Interactive Technology for Media Literacy Drug Prevention in Community Groups

Study Overview
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Brief Summary
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This Phase II STTR will evaluate an interactive, self-paced, e-learning media literacy intervention, REAL media, to prevent youth substance use among youth in the 4-H organization. Participating 4-H clubs will be randomly assigned to use the curriculum or continue current practices with the option for delivery at the end of the study. 4-H members (ages 13-15) will complete a pretest, immediate posttest and follow-up posttests at 3 and 9 months to assess effects.

Detailed Description
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REAL media is an interactive, self-paced, e-learning media literacy curriculum that prevents adolescent substance use among 13-15-year-old teens. The program consists of 5 levels. Levels 1 to 4 are 15-25 minutes; level 5 allots time for message production done offline. Activities lead students to engage in critique and analysis of arguments present/absent from pro-ATOD and other popular product messages and to begin the process of refuting and counter-arguing these messages. These skills are reinforced in level 5 using an active involvement strategy in which youth plan and produce anti-ATOD messages. Users first plan their message via an online worksheet, which requires engagement with and application of media literacy concepts rather than focus exclusively on technology and/or production features. Next, participants design their posters/videos and upload their messages to a social media site as part of a contest, where they recruit peers and family to like or comment on their message.

Official Title
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Interactive Technology for Media Literacy Drug Prevention in Community Groups

Conditions
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Substance Use

Intervention / Treatment
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* Behavioral: REAL media curriculum


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 4-H members and leaders must belong to a participating club in Pennsylvania, Ohio, New Jersey, West Virginia, or Maryland members must be between the ages of 13-15 club leaders must be at least 21 years of age written parental consent and assent from members written consent from club leaders (online assent) Exclusion Criteria: the inability to speak or read American English access to and the ability to use a computer, or navigate the Internet for youth, lack of parental consent/youth assent/leader consent

Ages Eligible for Study
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Minimum Age: 13 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: Factorial design in which participants are randomly assigned to treatment and control groups. The control is a delayed intervention condition, receiving the intervention after the treatment condition is completed.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: REAL media<br>Participants in this group will be assigned to use the REAL media curriculum. | Behavioral: REAL media curriculum<br>* REAL media is a 5-level, interactive, self-paced, e-learning media literacy curriculum to prevent youth substance use.<br>|
| No Intervention: Programming as usual<br>Participants in this group will participate in 4-H programming as usual. They will have the opportunity to use the REAL media curriculum at the conclusion of the study. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in 15-item Intentions to Use Substances Measure | Self reported likelihood of using alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana in the following scenarios: at a party, while hanging out with friends, and while by yourself. Response options include Definitely no, No, Yes, and Definitely Yes. | Change in intentions to use within the next month from baseline to 3 months post baseline. | 
| Change in 15-item Intentions to Use Substances Measure | Self reported likelihood of using alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana in the following scenarios: at a party, while hanging out with friends, and while by yourself. Response options include Definitely no, No, Yes, and Definitely Yes. | Change in intentions to use within the next month from baseline to 9 months post baseline. | 
| Change in 5-item Lifetime Substance Use Measure | Self reported lifetime use of (e.g., whether you ever tried) alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana. Response options include Yes and No. | Change in lifetime (e.g., ever tried) use from baseline to 3 months post baseline. | 
| Change in 5-item Lifetime Substance Use Measure | Self reported lifetime use of (e.g., whether you ever tried) alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana. Response options include Yes and No. | Change in lifetime (e.g., ever tried) use from baseline to 9 months post baseline. | 
| Change in 5-item Frequency of Substance Use Measure | Self reported frequency of use of alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana. Response options include range from 0 days to 30+ days. | Change in frequency of use from baseline to 3 months post baseline. | 
| Change in 5-item Frequency of Substance Use Measure | Self reported frequency of use of alcohol, cigarettes, chewing tobacco (or snuff, dip, snus, or dissolvable tobacco products), e-cigarettes, and marijuana. Response options include range from 0 days to 30+ days. | Change in frequency of use from baseline to 9 months post baseline. |