Youth programs that_work_final

Youth  Programs  That  Work    

Nicole  Wanty    Research  Associate  II,  KDH  Research  &  

Communica=ons  

Arlene  Remick    Senior  Interac=ve  Communica=ons  

Manager,  IQ  Solu=ons    

Ty  Sells    Director  of  Training  and  Development,  Youth  

to  Youth  Interna=onal  

Learning  Objec=ves  

1.  Explain  program  development,  and  how  preven=on  messages  are  tailored  to  the  unique  characteris=cs  of  Rx  drug  abuse.  

2.  Explain  three  Rx  drug  abuse  preven=on  and  educa=on  ini=a=ves  tailored  to  youth.  

3.  Iden=fy  strategies  that  can  be  used  to  prevent  prescrip=on  drug  abuse  in  their  home,  schools  and  communi=es.  

Na5onal  Ins5tute  on  Drug  Abuse  Preven5ng  Teen  Prescrip5on  Drug  Abuse:  

Educa5on  Programs  

April  2  –  4,  2013  Omni  Orlando  Resort    at  ChampionsGate  

Arlene  Remick,  MPH  IQ  Solu=ons  

Nicole  Wanty,  MAA  KDH  Research  and    Communica=on  

Learning  Objec5ves  At  the  conclusion  of  this  presenta=on,  audience  members  will  have  informa=on  to:  

•  Discuss  the  unique  characteris=cs  of  Rx  drug  abuse  preven=on  for  adolescents  

•  Understand  how  exposure  to  POP-­‐D  impacts  adolescents’  knowledge  about  Rx  drug  abuse  

•  Recognize  how  POP-­‐D  can  complement  community-­‐level  efforts  to  reduce  Rx  drug  abuse  

Disclosure  Statement  

•  No  personal  financial  rela=onships  with  commercial  interests  relevant  to  this  presenta=on  to  disclose  during  the  past  12  months  

Outline  of  presenta5on  

•  Background  •  Program  development  

•  Evalua=on  •  Findings  •  Discussion  •  Conclusion  

Unique  characteris5cs  of  Rx  drug  abuse  preven5on  

•  Rx  drugs  are  legal  for  all  ages  and  oaen  beneficial  when  used  as  directed  

•  Rx  drug  use  is  modeled  openly  in  society  

•  Media  messages  about  the  use  and  safety  of  Rx  drugs  are  ubiquitous  

•  Rx  drugs  are  easy  to  obtain  •  Youth  mo=va=ons  for  Rx  drug  abuse  appear  to  differ  from  those  of  illicit  drugs  

Science  Educa5on  Approach  

•  Emphasizes  the  brain  and  how  drugs  change  the  brain    

•  Contrasts  the  benefits  for  legi=mate  medical  use  and  risks  of  abuse  

•  Builds  percep=on  of  risks  of  abuse  

Types  of  knowledge  

•  POP-­‐D  presents  three  types  of  science-­‐based  informa=on  that  build  on  each  other  – Brain  informa=on  – Rx  drug  informa=on  – Rx  drug  abuse  informa=on  

Development  of  POP-­‐D  

•  Collaborated  with  experts  in  drug  abuse  educa=on,  science  educa=on,  and  pedagogy  to  ensure  its  scien=fic  and  educa=onal  rigor  

•  Incorporated  expert  input  across  mul=ple  stages,  including:  – Brainstorming  op=mal  approaches  – Developing  pedagogical  founda=on  and  wri=ng  lessons  

– Reviewing  lessons  

Evalua5on  

•  Two  group  quasi-­‐experimental  pretest,  post-­‐test,  follow-­‐up  design  

•  8  schools,  16  teachers  – NJ,  NC,  MI,  CA  

•  Seventh  and  eighth  grade  classes  – 312  students  •  13  year  olds  (53  percent)  •  Female  (56  percent)  • White  (53  percent)  

Findings  •  Students  exposed  to  POP-­‐D  showed  significantly  greater  knowledge  scores  at  post-­‐test  compared  to  students  in  the  control  group    

•  Controlling  for  demographic  characteris=cs  and  percep=on  variables,  students  exposed  to  POP-­‐D  showed  significantly  greater  knowledge  scores  at  post-­‐test  compared  to  students  in  the  control  group  

Discussion  of  findings  

•  Data  suggest  that  POP-­‐D  is  a  good  first  step  toward  preven=ng  Rx  drug  abuse  – Knowledge  of  risks  is  a  necessary  founda=on  for  preven=on    

•  Limita=ons  – Validity  of  survey  instrument  – Generalizability  of  data  

Conclusion  

•  School-­‐based  to  reach  youth  •  Science  educa=on  approach  to  fit  in  crowded  curriculum  environment  

•  Research  suggests  that  universal  preven=on  approaches  are  promising  and  Rx-­‐specific  approaches  may  be  fruiiul  

•  Both  demand-­‐  and  supply-­‐side  approaches  important  

Acknowledgements  

The  research  reported  in  this  presenta=on  was  supported  by  grant  number  R44  DA025375-­‐01  from  the  Na=onal  Ins=tute  on  Drug  Abuse.  The  content  is  solely  the  responsibility  of  the  author  and  does  not  necessarily  represent  the  official  views  of  the  Na=onal  Ins=tute  on  Drug  Abuse  or  the  Na=onal  Ins=tutes  of  Health.  

