TY - JOUR KW - Adolescent KW - Adult KW - Fear KW - Focus Groups KW - Humans KW - Idaho KW - Methamphetamine KW - Parents KW - Crystal meth KW - prevention KW - Qualitative Research AU - M. R. Skeer AU - D. M. Landy AU - J. M. Abrahams AU - J. Towers A1 - AB - Crystal methamphetamine ("meth") use is on the rise in the USA, having devastating effects on individuals and communities. Innovative prevention strategies are therefore critical. Through an exploratory qualitative study, we examined the perspectives and experiences of teenagers and parents around meth prevention messaging formats and strategies. Teens and adults were recruited through middle and high schools, libraries, local sporting events, and word of mouth in three communities in North Idaho, May-September 2016. Guided by the theoretical framework of the Extended Parallel Process Model, we conducted focus groups and small group interviews (three teen; two adults). Using a deductive content analytic approach, we developed teen- and adult-specific codebooks, analyzed the transcripts with NVivo 12-Plus, and identified themes. Teens and adults were all acutely aware of meth use in their communities, personally knowing people who were addicted to meth, and all understood the oral ("meth mouth") and physical ("crank bugs") consequences of meth use. Three primary themes were identified, which focused on the effects of, addiction to, and messaging around crystal meth use. For teens and adults, images illustrating the effects of meth were least effective if they appeared unrealistic or comical. Teens resonated most with messages focusing on pain and vanity (bad teeth and breath), and there was consensus that showing teens images simulating changes in their appearance over time as a result of meth use in a clinical setting would be an effective prevention strategy. Teens and adults who had exposure to meth addiction in North Idaho felt that prevention messages focused on meth are imperative, given its high prevalence and deleterious effects. Future work will entail developing and testing a communication-based meth prevention strategy along with tailored messaging that can be used with teens in dental settings. AD - Tufts University School of Medicine, Boston, MA, USA. margie.skeer@tufts.edu.; Tufts University School of Medicine, Boston, MA, USA.; Tufts University School of Medicine, Boston, MA, USA.; Tufts University School of Medicine, Boston, MA, USA.; Gonzaga University School of Nursing and Human Physiology, Spokane, WA, USA.; Tufts University School of Dental Medicine, Boston, MA, USA. BT - Prevention science : the official journal of the Society for Prevention Research C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use CP - 5 CY - United States DO - 10.1007/s11121-021-01215-w IS - 5 JF - Prevention science : the official journal of the Society for Prevention Research LA - eng M1 - Journal Article N2 - Crystal methamphetamine ("meth") use is on the rise in the USA, having devastating effects on individuals and communities. Innovative prevention strategies are therefore critical. Through an exploratory qualitative study, we examined the perspectives and experiences of teenagers and parents around meth prevention messaging formats and strategies. Teens and adults were recruited through middle and high schools, libraries, local sporting events, and word of mouth in three communities in North Idaho, May-September 2016. Guided by the theoretical framework of the Extended Parallel Process Model, we conducted focus groups and small group interviews (three teen; two adults). Using a deductive content analytic approach, we developed teen- and adult-specific codebooks, analyzed the transcripts with NVivo 12-Plus, and identified themes. Teens and adults were all acutely aware of meth use in their communities, personally knowing people who were addicted to meth, and all understood the oral ("meth mouth") and physical ("crank bugs") consequences of meth use. Three primary themes were identified, which focused on the effects of, addiction to, and messaging around crystal meth use. For teens and adults, images illustrating the effects of meth were least effective if they appeared unrealistic or comical. Teens resonated most with messages focusing on pain and vanity (bad teeth and breath), and there was consensus that showing teens images simulating changes in their appearance over time as a result of meth use in a clinical setting would be an effective prevention strategy. Teens and adults who had exposure to meth addiction in North Idaho felt that prevention messages focused on meth are imperative, given its high prevalence and deleterious effects. Future work will entail developing and testing a communication-based meth prevention strategy along with tailored messaging that can be used with teens in dental settings. PP - United States PY - 2021 SN - 1573-6695; 1389-4986 SP - 579 EP - 589 EP - T1 - "Dying is Not a Fear": Teen and Parent Perspectives on Messaging to Prevent Crystal Meth Use Among Teens in Rural North Idaho T2 - Prevention science : the official journal of the Society for Prevention Research TI - "Dying is Not a Fear": Teen and Parent Perspectives on Messaging to Prevent Crystal Meth Use Among Teens in Rural North Idaho U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use U2 - 33591435 U3 - 10.1007/s11121-021-01215-w VL - 22 VO - 1573-6695; 1389-4986 Y1 - 2021 Y2 - Jul ER -