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Effects of the sipITT alcohol misuse intervention: A pilot project
Jackie RuttledgeDepartment of Health and Leisure
Institute of Technology Tralee
Problem and Background• Poor attendance, engagement, performance and
retention during 2012/2013 • Alcohol was a significant factor contributing to this
behaviour. • 83% (n=102) of students were found to binge
drink, those who binge drink claimed to do so on an average of 2.5 nights per week.
• In UCC, Cahill and Byrne (2010) reported that 83% (n=151) of students admitted to having had a binge in the previous 12 months.
• At 3rd level, out of 21 countries, Ireland has the highest level of binge drinking (Dantzer et al, 2006)
• Abundance of evidence to suggest that heavy drinking among students has a negative effect on student success and ultimately student retention (Wechsler et al, 2000, Singleton, 2007, Martinez et al, 2008 Wolfson 2009).
• The CLAN study (2005) reported that students who regularly binge drink were twice as likely to miss college compared to non-binge drinkers (61% v 27%)
• Other adverse consequences include harm to:• Physical health
• brain damage, sexually transmitted infections, accidents and injuries
• Mental health• 92% of suicides tested positive for alcohol in people
under 30 (Bedford, et al 2006)
Aims• To reduce levels of dangerous and destructive
drinking among first year health and leisure students
• Reduce the adverse health and social consequences attributable to alcohol
• To improve student retention, performance, engagement and attendance.
• To support and promote the health and general wellbeing of the student cohort
Methods• Guest speaker – Shane Mullins
(Inspirational talk on his life after a horrific car accident caused by drink driving)
• Alcohol awareness stand ‘hydrate to stay out late’
• sipITT facebook page• Free activities: Massage,
fitness testing, personal training, bootcamp, yoga, gym, soccer
• Student concession nights - Aqua Dome, Bowling Buddies
• Weekly schedule of events
• Launched sipITT project during induction programme to try to encourage an alternative culture
• e-PUB online intervention• Drugs/alcohol drop in centre
every Monday morning (NC) • Alcohol/Drugs awareness
workshops during health studies – lifestyle and health module
• Ma’s and Da’s mentoring programme
• Brief interventions training for staff
Applying the Principles of Health Promotion
Key Principles ExamplesEmpowerment Enable students to assume more power over alcohol
use, i.e workshopsParticipative Involve students, staff, local agencies, experts Holistic Target all dimensions of health – i.e physical , mental,
socialInter-sectoral Collaboration with Tralee Community Drugs Initiative,
HSE, GardaíSustainable Embedding content in Health Studies module
SipITT Activity ScheduleTime Monday Tuesday Wednesday Thursday
Morning
Public Swim - Complex €2IT TRALEE GYM OPEN 7.30AM-9.00AM FREE
Public Swim - Complex €2IT TRALEE GYM OPEN 7.30AM-9.00AM FREE
Public Swim - Complex €2IT TRALEE GYM OPEN 7.30AM-9.00AM FREE
Public Swim - Complex €2IT TRALEE GYM OPEN 7.30AM-9.00AM FREE
