Impact of alcohol marketing on drinkers with Alcohol use disorders seeking treatment: a mixed-method study protocol

Morgane Guillou-Landreat, Antoine Dany, Jean Yves Le Reste, Delphine Le Goff, Amine Benyamina, Marie Grall-Bronnec, Karine Gallopel-Morvan, Morgane Guillou-Landreat, Antoine Dany, Jean Yves Le Reste, Delphine Le Goff, Amine Benyamina, Marie Grall-Bronnec, Karine Gallopel-Morvan

Abstract

Background: The marketing of alcohol influences patterns of alcohol consumption. Existing studies have focused, for the most part, on adolescents and the links between exposure to marketing and alcohol initiation. In France, the Evin law, a French exception, was set up in 1991 with the aim of regulating this exposure to marketing, but since 2009 it has been severely compromised. Alcohol consumption causes severe damage, which may be seenfrom 1 standard unit per day and mostly among adults who are regular users of alcohol. In this at-risk population, studies analysing the impact of marketing are sparse. The specific objectives include (i) the evaluation of the perception of alcohol marketing by patients with an AUD (ii) gaining understanding of the links between alcohol marketing and patients with AUD behaviours (iii) the development of alcohol demarketing strategy in patients receiving AUD coaching.

Methods: Our main objective isto evaluate the impact of marketing on a population with an AUD. The methodology was in 4 steps: step 1 is a pre-test (N = 100) selecting type of alcohol consumed and type of marketing stimuli identified by patients aged 18 + with an AUD. Step 2 is a qualitative study (N = 20), with in-depth interview, to understand links between alcohol marketing and patients with AUD behaviours. Step 3 is a quantitative study(N = 600) to confirm these links and the impact of alcohol marketing on patients with AUD behaviours. Step 4 is an interventional step, including and testing the impact of demarketing intervention on patients with AUD while using the results of the three first steps (N = 120).

Discussion: This study will contribute to a better definition of the impact of alcohol marketing on patients with AUD and will enable identification of the determinants of this impact. These data will inform the development of interventions that take into account demarketingstrategies on patients under AUD management.

Trial registration: The Trial registrationregistration number is NCT03876132, and it was registered on the 15th march 2019.

Keywords: Advertising; Alcohol; Alcohol use disorder; Counter-marketing; Marketing.

Conflict of interest statement

The authors declare that they have no competing interests.

