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SMASHED: Changing the way we talk about underaged drinking

Smashed, which was launched in the Philippines through a collaboration between Diageo Philippines and PETA Plus in partnership with UK-based company Collingwood Learning. It is a groundbreaking global program that is a pillar of Diageo’s Society 2030: Spirit of Progress commitment to tackle underage drinking.

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Every parent knows you can shout at the top of your voice until you’re blue in the face, but you can’t always make children listen. Especially if what you are shouting about is something that is potentially dangerous, but their peers more commonly believe is “cool”.

It doesn’t matter if you’re right or wrong, it doesn’t matter if you have their best interests at heart, it doesn’t matter that you might have lived through the very same thing that they are and are trying to help them not make your mistakes. After kids hit a certain age, adults become the enemy.

So how do you get an important message through to adolescents? By using one of the most powerful communication tools known to man: storytelling.

Neil Gaiman, wildly successful author and graphic novelist, tells us that stories “teach us how the world is put together and the rules of living in the world, and they come in an attractive enough package that we take pleasure from them and want to help them propagate.”

Invention born of necessity

It is given that youths of today will experiment with many things as they grow older, regardless of the environment and socio-economic conditions they grew up in.

Unfortunately, this means that the vast majority of young people all across the world will come across the chance to sample substances: nicotine, alcohol, or even illegal drugs.

Smashed, which was launched in the Philippines through a collaboration between Diageo Philippines and PETA Plus in partnership with UK-based company Collingwood Learning. It is a groundbreaking global program that is a pillar of Diageo’s Society 2030: Spirit of Progress commitment to tackle underage drinking.

Chris Simes, the Managing Director for Collingwood Learning, recognizes that in order to nip the problem in the bud, one has to take a completely different approach other than lecturing the youth. “This is a real change from the usual approach to alcohol education in schools and one that makes the risks of underage drinking impossible to forget. We understand that because of the pandemic, both teachers and students are still adjusting to the current normal. But we want to help carry the learning forward by providing high-quality teaching resources for use, despite the pandemic. We’re thrilled to be working with PETA Plus and the Department of Education in the Philippines to produce new innovative online learning solutions to supplement the highly successful live approach.”

Inevitably, kids who start drinking at an early age do not have minds and bodies that are able to process alcoholic beverages. They get lured into it by seeing it as a rite of passage, a means of escape, or a social requirement.

On its second run, Smashed utilizes a novel approach, with additional features designed for more interaction with its target audience.

Conceptualized during the time when education was adapting to the new constraints of being unable to hold physical classes, the Smashed Philippine project initially launched in September 2021. It was an interactive website (online.smashedproject.org) that sought to empower Filipino teens and preteens to make better choices by harnessing their critical thinking skills.

Smashed utilized an online platform featuring a gripping story with three main characters and even has a feature that makes the viewer feel like they are actually on video calls with the characters as they follow along.

What’s the problem?

It’s easy to ignore a problem you don’t see. Teens learn how to drink from adults. They think it’s okay because they see it everyday, and sometimes, they are even encouraged to drink, especially males. Adults will sometimes allow their children to drink inside their homes with their friends because it is ‘safer’, saying, “mas okay nang dito ka mag-inom sa bahay kesa sa labas”.

But the Philippines does have an underage drinking culture. If you’re ever in doubt about this fact, just ask the kids.

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Ashley Mae Torres, a tenth-grade student from Quirino High School, points out, “Bilang kabataan, mas marami akong nakikitang proud maging alcoholic.” That’s a worrying statement indeed, but she also credits Smashed, seeing the potential good in the program. “Salamat at dahil sa Smashed mas lumawak ang aking kaalaman sa mga panganib ng alcohol,” says Ashley. “Mas magandang piliin ang tama kasya sa udyok ng ibang tao.”

The Philippines, which has a thriving drinking culture, reports that 70% of the population has consumed alcohol before the age of 14, despite it being illegal for stores and restaurants to sell or serve the substance to minors. This could be a problem.

