A randomised trial of the effect of appearance versus health-framed messages on engagement with an online brief screening and alcohol reduction intervention

Objectives: To compare the impact of appearance versus health-framed messages on engagement in a brief web-based risk screening and alcohol reduction intervention.

Design: Randomised trial delivered via Drinkaware’s website. Visitors were exposed to appearance (n?=?51,588) or health-framed messages (n?=?52,639) directing them towards an AUDIT-C risk screening questionnaire. Users completing this questionnaire were given feedback on their risk level and extended frame-congruent information.

Outcomes: The primary outcome is completion of the AUDIT-C questionnaire. The secondary outcome is whether the participant accessed any of four further resources.

Results: The appearance-framed message led to a small but significant increase in the number of users completing the AUDIT-C compared to the health-framed message (n?=?3,537, 6.86% versus n?=?3,355, 6.37%, p?<?0.01). Conversely, following subsequent risk feedback, users exposed to extended health-framed information were more likely to access further resources (n?=?1,146, 2.17% versus n?=?942, 1.83%, p?<?0.01).

Conclusions: Physical appearance-framed messages increased the likelihood of engagement with an online alcohol screening and brief intervention tool, whereas health-framed messages increased the likelihood of accessing further resources. This highlights the potential for the use of multi-level approaches in alcohol reduction interventions.     

Pragmatism, Internalism and the Authority of Claims

This paper develops and defends an internalist account of having authority for one's claim. It begins with Robert Brandom's pragmatist account of thinking which locates the root notion of reasoning in a primitive language game of asking for and giving reasons. The idea is that the authority of a claim can be spelled out pragmatically in terms of the social practice of undertaking commitments and attributing entitlements. It is argued that this account fails to acknowledge the role of the subject's grasp of the higher-order concept of the evidence on which I base my claim.     

Long-term school-level effects of the Olweus Bullying Prevention Program (OBPP)

In agreement with two predictions, this somewhat unusual study documented that 70 elementary schools (A-schools) with continued and repeated use of the Olweus Bullying Questionnaire (OBQ) in a four-year follow-up period of 2007–2010, two to eight years after original implementation of the Olweus Bullying Prevention Program (OBPP), had a clearly more favorable long-term development in terms of being-bullied problems, as measured with a completely independent data source, the National Pupil Survey than 102 comparable schools (B-schools) that had not conducted any OBQ-surveys in the same period. The odds of being bullied for students in a Norwegian average elementary school were also almost 40% higher than for students who attended a school with continued use of the OBQ, and very likely, other components of the program. Several alternative explanations of the findings were explored and found wanting. Results suggested that A-schools with continued use had changed their “school culture” for the better with regard to awareness, preparedness and competence in handling and preventing bullying. This form of ‘organizational learning’ has major consequences in that new groups of students will benefit from such a school environment. It was generally concluded – in spite of a highly stable average of the level of bullying problems in Norway – that it is fully possible to substantially reduce such problems not only in one-year evaluations, as has been amply documented before, but also in the long term, up to eight years after original implementation, with a program such as the Olweus Bullying Prevention Program.