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Study design

References

    1. Alcohol GBD, Drug Use C. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet Psychiatry. 2018;5(12):987–1012. doi: 10.1016/S2215-0366(18)30337-7.
    1. Nutt D, et al. Development of a rational scale to assess the harm of drugs of potential misuse. Lancet. 2007;369(9566):1047–1053. doi: 10.1016/S0140-6736(07)60464-4.
    1. Kopp, P., Le coût social des drogues OFDT, Editor. Saint denis: OFDT Saint Denis; 2015. p 10.
    1. Room R, Babor T, Rehm J. Alcohol and public health. Lancet. 2005;365(9458):519–530. doi: 10.1016/S0140-6736(05)17870-2.
    1. WHO, W.H.O. (accessed, and May 20, Global status report on alcohol and health 2018. 2018.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.
    1. Carvalho AF, et al. Alcohol use disorders. Lancet. 2019;394(10200):781–792. doi: 10.1016/S0140-6736(19)31775-1.
    1. WHO. . Accessed 10 Sept 2019.
    1. Rehm J, Shield KD. Global burden of disease and the impact of mental and addictive disorders. Curr Psychiatry Rep. 2019;21(2):10. doi: 10.1007/s11920-019-0997-0.
    1. Rehm J, et al. Prevalence of and potential influencing factors for alcohol dependence in Europe. Eur Addict Res. 2015;21(1):6–18. doi: 10.1159/000365284.
    1. Wittchen HU, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21(9):655–679. doi: 10.1016/j.euroneuro.2011.07.018.
    1. Lim S, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):224–260. doi: 10.1016/S0140-6736(12)61766-8.
    1. Guerin S, et al. Alcohol-attributable mortality in France. Eur J Pub Health. 2013;23(4):588–593. doi: 10.1093/eurpub/ckt015.
    1. OFDT . Baromètre Santé 2017. 2018.
    1. Babor TF, et al. Toward a public health approach to the protection of vulnerable populations from the harmful effects of alcohol marketing. Addiction. 2017;112(Suppl 1):125–127. doi: 10.1111/add.13682.
    1. Anderson P, et al. Impact of alcohol advertising and media exposure on adolescent alcohol use: a systematic review of longitudinal studies. Alcohol Alcohol. 2009;44(3):229–243. doi: 10.1093/alcalc/agn115.
    1. Smith LA, Foxcroft DR. The effect of alcohol advertising, marketing and portrayal on drinking behaviour in young people: systematic review of prospective cohort studies. BMC Public Health. 2009;9:51. doi: 10.1186/1471-2458-9-51.
    1. Jernigan D, et al. Alcohol marketing and youth alcohol consumption: a systematic review of longitudinal studies published since 2008. Addiction. 2017;112(Suppl 1):7–20. doi: 10.1111/add.13591.
    1. Jernigan DH, et al. Self-reported youth and adult exposure to Alcohol Marketing in Traditional and Digital Media: results of a pilot survey. Alcohol Clin Exp Res. 2017;41(3):618–625. doi: 10.1111/acer.13331.
    1. Gallopel-Morvan K, et al. France's Evin law on the control of alcohol advertising: content, effectiveness and limitations. Addiction. 2017;112(Suppl 1):86–93. doi: 10.1111/add.13431.
    1. Rehm J, Scafato E. Indicators of alcohol consumption and attributable harm for monitoring and surveillance in European Union countries. Addiction. 2011;106(Suppl 1):4–10. doi: 10.1111/j.1360-0443.2010.03323.x.
    1. Rehm J, Shield KD. Global Burden of Alcohol Use Disorders and Alcohol Liver Disease. Biomedicines. 2019;7(4):99.
    1. Hagström H1, et al. Alcohol consumption in late adolescence is associated with an increased risk of severe liver disease later in life. 2018;68(3):505–10. 10.1016/j.jhep.2017.11.019. Epub 22 Jan 2018.
    1. Cox WM, Pothos EM, Hosier SG. Cognitive-motivational predictors of excessive drinkers’ success in changing. Psychopharmacology. 2007;192(4):499–510. doi: 10.1007/s00213-007-0736-9.
    1. Field M, Cox WM. Attentional bias in addictive behaviors: a review of its development, causes, and consequences. Drug Alcohol Depend. 2008;97(1–2):1–20. doi: 10.1016/j.drugalcdep.2008.03.030.
    1. Noel JK, Xuan Z, Babor TF. Perceptions of Alcohol advertising among high risk drinkers. Subst Use Misuse. 2018;53(9):1403–1410. doi: 10.1080/10826084.2017.1409765.
    1. Tapert SF, et al. Neural response to alcohol stimuli in adolescents with alcohol use disorder. Arch Gen Psychiatry. 2003;60(7):727–735. doi: 10.1001/archpsyc.60.7.727.
    1. Cassisi JE, et al. Psychophysiological reactivity to alcohol advertising in light and moderate social drinkers. Addict Behav. 1998;23(2):267–274. doi: 10.1016/S0306-4603(97)00038-5.
    1. de Sousa Fernandes Perna EB, et al. Brain reactivity to alcohol and cannabis marketing during sobriety and intoxication. Addict Biol. 2017;22(3):823–832. doi: 10.1111/adb.12351.
