BEFORE YOU GET BURNT University Peer Education

Transcription

1 ATELIER DE EXPRESSIVIDADE Associação de Estudantes da Escola Superior de Enfermagem de Coimbra ATELIER DE EXPRESSIVIDADE BEFORE YOU GET BURNT University Peer Education BRITO, Irma(1); MENDES, Fernando(2); HOMEM, Filipa(3);SANTOS,Marcia(3) (1) Professora Adjunta na ESEnfC e Coordenadora do Atelier de Expressividade (2) Psicólogo e Presidente do IREFREA (Europeean Institute of Studies on Prevention) (3) Enfermeira e Membro do Atelier de Expressividade (Grupo de Educação pelos Pares da AEESEnfC) irmabrito@esenfc.pt

2 COIMBRA Coimbra is a university student s context: parties few days-along in May and October

3 The pride of being University Student

4 and the student s parties! They live those moments like the last ones

5 Not everything is happiness but it's already tradition!

6 Acute alcohol intoxication Personal Injury: Unprotected sex Violations Regretted Sex Traffic accidents Violence

7 BEFORE YOU GET BURNT Since 2007 Peer-Education's group (Atelier de Expressividade) develops interventions in recreation context to prevent the abusive alcohol consumption and to promote fun without risk Peer-Education makes use of peer influence in a positive way because it is a pedagogical strategy whereby well-trained and motivated people undertake organized educational activities with their peers Information is transmitted more easily if the educators and the audiences shared background and interests in areas, use of the language, family themes, and role demands (cultural adequacy) Mainly nursing students become Peer Educators by a specialized training course (at least 30h with training counseling skills) Maio 2007 Maio 2009

8 ACT RESPONSIBLY BEFORE YOU GET BURNT STREET PEER DRIVEN COUNSELLING AND FIRST AID Social Marketing (Neiger e Thakeray, 2002) Pilot test in May 2007 (BRITO, 2008) University Students peer-to-peer counselling by awareness model (Freire, 1991): Dialogic approach with alcohol test and STI s risk Available Condoms (feminine and masculine) First Aid in acute crisis (alcohol/drugs)

9 METHODOLOGY During street festivities (7 student s celebrations, 9 nights each one), they conduct peer-to-peer counselling to increase health literacy, prevent alcohol misuse and promote harm reduction Teach to assess breath alcohol level and pattern Assess sexual behaviour risk and attitude Provide condoms and first-aid Sample: 3350 target students ( ) Peer Educators: 28(2007); 85(2008); 105(2009); 177(2010) Supervisors (Health Workers): Instrument: Dialogical approach form and inquiry (at least 3months after)

10 3350 Target students ( ) 62,44% man 36,65% women 20 years old 1,2% jovens não estudantes 1,8% jovens do ensino secundário 3,9% estudantes de outras cidades

11 Why do you went to those student s night party? To have fun To meet people By tradition With friends To drink

12 Alcoholic drinking pattern in students festivities Don t drink Drink only Drink before Drink after Drink all 9 days at party & during party lunch till night along

13 Alcoholic drinking pattern in students festivities BEER WINE POPS SHOT REDBULLCOCKTAILS LICOR

14 Alcoholic drinking pattern in students festivities UBP. Alcohol Units= 1 beer/wine or ½ distilled beverage Média UBP 9,94±7,54 men 6,02±5,40 women

15 Alcoholic drinking pattern in students festivities UBP. Alcohol Units, by course = 8,95 ± 7,3 = 9,38 ± 7,4 = 7,95 ± 6,5 = 9,62 ± 5,5 = 11,12 ± 8,8

16 Alcoholic drinking pattern in students festivities Expected Alcohol Level Alcohol Level Test X ± sd 0,85 ± 0,72 men 0,60 ± 0,64 women X ± sd 1,22 ± 1,06 men 0,86 ± 0,96 women 1 Festa das Latas Queima das Fitas Festa das Latas Queima das Fitas Festa das Latas 2009

