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Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods

de Visser, RO, Graber, R, Abraham, Charles, Hart, A and Memon, A 2020, Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods, Health Education Research, vol. 35, no. 2, pp. 123-133, doi: 10.1093/her/cyaa006.

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Title Resilience-based alcohol education: Developing an intervention, evaluating feasibility and barriers to implementation using mixed-methods
Author(s) de Visser, RO
Graber, R
Abraham, Charles
Hart, A
Memon, A
Journal name Health Education Research
Volume number 35
Issue number 2
Start page 123
End page 133
Total pages 11
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2020-04
ISSN 0268-1153
1465-3648
Keyword(s) ADOLESCENTS
DRINKING
Education & Educational Research
EXPERIENCE
GENDER
HEALTH
Life Sciences & Biomedicine
PEOPLE
PREVENTION
Public, Environmental & Occupational Health
REDUCTION
Science & Technology
Social Sciences
Summary Alcohol education must ensure that young people have appropriate information, motivation and skills. This article describes the fifth phase in a program of intervention development based on principles of social marketing and intervention mapping. The aim was to enhance drink refusal self-efficacy (DRSE) and help develop skills for non-drinking or moderate drinking. We conducted a mixed-methods feasibility trial that measured intervention effects among 277 UK secondary school students aged 14–16, and used qualitative methods to explore four teachers’ experiences of delivering the intervention. The intervention did not produce the desired changes in DRSE or alcohol use, but nor did it increase alcohol use. In the qualitative process evaluation, time constraints, pressure to prioritize other topics, awkwardness and embarrassment were identified as barriers to fidelitous delivery. A more intense and/or more prolonged intervention delivered with greater fidelity may have produced the desired changes in DRSE and alcohol use. This study illustrates how principles of social marketing and intervention mapping can aid development of resilience-based education designed to help students develop skills to drink moderately, or not drink. It also highlights the need to consider the constraints of micro-social (school) and macro-social (societal) cultures when designing alcohol education.
Language eng
DOI 10.1093/her/cyaa006
Field of Research 1117 Public Health and Health Services
1302 Curriculum and Pedagogy
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30161505

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.