Beyondblue & AFLPA Australian Football League Players' Association
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BOTI Report Better Out Than In 2017 beyondblue & AFLPA Australian Football League Players’ Association Address: Level 2, 170 Bridport Street, Albert Park, Melbourne, Victoria 3206 1 Acknowledgements Better Out Than In 2017 ACKNOWLEDGEMENTS On behalf of the lead agency, the AFL Players’ Association, I would like to express my sincere appreciation and thanks to all who assisted in the Better Out Than In Project. First and foremost, I would like to express my gratitude to beyondblue, particularly Andrew Thorp, for the opportunity and support that was critical in bringing this project to life. I would like to extend a special thank you to Brent Hedley who managed and oversaw the majority of the project with proficiency and innovation. Paul O’Halloran, our Latrobe University research partner, whose tireless effort, support and passion delivered across the project and report was remarkable. Scott Ruddock and Mandy Ruddock- Hudson, also part of the research team, worked to an extremely high standard. John Brady (Operations Manager) and Jorgen Gullestrup (CEO) of our industry project partner Mates In Construction provided an expansive skillset to connect with our target audience, ensuring that we applied language that would influence and inform. Mates In Construction have trained over 70,000 workers nationally in suicide prevention and stigma reduction for depression and mental illness. Mark Brayshaw, CEO AFL Coaches Association, gave a wealth of insight and access to AFL coaches. These coaches are connected to men who may be viewed as role models or leaders in society, and engaging these men provided an invaluable opportunity to create awareness and shift the norms in communities of men. Thanks and appreciation must also go to my colleagues at the AFL Players’ Association. Brad Fisher’s guidance, willingness to assist and encouragement as the Past Player Alumni manager was second to none. Brett Johnson’s support and input to the project was much valued, as was Rebecca Chitty’s commercial acumen and extensive experience in strategic communications. Bonnie Berridge and Deirdre Ryan, who have worked with our research partner to produce this report, brought essential academic rigour and experience. Special mention to Jo Mitchell, who led the STRIDE project funding application and stigma research. Your expansive knowledge of and expertise in the mental health sector provided the project team with a well-equipped road map. 2 Acknowledgements Better Out Than In 2017 ACKNOWLEDGEMENTS The Construction Forest Mining and Energy Union provided us with great insight and access to their union members. Cummins and Partners executed an innovative digital strategy after picking up the reins from an earlier digital agency. They provided us with great collateral with utmost professionalism. The abilities and creative flair of Adrian Brown and Kirsty Brown at Whooska Media to understand the core aims of the project, as well as the look, feel and tone, enabled us to produce powerful and inspiring stories. Last, and certainly not least, a huge thank you to the brave young people who shared their story with us. It’s the story sharers and listeners, those who want to make a change, who inspire change. Those who undertook the surveys may, at times, have been uncomfortable or challenged, but the result is that together we are working towards creating a culture that fosters openness, acceptance and hope, and for this, we are grateful. James Polkinghorne - AFLPA 3 Overview Better Out Than In 2017 OVERVIEW An overview of beyondblue’s STRIDE Initiative. Following an open, competitive process, beyondblue with donations from the Movember Foundation, commissioned six action research partnerships to answer a key question: “Can digital interventions, implemented at a local population level, promote change across the knowledge, attitudinal and/or behavioural components of stigma experienced and/or exhibited by men aged 30 to 64 years?”. The partnerships were all required to involve multiple perspectives – local community, academics, evaluators and designers – each contributing to an integrated innovative digital project. The Stigma Reduction Interventions: Digital Environments (STRIDE) Initiative investigated the ‘real world’ effectiveness of evidence-informed interventions and prioritised research partnerships between the community and academics. The six commissioned projects were: • Better Out Than In, led by the AFL Players’ Association • Contact+Connect, led by Incolink • Out of the Blue: Pete & Dale, led by VAC • Tell Your Story, led by UNSW Refugee Trauma & Recovery Program • The Ripple Effect, led by National Centre for Farmer Health • Y Fronts, led by CGA Consulting beyondblue received results of the six projects in mid-2017. These results provided us with insights into how to best use digital channels to promote behaviour change in men in their middle years so they report less stigma around mental health and/or suicide. More information on the STRIDE Initiative, including detailed results of the research, is available at: beyondblue.org.au/stigma. The STRIDE Initiative is a beyondblue project funded with donations from the Movember Foundation. 