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. Describe PPW programs and the settings where they can be implemented. 3. List positive outcomes proven to result from PPW programs. 4. Identify the models underpinning PPW programs and their components. 5. Describe how to implement and evaluate 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.

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

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 &

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

PROGRAMS & 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 (SPORT PPW) • Optional booklet versions

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 ü ü Marijuana PPW Vaping PPW SPORT 2 PPW In God’s Image

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

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

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

UNDERLYING CONCEPTS & MODELS

LIFESTYLE BRANDING 1. We’ve not been successful in selling prevention 2. Over use of negative messaging 3. Branding is having “customers” see outcomes they want 4. Lifestyle branding is selling a lifestyle, e. g. , beer as fun, fitness & attractive 5. Provide messages appealing to a target audience’s aspirations or images of what they want to be like in the future 6. Prevention is a lifestyle business

POSITIVE IMAGE MARKETING 1. Marketers say pleasure sells, not prevention of bad or scary things 2. We know the bad of drug use all too well 3. We may have a bias toward negative content about drug use 4. We don’t want to think of bad or deny it exists for our youth, school, etc. 5. Need to re-brand prevention as providing good and positive outcomes, not preventing bad things

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.

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.

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.

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. ”

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. ”

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

SHORT TERM OUTCOMES Awareness of positive images & other benefits of wellness behaviors Awareness of how SU harms positive images & behaviors Peer & desired future selfcomparisons Awareness of discrepancy between current behaviors & images Multiple health behavior goal setting & monitoring Positive parent behavior-image comments & monitoring

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

Screening Survey PROGRAM MONITORING & ASSESSMENT TOOLS Feedback Survey Instructor’s Survey Fidelity Checklist Parent Follow-up Phone Protocol (SPORT PPW)

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

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

CHECK OUT OUR PREVENTION RESOURCES Prevention. Plus. Wellness. com

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