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Efficacy of the Virtual Reality Intervention VR FestLab on Alcohol Refusal Self-Efficacy: A Cluster-Randomized Controlled Trial

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  • Julie Dalgaard Guldager

    (Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark
    Department of Physiotherapy, University College South Denmark, Degnevej 16, DK6705 Esbjerg, Denmark)

  • Satayesh Lavasani Kjær

    (Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark)

  • Ulrike Grittner

    (Institute of Biometry and Clinical Epidemiology, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117 Berlin, Germany)

  • Christiane Stock

    (Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Degnevej 14, DK6705 Esbjerg, Denmark
    Institute for Health and Nursing Science, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany)

Abstract

It is currently unknown whether a virtual social environment can support young people in building their skills to overcome peer pressure when offered alcohol. This study evaluated the efficacy of the newly developed virtual reality simulation game VR FestLab on the refusal self-efficacy regarding social pressures to drink of Danish male and female students aged 15–18. VR FestLab features a party setting where adolescents can “steer” their own party experience. Eleven schools were included in a cluster-randomized controlled trial and allocated to either the intervention ( n = 181) or the active control group ( n = 191). Students in intervention schools played VR FestLab , while those in the control group played the VR game Oculus Quest—First Steps . The primary outcome measure was the social pressure subscale of the drinking refusal self-efficacy scale (DRSEQ-RA). The intervention effects were measured immediately after the intervention/control session (T1) and after a 6-week follow-up (T2). Data were examined using linear mixed regression models. Our study did not demonstrate a significant effect of drinking refusal self-efficacy at T1. For all secondary outcomes, we observed no substantial differences between the intervention and control groups. This study provides new insights into the feasibility and effectiveness of an innovative virtual reality alcohol prevention tool. VR FestLab can be an innovative and promising contribution to complement existing school-based alcohol prevention, but more research is needed to improve its effectiveness.

Suggested Citation

  • Julie Dalgaard Guldager & Satayesh Lavasani Kjær & Ulrike Grittner & Christiane Stock, 2022. "Efficacy of the Virtual Reality Intervention VR FestLab on Alcohol Refusal Self-Efficacy: A Cluster-Randomized Controlled Trial," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3293-:d:768584
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    References listed on IDEAS

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    1. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    2. Lotte Vallentin-Holbech & Julie Dalgaard Guldager & Timo Dietrich & Sharyn Rundle-Thiele & Gunver Majgaard & Patricia Lyk & Christiane Stock, 2020. "Co-Creating a Virtual Alcohol Prevention Simulation with Young People," IJERPH, MDPI, vol. 17(3), pages 1-12, February.
    3. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    4. Julie Dalgaard Guldager & Satayesh Lavasani Kjær & Patricia Lyk & Timo Dietrich & Sharyn Rundle-Thiele & Gunver Majgaard & Christiane Stock, 2020. "User Experiences with a Virtual Alcohol Prevention Simulation for Danish Adolescents," IJERPH, MDPI, vol. 17(19), pages 1-14, September.
    5. Rundle-Thiele, Sharyn & Schuster, Lisa & Dietrich, Timo & Russell-Bennett, Rebekah & Drennan, Judy & Leo, Cheryl & Connor, Jason P., 2015. "Maintaining or changing a drinking behavior? GOKA's short-term outcomes," Journal of Business Research, Elsevier, vol. 68(10), pages 2155-2163.
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    1. José Jesús Gázquez Linares & Ana Belén Barragán Martín & María del Mar Molero Jurado & María del Mar Simón Márquez & María del Carmen Pérez-Fuentes & África Martos Martínez & Rosa María Del Pino Salva, 2023. "Perception of Parental Attitudes and Self-Efficacy in Refusing Alcohol Drinking and Smoking by Spanish Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-17, January.
    2. Christina Prediger & Robert Hrynyschyn & Iasmina Iepan & Christiane Stock, 2022. "Adolescents’ Perceptions of Gender Aspects in a Virtual-Reality-Based Alcohol-Prevention Tool: A Focus Group Study," IJERPH, MDPI, vol. 19(9), pages 1-17, April.

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