Effects of the social norms intervention The GOOD Life on norm perceptions, binge drinking and alcohol-related harms: A cluster-randomised controlled trial

Vallentin-Holbech, Lotte; Rasmussen, Birthe Marie; Stock, Christiane

doi:10.1016/j.pmedr.2018.10.019

Cited by 25 publications

(30 citation statements)

References 44 publications

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“…This is in line with TPB theory suggesting that change in perceived norms is related to changes in intention for a behaviour [3]. The effect evaluation of the trial also showed that overestimation of binge drinking among peers was significantly lower in the group receiving the The GOOD Life than in the control group [10]. Our finding that The GOOD Life motivated pupils to re-evaluate their own drug use behaviour is also supported by other research.…”

Section: Discussionsupporting

confidence: 90%

“…The study found that pupils' exaggerated perceptions regarding their peers' use and approval of alcohol use were related to personal experience with alcohol [9]. It also showed that receiving the intervention had a positive effect on norm perceptions and alcohol-related harms, but a preventive effect on binge drinking was only found among pupils with an intention to drink more alcohol [10]. Hence, SNA could be a suitable preventive strategy for alcohol prevention among Danish adolescents.…”

Section: Introductionmentioning

confidence: 88%

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Youth Experiences with Social Norms Feedback: Qualitative Findings from The Drug Prevention Trial the GOOD Life

Stock

Kjær

Rasmussen

et al. 2020

IJERPH

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Background: Normative feedback is an intervention strategy commonly used in drug prevention programmes. This study collected process evaluation data about how programme recipients engage with social norms (SN) feedback in The GOOD Life intervention and how they experience it. Methods: Eight focus group interviews were conducted with a total of 44 adolescents (pupils aged 14–16 years) who have participated in the social-norms-based intervention The GOOD Life. The interviews focused on three topics: (1) interest in and impact of the intervention; (2) perception of the intervention elements; and (3) suggestions for improvement of The GOOD Life. They were transcribed and analysed with content analysis. Results: The analysis revealed that The GOOD Life motivated pupils to re-evaluate their own drug use behaviour and overall met their interest regarding receiving engaging and non-moral forms of drug prevention programmes. While pupils perceived the normative feedback session in the classroom and the posters with SN messages as positive, stimulating and surprising, the web-based application with SN feedback was rarely used and less positively evaluated. Anonymity and confidentiality were regarded as essential to provide honest answers in the poll. The pupils suggested even more variety in ways to engage them and to use more gaming elements. Conclusions: SN feedback was well perceived by adolescents. The intervention met their interest and needs and was able to achieve the intended impact of challenging norm perceptions. Anonymity and confidentiality are key in order to build trust and engage adolescents in the intervention.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 88%

Youth Experiences with Social Norms Feedback: Qualitative Findings from The Drug Prevention Trial the GOOD Life

Stock

Kjær

Rasmussen

et al. 2020

IJERPH

Self Cite

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“…Cuijpers (6) suggest that the inconclusive results on effectiveness may be related to the inconsistency of programme content and the diversity of the theoretical frameworks of successful programmes. However, prevention programmes based on the social norms approach (SNA) have shown promising results in relation to reduction of alcohol use in educational settings among both younger (7–10) and older adolescents (11, 12). These SNA interventions place the focus on the healthy behavior of the majority of the target population, hence fosters social cohesion and inclusion rather than pinpointing toward adverse, or anti-social behavior.…”

Section: Introductionmentioning

confidence: 99%

Does Level of Received Intervention Dose Have an Impact on the Effectiveness of the Social Norms Alcohol Prevention Program The GOOD Life?

Vallentin-Holbech

Rasmussen

Stock

2019

Front. Public Health

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Background: Few studies have assessed how social norms messages are perceived and understood by adolescents in secondary school. We examined whether the self-reported level of exposure, satisfaction and recall of a social norms intervention had an impact on the preventive effect of the intervention The GOOD Life . Furthermore, we explored which factors were associated with high recall of the intervention. Methods: Data from pupils aged 13–17 years enrolled in a cluster-randomized controlled trial with 18 intervention schools ( n = 641) and 20 control schools ( n = 714) were analyzed using multilevel regressions. The intervention provided social norms messages through three different communication elements: classroom feedback session, posters, and web-application. At 3-months follow-up, pupils from the intervention schools were asked about their participation in, their satisfaction with and recall of the intervention. The effects were examined on: overestimation of peer drinking, binge drinking (5 or more drinks on one occasion) and alcohol-related harms. Results: Regards the outcome overestimation of peer drinking higher preventive effect sizes were observed for higher levels of exposure, satisfaction, and recall. Regards the outcome alcohol-related harms preventive intervention effects were observed for medium exposure and higher satisfaction. For binge drinking we found no significant effects for any level of exposure, satisfaction, or recall. Higher levels of satisfaction and exposure, and female sex were associated with better recall of the intervention. Conclusion: For higher levels of self-reported exposure, satisfaction, and retention regarding the social norms messages we observed stronger intervention effects regards several outcomes suggesting that these implementation parameters are important for intervention effectiveness. Trial registration: The trial is registered at Current Controlled Trials with study ID ISRCTN27491960.

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“…On the one hand, it is possible that those who defecate in the open overestimate the prevalence of this behavior to justify their behavior. On the other hand, it is also possible that this bias encourages individuals to adjust their behavior to coincide with their subjective prevalence perception [22]. As reported in Bicchieri, et al, 2018, toilet use was strongly influenced by the belief that other members of one's reference network are using toilets [19].…”

Section: Plos Onementioning

confidence: 99%

Bias in the perceived prevalence of open defecation: Evidence from Bihar, India

Kuang

Thulin²,

Ashraf

et al. 2020

PLoS ONE

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People often form perceptions about how prevalent a behavior is in a social group. However, these perceptions can be inaccurate and biased. While persistent undesirable practices in low-income countries have drawn global attention, evidence regarding people's perception of how prevalent these practices are is scarce. Among those harmful practices, open defecation in India remains a significant public health concern, where it perpetuates the vicious cycle of disease and poverty. In this study, we focus on measuring the perceived prevalence of open defecation among respondents in Bihar, India. We examined the bias in perceived prevalence, which is defined as a pattern of deviation from the actual prevalence of open defecation. Results showed that respondents who defecate in the open overestimate the prevalence of open defecation, whereas those who consistently use toilets underestimate it. This finding suggests a false consensus bias in the perceived prevalence of open defecation. Scholars, policymakers, and program implementers who seek to correct misperceptions about open defecation by broadcasting real prevalence should be aware of biases in the perceived prevalence and address them in behavior change interventions.

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Effects of the social norms intervention The GOOD Life on norm perceptions, binge drinking and alcohol-related harms: A cluster-randomised controlled trial

Cited by 25 publications

References 44 publications

Youth Experiences with Social Norms Feedback: Qualitative Findings from The Drug Prevention Trial the GOOD Life

Youth Experiences with Social Norms Feedback: Qualitative Findings from The Drug Prevention Trial the GOOD Life

Does Level of Received Intervention Dose Have an Impact on the Effectiveness of the Social Norms Alcohol Prevention Program The GOOD Life?

Bias in the perceived prevalence of open defecation: Evidence from Bihar, India

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