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Sometimes the adults in the lives of young drinkers are the problem. In a scathing insight, the winner of the Smashed essay writing contest notes, “Ang problem po sa underage drinking sa bansa natin ay ine-encourage pa ng ibang family na ‘uy uminom ka’. Diyan din ako nagsimula ayaw ko pang uminom pero kinalaunan umiinom na rin ako tapos na-enjoy ko na rin.” Angel Borda, from Don Alejandro Roces Sr. Science-Technology High School emphasizes that the relatability of the situations of the characters was especially helpful in this case. “Pero ‘yun po yung mali talaga. We have to break that mindset. Napansin ko po yung kay Miko and kay Jella na yung pinagdadaanan po nila sa buhay nila, sa personal life nila is yun po yung ineexplain po nun kung bakit sila may addiction sa drinking pero it’s not an excuse sa behavior na pinapakita nila. Yung pagiging iresponsable nila, yung kawalan nila ng respeto sa ibang tao, kumbaga hindi sila main character sa buhay na ito at hindi lang sila ang maapektuhan sa buhay na ginagawa nila.”

The American-based National Institute on Alcohol Abuse and Alcoholism (NIAA) has published research that has found that those who get into the habit of alcohol consumption earlier in life may suffer more from it than those who learn to drink at an appropriate age. It states that “youthful patterns of alcohol use can mark the start of a developmental pathway that may lead to abuse and dependence”, and that continued drinking may lead to physiological reactions, such as depression or anxiety disorders, triggering an even greater reliance on the substance to alleviate the symptoms of these disorders. That’s already discounting the immediate effects of alcohol on young minds, which could lead to poor decision-making, patterns of antisocial behavior, and impaired motor skills. Finally, there is also the detrimental effect of extensive alcohol exposure on developing vital organs such as the liver and brain.

Lofty goals and marked successes

During its initial rollout in the Philippines in 2021, Smashed was supported by 120 schools in 17 regions and managed to get up in front of an audience of 17,700 young people. With the Department of Education and other academic institutions serving as partners, Smashed Online was able to equip educators and young leaders with workshops and training.

For 2023, the program’s goal is to be able to get its message through to over 25,000 students, partnering with schools and educators all over the Philippines. It is the program’s target to reach 300,000 Filipino youths by 2030 by working in close collaboration with the Department of Education.

“We are proud to support an important program to address the dangers associated with underage drinking like Smashed in the Philippines. This is part of our Society 2030: Spirit of Progress at Diageo, and we are confident that we can make a positive impact with the Filipino youths in making informed choices about alcohol and combat alcohol related harm for generations to come”, comments Shanahan Chua, Corporate Relations Director of Diageo Philippines.

According to the Philippines’ Smashed Online project manager, Gold Villar-Lim, in 2022, 93% of the total participants surveyed reported a marked attitudinal change. “Overall, the project is not only a big step in advocating for alcohol education and youth empowerment, but also in promoting applied theater and drama-in-education as effective teaching tools in the Philippines,” says Villar-Lim.

It isn’t just about making a connection with the participants, either. Smashed tries to melt the resistance that most children seem to have towards reaching out to adults to help in case they find themselves in a sticky spot due to alcohol, especially their parents. And it seems that the message is getting through.

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Even educators are impressed. “Highly recommended talaga ang Smashed PH kasi na-to-touch niya yung mga buhay at talagang nangyayari araw araw sa mga mag-aaral, says Russel Radaza, a department head at President Sergio Osmeña High School Manila. “Mas maganda kung mas maraming schools ang ma-rereach out ng Smashed PH para sila ay mag-enjoy at mas matuto about alcoholic beverages.”

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This sentiment is echoed by Jennifer Rances, a teacher at Sipocot National High School in Camarines Sur. Sa akin naman, talagang napakalaking tulong po nito na sa mga young learners lalo na ngayon iba na ang gusto nilang gawin hindi na sila nakafocus,” she says, emphasizing the lack of connection between a child’s attention span and traditional methods of education. She goes on to stress that “with these kinds of projects, talagang magiging focus nila ay […] ano ba talaga yung nangyayari sa society at ano ba talaga yung realidad. With this kind of project that Smashed Ph has, talagang sa tingin ko sobrang positive ako na madedevelop ang mga bata rito. Lahat madedevelop including their skills, pati yung mga talents nila at yung focus din even leadership skills.”

Could this change in the approach to the conversation create lasting effects in the way we approach underage drinking? Will it create deliberate and productive conversations between children at risk and the adults who are in the position to guide them? Evidence points to the possibility of both, and although only time will tell, Smashed Ph is definitely taking the necessary steps in the right direction.

