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Internet-based interventions — messages that click

Internet-based interventions — messages that click. Dr. Peter Tossmann delphi-Gesellschaft für Forschung, Beratung und Projektentwicklung mbH, Berlin. EMCDDA Conference Identifying Europe’s information needs for effective drug policy Lisbon, 6–8 May 2009. Initial situation.

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Internet-based interventions — messages that click

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  1. Internet-based interventions — messages that click Dr. Peter Tossmann delphi-Gesellschaft für Forschung, Beratung und Projektentwicklung mbH, Berlin EMCDDA Conference Identifying Europe’s information needs for effective drug policy Lisbon, 6–8 May 2009

  2. Initial situation 178 Million people in Europe have access to the internet 55% of all internet users in Europe are online daily 42% of all internet users in Europe are looking for health information via the internet EIAA Mediascope Europe, 2008

  3. Internet and health communication  Informational websites  Interactive tests  Forums for discussion and self help / blogs  Counselling via Chat, E-Mail  Structured intervention programmes

  4. EMCDDA-Study (2008): Review on Internet-based drug treatment interventions The objective of this review is to give an overview of existing internet- based drug treatment interventions in the EU Member States and to describe examples of good practice

  5. Definition: What is an “Internet-based drug treatment intervention” ? ..... aspecifically elaborated or adapted, structured and scheduled drug treatment intervention, offered on and communicated over the World Wide Web.

  6. Methods Survey within the Reitox network 30 National Focal Points: Are you aware of internet-based drug treatment interventions in your country Literature investigation Search-terms: ‘internet-based’, ‘web-based’, ‘treatment’, ‘programme’, ‘drug’, ‘cocaine’, ‘cannabis’

  7. Results Internet-based drug treatment intervention in EU member states: Four programmes focusing cannabis users Live Onlinebehandeling Cannabis

  8. Initiation Date: Dec 2004 Type of programme: free self-help programme Recommended/Scheduled duration of the intervention: 4 - 6 Weeks

  9. Programme elements:  craving and smoking diary  tailored feedback  relapse prevention („emergency plan“)  information Evaluation:

  10. Live Onlinebehandeling Cannabis Initiation Date: May 2008 Type of programme: fee-based programme including scheduled contact with counsellor Recommended/Scheduled duration of the intervention: 10 Weeks

  11. Live Onlinebehandeling Cannabis Programme elements:  identification of personal risk situations  personal goal setting  smoking and craving diary  tailored feedback  exercise: how to cope with craving and peer pressure?  forum

  12. Initiation Date: Jan 2008 Type of programme: fee-based programme including scheduled contact with counsellor Recommended/Scheduled duration of the intervention: 3 month

  13. Programme elements:  craving diary  Pros & Cons Balance  risk analysis  development of a personal treatment plan  working with risk situation  emergency plan Evaluation: From January 2008 until May 2008, 400 participants.

  14. Initiation Date: Aug 2004 Type of programme: free programme including scheduled contact with counsellor Recommended/Scheduled duration of the intervention: 50 days

  15. Programme elements:  initial chat session with a counsellor (50 mins)  diary  weekly feedback from the counsellor  final chat session Evaluation: Number of participants 2008: 524 Number of participants since Aug 2004: 2,145

  16. Evaluation of the „quit the shit“ Programme Structure of the survey • Socio-demographics • Cannabis consumption (quantity, freq.) • Psychological well-being • Motives for / against consumption • Consumption-related self-efficacy Start-up-questionnaire Participation at the programme Delay-condition 3Months • Cannabis consumption (quantity, freq.) • Psychological well-being • Consumption-related self-efficacy • Receiving of other treatment Follow-up

  17. Evaluation of the „quit the shit“ Programme Study Population: N=206 participants • Socio-demographic data • Significantly more male participants (74%) • Average age: 25 yrs. (MD) (youngest: 14 yrs.; oldest: 59 yrs.) • Relatively high education: 49% attend Gymnasium (lycée) or have reached Abitur (bac) • Cannabis: Consumption & dependence • On average on 27 days during the last 30 days • On average 15 grams during the last 30 days (high variance) • 95% are addicted to cannabis (DSM IV) • Retention rate • 44% of the participants completed the programme regularly

  18. Results: Days of consumption within the past 30 days T(187,02)=6,593; p<.001; d = 0,98

  19. Results: Consumed amount (grams) within the past 30 days T(166,969)=5,174; p<.001; d = 0,74

  20. Summary •  The internet is a quite new area for preventing and treating drug use •  Most of the EU member states provide informational websites. •  All of the existing programmes target cannabis users who want to reduce or quit •  There remains a lack of experience with these programmes •  Some initial results seem to be promising •  Further evaluation work needs to be done

  21. Thank you! Dr. Peter Tossmann tossmann@delphi-gesellschaft.de

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