Tobacco free duo - 25 years of experience from an evidence-based method to prevent tobacco use amongst young people

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.

Download Full-text

Evidence-Based National Initiatives to Address Tobacco Use as a Public Health Priority in the Veterans Health Administration

Military Medicine ◽

10.7205/milmed-d-00-3108 ◽

2009 ◽

Vol 174 (1) ◽

pp. 029-034 ◽

Cited By ~ 29

Author(s):

Kim Hamlett-Berry ◽

John Davison ◽

Daniel R. Kivlahan ◽

Marybeth H. Matthews ◽

Jane E. Hendrickson ◽

...

Keyword(s):

Public Health ◽

Tobacco Use ◽

Veterans Health Administration ◽

Evidence Based ◽

Veterans Health ◽

Health Administration ◽

Public Health Priority ◽

Health Priority ◽

National Initiatives

Download Full-text

Positive Choices: Addressing the evidence-practice gap in alcohol and other drug prevention

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.445 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Nepal ◽

L Stapinski ◽

N Newton ◽

L Grummitt ◽

S Lawler ◽

...

Keyword(s):

Young People ◽

Primary Source ◽

Evidence Base ◽

Drug Prevention ◽

Evidence Based ◽

Drug Education ◽

Health Issues ◽

Prevention Strategies ◽

Response Strategies ◽

Practice Gap

Abstract Issue Alcohol and other drug (AOD) use during adolescence puts young people at risk of juvenile offending, poor educational outcomes, school dropout, and mental health issues. Since parents and school teachers are the primary source of contact for adolescents, it is important that they are equipped with accurate and up-to-date response strategies. There are a number of effective drug prevention strategies, however, they are not widely implemented. Description of the practice To address this evidence-practice gap, the Positive Choices initiative was launched in 2015. Positive Choices supports implementation of evidence-based and prevention strategies through provision of training and a centralised information and resources portal for young people, their parents and teachers. The portal contains information factsheets and webinars and was developed in consultation with AOD experts and target users. Drug education resources and curriculum programs meeting pre-specified criteria for relevance, quality and evidence-base are listed in the resources database. Results Positive Choices has been accessed by one-million Australian and international users. The most popular resources are videos, factsheets, webinars. In 2019, 71% parents and 65% teachers said that they would continue using the website. Half (54%) of school staff were not currently implementing evidence-based prevention strategies, of these 89% intended to shift to evidence-based practice after using Positive Choices. The majority of the users have said they would recommend the website to their colleagues and friends. Lessons Positive Choices is effective in changing users' intentions to implement evidence-based strategies. Drug education programs need to engage parents and teachers if they are to be effective. Key messages Positive Choices has increased users’ awareness of evidence-based prevention strategies. Positive Choices has increased users’ intentions to implement evidence-based prevention strategies.

Download Full-text

What are the effects of mass media antismoking campaigns on smoking/tobacco use in young people (< 25 years of age)?

Cochrane Clinical Answers ◽

10.1002/cca.2657 ◽

2019 ◽

Author(s):

Jane Burch ◽

Sera Tort

Keyword(s):

Young People ◽

Mass Media ◽

Tobacco Use

Download Full-text

A Collaborative Model for Facilitating the Delivery of Smoking Cessation Treatments to Cancer Patients: Results From Three Oncology Practices in South Carolina

The Journal of Smoking Cessation ◽

10.1017/jsc.2018.23 ◽

2018 ◽

Vol 14 (2) ◽

pp. 112-124

Author(s):

Daniel J. Kilpatrick ◽

Kathleen B. Cartmell ◽

Abdoulaye Diedhiou ◽

K. Michael Cummings ◽

Graham W. Warren ◽

...

Keyword(s):

Smoking Cessation ◽

South Carolina ◽

Quality Improvement ◽

Collaborative Learning ◽

Cancer Patients ◽

Tobacco Use ◽

Tobacco Cessation ◽

Dissemination And Implementation ◽

Evidence Based ◽

Cancer Centers

Introduction: Continued smoking by cancer patients causes adverse cancer treatment outcomes, but few patients receive evidence-based smoking cessation as a standard of care.Aim: To evaluate practical strategies to promote wide-scale dissemination and implementation of evidence-based tobacco cessation services within state cancer centers.Methods: A Collaborative Learning Model (CLM) for Quality Improvement was evaluated with three community oncology practices to identify barriers and facilitate practice change to deliver evidence-based smoking cessation treatments to cancer patients using standardized assessments and referrals to statewide smoking cessation resources. Patients were enrolled and tracked through an automated data system and received follow-up cessation support post-enrollment. Monthly quantitative reports and qualitative data gathered through interviews and collaborative learning sessions were used to evaluate meaningful quality improvement changes in each cancer center.Results: Baseline practice evaluation for the CLM identified the lack of tobacco use documentation, awareness of cessation guidelines, and awareness of services for patients as common barriers. Implementation of a structured assessment and referral process demonstrated that of 1,632 newly registered cancer patients,1,581 (97%) were screened for tobacco use. Among those screened, 283 (18%) were found to be tobacco users. Of identified tobacco users, 207 (73%) were advised to quit. Referral of new patients who reported using tobacco to an evidence-based cessation program increased from 0% at baseline across all three cancer centers to 64% (range = 30%–89%) during the project period.Conclusions: Implementation of quality improvement learning collaborative models can dramatically improve delivery of guideline-based tobacco cessation treatments to cancer patients.