Starts 8am Complex Gym Open 7am-10pm €2 Complex Gym Open 7am-10pm €2 Complex Gym Open 7am-10pm €2 Complex Gym Open 7am-10pm €2Lunch Time
YOGA 1PM-1.45PM- C102 Fitness Club (Aerobic Stud) €3 RAG Society – T206 Fitness Club (Aerobic Stud) €3
1-2pm Public Swim - Complex €2 Public Swim - Complex €2 Music Society - R104 Heavy Metal Society – T116
Radio Society - R104 TV/Film Society - T204 Comtempory Dance - R107 St. Vincent de Paul - R102
Jogging Club Starts at 1.05pm Hip Hop Society – R107
Wildlife Society - B105 @1.15Motorsport – T108
ACTIVITY LEADERSHIP PRACTICE TIME 1-2PM (1ST YR H&L ONLY)5 a side Football
After College
Public Swim - Complex €2 Public Swim - Complex €2 Bowling Buddies & curry chips €4.95 Public Swim - Complex €2
Starts 5pm MAG Society - S114IT TRALEE GYM OPEN 5-9PM FREE
MAG Society - T116IT TRALEE GYM OPEN 5-9PM FREE
Public swim - Complex €2 Sci-Fi Society - T118
Badminton Complex €2
Starts 6pm Aerobics -S/C Aerobic Studio Ladies Basketball - Presentation School Mens Rugby - NC Pitch Boxing - Aerobics Studio S/CLadies Soccer – Astro NC Boxing - Aerobics Studio Ladies Soccer - NC Pitch IT Tralee Gym open 6-9pm Free
Ladies Basketball- Pres Metal Society - S110 Photography Society - R103 Mens Soccer-All Weather N/C
Mens Rugby- N/C Pitches DJ Society - R102 (Biweekly) Tattoo & Piercing Society - R106 Art Society – R104
Massage & Relaxation- until 9pm (1st yr H&L only)LGBT Society- R106COUCH TO 5K AT 6.15PM- NC PITCH
Racquetball- Complex CourtsFREE MASSAGES GO TO E203 AT 6PM
TV/Video Society - S114Yoga- R107 (starts 6.20pm)COUCH TO 5K AT 6.15PM- NC PITCHIT TRALEE GYM OPEN 6-9PM FREE
IT TRALEE GYM OPEN 6-9PMSipITT FUN TRI-CHALLENGE CYCLING TRAINING 6.15PM OUTSIDE MAIN ENTRANCE TO S/C
Starts 6.30pm
Kickboxing- S/C Aerobics Stud 2 Airsoft Society - S114 BOOTCAMP COMPLEX HALL Airsoft - T204
Tennis- Courts near Aqua Dome Squash- Complex Courts Kickboxing S/C Aerobic Stud 2 Zumba - Sports Complex €5 @6.40
Irish Trad Dance- C102 Irish Sign Language – B102
Aqua Dome €2 bring T-card Mens Basketball - Presentation School Volleyball - Presentation School Hall
Starts 7pm Swimming - Complex Pool (Free)Tag Rugby - Complex HallJudo- S/C Aerobics StudioAqua Dome €2 bring T-CardSipITT FUN TRI-CHALLENGE SWIM TRAINING COMPLEX POOL 7PM
Heavy Metal Society- S110Fitness Class-C102
Public Swim Complex- €2Orgra Fianna Fail- T107 SipITT FUN TRI-CHALLENGE SWIM TRAINING COMPLEX POOL 7PM
Fitness Class-C102
Starts 7.30pm
Mens Soccer - NC PitchMens Basketball- Pres
Tae Kwon Do Complex Hall (starts 7.40pm) Yoga - R107
Ladies Rugby N/C PitchesMens Soccer Astro NC
Athletics- North CampusTae Kwon Do- Complex Hall
Ladies Rugby- NC Pitches
Starts 8.30pm
Badminton - Complex Indoor Soccer - Complex Hall
Starts 9.15pm
Public Swim - Complex €2 Public Swim - Complex €2 Public Swim - Complex €2 Public Swim - Complex €2
Data Collection MethodsEvaluation is ongoing
e-PUB online intervention (Includes AUDIT)• Completed 3 times during the year in class time with associated
workshops and tutorials
Student questionnaire • Administered twice during class time (December/April).
