Education Track, National Rx Drug Abuse Summit, April 2-4, 2013. Youth Programs That Work presentation by Nicole Wanty, Arlene Remick and Ty Sells

1. 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

2. 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.

3. Na5onal
Ins5tute
on
Drug
Abuse
Preven5ng
Teen
Prescrip5on
Drug
Abuse:
Educa5on
Programs
Arlene
Remick,
MPH
Nicole
Wanty,
MAA
IQ
Solu=ons
KDH
Research
and
Communica=on
April
2
–
4,
2013
Omni
Orlando
Resort
at
ChampionsGate

4. 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

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

6. Outline
of
presenta5on
• Background
• Program
development
• Evalua=on
• Findings
• Discussion
• Conclusion

7. 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

8. 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

9. 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

10. 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

11. 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)

12. 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

13. 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

14. 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

15. 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.

16. 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

17. Na5onal
Ins5tute
on
Drug
Abuse
Preven5ng
Teen
Prescrip5on
Drug
Abuse:
Educa5on
Programs
Arlene
Remick,
MPH
Nicole
Wanty
IQ
Solu=ons
KDH
Research
and
Communica=on
April
2
–
4,
2013
Omni
Orlando
Resort
at
ChampionsGate

18. Title
of
Presenta5on
April
2
–
4,
2013
Omni
Orlando
Resort
at
ChampionsGate

19. 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.

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

21. NIDA
for
Teens
21

22. 2012
Monitoring
the
Future
Survey
22

23. 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
23
or
friends.

24. PEERx
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
24

25. 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.
25

26. PEERx
Online
Resources

27. Choose
Your
Path
Videos

28. Ac5vity
Guide
• 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.

29. PEERx
Partner
Toolkit

30. Prescrip5on
Drug
Abuse
Informa5on

31. Partnerships

32. Federal
Agencies
32

33. Na5onal
Organiza5ons

34. State/Local
Organiza5ons
34

35. 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

36. State/Local
Organiza5ons
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.
Mentors
educate
students
in
area
schools.

37. 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.

38. Youth
to
Youth
Interna5onal
38

39. Connect
With
PEERx
peerx@iqsolu=ons.com

40. Youth
Programs
that
Work
April
2
–
4,
2013
Omni
Orlando
Resort
at
ChampionsGate

41. 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.

42. 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.

43. 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.

44. 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.

45. 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.

46. 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.

47. 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.

48. 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.

49. 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.

50. 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)

51. 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.

52. Nature
of
Addic=on
• Normalcy
Chart

53. 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

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

55. 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.

56. 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.

57. 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