4 Executive Summary Better Out Than In 2017 EXECUTIVE SUMMARY The Better Out Than In campaign, was a digital campaign directed towards men where masculine ideologies prevail: Construction workers; AFL past players and AFL coaches. The Better Out Than In campaign aimed to reframe the conversation of men’s depression from one of shame, stigma, and secrecy to one of openness, acceptance and hope by focusing on changing both attitude and behaviour. Better Out Than In was a joint initiative between AFL Players’ Association, LaTrobe University, AFL Coaches Association and Mates In Construction. Better Out Than In released ten digital stories, delivered in the format of ‘mini-campaigns’, featuring a diverse range of past and present AFL players, coaches and construction workers. The integrated, online digital campaign aimed to reframe the conversation about mens depression from one of shame, stigma and secrecy to one of openness, acceptance and hope. Additionally, the project was based on the premise that sharing and hearing real-life stories about depression and seeking help for depression is one of the most powerful ways of reducing self and personal stigma. The digital stories were home to various perspectives, demographics, experience and people and at the core of the video was messaging to change the conversation of depression and anxiety. More than 1000 men from the three communities of interest and a mining comparison group were recruited to evaluate the effectiveness of the depression stigma reduction campaign via an online survey. This contained attitudinal measures of self-stigma, personal stigma, intentions of seeking help and actual self-reports of behaviour pertaining to men offering help to others. 5 Executive Summary Better Out Than In 2017 EXECUTIVE SUMMARY More than 1000 men from three communities & a mining comparison group were recruited. Analysis revealed solid online engagement with the Better Out Than In campaign. One of the strongest elements of our campaign has been in There were positive communications which has driven very significant attention shifts on stigma towards our campaign. We are pleased to report that an estimated for those that audience of 1.7 million viewers engaged with project related media engaged with the communications. Better Out Than In website. 50% of Video Views: men reported ‘doing • The video engagement was strong, with over 384 hours of story it tough’ over the content viewed, with an average of 01min:25sec session duration. last month. • More than 40,000 Better Out Than In video views (combined Facebook, website, YouTube) 6 Table of Contents Better Out Than In 2017 CONTENTS Acknowledgements Executive Summary 5 Table Of Contents 7 1. Introduction 8 2. Project governance 15 2.1 The Better Out Than In Campaign: Rationale, Design and Description 16 Stigma Reduction Rationale for Better Out Than In Campaign Research Objectives Communities of Interest 2.2 Participatory Design 22 3. The Intervention 24 3.1 Description and Delivery of Better Out Than In Campaign 3.2 Digital Technologies 3.3 Web Design 4. Marketing and Promotion 36 4.1 Potential impact campaign 5. Evaluation 44 5.1 Overview of methodology Research Design Description of stigma measures on the online survey 6. Results 49 6.1 Phase One - Baseline Report 6.2 Phase Two - Follow-up one Report 6.3 Phase Three - Follow up two 6.4 Key Findings 154 7. Discussion 157 7.1 Objective One 7.3 Objective Three 7.4 Objective Four 7.5 Objective Five 7.6 Objective Six 7.7 Key learning’s 8. Conclusion 180 Bibliography and References 182 APPENDICES 189 Appendix One: Media Coverage Appendix Two: Activity Schedule Appendix Three: Background Information Appendix Four: SSDS-DSS Item Percentages 7 1. Introduction Better Out Than In 2017 1. INTRODUCTION 8 1. Introduction Better Out Than In 2017 1.1 BACKGROUND INFORMATION Existing Interventions Aimed at Engaging Men in Help Seeking and Reducing Stigma A range of programs and interventions aimed at reducing stigma and increasing access to support for depression in males have been developed in the last number of years. Griffiths, Carron-Arthur, Parsons, and Reid (2014), explored the impact of programs aimed at reducing personal or self-stigma (See Appendix three for further information on stigma). The findings from their study suggested that in addition to delivering broad-based programs to