    1. Sobell LC, et al. Severely dependent alcohol abusers may be vulnerable to alcohol cues in television programs. J Stud Alcohol. 1993;54(1):85–91. doi: 10.15288/jsa.1993.54.85.
    1. Witteman J, et al. Cue reactivity and its relation to craving and relapse in alcohol dependence: a combined laboratory and field study. Psychopharmacology (Berl). 2015;232(20):3685–96. 10.1007/s00213-015-4027-6. Published online 11 Aug 2015.
    1. Stautz K, et al. Impact of alcohol-promoting and alcohol-warning advertisements on alcohol consumption, affect, and implicit cognition in heavy-drinking young adults: a laboratory-based randomized controlled trial. Br J Health Psychol. 2017;22(1):128–150. doi: 10.1111/bjhp.12221.
    1. Française R. Loi relative à la lutte contre le tabagisme et l'alcoolisme [Law n° 91–32 of 10 January 1991 on control of tobacco and alcohol abuse], in Loi n° 91–32 du 10 janvier 1991. Paris: JORF; 1991. pp. 15–18.
    1. Chan AW, et al. SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann Intern Med. 2013;158(3):200–207. doi: 10.7326/0003-4819-158-3-201302050-00583.
    1. Guével M, Pommier J. Recherche par les méthodes mixtes en santé publique : enjeux et illustration. Santé Publique. 2012;24:23–38. doi: 10.3917/spub.121.0023.
    1. Dossou G, Gallopel-Morvan K, Diouf JF. The effectiveness of current French health warnings displayed on alcohol advertisements and alcoholic beverages. Eur J Pub Health. 2017;27(4):699–704. doi: 10.1093/eurpub/ckw263.
    1. Mellentin AI, et al. A randomized controlled study of exposure therapy as aftercare for alcohol use disorder: study protocol. BMC Psychiatry. 2016;16:112. doi: 10.1186/s12888-016-0795-8.
    1. Castleberry A, Nolen A. Thematic analysis of qualitative research data: is it as easy as it sounds? Curr Pharm Teach Learn. 2018;10(6):807–815. doi: 10.1016/j.cptl.2018.03.019.
    1. Scully M, et al. Competing with big business: a randomised experiment testing the effects of messages to promote alcohol and sugary drink control policy. BMC Public Health. 2017;17(1):945. doi: 10.1186/s12889-017-4972-6.
    1. Szybillo G, Heslin R. Resistance to Persuasion : Inoculation Theory in a Marketing Context. J Market Res. 1973;10:396–403. doi: 10.1177/002224377301000407.
    1. Farrelly MC, et al. Evidence of a dose-response relationship between “truth” antismoking ads and youth smoking prevalence. Am J Public Health. 2005;95(3):425–431. doi: 10.2105/AJPH.2004.049692.
    1. McGuire WJ. In: Inducing resistance to persuasion : some contemporary approaches in Advances in experimental social psychology. Berkowitz L, editor. New york: Academic Press; 1964. pp. 191–229.
    1. Compton J. Inoculation theory. In: Dillard D, Shen L, editors. The SAGE handbook of persusasion : developments in theory and practice. Thousand Oaks: SAGE publications; 2013.
    1. Compton J, Pfau M. Inoculation theory of resistance to influence at maturity : recent progress in theory development and application and suggestions for future research Ann. Int Commun Assoc. 2005;29(1):97–146. doi: 10.1080/23808985.2005.11679045.
    1. Shen F, Sheer V, Li R. Impact of narratives on persuasion in health communication : a meta analysis. J Advert. 2015;44(2):105–113. doi: 10.1080/00913367.2015.1018467.
    1. Braddock K, Dillard J. Metaanalytic evidence for the persuasive effect of narratives on beliefs, attitudes, intentions, and behaviors. Commun Monogr. 2016;83(4):446-67.
    1. Busselle R, Bilandzic H. Fictionality and perceived realism in experiencing stories : a model of narrative comprehension and engagement. Commun Theor. 2008;18(2):255–280. doi: 10.1111/j.1468-2885.2008.00322.x.
    1. De La Tribonnière X, et al. Ce que l’éducation thérapeutique peut apporter à l’addictologie. Sante Publique. 2016;28:591–597. doi: 10.3917/spub.165.0591.
    1. Richard J, et al. Alcohol consumption in adults in France in 2017. Bull Epidemiol Hebdomadaire. 2019;5–6:89–97.
    1. Française, R., Loi n° 2009-879 du 21 juillet 2009 portant réforme de l'hôpital et relative aux patients à la santé et aux territoires [Law n°2009–879 of 21 July 2009 containing hospital reforms pertaining to patients, in the national health sector and health territorial units]. 2009, JORF Paris.
    1. Française R. Loi n° 2016-41 du 26 janvier 2016 de modernisation de notre système de santé in 0022. Paris: JORF; 2016.

Source: PubMed

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