
Title:
Sub21
Topic:
Alcohol
Organisation:
North Tyneside PCT and Lamerton Swales
Location:
North East
Period:
March 2007 – March 2010
Website:
This project was part of the NSMC's learning demonstration sites scheme. While each of the ten learning demonstration sites considered all eight benchmark criteria, they should be viewed as pilot sites where new ways of working were tested, rather than as definitive examples of social marketing best practice.
This award-winning project aimed to reduce underage street drinking and anti-social behaviour in North Tyneside, using a social marketing approach. Following discussions between North Tyneside's Alcohol Harm Reduction Strategy Group and the National Social Marketing Centre (NSMC), this project became one of the NSMC's ten learning demonstration sites in early 2007.
Research conducted with young people and off-licences identified three main drivers for underage street drinking: lack of suitable alternative activities; cheap and easy supply of alcohol; and social norm of drinking on the streets as an accepted leisure activity by young people. Proxy sales of alcohol (i.e. where alcohol is purchased legally, but then passed on to a minor) were a particular problem, and retailers struggled to identify when an apparently legal sale might be a proxy purchase.
From these findings, a two-pronged approach was developed, under the brand Sub21. The intervention provided a rolling programme of out-of-hours activities designed by and for local young people as an alternative to street drinking. Alongside this, a campaign was developed to support off-licences in reducing illegal and proxy alcohol purchases. By running the two strands in tandem - restricting supply of alcohol to young people and creating diversionary activities - the project has achieved an overall reduction in street drinking in under-18s in the target area.
Budget: £64,000 (£20,000 for research, £39,000 to implement both intervention strands, £5000 to fund a programme co-ordinator)
Results overview:
Sustainability:
The team successfully bid to the Pfizer Foundation for £42,750, which allowed them to continue the project from the end of the pilot phase to March 2010. As the project's popularity and positive results grew, it attracted further funding within the region, including a grant from Extended Schools, to continue implementing for the foreseeable future. North Tyneside Council's youth service are considering part-funding the youth element of the project, and existing partners continue to deliver support on the proxy sales strand. Safe Durham Partnership has decided to roll out the Sub21 model in county Durham and discussions are underway to do likewise in North Shields. Northumberland County Council has also expressed an interest in Sub21.
Heavy and harmful drinking patterns have increased among young people in the UK, who experience the highest levels of binge drinking and lifetime drunkenness in Europe. Youth drinking trends in North Tyneside reflect the national picture - a survey conducted for the North Tyneside Children and Young People's Strategy (Carrick, 2005) found that about two-thirds of young people drink alcohol and more than half drink at least once a week. Among 10 to 17-year-olds, girls regularly drink more alcohol than boys (73.3% vs. 54.4%), a finding that contrasts with the rest of the UK. Alcohol is generally easily obtained from parents or purchased in corner shops, either by themselves or older members of the community.
As a consequence, North Tyneside has some of the highest rates of hospital admissions for under-18s due to alcohol-related causes and the teenage pregnancy rate is significantly higher than that for the rest of England (Ong, 2007). Alcohol-related crime and disorder, as well as residents' fear of crime, is also on the rise in North Tyneside, a significant proportion of which is associated with under-17-year-olds (ibid).
The key behavioural challenge was therefore to reduce street drinking in under-18s.
Primary research conducted for this project reinforced the theory that lack of attractive, affordable activities for young people in the area, combined with easy availability and low cost of alcohol, were contributing to the problem of underage street drinking.
The areas of Howdon, Wallsend and Battlehill were chosen for the pilot, as they have a particular problem with antisocial behaviour and alcohol-related incidents.
Sub21 used a two-pronged approach to reduce underage street drinking. The campaign was branded Sub21, which resonated with both target audiences of young people and retailers.
