Table 3 Illustrative quotes for the study recommendations theme from focus groups and user interviews.

Initial reactions to program

Program content enhancements

User Interviews

Felt it was very in line with what she expected, felt nothing was out of the norm. The cannabis portion was new and appreciated.

Really liked the tools he was given to keep himself out of bad/unsafe situations.

Would recommend this to a friend, as there was lots of useful information.

Liked the informality of it and that she could do it on her own but thinks a space to have conversation is useful.

It was useful, but he knew all the info.

It was interesting and had a lot of questions that he hadn’t personally experienced, so it was insightful.

Feels like other programs show the “worst of the worst” and he liked that this was more realistic.

Focus Groups

“… having a teen who’s experienced a situation with drunk driving or who knew someone … who maybe passed away … and feels super passionate about it come in.”

“… how to talk to your peers about it and talk to a peer who is going to drive under the influence.”

“… the effects that it can have on your body because I feel like people don’t talk about that at all, in terms of while driving.”

“Maybe a conversation starter list of have your parent come over and watch this segment with you or something like that.”

“That it doesn’t matter how much food you eat, it doesn’t change your blood alcohol content.”

“Yeah, or teens should be better informed about drinking and driving or using drugs while driving. I think it should be more impressed on teens on what could happen, or what will happen, or how this could ruin your life and it’s not worth it.”

“It has to be interactive, and it just has to be different”

“Maybe like have it short, like 15—like half-an-hour long because then they’ll probably stop listening after that. So just keep it concise but multiple sessions around that time.”

User Interviews

Felt the other programs don’t give him actionable strategies and he liked that we do provide scenarios.

Other programs need to be more relatable like how information is presented in WebCHAT, scare tactics are not as effective.

Continue to share a non-judgmental perspective.

More relatable as these situations “actually happened”.

Loved the data, helped “open her eyes” to the prevalence.

Liked the predictive statistics and then showing the real statistics.

For the multiple choice questions/survey questions, they really liked being able to compare responses after watching videos.

Lots of videos were used but liked that they were short and easily understandable

More clarity, more engaging; more data-focused, less fearmongering [than other interventions].

Strategies to curb risky driving behaviors

Focus Groups

“Having a designated driver and then if something happens with them and they don’t end up going or if they end up being pressured into drinking, then having the ability to have a friend’s house close by that you can stay at without having to drive to.”

“I think just think about your decision before you enter any vehicle while under the influence or while somebody else is.’

“You can Uber there instead of driving there.”

“I think the big part is you have to plan in advance.”

“If you’re not getting in the car, trying to grab their keys from them [driver under the influence] or something like that.”