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NewsMakers

Study finds low-dose eye drops successful in managing adult myopia for 24 hours

A single low-dose atropine eye drop can produce daylong effects in managing myopia, or nearsightedness.

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Groundbreaking research from the University of Houston shows that a single low-dose atropine eye drop can produce daylong effects in managing myopia, or nearsightedness, which affects roughly one-third of U.S. adults.   

Professor of Optometry Lisa Ostrin and postdoctoral researcher Barsha Lal are reporting that even one drop in the eye of low-dose atropine (0.01%–0.1%) produces clear changes in pupil size and focusing ability that persist for at least 24 hours. Importantly, they also found that the drop shows no short-term structural effects on the eye, with only temporary changes in blood flow inside the retina. 

Ostrin’s latest research is published in the journal Eye and Vision. It adds to a growing body of vision research from David Berntsen, Golden-Golden Professor of Optometry at the University of Houston, who is co-leading a national $25 million NIH-funded clinical trial to delay the development of myopia in children by using the atropine drops. 

Low concentration atropine is widely prescribed to slow myopia progression in children, yet its short-term retinal and choroidal effects remain incompletely understood. Ostrin’s new study evaluated short-term effects of a range of low atropine concentrations on the length of the eye, the blood vessels in the retina and the thickness of the retina and choroid, which sits just behind the retina. These are important measurements because longer eye length is associated with myopia and as it gets longer, the retina and choroid are stretched.  

“These findings indicate that a single instillation of atropine does not alter axial length or retinal or choroidal thickness over 24 hours but may transiently affect superficial retinal perfusion in a time-dependent manner,” said Ostrin.  

In the double-masked, randomized study, twenty healthy adults received a single instillation of either a placebo or atropine in the right eye during five separate sessions. Researchers then checked the eye structure, thickness, and length in the central retina both one-hour and 24-hours later.  

“Characterizing these short-term effects is important for a better understanding of the physiological responses to atropine in clinical and research settings,” said Ostrin who previously published research results of a study investigating the short-term effects of a range of low-dose atropine concentrations on the pupils of young adults. In that study, she found similar results with a single drop of atropine inducing significant changes in the pupils. 

Together, the studies indicate that atropine induces early functional and vascular effects in the eye, in the absence of structural change.  

“By linking objective ocular responses with subjective visual experience, this work advances our understanding of how atropine works and supports more precise, evidence-based, and individualized approaches to myopia management,” said Ostrin. 

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Study: Egg consumption is associated with a lower risk of Alzheimer’s Disease

Compared to never eating eggs, eating at least five eggs per week can decrease risk of Alzheimer’s.

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Consumption of eggs is associated with a lower risk of being diagnosed with Alzheimer’s Disease for those 65 years and older, according to researchers at Loma Linda University Health

Eating one egg per day for at least five days a week reduces risk of Alzheimer’s by up to 27%, researchers found.

“Compared to never eating eggs, eating at least five eggs per week can decrease risk of Alzheimer’s,” said Joan Sabaté, MD, DrPH, a professor at Loma Linda University School of Public Health and the study’s principal investigator.

Even less frequent consumption of eggs significantly reduced the risk of Alzheimer’s. Researchers found that eating eggs 1 to 3 times per month had a 17% decrease in risk, while eating eggs 2 to 4 times per week had a 20% decrease in risk, Sabaté said.

The study, Egg intake and the incidence of Alzheimer’s disease in the Adventist Health Study-2 cohort linked with Medicare datawas published last week in the Journal of Nutrition.

Researchers said they embarked on the study because of a substantial knowledge gap in the relationship between modifiable dietary factors and risk of Alzheimer’s disease risk.

Eggs are known to be a source of key nutrients that support brain health. Sabaté said. Eggs provide choline, a precursor to acetylcholine and phosphatidylcholine, both of which are critical for memory and synaptic function, the study stated. Eggs also contain lutein and zeaxanthin—carotenoids that accumulate in brain tissue and are associated with improved cognitive performance and reduced oxidative stress. Eggs also contain key omega-3 fatty acids, and yolks are particularly rich in phospholipids, which constitute nearly 30% of total egg lipids and are essential for neurotransmitter receptor function.

Researchers said they studied the consumption of eggs in visible ways — such as eating eggs in various forms, like scrambled, fried, boiled, etc. — and hidden ways, such as eggs included in baked goods and packaged foods.

