Internet-based interventions — messages that click
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Internet-based interventions — messages that click
Dr. Peter Tossmanndelphi-Gesellschaft für Forschung, Beratung und Projektentwicklung mbH, Berlin
EMCDDA ConferenceIdentifying Europe’s information needs for effective drug policyLisbon, 6–8 May 2009
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Initial situation
EIAA Mediascope Europe, 2008
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
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Internet and health communication
Informational websites
Forums for discussion and self help / blogs
Interactive tests
Counselling via Chat, E-Mail
Structured intervention programmes
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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
EMCDDA-Study (2008): Review on Internet-based drug treatment interventions
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..... a specifically elaborated or adapted, structured and scheduled drug treatment intervention, offered on and communicated over the World Wide Web.
What is an “Internet-based drug treatment intervention” ?
Definition:
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Methods
Survey within the Reitox network30 National Focal Points: Are you aware of internet-based drug treatment interventions in your country
Literature investigationSearch-terms: ‘internet-based’, ‘web-based’, ‘treatment’,
‘programme’, ‘drug’, ‘cocaine’, ‘cannabis’
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Internet-based drug treatment intervention in EU member states: Four programmes focusing cannabis users
Results
Live Onlinebehandeling Cannabis
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Initiation Date: Dec 2004
Type of programme: free self-help programme
Recommended/Scheduled duration of the intervention: 4 - 6 Weeks
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Programme elements: craving and smoking diary tailored feedback relapse prevention („emergency plan“) information
Evaluation:
year visitors users signed in users competed
2006 33,464 1,419 125 (8.8%)
2007 52,801 1,558 138 (8.9%)
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Live Onlinebehandeling Cannabis
Initiation Date: May 2008
Type of programme:
Recommended/Scheduled duration of the intervention: 10 Weeks
fee-based programme including scheduled contact with counsellor
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Live Onlinebehandeling Cannabis
identification of personal risk situations
forum
personal goal setting
tailored feedback
smoking and craving diary
exercise: how to cope with craving and peer pressure?
Programme elements:
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Initiation Date: Jan 2008
Type of programme: fee-based programme including scheduled contact with counsellor
Recommended/Scheduled duration of the intervention: 3 month
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Programme elements: craving diary Pros & Cons Balance risk analysis development of a personal treatment plan working with risk situation emergency plan
From January 2008 until May 2008, 400 participants.
Evaluation:
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Initiation Date: Aug 2004
Type of programme: free programme including scheduled contact with counsellor
Recommended/Scheduled duration of the intervention: 50 days
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Programme elements: initial chat session with a counsellor (50 mins) diary weekly feedback from the counsellor final chat session
Number of participants 2008: 524Number of participants since Aug 2004: 2,145
Evaluation:
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Structure of the survey
Start-up-questionnaire
• Socio-demographics• Cannabis consumption (quantity, freq.)• Psychological well-being• Motives for / against consumption • Consumption-related self-efficacy
Delay-conditionParticipation at the programme
3 M
onth
s
Follow-up
• Cannabis consumption (quantity, freq.)• Psychological well-being• Consumption-related self-efficacy• Receiving of other treatment
Evaluation of the „quit the shit“ Programme
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Study Population: N=206 participants
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
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)
Evaluation of the „quit the shit“ Programme
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T(187,02)=6,593; p<.001; d = 0,98
Results: Days of consumption within the past 30 days
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T(166,969)=5,174; p<.001; d = 0,74
Consumed amount (grams) within the past 30 daysResults:
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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