Katherine Brown PhD C.Psychol Applied Research Centre for Health & Lifestyle Interventions

1. Health psychology, eHealth and sexual health: Can we have impact? Katherine Brown PhD C.Psychol Applied Research Centre for Health & Lifestyle Interventions

2. Introducing some colleagues Prof Louise Wallace Katie Newby Julie Bayley Puja Punj (nee Joshi) Isher Kehal Becky Judd Alison Baxter Dr Maddy Arden Dr Keith Hurst Prof Charles Abraham Dr Mike Caley Amy Danahay Suzanne Hilton SGI colleagues

3. Can we have impact? • Health Psychology • Applied Research • What do we mean by impact? • How do we measure it? • Impact goals and how they are measured may differ for every project • ARC-HLI focus = interventions • Goal = get intervention used in setting “a” or by group of people “b” • Links to public health

4. Can we have impact? • Stakeholders as partners • Not an easy process • Worthwhile though! • eHealth and sexual health • Why eHealth & e interventions? • Examples from some of our work and lessons learnt! • Sharing part of our journey...

5. VoID – Volitional Intervention Development Evidence based and researcher-led Brown, Hurst & Arden (2011) 85% adolescents report strong intentions to use contraception Only half report successful, consistent use Behaviour changed for low intenders Use of implementation intentions to support translation of motivation into action Where do you find YP already motivated to use contraception? Learning Curve

6. Embed implementation intention style planning into sexual health services? Required feasibility work! Developed prototype and gained funding from the British Academy to get YP and HPs to have a go with it and feedback about usability, feasibility for practice and so on Allowed further funding to be secured for development Brown, Abraham, Joshi & Wallace (in press) reports on the health professionals responses and how their views were incorporated in development VoID

7. VoID – Contraceptive planning

8. VoID • http://www.healthinterventions.co.uk/interventions/intro.aspx?section=5 • Developed a protocol funded by NHS Warwickshire to test the efficacy of the intervention in sexual health clinics • Recruitment has been slow! • Lesson learned: engage HPs in efficacy-trial protocol design, get their buy-in and their commitment • Too keen not to be disruptive!

9. VoID • When we have enough data... • Basis for planning a full trial that takes into account lessons learned re: protocol development and feasibility • Web platform is more acceptable now than it was a few years ago so greater scope for embracing the approach... • Public Health – can we use tablet/web technology in other PC settings to deliver behaviour change interventions?

10. PREPARE Serious Game

11. PREPARE Serious Game • Positive Relationships: Eliminating Pressure and Coercion in Adolescent Relationships • Researcher led • Funding sourced based on the idea of using serious gaming for RSE delivery • But: development of intervention involved stakeholders from the outset • Sexual health commissioners and practitioners & young people’s groups • Used intervention mapping (Bartholomew et al., 2011)

12. PREPARE Serious Game • Brown, Bayley & Newby (in press) • Processes still not perfect • Involved teachers sooner than we did! • The user engagement helps develop impact • YP providing audio recordings – build relationships with local organisations • Coventry City Council and ELCs • PSHE lead ‘support’ group

13. PREPARE Serious Game • Still in development – prototype demo • Lesson plan and engaging structure • Aims to help adolescents; • Recognise different types of coercion • Develop positive beliefs about acting to stop coercion (to them or by them) • Develop feeling of peer support for acting to stop coercion • Discuss and get opportunity to try out ways of acting to stop coercion escalating

14. PREPARE • Qualitative feedback from young people’s groups – iterative feedback and development process • RCT evaluations in school RSE lessons • 2 (condition) x 2 (time) design • Assess change objectives – by condition and time • Collect teacher/pupil feedback for further development

15. Respect Yourself web app • Public Health led project – we’ve partnered with them from outset • Sought funding for a smart phone app to enhance access to sexual health services amongst young people • Used an intervention mapping approach to scope evidence and engage end users • Developed concept to include redevelopment of existing website www.respectyourself.info

16. Respect Yourself web app • Web app means access not restricted to smart phone users • Needs analysis and literature searches highlighted a range of beliefs about barriers to and facilitators of service access • The web app will deliver tailored messages to encourage and support service access • For example.....

17. Respect Yourself web app • Partners are commissioners in PH • Real impact will only come through YP’s use of the app • Evaluation work with schools will help • But also need careful marketing plan • Using YP group to get the ‘hook’ right. • How can we make this something that young people will want to access on their phone/tablet pc or laptop?

18. Can we have impact? • Yes and we should – but we need to work harder and plan more carefully for it! • It’s not a one-way street either! • Mutual benefits • Evolving and iterative process • Hopefully I’ve pointed out some of the do’s and don’ts! • Can we use new technologies to effectively support the impact building process?

19. Thanks for listening! k.brown@coventry.ac.uk www.healthinterventions.co.uk