1. Youth activities
A 10-week rolling programme of out-of-school activities was designed in consultation with young people and offered on Thursday, Friday and Saturday nights. The activities took place in a range of locations across the borough, with most taking place at Wallsend Boys Club. In addition to the Club's existing popular offer of football, activities included:
2. Proxy sales
A package of support measures was offered to retailers to help them tackle illegal and proxy alcohol sales:
In return, retailers were asked to implement the following actions, with the support of the local police, licensing and trading standards:
The intervention mix drew on a combination of different elements to prompt and facilitate behaviour change:
1. Control
Legislation and enforcement exist around illegal and proxy purchasing of alcohol, yet it is still a problem in the pilot area. Existing enforcement controls, such as bottle tagging and test purchasing, were seen as ‘antagonistic' by retailers. The support offered to retailers as part of Sub21 included a voluntary ban on alcohol sales to those under 21 on Thursday, Friday and Saturday evenings and bank holidays. This gave retailers and enforcement officers an additional method of control.
2. Design
With the existing lack of adequate youth provision, it was clear young people wanted activities to fill that void. If they were to participate in activities as an alternative to drinking, it was vital they played a lead role in designing and creating the programme and felt a strong sense of ownership. They also needed activities to cost little or nothing, and a place and space that was theirs, easily accessible, and close to where they lived.
3. Support
Research indicated that retailers found the current approach of enforcement ‘antagonistic'. They wanted support and help to work together with police, trading standards and the community. Sub21's support package included twice weekly visits from the police to assure retailers they were not alone, and membership to an ‘Off-Watch' scheme, where they could share news and issues with each other.
4. Inform
Inform was the least important element to achieve our desired behaviour change. Research showed that young people had a low perception of harm or risk in relation to alcohol, and were well aware it was illegal to purchase it, either themselves or by proxy. Lack of information was not a key driver of street drinking. Therefore to focus on education and promoting anti-alcohol messages would have been a waste of time and money.
Summarising the intervention using the 4 P's of the marketing mix:
Multiples stages of research were carried out during the scoping and development stages to ensure that interventions developed were tailored for our target audiences of young people and retailers. Customer orientation was an iterative process; we frequently returned to our target audience throughout the project whenever we felt we needed further insight or risked making assumptions about behaviour and attitudes.
Scoping research (2007-2008)
Following an initial phase of desk-based secondary research carried out by the NSMC, independent researcher Dr Helen Lloyd was commissioned to conduct:
The aims were to:
Comparative reviews (2008)
The comparative reviews consisted of interviews and desk-based research. The aim was to identify good practice elsewhere, find out what works and what doesn't and draw on the experience and expertise of those working on similar projects.
Youth activities
We undertook desk-based research and identified a number of successful projects providing exciting and successful participation programmes for young people. A mix of phone and face-to-face interviews were held with Camden Roundhouse Studios, Bolton Boys and Girls Club, the Salmon Club and Mobex North East.
Illegal and proxy alcohol sales
We undertook desk-based research to identify schemes that were successful in reducing underage illegal and proxy alcohol purchasing. We conducted telephone and face-to-face interviews with Cleveland Police, Saltburn Police, St Neots Police and Radcliffe-on-Trent police. Cleveland Police attended a meeting with retailers to share experiences of their successful scheme.
Feasibility study
Following the comparative review on other schemes, we conducted a further study on the feasibility of introducing a scheme to tackle illegal and proxy alcohol purchasing in the pilot area. This included interviews with licensing and trading standards and desk-based research.
Consultation and focus groups with retailers (September 2008)
A focus group was held to garner views of local retailers towards a proxy sales intervention, based on the comparative review findings and feasibility study. This involved investigating retailers' perceptions and attitudes towards existing and similar interventions in place in the UK, and the merits and drawbacks of each approach.
Workshops and focus groups with young people (December 2008)
A series of workshops and focus groups were held with young people from Churchill Community College. The aim was to investigate their attitudes, beliefs and views about themselves, their community and alcohol, and to find out what kind of activities would appeal enough to compete with street drinking.
Scoping research
Research with young people revealed that the motivational drivers of street drinking in North Tyneside were complex and varied, incorporating psychological, familial, social and cultural factors. Feelings of boredom are common in adolescence, but for our target audience they were exacerbated by a dearth of affordable and accessible out-of-hours recreational facilities and social spaces specifically for young people aged 13 to 19.
