PREVENTION PLUS WELLNESS PROGRAM IMPLEMENTER TRAINING Prevention Plus

PREVENTION PLUS WELLNESS PROGRAM IMPLEMENTER TRAINING Prevention Plus Wellness, LLC ©All Rights Reserved, 2018 Prevention. Plus. Wellness. com

TODAY’S OBJECTIVES 1. Identify the critical need for effectively addressing multiple health risks in youth & young adult substance use programs as in Prevention Plus Wellness (PPW) interventions. 2. List PPW program materials and the settings where they can be implemented. 3. Identify the models underpinning PPW programs and their components. 4. Describe how to implement and evaluate PPW programs. 5. List positive outcomes proven to result from PPW programs.

THE NEED FOR ADDRESSING MULTIPLE HEALTH RISKS AMONG YOUTH AND YOUNG ADULTS

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.

HEALTH RISK BEHAVIOR FINDINGS • Health risk behaviors are prevalent • They increase with age (peaking at young adulthood) • Some result in premature morbidity & mortality (e. g. , high calorie/fat/sodium & low nutrient diet, low PA, smoking, alcohol/drug use, risky sex habits) • Some protect health (e. g. , regular PA, F & V eating, taking one’s meds) • They co-occur as clusters or bundles https: //www. ncbi. nlm. nih. gov/pmc/articles/PMC 3284863/

MULTIPLE, CO-EXISTING RISKS ADDICTIONS CHRONIC DISEASE RISKS • Marijuana use • Physical inactivity • Alcohol use • Unhealthy eating • Tobacco use • Lack of sleep • Other substance use/addictions • Uncontrolled daily stress • Other CD risks

KEY BI-DIRECTIONAL HEALTH BEHAVIOR ASSOCIATIONS • Physical activity, exercise & sports vs. substance use • Healthy habits (nutrition, sleep & stress control) vs. substance use

BENEFITS OF A HEALTHY LIFESTYLE 1. Improved physical & mental health & quality of life 2. More positive self-image, self-esteem, self-regulation, selfconfidence & life skills 3. Less depression, anxiety, unsafe sex, alcohol, tobacco & illicit drug use 4. Greater brain development & cognitive functioning 5. More opportunities to socialize, have fun & friendships 6. Greater academic success (suspensions, attendance, dropouts, college) 7. Less heart disease, diabetes, cancer, stroke, obesity &

THE NEED • Avoid substance misuse • Foster a protective wellness lifestyle • Develop a positive identity • Increase self-regulation • Set and achieve life goals • Need positive models & communication

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

REVIEW 1. The main problem is that youth are likely to experience multiple, _____ health risks. 2. The 2 types of health risks include substance use/addictions and ________ risks. 3. Health risks among youth tend to co-occur as ______. 4. Healthy behaviors that protect youth from substance use include: a. _______ b. ________ c. ________

PROGRAM MATERIALS & SETTINGS

SPORT & In. Shape 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 • New optional booklet versions

SPORT PPW Program Manuals • Introduction • Directions for implementation • Individual program script, screening survey & goal plan • Group program script • Evaluation materials • Follow-up parent flyers & web resources

In. Shape PPW Program Manual • Introduction • Directions for implementation • Individual program script, screening survey & goal plan • Group program script • Evaluation materials

DIGITAL DOWNLOADS 1. Powerpoint slides 2. PDF document, including: a. Screening survey b. Goal plan c. Parent flyers & resources (SPORT PPW) d. Marijuana resources (SPORT MJ) 3. Evaluation materials • Feedback Survey • Instructor’s Survey • Fidelity Checklist • Parent Flyer Phone Protocol (SPORT PPW)

SPORT PPW BOOKLET BUNDLES

INSHAPE PPW BOOKLET BUNDLES

IMPLEMENTATION OPTIONS Option 1: Stand-alone intervention Option 2: Add-on to other prevention, health, sports, fitness, recreation, intervention or treatment programs or activities •

