Effects of a Brief Web-Based "Social Norms"-Intervention on Alcohol, Tobacco and Cannabis Use Among German University Students: Results of a Cluster-Controlled Trial Conducted at Eight Universities

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • C. R. Pischke - , Heinrich Heine University Düsseldorf (Author)
  • S. M. Helmer - , Free University of Berlin, Humboldt University of Berlin, Charité – Universitätsmedizin Berlin (Author)
  • H. Pohlabeln - , Leibniz Institute for Prevention Research and Epidemiology (Author)
  • S. Muellmann - , Leibniz Institute for Prevention Research and Epidemiology (Author)
  • S. Schneider - , Heidelberg University  (Author)
  • R. Reintjes - , Hamburg University of Applied Sciences (Author)
  • A. Schmidt-Pokrzywniak - , Martin Luther University Halle-Wittenberg (Author)
  • M. Girbig - , Institute and Policlinic of Occupational and Social Medicine (Author)
  • A. Kramer - , Bielefeld University (Author)
  • A. Icks - , Heinrich Heine University Düsseldorf, German Diabetes Center Düsseldorf (Author)
  • U. Walter - , Leibniz University Hannover (LUH) (Author)
  • H. Zeeb - , Leibniz Institute for Prevention Research and Epidemiology, University of Bremen (Author)

Abstract

Background and Aim: "Social norms" (SN)-interventions are aimed at changing existing misperceptions regarding peer substance use by providing feedback on actual norms, thereby affecting personal substance use. It is unknown whether SN-intervention effects previously demonstrated in US students can be replicated in German students. The aim of the INSIST-study was to examine the effects of a web-based SN-intervention on substance use.Design: Cluster-controlled trial.Setting: Eight Universities in Germany.Participants and Measurements: Students were recruited at four intervention vs. four delayed intervention control Universities. 4,463 students completed baseline, 1,255 students (59% female) completed both baseline and 5-months follow-up web-based surveys on personal and perceived peer substance use. Intervention participants received feedback contrasting personal and perceived peer use with previously assessed use and perceptions of same-sex, same-university peers. Intervention effects were assessed via multivariable mixed logistic regression models.Findings: Relative to controls, reception of SN-feedback was associated with higher odds for decreased alcohol use (OR: 1.91, 95% CI 1.42-2.56). This effect was most pronounced in students overestimating peer use at baseline and under or accurately estimating it at follow-up (OR: 6.28, 95% CI 2.00-19.8). The OR was 1.33 (95% CI 0.67-2.65) for decreased cannabis use in students at intervention Universities and was statistically significant at 1.70 (95% CI 1.13-2.55) when contrasting unchanged and decreased with increased use. Regarding tobacco use and episodes of drunkenness, no intervention effects were found.Conclusions: This study was the first cluster-controlled trial suggesting beneficial effects of web-based SN-intervention on alcohol and cannabis use in a large sample of German University students.

Details

Original languageEnglish
Article number659875
Number of pages14
JournalFrontiers in Public Health
Volume9
Publication statusPublished - 14 May 2021
Peer-reviewedYes

External IDs

PubMed 34055723
Scopus 85107204750

Keywords

Sustainable Development Goals

Keywords

  • &#8220, -intervention, Alcohol, Cannabis, Cluster-controlled trial, Social norms&#8221, Substance use, University context

Library keywords