Nicole  I.  Wanty  Research  Associate  II  

KDH  Research  &  Communica=on  730  Peachtree  Street  NE,  Suite  820  

Atlanta,  GA  30308  Phone:  404.968.8005  Fax:  404.897.3850  

Na5onal  Ins5tute  on  Drug  Abuse  Preven5ng  Teen  Prescrip5on  Drug  Abuse:  

Educa5on  Programs  

April  2  –  4,  2013  Omni  Orlando  Resort    at  ChampionsGate  

Arlene  Remick,  MPH  IQ  Solu=ons  

Nicole  Wanty  KDH  Research  and    Communica=on  

Title  of  Presenta5on  

April  2  –  4,  2013  Omni  Orlando  Resort    

at  ChampionsGate  

Learning  Objec5ves  •  Par=cipants  will  be  able  to  iden=fy  PEERx  as  a  free,  beneficial  resource  that  can  be  used  by  teens  or  educators  and  community  organiza=ons  to  facilitate  discussions  with  teenagers  about  the  dangers  of  prescrip=on  drug  abuse.  

•  Par=cipants  will  learn  about  the  current  trends  related  to  teen  prescrip=on  drug  abuse.  

Disclosure  Statement  

•  No  relevant  financial  or  nonfinancial  rela=onships  to  disclose.  

NIDA  for  Teens  

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2012  Monitoring  the  Future  Survey  

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Why  are  teens  abusing  prescrip5on  drugs?  Myths  about  Prescrip5on  Drugs:  

•  Prescrip=on  drugs  are  safer  than  other  drugs  because  they  are  prescribed  by  a  doctor.    

–  Fact:  When  used  as  prescribed,  these  medica=ons  are  safe  and  effec=ve.  However,  with  nonmedical  use,  the  health  effects  of  prescrip=on  drugs  can  be  as  dangerous  as  abusing  illegal  drugs.    

•  Using  medica=ons  such  as  Adderall  and  Ritalin  offer  an  academic  edge  (e.g.,  increased  concentra=on,  energy,  focus).  –  Fact:  There  is  no  evidence  that  s=mulants  help  students  do  bemer  on  tests.    

Other  reasons  for  use:  Get  high  or  to  counter  anxiety,    pain,  or  sleep  problems.  

Challenge:  Oaen  easy  to  obtain  from  family  members    or  friends.  

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Created  by  the  Na=onal  Ins=tute  on  Drug  Abuse  (NIDA),  PEERx  is  a  na=onal  public  awareness  ini=a=ve  to  educate  teens  in  grades  eight  through  10  and  their  influencers  on  the  dangers  of  prescrip=on  drug  abuse.  

Intended  audiences:  •  Primary  target  audience:    

–  Teen  influencers:    •  Teachers  •  School  counselors  •  School-­‐based  peer  groups  •  State/community  organiza=ons  with  drug  educa=on  or  mental  health  programs  for  teenagers  

•  Secondary  target  audience:  –  Teens  in  grades  8  –  10  

PEERx  

Advisors  

•  Teen  Advisory  Group  (TAG):  formed  in  2009  to  provide  input  and  feedback  to  help  NIDA  develop  products  and  ini=a=ves  that  would  resonate  with  teens.  

•  Teacher/Educator  Advisors  group  (TEA):  newly  formed  in  2012,  this  group  is  comprised  of  teachers,  school  counselors,  school  nurses,  and  other  professionals  who  provide  feedback  on  resources  for  use  by  schools  and  community  organiza=ons.    

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PEERx  Online  Resources  

Choose  Your  Path  Videos  

•  Wear  the  message.  •  Hold  a  school  assembly.  •  Predict  the  future.  •  Write  a  radio  PSA.  •  Host  a  “Relieve  the  Stress  

Fest.”  •  Make  a  classroom  version  of  

the  TV  show,  “CSI:  Crime  Scene  Inves=ga=on.”  

•  Par=cipate  in  Drug  Facts  Chat  Day.  

•  Hold  an  artwork  contest  for  a  poster  campaign.  