17 Alcoholic drinking pattern in students festivities Alcohol Level Test, by course = 1,16 ± 1,0 = 1,15 ± 1,1 = 1,28 ± 1,2 = 1,28 ± 1,2 = 1,14 ± 1,1 = 1,37 ± 1,2 = 1,36 ± 1,2

18 Alcoholic drinking pattern in students festivities Were you drunk in the last academic party? If yes, how many nights? Proportion of nights drunken in the last student s party YES 1 Festa das Latas Queima das Fitas Festa das Latas Queima das Fitas Festa das Latas 2009

19 Alcoholic drinking pattern in students festivities Why do you have become drunk at the last party? I want It s Fun Peer Pressure I didn t Everyone realise do it

20 Alcoholic drinking pattern in students festivities Have you already needs to go to hospital because of excessive consumption? If yes, does it changed your behavior? Masculin o; Sim, reduzi; 32,1; 32% Mascul ino; Sim; 8,2; 8% Masculin o; Não; 67,9; 68% Feminin o; Sim, reduzi; 46,2; 46% Feminin o; Sim; 7,4; 7% Feminin o; Não; 53,8; 54% No 92% No 93%

21 Alcoholic drinking pattern in students festivities How will you return home? Relationship between alcohol and how they will return home

22 Alcoholic drinking pattern in students festivities Already driving after drinking? Have you ever been driven by someone drunk?

23 Without protection Oral sex Explain why not do Go way Masturbation Other way pleasure Went to buy Anal sex BEFORE YOU GET BURNT: Results Sexual attitude pattern in students festivities Imagine that you can have occasional sex and don t haven t condom. What will you do?

24 Sexual pattern in students festivities At last 6 months how many times did you have unprotected sex? Never Once Somtimes Everytime None 1. Some 2. A lot 3. To much

25 Sexual pattern in students festivities At last 6 months how many times did you have sex when dunked? None 1. Some 2. A lot 3. To much

26 AFTER 3 MONTHS Does peer education influences positively knowledge, attitudes, values and behavior? % remembered with satisfaction the peer to peer counseling In a scale from 1 to 10, they classified in 8.70 for the satisfaction with this service and 9.17 for the competence of the Peer Educators 66.67% remembered the alcohol level obtained Report effect in the reduction of abusive alcohol consumption (45.83%) referring consumption moderation, to drink water between alcohol drinks and consciousness about drunkenness

27 AFTER 3 MONTHS Is this an useful model to access/educate to hard-to-reach groups? The opinion concerning the distribution of the preservatives was positive: very useful, appropriate and opportune, pointing out that this initiative obviates the high cost of condoms although it is not something of first need, in the festivities it start to being and it is very expensive in the drugstores (209)

28 TO PEERS EDUCATORS The results seem to be conclusive that the intervention was efficient in the reduction of the abusive consumptions of alcohol to peers educators Increase of knowledge about alcohol consumption and responsible sexuality 100% of reduction in the abusive alcohol consumption 100% of abstinence of alcoholic drinks during working nights AFTER 3 MONTHS Peer education requires a significant investment of time and other resources to training, supervising, support, implement and to evaluate

29 BEFORE YOU GET BURNT Results showed that this peer-driven model was effective because it promote changes on alcoholconsumption and was rated as very positive due to credibility, easier communication, accessibility and availability The qualities highlighted in those peer educators were: Sympathy Patience Not to make value judgments High level of knowledge Understanding Clarity Closeness of age, simplicity and openness Youth Peer Educators are less likely to be seen as authority figures rather than perceived as receiving advice from a friend in the know who has similar concerns and culture

30 BEFORE YOU GET BURNT In Coimbra, Peer-Education is used to effect individual change by: Developing knowledge, attitudes, beliefs and skills Enabling students to be self-responsible to protect their own health It is also a way to youth double empowerment, offering them an opportunity to: to be educators(activities that affect them) to access information and services they need to protect their health The main barriers are: Academic binge drinking culture, especially during student s dinners Not recognition of voluntary student s work

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