Street drinking was the most frequently reported recreational activity amongst those interviewed. The main motivational drivers of this behaviour were:
Comparative review
Comparative reviews showed that successful youth activities had a developmental element to them, rather than just providing ‘drop-in' facilities. Young people responded well to activities that taught them new skills, were structured and developed their knowledge over a series of sessions. Involving young people in the selection and design of activities was vital if they were to take ownership and interest. However, too much responsibility in the planning and delivery can make them feel pressured, so a fine balance of involving young people with adult guidance and leadership is important.
A common theme that emerged in the illegal and proxy alcohol sales comparative review was the option to ban alcohol sales to under 21-year-olds as a method of tackling proxy sales. This took the ‘Challenge 21' type schemes to a new level. Schemes were most successful when communities came together and strong partnerships were formed.
Focus groups
Retailers were supportive of introducing a ban to under-21s, but felt strongly that all retailers (including supermarkets) must participate for it to be feasible. They also felt a regular police presence would be vital in supporting them.
The workshop and focus group with young people revealed a strong affinity with their local area and pride in being a ‘Geordie', but young people felt alienated by their own community. Performing arts and music were less popular activities than vocational and leisure based ones. There was a strong leaning towards urban and street based activities, such as graffiti, street dance and skateboarding.
Our behavioural goals for young people were to reduce (not eliminate) the number of young people drinking alcohol on the streets, the amount they were drinking and the number of attempts to purchase alcohol illegally for the duration of the intervention (May-July 2009). We also aimed to reduce the number of young people involved in incidents of antisocial behaviour and crime caused by alcohol during this period.
For retailers, our behavioural goal was to encourage them to implement a ban on alcohol sales to under-21s on Thursday, Friday and Saturday nights.
As a learning demonstration site, our task was to create a model that, if successful, could be rolled out.
Our main target audience were young people aged 13 to 17 in the areas of Wallsend, Battlehill and Howdon attending the three local colleges. Our research showed that young people began to take up street drinking on a regular basis and as a leisure activity from the age of 13, continuing up until they became legal consumers at 18.
Local authority data showed that Wallsend had the highest levels of binge drinking in the Borough, and this area covers some of the most deprived wards in the country. Consultation for the Sustainable Communities Strategy showed concerns from residents in this area, particularly a perception that young people were drinking on the streets and contributing to a fear of crime. Our research showed that there were few facilities for young people in the area, which seemed to compound the issues.
The youth activities were designed to appeal to different segments of the target audience, e.g. nail art and street dance for girls, skateboard ramp building and cyberchaos for boys. A ‘night club' was also trialled to attract 11- to 13-year-olds.
Our secondary audience were all local retailers within the same pilot area, who sold alcohol. These were generally small, independent, family run businesses. The ‘Big Four' supermarkets, plus local branches of national chains were approached but, with the exception of Aldi, refused to engage or participate.
Exchange for young people
In exchange for the thrill and recreation of drinking alcohol and spending time with friends on the street, the youth intervention offered young people a dedicated place they could go with their friends to take part in urban and street activities. For those drinking to alleviate boredom, the programme of activities offered them something different and exciting to do.
Sub21 was heavily promoted to young people through presentations in assemblies by the programme co-ordinator, who did so in a fun, exciting and compelling way.
All activities were free for young people and venues were local and easily accessible.
Exchange for retailers
For retailers, implementing the under-21 ban involved exchanging initial short-term profit by refusing sales of alcohol to 18- to 21-year-olds with reduced proxy purchases, vandalism, theft and intimidation outside their shops. Retailers benefitted by attracting more customers, who had previously avoided the shop due to intimidation by young people, and increasing their sales and long-term profits.
In return for implementing the under-21 ban, retailers also received the support they desired from the police, trading standards and licensing.
PR was very successful for both strands of the intervention and there were regularly press and radio coverage of the scheme, including prime time coverage on local BBC TV. This helped add value to the project and motivate young people and retailers to join Sub21.
Competition for young people
Sophisticated marketing of alcohol to young people is a major competitor. Drinks like Bella and Lambrini are clearly targeted at young people with their price and packaging. Cheap alcohol deals at well-known supermarkets make proxy purchasing particularly easy.