Ac5vity  Guide  

PEERx  Partner  Toolkit  

Prescrip5on  Drug  Abuse  Informa5on  

Partnerships  

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Federal  Agencies  

Na5onal  Organiza5ons  

State/Local  Organiza5ons  

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State/Local  Organiza5ons  

Held  prescrip=on  drug  abuse  preven=on  ac=vi=es  with  UNITE  clubs  during  Na=onal  Drug  Facts  Week  in  January.    Held  assemblies.  

  Distributed  PEERx  informa=on.  

  Offered  students  the  opportunity  to  ask  ques=ons  about  drugs.  

  Provided  UNITE  drug-­‐free  pledges  for  students  to  sign.    

  Announced  drug  facts  over  the  school  intercom  during  the  day.  .  

  Downloaded  PEERx  images  to  use  for  s=ckers.   35  

State/Local  Organiza5ons  

Mentors  educate  students  in  area  schools.  

Program  is  designed  to  educate  and  train  youth  and  young  adults  to  serve  as  educators  and  mentors  on  reducing  the  illicit  use  of  prescrip=on  painkillers  in  Fresno  County.    

State/Local  Organiza5ons  

Using  PEERx  resources  and  other  informa=on  on  the  NIDA  for  Teens  Web  site  to  educate  coali=on  members  about  the  issue  of  teen  Rx  drug  abuse.  

Using  social  media    content  from  the  PEERx  Partners’  toolkit  to  spread  the  word  about  the  dangers  of  Rx  drug  abuse.  

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Youth  to  Youth  Interna5onal  

Connect  With  PEERx  

peerx@iqsolu=ons.com  

Youth  Programs  that  Work  

April  2  –  4,  2013  Omni  Orlando  Resort    

at  ChampionsGate  

Learning  Objec5ves  

•  Discuss  program  development  and  how  preven=on  messages  are  tailored  to  the  unique  characteris=cs  of  Rx  drug  abuse.  

•  Present  informa=on  on  how  POP-­‐D  can  complement  community-­‐level  efforts.    

•  Iden=fy  strategies  that  can  be  used  to  prevent  prescrip=on  drug  abuse  in  their  home,  schools  and  communi=es.          

Disclosure  Statement  

•  Youth  to  Youth  Interna=onal  received  funds  from  the  Cardinal  Health  Founda=on  to    a.  Create  a  youth-­‐led  presenta=on  to  address  Rx  

drug  misuse  and  abuse.  

b.  To  support  trainings  to  spread  presenta=ons  to  other  communi=es.        

c.  To  enhance  grant  process  to  insure  effec=ve  preven=on  and  youth-­‐led  components.    

The  pHARMING  Effects  

•  Collabora=on  between  Youth  to  Youth  Interna=onal,  Ohio  State  University  Genera=on  Rx  online  Youth  toolkit  and  Cardinal  Health  Founda=on.    

Youth  to  Youth  Interna=onal    

•  YOUTH  TO  YOUTH  was  founded  in  1982  in  Columbus,  Ohio,  as  a  community-­‐based  drug  preven=on  and  youth  leadership  program  focusing  primarily  on  middle  school  and  high  school  students.  The  goal  of  its  many  projects  is  harnessing  the  powerful  influence  of  peer  pressure-­‐  making  it  a  posi=ve  force  that  encourages  young  people  to  live  free  of  tobacco,  alcohol  and  other  drugs.  

Genera=on  Rx  Ini=a=ve    

•  The  Genera=on  Rx  Ini=a=ve  provides  medica=on  safety  and  Rx  drug  abuse  preven=on  resources  for  schools,  colleges,  and  communi=es.  Links  are  provided  to  various  external  resources,  as  well  as  materials  developed  at  The  Ohio  State  University  College  of  Pharmacy.  Visitors  are  encouraged  to  use  any  of  these  resources  that  may  be  helpful.    

The  Grant    

•  Engage  Youth  Advisory  Board  with  educa=on  from  OSU  School  of  Pharmacy  Rep  and  Y2Y  Staff.    

•  U=lize  student  leaders  as  a  beginning  focus/development  group  to  assist  with  peer  to  peer  presenta=on.    

•  Train  and  develop  student  leaders  on  peer  to  peer  educa=on  presenta=on.    

Elements  of  Working  with  Youth    

•  Formed  commimee  of  interested  teens  to  educate  Youth  Advisory  Board  about  Rx  issue.  –  Teens  amended  event  at  WOSU.    – Genera=on  Rx  posters  of  relevant  facts  hanging  in  mee=ng  room  for  weeks.    

–  “Are  You  Smarter  than  the  Director”  created  energy  about  the  topic.  

– New  larger  commimee.  

•  New  commimee  researched  and  adapted  Genera=on  Rx  Toolkit.      

