Psychosocial Determinants of Teens’ Online Engagement in Drug Prevention Social Media Campaigns: Implications for Public Health Organizations
Social networking sites (SNSs) now serve as a primary form of communication among adolescents. Consequently, drug prevention campaigns delivered through SNSs have the potential to reach a wide network of adolescents if teens are willing to engage in the message diffusion process by commenting on, “liking,” following, creating, or sharing prevention messages with their networked peers. However, little is known about the psychosocial factors that influence adolescents’ willingness to participate in drug prevention social media campaigns. We use qualitative methods to explore reasons why adolescents may or may not want to engage in the message diffusion process. We conducted four semi-structured focus groups with a total of 33 high school students from various school- and community-based youth programs in Rhode Island. Focus groups were followed by a brief self-administered questionnaire collecting information about participants’ social media use to augment qualitative findings. Overall, findings reveal that engaging teens in the message diffusion process can be advantageous but difficult to accomplish due to multiple factors. Most notably, asking adolescents to participate in drug prevention campaigns delivered through SNSs means also asking youth to violate online norms that promote drug use, which could in turn subject them to peer reprisal. We conclude that future studies should begin to investigate strategies addressing the various challenges we identified. Meanwhile, prevention specialists should consider alternative or supplemental evidence-based approaches to drug prevention rather than invest resources into activities that may offer little return on investment.
KeywordsSubstance prevention Social networking sites Social media Focus groups Adolescence
The authors thank the communities and research participants who made this project possible. The authors also express their sincerest gratitude to James Day, BS of James Day Consulting for his dedication and insightful feedback throughout the course of this research. Preliminary findings were presented as a poster, #Saywhat? Exploring ways to enhance teen involvement in substance prevention social media campaigns, at the 2016 Annual Meeting of the American Public Health Association in Denver, CO.
This work was supported in part by funding from the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention’s Strategic Prevention Framework—Partnerships for Success (SPF-PFS) Grant program (SP020159). Any opinions, findings, conclusions or recommendations in the article are those of the authors and do not necessarily reflect the views of SAMHSA, CSAP.
Compliance With Ethical Standards
Conflict of Interest
The authors declare they have no conflicts of interest.
- Azofeifa, A., Mattson, M. E., & Lyerla, R. (2015). Driving under the influence of alcohol, marijuana, and alcohol and marijuana combined among persons aged 16–25 years—United States, 2002–2014. Morbidity and Mortality Weekly Report. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6448a1.htm.CrossRefGoogle Scholar
- Boyd, D. (2014). It’s complicated: The social lives of networked teens. New Haven: Yale University Press.Google Scholar
- Brown, B. (2004). Adolescents’ relationships with peers. In R. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed., pp. 363–394). New York: Wiley.Google Scholar
- Epstein, M., Hill, K. G., Nevell, A. M., Guttmannova, K., Bailey, J. A., Abbott, R. D., et al. (2015). Trajectories of marijuana use from adolescence into adulthood: Environmental and individual correlates. Developmental Psychology, 51(11), 1650–1663. https://doi.org/10.1037/dev0000054.CrossRefPubMedPubMedCentralGoogle Scholar
- Farrelly, M. C., Healton, C. G., Davis, K. C., Messeri, P., Hersey, J. C., & Haviland, M. L. (2002). Getting to the truth: Evaluating national tobacco counter marketing campaigns. American Journal of Public Health, 92(6), 901–907. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447480/.CrossRefGoogle Scholar
- Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention. (2011). New technology tools: Using social media for alcohol, drug abuse, and violence prevention. Retrieved from https://eric.ed.gov/?id=ED538447.
- Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., et al. (2016). Youth risk behavior surveillance—United States, 2015. Morbidity and mortality Weekly Report: Surveillance summaries, 65(6), 19–22. Retrieved from https://www.cdc.gov/mmwr/volumes/65/ss/ss6506a1.htm.CrossRefGoogle Scholar
- Lenhart, A. (2015). Teen, social media and technology overview 2015. Pew Research Center. Retrieved from http://www.pewinternet.org/files/2015/04/PI_TeensandTech_Update2015_0409151.pdf.
- Madden, M., Lenhart, A., Cortesi, S., Gasser, U., Duggan, M., Smith, A., et al. (2013). Teens, social media, and privacy. Pew Research Center. Retrieved from http://pewinternet.org/Reports/2013/Teens-Social-Media-And-Privacy.aspx.
- McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276–282. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23092060.
- Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., Hoving, C., et al. (2013). A new dimension of health care: Systematic review of the uses, benefits, and limitations of social media for health communication. Journal of Medical Internet Research, 15(4), e85. https://doi.org/10.2196/jmir.1933.CrossRefPubMedPubMedCentralGoogle Scholar
- Moreno, M. A., Briner, L. R., Williams, A., Walker, L., & Christakis, D. A. (2009). Real use or “real cool”: Adolescents speak out about displayed alcohol references on social networking websites. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 45(4), 420–422. https://doi.org/10.1016/j.jadohealth.2009.04.015.CrossRefGoogle Scholar
- National Opinion Research Center (NORC) at the University of Chicago. (2017). New survey: Snapchat and Instagram are most popular social media platforms among American teens: Black teens are the most active on social media and messaging apps. Retrieved from http://apnorc.org/projects/Pages/HTML%20Reports/instagram-and-snapchat-are-most-popular-social-networks-for-teens.aspx.
- Neiger, B. L., Thackeray, R., Van Wagenen, S. A., Hanson, C. L., West, J. H., Barnes, M. D., et al. (2012). Use of social media in health promotion: Purposes, key performance indicators, and evaluation metrics. Health Promotion Practice, 13(2), 159–164. https://doi.org/10.1177/1524839911433467.CrossRefPubMedGoogle Scholar
- Parvanta, C., Nelson, D. E., Parvanta, S. A., & Harner, R. N. (2011). Essentials of public health communication [Kindle Edition]. Retrieved from http://Amazon.com.
- Pornpitakpan, C. (2004). The persuasiveness of source credibility: A critical review of five decades’ evidence. Journal of Applied Social Psychology, 34(2), 243–281. https://doi.org/10.1111/j.1559-1816.2004.tb02547.x.CrossRefGoogle Scholar
- Rubin, K. H., Bukowski, W. M., & Parker, J. G. (2007). Peer interactions, relationships, and groups. In W. Damon, R. M. Lerner, & N. Eisenberg (Eds.), Handbook of child psychology. https://doi.org/10.1002/9780470147658.chpsy0310.
- Sherman, L. E., Payton, A. A., Hernandez, L. M., Greenfield, P. M., & Dapretto, M. (2016). The power of the like in adolescence: Effects of peer influence on neural and behavioral responses to social media. Psychological Science, 27(7), 1027–1035. https://doi.org/10.1177/0956797616645673.CrossRefPubMedPubMedCentralGoogle Scholar
- Substance Abuse and Mental Health Services Administration. (2017). Developing a social media plan to support substance misuse prevention efforts. Retrieved from https://www.samhsa.gov/capt/tools-learning-resources/social-media-support-prevention-efforts.
- Ulin, P. R., Robinson, E. T., & Tolley, E. E. (2005). Qualitative methods in public health: A field guide for applied research. San Francisco: Jossey-Bass.Google Scholar