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App-Based Addiction Prevention at German Vocational Schools: Implementation and Reach for a Cluster-Randomized

Diana Guertler^1,2,3, Dominic Bläsing⁴, Anne Moehring^5,6

¹Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany. diana.guertler@med.uni-greifswald.de.

Prevention Science : the Official Journal of the Society for Prevention Research

|July 3, 2024

Summary

The "ready4life" digital addiction prevention program saw 72.3% of vocational students download the app, with participation influenced by class and individual factors. Tailored recruitment is key for better engagement in addiction prevention.

Keywords:

Addiction Mobile app Prevention Reach Vocational student

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Area of Science:

Digital Health
Addiction Prevention
Adolescent Psychology

Background:

Digital addiction poses a significant risk to vocational students.
Effective prevention programs are needed to address this growing concern.
The
ready4life
" program aims to mitigate digital addiction through in-app coaching.

Purpose of the Study:

To evaluate the implementation, participation rates, and determinants of the
ready4life
" digital addiction prevention program.
To identify factors influencing student engagement in a vocational school setting.
To inform future strategies for digital addiction prevention.

Main Methods:

A two-arm cluster-randomized trial involving German vocational students.
Intervention group received 16 weeks of in-app coaching; control group received health information.
Analysis of class and individual characteristics to determine participation factors.

Main Results:

Despite pandemic challenges, 72.3% of students downloaded the app, with 46.7% providing informed consent.
Participation was higher among associate professionals, vocational grammar school classes, and face-to-face introductions.
Individual factors like female gender, lower social competencies, and higher problematic internet use correlated with increased participation.

Conclusions:

The
ready4life
" program demonstrated feasibility in vocational schools, reaching students aligned with program goals.
Proactive outreach and personalized interventions are crucial for successful addiction prevention.
Tailored recruitment strategies are recommended to enhance engagement among under-represented student groups.