Elements  of  Working  with  Youth    

•  Learning  It,  Liking  It,  Living  It  Out  •  Crea=ve  Brainstorming  •  Devils  Advocate    •  Write,  Rewrite,  Rewrite,  Rewrite  •  Prac=ce,  Prac=ce,  Prac=ce  •  Adult  advisor  finds  opportuni=es  to  present.    •  Presenta=on  can  be  presented  in  its  en=rety  or  in  segments  which  allows  adap=ng  presenta=on  based  on  number  of  students  available.    

Goals  of  “The  pHARMING  Effects”  Presenta=on    

1.  Expanding  awareness  on  the  issue  of  Rx  drug  abuse.  

2.  A  defini=on  of  Rx  drug  misuse  and  abuse.    

3.  The  insidious  nature  of  addic=on.  

4.  The  impact  of  marke=ng  Rx  drugs  as  well  as  =ps  to  cri=cally  view  Rx  drug  ads.    

5.  Relevant  sta=s=cs  and  strategies  to  impact  change  in  their  homes,  schools,  and  communi=es.    

6.  Having  fun  while  learning.    

Expanding  Awareness    

•  Welcome  Video  (Google  Story)  •  Intro:    Prescrip=on  drug  abuse  has  become  an  ongoing  problem  in  many  communi=es  across  the  country.  Everyday  2500  teen’s  ages  12-­‐17  abuse  a  prescrip=on  drug  for  the  first  =me.  Our  goal  is  to  decrease  that  number  by  gesng  valuable  informa=on  out  about  the  harmful  effects  for  prescrip=on  drug  abuse.  

•  Hollywood  vs.  The  Rest  of  Us  Video  •  Real  Life  Stories  (Email  and  Facebook)    

Defining  Rx  Drug  Abuse    •  More-­‐  using  more  of  a  prescrip=on  drug  than  prescribed  

•  Not  Yours-­‐  taking  a  prescrip=on  drug  not  prescribed  for  you  •  Just  Poor-­‐  taking  a  prescrip=on  drug  for  a  reason  other  than  

you’re  supposed  to.  

Nature  of  Addic=on  

•  Normalcy  Chart  

Impact  of  Marke=ng  

•  Youth  Developed  Skits    –  Comical  – Memorable  

•  TV  Skits    –  Creates  Demand      –  Self  Prescribing    –  Looks  at  absurdity  by  comparing  Rx  drug  commercials  to  illicit  drugs.  

•  Voice  Over  Skit    – Addresses  Side  Effects      

Impac=ng  Change    

•  The  Gauntlet  Rx  Game  Show  – Audience  Interac=ve  – Teaches  relevant  facts  in  a  fun  and  memorable  way  

The  Gauntlet  Rx    When  making  excuses  for  abusing  prescrip5on  drugs,  what  reasons  do  teens  give?  

 A.  “Rx  drugs  can’t  be  dangerous.”  

 B.  “Rx  drugs  can’t  be  addic=ve.”  

 C.  “It’s  legal.”  

 D.  All  of  the  above    

Host:  These  may  be  the  reasons  they  give  but  they  are  all  incorrect  reasons.  They  are  dangerous  when  abused,  addic=ve  when  abused,  and  it  is  definitely  illegal  when  abused.  

About  how  many  Americans  (12  or  older)  abuse  a  prescrip5on  medica5on  in  a  year?    A.  7,000    B.  70,000    C.  700,000    D.  7  million    E.  70  million  

Host:  If  we  do  not  teach  this  info  along  with  the  harmful  effects  we  are  learning  about  to  those  7  million  teens,  they  may  fall  into  the  trap  of  excusing  the  abuse  of  prescrip=on  meds.    

Impac=ng  Change  (Cont.)  

•  Closing  Challenge  and  Handout  

1.  Take  the  informa=on  you  learned  here  today  back  to  your  friends,  parents,  grandparents,  and  classmates.  

2.  Store  prescrip=on  drugs  in  locked  and  secure  loca=ons.    3.  Dispose  of  prescrip=on  drugs  properly  and  encourage  adults  

to  par=cipate  in  a  medica=on  disposal  day  in  your  community.    4.  Model  safe  medica=on-­‐taking  prac=ces  for  others  and  DO  

NOT  share  prescrip=on  medica=ons  you  were  prescribed.    5.  Make  a  presenta=on  to  a  class,  group,  or  organiza=on  in  

which  you  are  involved.      

Spreading  the  Word    

•  Youth  to  Youth  teens  presented  to  over  3000  young  people.  – Supported  other  grant  recipients  

•  Presented  at  Na=onal  Youth  Conferences    •  Local  and  Na=onal  Trainings    •  ONDCP  and  NIDA  Blogs