Download Full-text

Evidence-based skills in Welsh youth justice settings

Evidence-Based Skills in Criminal Justice ◽

10.1332/policypress/9781447332961.003.0014 ◽

2017 ◽

Author(s):

Pamela Ugwudike ◽

Gemma Morgan

Keyword(s):

Young People ◽

Research Evidence ◽

Evidence Based ◽

Positive Finding ◽

Youth Justice ◽

Relationship Skills ◽

Supervision Practice ◽

Justice Practice ◽

Integrate Research

This chapter presents the findings of a study that examined supervision skills within three youth offending teams. The study focused on youth justice practice in Wales and its objective was to explore how best to integrate research evidence into frontline practice. It found that participating practitioners employed mainly relationship skills. This is a positive finding but there was limited use of evidence-based skills embedded in what is described as the ‘structuring principle' of effective interpersonal interactions (Bonta and Andrews 2017). The skills are change-focused and they impact on what young people learn during interactions with practitioners and the quality of the influence the practitioners exert over them. This chapter examines the factors that impede the application of structuring skills and concludes with a discussion of the ways in which gaps between research and supervision practice can be bridged to enhance the quality of youth justice practice.

Download Full-text

An Evidence-Based Approach to the Use of Social Media to Promote Political Literacy among Youth in the Sultanate of Oman

International Journal of E-Politics ◽

10.4018/ijep.2017040103 ◽

2017 ◽

Vol 8 (2) ◽

pp. 30-39

Author(s):

Mohammed Nasser Al-Suqri ◽

Salim Said AlKindi ◽

Abdullah Khamis Al-Kindi

Keyword(s):

Social Media ◽

Young People ◽

Best Practice ◽

Political Conflict ◽

Evidence Based ◽

Citizen Engagement ◽

Sultanate Of Oman ◽

Political Literacy ◽

The Government ◽

Use Of Social Media

This paper presents the findings of a review of literature to understand the issues facing the Sultanate of Oman in this area, and to identify international examples of best practice in the use of social media to promote political literacy among young people. Evidence-based recommendations for the Government of the Sultanate of Oman are developed, which include the provision of social media literacy training at school and university level, as well as the establishment of an online citizen engagement portal. By adopting international best practice in the use of social media to promote political literacy and citizen engagement among young people, it is believed that the Sultanate of Oman can provide a model for other Middle Eastern Arab states, helping to reduce the potential for political conflict in these countries and promoting participatory approaches to policy-making which reflect the growing demands of young citizens.

Download Full-text

Translating evidence-based treatment for digital health delivery: a protocol for family-based treatment for anorexia nervosa using telemedicine

Journal of Eating Disorders ◽

10.1186/s40337-020-00328-x ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

A. Hambleton ◽

D. Le Grange ◽

J. Miskovic-Wheatley ◽

S. Touyz ◽

M. Cunich ◽

...

Keyword(s):

Anorexia Nervosa ◽

Young People ◽

Treatment Effectiveness ◽

Digital Health ◽

Evidence Based ◽

Treatment Needs ◽

Evidence Based Treatment ◽

Face To Face ◽

Family Based Treatment ◽

Family Based

Abstract Background Family-based treatment (FBT) is an efficacious outpatient intervention for young people diagnosed with Anorexia Nervosa (AN). To date, treatment to protocol has relied on standard face-to-face delivery. Face-to-face therapy is subject to geographic, temporal and human factors, rendering it particularly susceptible to inequities and disruption. This has resulted in poorer service provision for rural and regional families, and recently a significant challenge to providing face-to-face services during the COVID-19 global pandemic. The present study examines whether FBT for AN can be successfully translated to a digital delivery platform to address these access issues. Method Forty young people aged 12 to 18 years who meet DSM-5 diagnostic criteria for AN, and live in a rural or regional setting, will along with their family be recruited to the study. Trained therapists will provide 18 sessions of FBT over 9 months via telemedicine to the home of the young person and their family. The analysis will examine treatment effectiveness, feasibility, acceptability, and cost-effectiveness. Discussion The study addresses the treatment needs of families not able to attend face-to-face clinical services for evidence-based treatment for eating disorders. This might be due to several barriers, including a lack of local services or long travel distances to services. There has been a recent and unprecedented demand for telemedicine to facilitate the continuity of care during COVID-19 despite geographical circumstances. If delivering treatment in this modality is clinically and economically effective and feasible, it will facilitate access to potentially lifesaving, evidence-based treatments for families formerly unable to access such care and provide evidence for the continuity of services when and where face-to-face treatment is not feasible.

Download Full-text