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Social Norms Theory and Marketing Campaigns: Application and Evaluation Crystal Reinhart, PhD & Beth Welbes, MSPH Center for Prevention Research and Development, University of Illinois at Urbana-Champaign Introduction Method Results Discussion and Limitations • Social norms theory is based on the idea that people assume the most extreme, and therefore the most memorable, behavior is also the most common. Study Setting / Population • The social norms marketing campaign was conducted in five suburban Chicago high schools. • The Drug Use and Perceptions survey was conducted with youth in all five schools receiving the campaign as well as the control school. • Of the five schools, only one school with similar characteristics (e.g., campus design, size, and demographics) to the control school was selected for comparison. • There were a total of 2,359 intervention school students and 1,725 control school students (Table 1). • To assess youth perceptions and use of alcohol, we utilized the following four questions: • “About how often (if ever) do most students at your school drink alcohol? • “About how often (if ever) do most students at your school get drunk? • About how often (if ever) do you drink alcohol? • “About how often (if ever) do you get drunk? *Response options included “Never,” “Yearly,” “Monthly,” “Weekly,” and “Daily” • The significant difference in alcohol use between the intervention school and control school in 9th grade makes it difficult to determine the impact of the social norms marketing campaign on actual alcohol use rates. • Social norms marketing corrects misperceptions by collecting data about the behavior and then marketing accurate information about the behavior to the target audience. • The concept of social norms marketing originated out of Perkins and Berkowitz’s (1986) research which found that: • College students overestimated peer alcohol use. • Students believed their peers were more tolerant of alcohol use than self‐reported data revealed to be true. • Social norms theory suggests that reducing misperceptions can ultimately lead to a reduction in the problem behavior (Perkins, 1997). • While social norms marketing began with binge drinking in college, many other potential topical areas are being explored for this approach, including bullying (Perkins, Craig, & Perkins, 2011) and childhood obesity (Perkins, Perkins, & Craig, 2010). • So far, however, there is limited existing research on high school-focused social norms marketing, which focuses on not using rather than reduction of use. • Baseline data collected from 3 rural high schools in one study revealed that students misperceive both the amount and frequency of alcohol consumption among their peers. (Hughes et al., 2008). • Further support for the social norms approach was provided by the finding that high school students tended to drink at around the same rate as they perceived their friends to drink (Hughes et al., 2008). • These findings confirm the presence of the same population characteristics under which the social norms approach has been successful in college-level applications. Aim The goal of this study was to examine the impact of a social norms campaign on perceived peer alcohol use and actual self-reported alcohol use in high school youth. Survey data was collected from youth participating in an ongoing social norms marketing campaign in five suburban Chicago high schools, as well as a control school that was not receiving the campaign. Survey responses were compared for youth exposed to the campaign with youth in the control school over a four year period. Table 1: Intervention and Control School Samples School Year 1: 9th Grade Year 2: 10th Grade Year 3: 11th Grade Year 4: 12th Grade Control 484 426 414 401 Intervention 676 574 564 545 Instrument The Drug Use and Perceptions surveys were collected at the same time each year in April to maintain consistency. The survey measured four concepts, including: • Perceived peer use of alcohol • Personal use of alcohol • Attitudes and personal beliefs regarding alcohol • Campaign material recognition and believability • While no differences existed during 9th grade, students at the intervention school reported a significantly lower perception of monthly peer alcohol use during the 10th (p=.009) and 11th grades (p=.000) when compared to the control school (Figure 2). • Control school students were 1.8 times more likely in the 10th grade and 2.8 times more likely in the 11th grade to perceive that their peers drank alcohol. • Intervention school students were significantly higher on actual alcohol use during 9th grade (p=.041), and significantly lower during 10th grade (p=.035), but this did not continue over time to the 11th and 12th grades. Figure 2: Past Month Alcohol Use Figure 1: Social Norms Marketing Poster Examples • Unmatched surveys make it impossible to adjust for the differences in reported alcohol use at 9th grade, and in turn make it impossible to determine the true impact of the social norms marketing campaign on drinking behavior. Conclusions • The results of the study are promising, but ultimately inconclusive when reviewing the impact of the social norms marketing campaign on alcohol use. • Despite limitations, the data demonstrates that the intervention school reported lower rates of drinking alcohol and getting drunk than the control school in 10th, 11th, and 12th grade, despite starting with significantly higher consumption in 9th grade. This is an encouraging outcome for the intervention school. • Intervention school students also had a significantly lower perception of monthly peer drunkenness in both the 10th (p=.008) and 11th grades (p=.000) (Figure 3). • Control school students were 1.6 times more likely in the 10th grade and 2.4 times more likely in the 11th grade to perceive that their peers were getting drunk. • Regarding actual frequency of getting drunk, intervention school students were significantly higher during 9th grade (p=.004) and were lower than control students in 10th, 11th, and 12th grades, but these differences were not statistically significant. Figure 3: Past Month “Getting Drunk” Data Analysis • The survey data from the intervention and control schools was compared using odds ratios, and significance was tested using Chi-Square (p>.05). • The intervention school started with a significantly higher rate of both actual alcohol use and getting drunk. • Student surveys were not tracked across years using unique student identification numbers due to the large number of students from whom data was collected each year. • Promise can be found in the impact that the campaign had on perceptions of peer alcohol use and peer drunkenness. Social Norms Campaign • Data collected via surveys in the spring were used to create marketing materials in the subsequent fall. • Materials were refreshed throughout the year and included posters, newsletters, presentations, and promotional items. • Materials utilized data collected from all five high schools (10,835 students). This was done because 67% of students indicated the data would be most believable if it included data from all five schools, rather than just their one school. • The intervention school students on which the results are based were exposed to campaign materials for 8 months prior to completing the survey in April of the first year. It is unknown if this effected their response rates, since a “true” baseline was not collected. • The current study provides a foundation upon which future research can continue to build. • A controlled study utilizing matched student surveys across time points would help to further understand the impact that exposure to a campaign has on perceived peer use and personal alcohol use among high school students. Acknowledgments This study was funded by the Illinois Department of Human Services. Special thanks to the community-based organization and six schools that aided this study through their participation in the study and campaign.