Staff interviews • Conducted during December and will repeated again next week
Students services – nurse, councillorStudents Union H & L Course board
External Interviews (ongoing)• Tralee Community Drugs Initiative• Local Gardaí• Michael Byrne, UCC• HSE
Alcohol Use Disorders Identification Test (AUDIT)
Ten-question test developed by the World Health Organization to determine if a person's alcohol consumption may be harmful
Category questions:• Questions 1-3 deal with alcohol consumption• Questions 4-6 relate to alcohol dependence• Questions 7-10 consider alcohol related problems
Scoring• Scores for each question range from 0 - 4• Score of 8 or more - associated with harmful or
hazardous drinking• Score of 13 or more in women, and 15 or more in men -
likely to indicate alcohol dependence
Key Findings between Time 1 and Time 2
Time 1 – Sept 2013Time 2 – Dec 2013
(after 8 weeks)
0 to 7 8 to 12Above
12 Total0 to 7 8 to 12
Above 12
TotalMale Count 16 20 20 56 19 12 15 46
% 28.6% 35.7% 35.7% 100.0% 41.3% 26.1% 32.6% 100.0%
Female Count 21 19 11 51 16 12 4 32
% 41.2% 37.3% 21.6% 100.0% 50.0% 37.5% 12.5% 100.0%
Total Count 37 39 31 107 35 24 19 78
% 34.6% 36.4% 29.0% 100.0% 44.9% 30.8% 24.4% 100.0%
• Decrease from 65.4% to 55.2% in overall scores of 8 or more • Males increased from 28.6% to 41.3% for scores 0 to 7, and
decreased from 71.4% to 58.7% for scores of 8 or more• Half of Female students had a score of 0 to 7 • The score for likely alcohol dependence for females decreased
from 21.6% to 12.5%
Staff Feedback“Horan’s has been on
the phone asking if student’s are boycotting
because of low numbers”
“Decrease in H & L students attending health centre due to an alcohol/drugs related problem”
“on the practical side, this is the first year that I haven’t had students coming in hungover which is a huge difference”
“Brief interventions training was very useful, I feel more confident to ask the question now. In fact I would
have to say that 99% of the time it has been worth asking the question”
“There’s a huge change in the culture within first years particularly they are much
more positive, they are much more engaged, they are much more supportive
of each other……
Suggestions and Actions“Keep sports teams training throughout semester 2”• sipITT Fun Tri Challenge on 7th April with 4 weeks of
dedicated training. • Group running sessions and couch to 5Km (8 weeks
training programme)“Thursday night would be a better night to plan activities because that’s when they do tend to go out drinking” • Aoife Hearne (Operation Transformation) nutrition
talk took place on Thurs 20 Feb. Other activities on Thursday evenings, i.e cycling
End of Year Outcome Indictors
Reduction in alcohol misuseImprovement in student retentionImprovement in exam resultsIncreased attendance.
Time 3 AUDIT Scores CatTotalScore Total
0 to 7 8 to 12 Above 12
Gender
Male
Count 16 11 19 46
% within Gender34.8% 23.9% 41.3% 100.0%
Female
Count 18 11 11 40
% within Gender45.0% 27.5% 27.5% 100.0%
Total
Count 34 22 30 86
% within Gender39.5% 25.6% 34.9% 100.0%
• In the 8 to 12 category, there was a decrease across the 3 time points (36.4% - time 1, 30.8% - time 2, 25.6% - time 3)
• Decrease for scores 0 to 7 from 44.9% to 39.5%, however still an improvement on time 1 (34.6%)
• There was an increase in the above 12 scores. • Limitations -timing, appropriateness of AUDIT as a repeated measure (not sensitive enough), data not matched
Time 1 Time 2 Time 3
33.36
23.5421.55
Average weekly spend on alcohol (€)
Time point
Mea
n (€
)
2012/2013
2013/2014
0 2 4 6 8 10 12 14
13
6
Number of students who deregistered
Number of Students
2012/2013 2013/20140%
10%
20%
30%
40%
50%
60%
70%
80%
46%
54%51%
68%
Percentage of students passing all modules (first attempt)
First year Second Year
Academic Year
Perc
enta
ge
2012/2013 2013/2014
47%
57%
Student Lecture Attendance
Academic Year
Perc
enta
ge
Where do we go from here?• Complete final review of sipITT pilot project • Consider Implementing school-wide (Health and Social
Sciences School) • Additional action items/improvements for 2014/2015
• Set up a sipITT research group • Apply a planning and evaluation model (LEAP)• Review methodology for future implementation – survey
tool• Improve mentor training – content and timing• Additional guest speakers• Healthy eating/cookery demonstrations