy between current behaviors & images
Multiple health behavior goal setting & monitoring
Positive parent behavior-image comments & monitoring
Short term outcomes

30. Program Follow-up Options
Remind participants to revisit their goals one-week later
Implement follow-up parent flyers & web-resources (SPORT PPW)
Meet with participants to discuss goal successes and rewrite goals
Re-administer the scripted intervention every 6-12 months
Implement additional lessons (e.g., Multi-session SPORT 2 program)

31. Program Tailoring Images Content Co-branding
Cultural adaptations or language translations
NOT the BIM & SBI models

32. Program monitoring & Assessment tools
Screening Survey
Feedback Survey
Instructor’s Survey
Fidelity Checklist
Parent Follow-up Phone Protocol (SPORT PPW)
Program monitoring & Assessment tools

33. Fidelity & Outcome evaluation
Fidelity Evaluation & Immediate Pre- Posttest Behavioral Intentions & Social Norms
Collect and staple screening & feedback surveys
Enter data into free Excel spreadsheet
Forward to PPW to monitor results for program promotion and improvement

34. Program implementer resources
Program monitoring fidelity and effectiveness
Promoting your prevention program
Certified program implementer instructions
Heathy lifestyle guidelines for youth goal setting
Sign up for weekly prevention with wellness updates
Program implementer resources

35. Check out our prevention resources
PreventionPlusWellness.com

37. We are here to help PreventionPlusWellness.com (904) 472-5022