The cases of Alzheimer’s Disease in the Adventist Health Study 2 cohort were diagnosed by physicians, according to Medicare records, among the study population of 40,000 subjects. Eligibility was determined using the Medicare Master Beneficiary Summary Files. The average follow-up period was 15.3 years.

The team emphasized that moderate egg consumption should be  part of a balanced diet.

“Research supports eggs as part of a healthy diet,” said Jisoo Oh, DrPH, MPH, an associate professor of epidemiology at Loma Linda University School of Public Health and the study’s lead author. “Seventh-day Adventists do eat a healthier diet than the general public, and we want people to focus on overall health along with this knowledge about the benefit of eggs.”

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Telling people they might lose motivates more than telling them they might win, research shows

How managers choose to frame problems directly influences employees’ motivation to speak up at work. For managers, this is an insightful approach for building more open and collaborative teams.

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Athletes say they hate to lose more than they love to win. New research finds the same sentiment is shared in organizations.

A Virginia Tech researcher and his colleagues discovered that when managers frame work problems as a potential loss, employees are more likely to take action than when those problems are framed as potential gains. The research also revealed that when the potential loss impacts a larger group, employees are more likely to take action in the form of speaking up to a supervisor in hopes of finding a solution. The findings were recently published in the Journal of Applied Psychology.

For managers, this research suggests that framing work problems as potential losses can influence employees to speak up more.

“Employee voice occurs when suggestions are made to improve organizational functioning,” said Phil Thompson, associate professor in the Pamplin College of Business Department of Management. “From an organizational perspective, the positive outcomes of employee voice include improved performance, effectiveness, and workplace safety. From an employee level, speaking up is positively related to creativity, innovation, engagement, and ethical behavior.”

At its core, this research shows that how managers choose to frame problems directly influences employees’ motivation to speak up at work. For managers, this is an insightful approach for building more open and collaborative teams.

“When managers say, ‘If we don’t get this done, not only will you lose the $5,000 bonus, but everybody in this work group is going to lose a $5,000 bonus,’ it magnifies an employee’s motivation to act in a proactive way,” said Thompson. “This suggests that framing work problems as what will be collectively lost – compared to what can be individually lost – makes employees want to speak up more.”

Thompson was part of a research team led by Jeffery Thomas and Jonathan Booth from The London School of Economics and Mark Bolino from Oklahoma University. Together they analyzed responses from nearly 2,000 full-time employees, MBA students, and employee-supervisor pairs for their experience in situations where work problems were framed as either a gain or a loss. Across three different studies, framing something as a loss yielded employees to voice a work suggestion more.

For example, a manager dealing with a reputational crisis of their team, such as a product quality issue, can frame the problem in a way to spark helpful employee suggestions on how to resolve the issue. For example, instead of saying “if this product has great quality, our company will look really good” a manager saying “if this product is not up to quality standards, our reputation will be damaged” carries more weight for the team. When this reputational risk is shared by everyone, employees are more willing to step forward to help the problem.

In the first study, participants were asked to think about a problem at work that was significant for them. From there, they were randomly assigned to write about the potential losses or gains from that problem. They were also asked to indicate how likely they were to talk about these problems to their supervisor. Participants who reflected on their potential losses showed a 16 percent higher willingness to speak up compared to those who focused on the potential gains.

When it came to the MBA students, they read a fictional performance review scenario where a workplace problem was described. They then rated how willing they would be to speak up about that scenario if they were in the situation. One example suggested that the entire team might fall short of its goals if an issue was not addressed. This specific scenario yielded the most likelihood of speaking up 35 percent more than the scenario’s suggesting that only they would miss their goal, supporting the research’s findings that an employee is more likely to speak up when the loss impacts more people.

The third study looked at employee-supervisor pairings to understand how these relationships play out in the real world. Using pairings from across three industries, employees reported a workplace problem they encountered and their supervisor rated how often that employee spoke up on the job. While the first two studies involved hypothetical scenarios, this real-world evidence showed that employees were 8-10 times more likely to speak up when issues were framed as a potential collective loss compared with a potential collective gain. 

“This research is really geared toward managers so they can facilitate and understand how and why their employees will speak up,” said Thompson. “You can talk about the issue, but it always ends in terms of how we frame things.” 

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