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A Social Norms Approach to the
Prevention of Problem Gambling
Among College Students
Stephanie Asteriadis, MA,CPS
Carina Rivera, MPH,CPH,CHES
University of Nevada, Reno
Center for the Application of Substance Abuse Technologies
Supported by the State of Nevada Department of Health and Human Services
Our Mission . . .
“is to provide training, technical
assistance, evaluation, research, and
other services to support prevention,
treatment and recovery in the alcohol
and other drugs field.”
Example Grants
• National Frontier and Rural Addiction
Technology Transfer Center
• Center for Substance Abuse Prevention’s West
Resource Team
• Nevada Prevention Resource Center
• Frontier Regional FASD Training Center
Topics to Be Addressed
• What are social marketing and social norms
marketing?
• What are the steps involved in developing a
social norms marketing campaign?
• How can the concept be applied to problem
gambling in college students?
• Preliminary UNR results
What is Social
Marketing?
Social Norms Marketing
• Social norms are people's beliefs about the
attitudes and behaviors that are normal,
acceptable, or even expected in a particular
social context.
• People tend to behave in accordance with
actual or perceived social norms
Social Norms Theory
• Why do we misperceive?
– Attribution Theory – we interpret our own and
others’ behavior differently
• Situational vs. Dispositional
– Other Errors/Heuristics
• Generalizing friends’ behavior to others
• Certain experiences more vivid
• Culture/media (Glass half empty)
Montana Model of Social Norms
This model has been used to:
• Reduce marijuana usage in middle and high school
students in public schools
• Reduce underage tobacco use
• Reduce alcohol-related automobile crashes
The Montana Model was pilot tested nationally by the
BACCHUS & GAMMA Peer Education Network at 13
college campuses for issues of tobacco & sexual
responsibility.
Steps
1. Planning and Environmental Advocacy
Research
2. Baseline Data
3. Message Development
4. Market Plan
5. Pilot Test and Refine Materials
6. Implement Campaign
7. Evaluation
The Five “P’s” Market Mix
Product
Promotion
PlacePrice
Partners
Evidence for Binge Drinking Reduction
• Western Washington
44% in 9 years
28% in 3 years
12% in 2 years
8% in 1 year
UNR Program Action Plan
Exaggerated
perceptions of
existing gambling
norms
Risky gambling
behaviors
Poor academic
performance due
to risky gambling
behaviors
Low perception of
harm regarding
gambling
behaviors
Identify actual &
misperceived
norms
Determine social
norms messages
Test messages
(focus groups)
Reduced
misperceptions
about gambling
behavior norms
Decrease in risky
gambling behaviors
Decrease in the
prevalence of
problem and
pathological
gambling
Improved
academic
performance
Strategies
Short-term
Outcomes
Long-term
OutcomesTarget Factors
Distribute
messages
(media & print)
Increased
perception of harm
regarding problem
gambling
Harm reduction
Identify actual & misperceived
norms
Method
• Survey development
– Prior research
– UNR program needs
• Recruitment email sent to all undergraduate
and graduate students at UNR
– 5 to 10 minutes
– Responses anonymous
– Emphasized importance of their responses
– Sent the second week of the Spring semester
Sample
• Exclusion criteria
– Must be at least 18 years of age
• 18,227 students on campus
– 9 students declined to participate
– 3 students disqualified due to age
– 734 responses were submitted for analysis
– 4.3% response rate
Survey
• 31 questions
– 9 demographic
– 9 on gambling knowledge, attitude and behaviors
– 2 on alcohol use
– 2 UNR-related
– 3 gambling help-related
– 6 on perception of other students gambling
knowledge, attitudes, and behaviors
Survey
• 31 questions
– 9 demographic
– 9 on gambling knowledge, attitude and behaviors
– 2 on alcohol use
– 2 UNR-related
– 3 gambling help-related
– 6 on perception of the typical students’ gambling
knowledge, attitudes, and behaviors
Demographics
Gender
42%
42%58%
Age
34% 39%
18-20 Years 21-24 Years 25 Years or Older
27%
Nevada Residency
66%
Less than 1 year – 9%
1 to 4 years – 14%
5 to 10 years – 11%
Self vs. Typical Student
Dollar sign pic
Amount Won in the Past 30 Days
0.1%
0.4%
3.1%
22.2%
48.4%
25.6%
0.9%
1.5%
2.5%
6.3%
14.3%
74.6%
More than $2000
$501 to $2000
$201 to $500
$51 to $200
$5 to $50
Less than $5
Yourself
The Typical Student
Amount Spent (Lost) in the Past 30 Days
0.9%
3.6%
12.9%
40.9%
33.1%
8.6%
0.7%
0.7%
1.9%
5.7%
17.3%
73.6%
More than $2000