The lack of alternative youth activities meant there was no competition for Sub21 activities.
Competition for retailers
Lack of time and enthusiasm was a competing factor for retailers, as was the lack of commitment and persistence from the local authority. The scheme was heavily promoted through shop visits by the police, trading standards, licensing and young people from Wallsend Boys Club. A local retailer was also appointed as an ‘ambassador' to encourage other retailers to sign up.
The behavioural challenge was investigated iteratively by ethnographic interviews and participant observation, and the emerging data was subsequently subject to thematic qualitative analyses to develop the behavioural theory that informed the intervention mix.
A key element of this theory revolved around the symbolic meaning of drinking with friends. The excitement of meeting in a large group on a Friday evening lifts young people's spirits and creates a celebratory atmosphere symbolising free time and the start of the weekend. Adults engage in similar rituals to mark space and time, e.g. the end of the working week is symbolised by ‘going down the local' with friends. Understood within the wider social context, young people's behaviour is therefore not unusual. The problem arises, however, when young people congregate in public spaces in large groups, drinking alcohol.
By providing young people their own place, space and activities to celebrate coming together, Sub21 attempted to recreate that ‘Friday feeling' without involving drinking on the streets.
The Diffusion of Innovation theory was also used in the development of the proxy sales intervention. Recognising that different individuals adopt new behaviour at different rates and that retailers are more likely to join the Sub21 scheme if others do so, early adopters of the intervention were recruited as ambassadors to persuade others to join.
To assess progress made by the intervention in reaching its objectives, young people aged 13 to 17 years attending two schools in the target area were surveyed before and after the intervention was launched. The first survey took place in April 2009 (n=208) and the second survey took place six months later in October 2009 (n=147).
We measured self-reported behaviour with regard to drinking and purchasing alcohol (including street drinking and proxy purchases) and prevalence of negative consequences associated with alcohol consumption. We defined binge drinking as drinking alcohol at least once in the last month and feeling 'very drunk' at least once during that time.
In the four weeks prior to interview:
The ‘post' survey also measured a number of intervention-related impact indictors:
Get the PRODUCT right and all else will fall into place. Social marketing is not about using insight to inform the promotion - it's about offering people something they want, like and can easily use. Behaviour change does not come from posters - it comes from people. There is no better promotion than word-of-mouth from your target audience.
Research
A preliminary phase of primary research is invaluable; it helps build information networks, provides cultural familiarity and helps refine research and intervention goals. Researchers should constantly talk to, engage and interact with their audience(s), as this will reap rich empirical findings. Don't be tempted to cut corners on research; it is vital in shaping a relevant and effective intervention.
Process
Be clear from the start who will deliver the project at the front line, and have sign up from those partners at strategic level. Recruit your steering group before embarking on the project, and use this process and their input to align the behavioural goals and outcomes to strategic targets for their organisations. This means those involved have ownership and a vested interest in achieving success. Investment in a dedicated person to drive and deliver the project is invaluable and will reap quick wins and long-term results.
Partners
Think wider than your own organisation when recruiting partners; choose those who can deliver on the ground. The strategic lead for a project often does not have jurisdiction for operational delivery. Do not waste time and effort persuading reluctant and unsupportive partners to participate, even if there is a strategic and organisational fit. Move on and invest time and energy encouraging those who are enthusiastic and committed.
Intervention development
Ask and listen, inspire and illustrate, listen again. Involve your audience from the start in creating and promoting the intervention, share ideas, be open to change, take some risks, celebrate success and don't be afraid to fail sometimes. Don't compromise or give up if things get tough - there's always a solution.
Marketing
Think creatively about what tools you need to promote your intervention - don't fall back on agencies and creative media and advertising. Think about the sustainability required to achieve behaviour change; design and use promotional tools that don't have a sell-by date. If you do require printed promotional materials, commission templates and insert your own messages, rather than pre-printed posters that have a limited shelf life.
Sustainability
Securing long-term funding should be a core objective of stakeholder engagement as soon as positive results come in. Work with potential budget holders from the earliest opportunity to align strategic objectives and targets into the long-term outcomes.
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