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Myths and facts about alcohol use disorder: a Delphi consensus study
Sophie Hytner1, Daphne Josselin2, David Belin1
1Department of Psychology, University of Cambridge, CB2 3EB, Cambridge, UK.
Educational interventions can reduce public stigma surrounding alcohol use disorder (AUD) by debunking myths with facts. This study identified key myth-fact pairs to inform effective public health strategies for AUD.
Area of Science:
- Public Health
- Psychology
- Addiction Science
Background:
- Public stigma surrounding alcohol use disorder (AUD) remains a significant barrier to treatment and recovery.
- Educational interventions are a promising avenue for reducing this stigma, but require evidence-based content.
- Few rigorously developed interventions exist to counter common myths about AUD.
Purpose of the Study:
- To identify and establish consensus on myth-fact pairs regarding alcohol use disorder for use in public educational interventions.
- To challenge prevalent public stereotypes and reduce stigma associated with AUD.
Main Methods:
- A Delphi expert consensus method was employed with 16 UK-based experts (academics, clinicians, experts-by-experience).
- A systematic literature review informed the initial development of 13 myth-fact pairs.
- Experts participated in three online survey rounds to quantitatively score and reach consensus on myth-fact pair importance.
Main Results:
- Consensus was reached on myth-fact pairs challenging stereotypes that AUD affects only certain groups.
- Key themes emerging from consensus included debunking myths about controllability, blame, and the possibility of recovery for individuals with AUD.
- Myth-fact pairs related to responsibility and recovery were deemed most important for intervention development.
Conclusions:
- The identified myth-fact pairs provide a robust foundation for creating effective educational interventions to combat public stigma of alcohol use disorder.
- Targeting beliefs about responsibility and recovery is crucial for reducing AUD-related stigma.
- This research offers a pathway for developing evidence-based public health campaigns to improve societal understanding of AUD.
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