$501 to $2000
$201 to $500
$51 to $200
$5 to $50
Less than $5
Yourself
The Typical Student
Amount of Financial Aid Spent
Gambling in the Past 30 Days
6.3%
1.1%
2.3%
11.6%
24.6%
21.9%
7.1%
25.2%
5.0%
0.6%
0.1%
0.6%
1.1%
1.0%
0.4%
91.2%
Did not receive financial aid
More than $2000
$501 to $2000
$201 to $500
$51 to $200
$5 to $50
Less than $5
None Yourself
The Typical Student
Amount of Financial Aid Spent
Gambling in the Past 30 Days
5.0%
0.6%
0.1%
0.6%
1.1%
1.0%
0.4%
91.2%
Did not receive financial aid
More than $2000
$501 to $2000
$201 to $500
$51 to $200
$5 to $50
Less than $5
None Yourself
Only 5% of
students gambled
with their
financial aid
Amount of Financial Aid Spent
Gambling in the Past 30 Days
6.3%
1.1%
2.3%
11.6%
24.6%
21.9%
7.1%
25.2%
Did not receive financial aid
More than $2000
$501 to $2000
$201 to $500
$51 to $200
$5 to $50
Less than $5
None
The Typical Student
While, students
thought 75% of
students gambled
with their financial
aid money
Problems pic
Academic Problems Caused by Gambling
(Past Year)
44.1%
54.6%
1.3%
Did not gamble
No
Yes
Self
20.3%
43.2%
36.5%
The Typical Student
Financial Problems Caused by Gambling
(Past Year)
44.0%
52.7%
3.4%
Did not gamble
No
Yes
Self
20.1%
24.7%
55.2%
The Typical Student
Relationship Problems Caused by Gambling
(Past Year)
43.9%
53.0%
3.1%
Did not gamble
No
Yes
Self
20.6%
42.6%
36.8%
The Typical Student
Employment Problems Caused by Gambling
(Past Year)
44.2%
55.5%
0.3%
Did not gamble
No
Yes
Self
20.8%
53.5%
25.7%
The Typical Student
Legal Problems Caused by Gambling
(Past Year)
44.0%
55.9%
0.1%
Did not gamble
No
Yes
Self
20.8%
55.8%
23.4%
The Typical Student
Summary of Gambling Behavior
44%
20%
Self-reported Non-gambler Typical Student Non-gambler
Summary of Gambling Behavior
44%
20%
Self-reported Non-gambler Typical Student Non-gambler
2X
Summary of Gambling Problems
31%
.8%
Self-Reported
Gambling Problems
Typical Student Gambling Problems
31%
Test messages (focus groups)
Focus Group Questions
• Which of the these messages have the most
powerful message?
• Which of these statements do you believe?
• How can we word these statements in a way
to get your peers’ attention?
• Which of these pictures caught your eye?
• Do you think you could be friends with these
people?
Focus Group Example Messages
• 41.3% of UNR students have done something
they later regretted as a result of their
drinking/drug use
• 74% of UNR students would prefer to have
alcohol and drug free parties to attend
• 85% of UNR students believe that alcohol does
NOT make men sexier
• 82.6% of students surveyed refused a drink
when out with friends who were drinking
Distribute Messages
Distribution
Route
•Facebook
•Twitter
•Radio ads and ads in student newspaper
Media
•NRAP
•Residential Life
•Campus Recreation and Wellness
•SHC – Campus Health Education and Promotion
Appropriate departmental
websites
•Posters
•Table tentsResidence Halls
•Websites
•Join in with existing health observancesStudent Groups, Clubs,
and Organizations
•Posters
•Table tents
High Traffic Areas of
Campus
Example Methods
Evaluation
• In Spring 2015, a recruitment email will be
sent to all undergraduate and graduate
students
– Students will answer the same survey
– The results will be tested to see if the perceived
norms have moved toward the actual norms
• Number of ‘likes’ on the NRAP Facebook page
1. Rigor of a research-driven process
2. Competition with highly financed
campaigns
3. Presenting the “product” in a way
which reinforces core needs
4. Evaluating the success of the campaign
5. Focus on negative approaches are often
popular but may not be effective
Challenges with
Social Norms Marketing
In Summary
• Definition of a social norms marketing
campaign
• Application of a social norms marketing
campaign to problem gambling prevention
• Utility and intended results of a social norms
marketing campaign on a college campus
• Take home message

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Asteriadis_Rivera_2014_NV_State_Gambling_Conference_4.9.14

  • 1. A Social Norms Approach to the Prevention of Problem Gambling Among College Students Stephanie Asteriadis, MA,CPS Carina Rivera, MPH,CPH,CHES University of Nevada, Reno Center for the Application of Substance Abuse Technologies Supported by the State of Nevada Department of Health and Human Services
  • 2. Our Mission . . . “is to provide training, technical assistance, evaluation, research, and other services to support prevention, treatment and recovery in the alcohol and other drugs field.”
