Acceptability of targeting social embarrassment in a digital intervention to reduce student alcohol consumption: A qualitative think aloud study

Acceptability of targeting social embarrassment in a digital intervention to reduce student alcohol consumption: A qualitative think aloud study
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DOI:
10.1177/2055207617733405
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发表时间:
2017-01-01
期刊:
影响因子:
3.9
通讯作者:
Winstock, Adam R.
Winstock, Adam R.
中科院分区:
医学3区
文献类型:
--
作者:
Davies, Emma L.;Law, Cara;Winstock, Adam R.

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目的:增加对酒精相关危害的认识,改变社会规范,或鼓励在安全单位水平内饮酒,往往无法改变年轻人的行为。一种名为“OneTooMany”的新型干预措施被开发出来,它针对的是饮酒带来的短期社会后果和潜在的尴尬后果。本研究的目的是探讨其可接受性,并确定可能影响其作为一种减少饮酒手段的有效性的任何特征。方法:受试者为23名18-30岁的在校青年(n=18)和毕业后前6个月的青年(n=5)。采用了有声思考的访谈方法。在演绎主题分析中确定了三个主要主题。结果:尴尬经历是饮酒场合的常态,一些被积极避免,另一些被庆祝。幽默是参与者参与和感兴趣的一种手段,但也可能减少干预信息。OneTooMany引发了对许多令人遗憾的饮酒经历的反思,但参与者并不认为自己是这次干预的目标受众。结论:关注过度饮酒的一些短期、令人尴尬的后果可能会对干预有所裨益。需要进一步的研究,以确保对过去行为的反思有助于解决未来的行为。
Objective: Increasing knowledge about alcohol-related harms, changing social norms, or encouraging drinking within safe unit levels often fails to change behaviour in young people. A novel intervention called 'OneTooMany' was developed, which targets the short-term social, and potentially, embarrassing consequences of drinking alcohol. The aim of this paper was to explore its acceptability, and to determine any features that might influence its effectiveness as a means of reducing alcohol consumption.Methods: Participants were 23 young adults (aged 18-30) currently studying at university (n = 18) or in the first six months following graduation (n = 5). A think aloud interview approach was employed. Three main themes were identified in a deductive thematic analysis.Results: Embarrassing experiences were a normalised part of drinking occasions, while some were actively avoided, others were celebrated. Humour served as a device to engage and interest participants, but could also diminish intervention messages. OneTooMany prompted reflections on many regrettable drinking experiences, but the participants did not see themselves as the target audience for this intervention.Conclusions: Interventions may benefit from focusing on some of the short term, embarrassing consequences of excessive alcohol consumption. Further research is needed to ensure that reflections on past behaviour are helpful in addressing future behaviour.