SPORT PPW PROGRAM 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 leadership training opportunities • Hospitals & clinics • Sports and school physical exams • Faith-based organizations • Juvenile justice • Homes •

• During healthy lifestyle courses, freshmen year experience, lunch break, alcohol or drug use infraction, freshmen orientation • Campus fitness, recreation, sports teams, student clubs • Peer youth leadership training opportunities • RA training, residence events • Campus health clinic and wellness events • Sports and school physical exams • Counseling INSHAPE PPW PROGRAM IMPLEMENTATION SETTINGS

REVIEW 1. SPORT Prevention Plus Wellness & In. Shape Prevention Plus Wellness programs are just a _______ session in length. 2. SPORT PPW also includes optional ____ materials. 3. Both may be implemented either one-on-one or to a _____. 4. Both are designed to cue positive ____. 5. They can be implemented either as a stand-alone or ___- __ program.

UNDERLYING MODELS

CONCEPTUAL MODEL: BEHAVIOR-IMAGE MODEL (BIM) BIM is a 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.

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.

Part #1: Positive Images of Health Enhancing Behaviors • Create a mental picture of the healthy behavior using vivid terms and illustrations. • “Young people who engage in regular physical activity tend to feel energetic, sleep better, and look more active, fit and confident. ”

Part #2: Health Risk Behavior Connection “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. ”

Step 1 Practice Model: Screening and Brief Intervention (SBI) Step 2 Step 3 • Screen youth current health habits using screening survey • Provide feedback and positive image messages using script & Power. Point slides

PROGRAM FOLLOW-UP OPTIONS 1. Remind participants to revisit their goals one-week later 2. Implement follow-up parent flyers & web-resources (SPORT PPW) 3. Meet with participants to discuss goal successes and rewrite goals 4. Re-administer the scripted intervention every 6 -12 months 5. Implement additional lessons (e. g. , Multi-session SPORT 2

PROGRAM TAILORING 1. 2. 3. 4. Images Content Co-branding Cultural adaptations or language translations 5. NOT the BIM & SBI models

FIDELITY & OUTCOME EVALUATION Fidelity Evaluation & Immediate Pre. Posttest Behavioral Intentions & Social Norms • Collect and secure screening & feedback surveys • Enter data into free Excel spreadsheet • Monitor results for program promotion and improvement

REVIEW 1. The Behavior-Image Model is used to develop brief programs that integrate _____ with substance use prevention. 2. PPW programs cue positive peer and desired _______ images. 3. PPW programs create a mental picture of healthy behaviors by using ______ image terms/words. 4. Then substance use is shown as ____ing with positive health habits. 5. The third step in the screening and brief intervention model used by PPW programs is ____________.

RESEARC H FINDINGS

SPORT PPW PUBLISHED RESEARCH ARTICLES 1. Journal of School Health 2. Prevention Science 3. Journal of Child and Adolescent Substance Abuse 4. Journal of Behavioral Medicine

SPORT PPW Published Outcomes üDecreased alcohol use initiation, quantity, frequency, binge drinking & alcohol problems üIncreased physical activity üReduced cigarette smoking with some effects one-year later üReduced binge drinking, smoking, marijuana use, and increased physical activity among drug users one-year after program üIncreased parent-youth communication üParent flyers reduced alcohol use, problems & marijuana use and increase parent communication

INSHAPE PPW PUBLISHED RESEARCH ARTICLES 1. Annals of Behavioral Medicine 2. Preventive Medicine 3. Journal of Adolescent Health 4. Journal of American College Health

In. Shape PPW Published Outcomes üReduced frequency and heavy alcohol use üReduced drinking and driving one-year after program üReduced initiation, quantity and heavy use of marijuana üIncrease sleep, exercise, and healthy eating üImproved social and spiritual health-related quality of life üImproved body image satisfaction

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

REVIEW 1. Research shows that PPW programs effectively prevent substance use and increase ___________. 2. Some positive PPW program effects lasted up to ____-year. 3. SPORT PPW & In. Shape PPW are listed on various evidencebased data-bases including Blueprints for _________ development.

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