  • 3. Example Grants • National Frontier and Rural Addiction Technology Transfer Center • Center for Substance Abuse Prevention’s West Resource Team • Nevada Prevention Resource Center • Frontier Regional FASD Training Center
  • 4. Topics to Be Addressed • What are social marketing and social norms marketing? • What are the steps involved in developing a social norms marketing campaign? • How can the concept be applied to problem gambling in college students? • Preliminary UNR results
  • 6. Social Norms Marketing • Social norms are people's beliefs about the attitudes and behaviors that are normal, acceptable, or even expected in a particular social context. • People tend to behave in accordance with actual or perceived social norms
  • 7. Social Norms Theory • Why do we misperceive? – Attribution Theory – we interpret our own and others’ behavior differently • Situational vs. Dispositional – Other Errors/Heuristics • Generalizing friends’ behavior to others • Certain experiences more vivid • Culture/media (Glass half empty)
  • 8. Montana Model of Social Norms This model has been used to: • Reduce marijuana usage in middle and high school students in public schools • Reduce underage tobacco use • Reduce alcohol-related automobile crashes The Montana Model was pilot tested nationally by the BACCHUS & GAMMA Peer Education Network at 13 college campuses for issues of tobacco & sexual responsibility.
  • 9. Steps 1. Planning and Environmental Advocacy Research 2. Baseline Data 3. Message Development 4. Market Plan 5. Pilot Test and Refine Materials 6. Implement Campaign 7. Evaluation
  • 10. The Five “P’s” Market Mix Product Promotion PlacePrice Partners
  • 11. Evidence for Binge Drinking Reduction • Western Washington 44% in 9 years 28% in 3 years 12% in 2 years 8% in 1 year
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  • 14. UNR Program Action Plan Exaggerated perceptions of existing gambling norms Risky gambling behaviors Poor academic performance due to risky gambling behaviors Low perception of harm regarding gambling behaviors Identify actual & misperceived norms Determine social norms messages Test messages (focus groups) Reduced misperceptions about gambling behavior norms Decrease in risky gambling behaviors Decrease in the prevalence of problem and pathological gambling Improved academic performance Strategies Short-term Outcomes Long-term OutcomesTarget Factors Distribute messages (media & print) Increased perception of harm regarding problem gambling Harm reduction
  • 15. Identify actual & misperceived norms
  • 16. Method • Survey development – Prior research – UNR program needs • Recruitment email sent to all undergraduate and graduate students at UNR – 5 to 10 minutes – Responses anonymous – Emphasized importance of their responses – Sent the second week of the Spring semester
  • 17. Sample • Exclusion criteria – Must be at least 18 years of age • 18,227 students on campus – 9 students declined to participate – 3 students disqualified due to age – 734 responses were submitted for analysis – 4.3% response rate
  • 18. Survey • 31 questions – 9 demographic – 9 on gambling knowledge, attitude and behaviors – 2 on alcohol use – 2 UNR-related – 3 gambling help-related – 6 on perception of other students gambling knowledge, attitudes, and behaviors
  • 19. Survey • 31 questions – 9 demographic – 9 on gambling knowledge, attitude and behaviors – 2 on alcohol use – 2 UNR-related – 3 gambling help-related – 6 on perception of the typical students’ gambling knowledge, attitudes, and behaviors
  • 22. Age 34% 39% 18-20 Years 21-24 Years 25 Years or Older 27%
  • 23. Nevada Residency 66% Less than 1 year – 9% 1 to 4 years – 14% 5 to 10 years – 11%
  • 24. Self vs. Typical Student
  • 26. Amount Won in the Past 30 Days 0.1% 0.4% 3.1% 22.2% 48.4% 25.6% 0.9% 1.5% 2.5% 6.3% 14.3% 74.6% More than $2000 $501 to $2000 $201 to $500 $51 to $200 $5 to $50 Less than $5 Yourself The Typical Student
  • 27. Amount Spent (Lost) in the Past 30 Days 0.9% 3.6% 12.9% 40.9% 33.1% 8.6% 0.7% 0.7% 1.9% 5.7% 17.3% 73.6% More than $2000 $501 to $2000 $201 to $500 $51 to $200 $5 to $50 Less than $5 Yourself The Typical Student
  • 28. Amount of Financial Aid Spent Gambling in the Past 30 Days 6.3% 1.1% 2.3% 11.6% 24.6% 21.9% 7.1% 25.2% 5.0% 0.6% 0.1% 0.6% 1.1% 1.0% 0.4% 91.2% Did not receive financial aid More than $2000 $501 to $2000 $201 to $500 $51 to $200 $5 to $50 Less than $5 None Yourself The Typical Student
  • 29. Amount of Financial Aid Spent Gambling in the Past 30 Days 5.0% 0.6% 0.1% 0.6% 1.1% 1.0% 0.4% 91.2% Did not receive financial aid More than $2000 $501 to $2000 $201 to $500 $51 to $200 $5 to $50 Less than $5 None Yourself Only 5% of students gambled with their financial aid
  • 30. Amount of Financial Aid Spent Gambling in the Past 30 Days 6.3% 1.1% 2.3% 11.6% 24.6% 21.9% 7.1% 25.2% Did not receive financial aid More than $2000 $501 to $2000 $201 to $500 $51 to $200 $5 to $50 Less than $5 None The Typical Student While, students thought 75% of students gambled with their financial aid money
  • 32. Academic Problems Caused by Gambling (Past Year) 44.1% 54.6% 1.3% Did not gamble No Yes Self 20.3% 43.2% 36.5% The Typical Student
  • 33. Financial Problems Caused by Gambling (Past Year) 44.0% 52.7% 3.4% Did not gamble No Yes Self 20.1% 24.7% 55.2% The Typical Student
  • 34. Relationship Problems Caused by Gambling (Past Year) 43.9% 53.0% 3.1% Did not gamble No Yes Self 20.6% 42.6% 36.8% The Typical Student
  • 35. Employment Problems Caused by Gambling (Past Year) 44.2% 55.5% 0.3% Did not gamble No Yes Self 20.8% 53.5% 25.7% The Typical Student
  • 36. Legal Problems Caused by Gambling (Past Year) 44.0% 55.9% 0.1% Did not gamble No Yes Self 20.8% 55.8% 23.4% The Typical Student
  • 37. Summary of Gambling Behavior 44% 20% Self-reported Non-gambler Typical Student Non-gambler
  • 38. Summary of Gambling Behavior 44% 20% Self-reported Non-gambler Typical Student Non-gambler 2X
  • 39. Summary of Gambling Problems 31% .8% Self-Reported Gambling Problems Typical Student Gambling Problems 31%
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  • 42. Focus Group Questions • Which of the these messages have the most powerful message? • Which of these statements do you believe? • How can we word these statements in a way to get your peers’ attention? • Which of these pictures caught your eye? • Do you think you could be friends with these people?
  • 43. Focus Group Example Messages • 41.3% of UNR students have done something they later regretted as a result of their drinking/drug use • 74% of UNR students would prefer to have alcohol and drug free parties to attend • 85% of UNR students believe that alcohol does NOT make men sexier • 82.6% of students surveyed refused a drink when out with friends who were drinking
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  • 53. Distribution Route •Facebook •Twitter •Radio ads and ads in student newspaper Media •NRAP •Residential Life •Campus Recreation and Wellness •SHC – Campus Health Education and Promotion Appropriate departmental websites •Posters •Table tentsResidence Halls •Websites •Join in with existing health observancesStudent Groups, Clubs, and Organizations •Posters •Table tents High Traffic Areas of Campus Example Methods
  • 54. Evaluation • In Spring 2015, a recruitment email will be sent to all undergraduate and graduate students – Students will answer the same survey – The results will be tested to see if the perceived norms have moved toward the actual norms • Number of ‘likes’ on the NRAP Facebook page
  • 55. 1. Rigor of a research-driven process 2. Competition with highly financed campaigns 3. Presenting the “product” in a way which reinforces core needs 4. Evaluating the success of the campaign 5. Focus on negative approaches are often popular but may not be effective Challenges with Social Norms Marketing
  • 56. In Summary • Definition of a social norms marketing campaign • Application of a social norms marketing campaign to problem gambling prevention • Utility and intended results of a social norms marketing campaign on a college campus • Take home message