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Abstract

We used the narrative vignette/storytelling approach to provide a holistic illustration of prescription stimulant misuse [PSM] and diversion [PSD] initiation and maintenance among college-attending emerging adults. We conducted 32 semi-structured, theory-guided interviews with 20 students during spring and summer 2019. The participants were diverse with respect to age, race/ethnicity and gender, and had a history of PSM and/or PSD. We created four narrative vignettes using a multi-step, collaborative process that incorporated patterns of what contributed to initiation and maintenance for four identified student groups (i.e., PSM with and without a prescription and PSD with and without a prescription). Characteristics of the individual, social and broader environments influenced behavior initiation, and positive reinforcement from trial behavior contributed to maintenance. Similarities and differences were identified across the groups. Approaches for PSM and PSD prevention and intervention in college-attending emerging adults should be multifaceted and consider prescription status.

Keywords

prescription stimulant misuse diversion health behaviors prevention narrative vignettes

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References

Aikins

R. D.

(2011). Academic performance enhancement: A qualitative study of the perceptions and habits of prescription stimulant–using college students. Journal of College Student Development, 52(5), 560–576. https://doi.org/10.1353/csd.2011.0064

Arnett

J. J.

(2005). The developmental context of substance use in emerging adulthood. Journal of Drug Issues, 35(2), 235–254. https://doi.org/10.1177/002204260503500202

Arria

A. M.

DuPont

R. L.

(2010). Nonmedical prescription stimulant use among college students: Why we need to do something and what we need to do. Journal of Addictive Diseases, 29(4), 417–426. https://doi.org/10.1080/10550887.2010.509273

Bavarian

Flay

B. R.

Ketcham

P. L.

Smit

(2013). Illicit use of prescription stimulants in a college student sample: A theory-guided analysis. Drug and Alcohol Dependence, 132(3), 665–673. https://doi.org/10.1016/j.drugalcdep.2013.04.024

Bellis

M. A.

Hughes

Lowey

(2002). Healthy nightclubs and recreational substance use: From a harm minimisation to a healthy settings approach. Addictive Behaviors, 27(6), 1025–1035. https://doi.org/10.1016/S0306-4603(02)00271-X

Benson

Flory

Humphreys

K. L.

Lee

S. S.

(2015). Misuse of stimulant medication among college students: A comprehensive review and meta-analysis. Clinical Child and Family Psychology Review, 18(1), 50–76. https://doi.org/10.1007/s10567-014-0177-z

Black

J. C.

Bau

G. E.

Iwanicki

J. L.

Dart

R. C.

(2021). Association of medical stimulants with mortality in the US from 2010 to 2017. JAMA Internal Medicine, 181(5), 707–709. https://doi.org/10.1001/jamainternmed.2020.7850

Compton

W. M.

Han

Blanco

Johnson

Jones

C. M.

(2018). Prevalence and correlates of prescription stimulant use, misuse, use disorders, and motivations for misuse among adults in the United States. American Journal of Psychiatry, 175(8), 741–755. https://doi.org/10.1176/appi.ajp.2018.17091048

Cutler

K. A.

(2014). Prescription stimulants are “a okay”: Applying neutralization theory to college students’ nonmedical prescription stimulant use. Journal of American College Health, 62(7), 478–486. https://doi.org/10.1080/07448481.2014.929578

10.

DeSantis

A. D.

Anthony

K. E.

Cohen

E. L.

(2013). Illegal college ADHD stimulant distributors: Characteristics and potential areas of intervention. Substance Use & Misuse, 48(6), 446–456. https://doi.org/10.3109/10826084.2013.778281

11.

DeSantis

A. D.

Webb

E. M.

Noar

S. M.

(2008). Illicit use of prescription ADHD medications on a college campus: A multimethodological approach. Journal of American College Health, 57(3), 315–324. https://doi.org/10.3200/JACH.57.3.315-324

12.

De Souza

Peterson

Brakke

(2015). “You gotta try it!”: A qualitative exploration of the role of communicative interactions in prescription stimulant misuse. International Journal of Communication and Health, 6, 49–59.

13.

Duke University (2022). Academic dishonesty. Student Affairs. https://studentaffairs.duke.edu/conduct/z-policies/academic-dishonesty-0

14.

Erickson

(1986). Qualitative methods in research on teaching. In Wittrock

M. C.

(Ed), (3rd ed., pp. 119–161). New York: Macmillan.Handbook of research on teaching.

15.

Faraone

S. V.

Rostain

A. L.

Montano

C. B.

Mason

Antshel

K. M.

Newcorn

J. H.

(2020). Systematic review: Nonmedical use of prescription stimulants: Risk factors, outcomes, and risk reduction strategies. Journal of the American Academy of Child and Adolescent Psychiatry, 59(1), 100–112. https://doi.org/10.1016/j.jaac.2019.06.012

16.

Flay

Petraitis

(1994). The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. In Albrecht

(Ed.), Advances in medical sociology (Vol. 4). JAI Press.

17.

Glanz

Rimer

B. K.

Viswanath

(Eds.). (2008). Health behavior and health education: Theory, research and practice (4th ed.). Jossey-Bass.

18.

Gould

M. S.

Walsh

B. T.

Munfakh

J. L.

Kleinman

Duan

Olfson

Greenhill

Cooper

(2009). Sudden death and use of stimulant medications in youths. American Journal of Psychiatry, 166(9), 992–1001. https://doi.org/10.1176/appi.ajp.2009.09040472

19.

Hadler

Strome

Waselewski

Herbert

Harper

Chang

(2021). Perspectives of US adolescents on diverted stimulant use. The Journal of Pediatrics, 235, 190–195. https://doi.org/10.1016/j.jpeds.2021.04.010

20.

Lam

Figueroa

Yomogida

Bavarian

(2020). Prescription stimulant diversion on a college campus: Intrapersonal, interpersonal, and environmental correlates. Journal of Drug Issues, 50(3), 329–340. https://doi.org/10.1177/0022042620917103

21.

Loskutova

N. Y.

Waterman

Callen

Staton

E. W.

Bullard

Shields

(2020). Knowledge, attitudes, and practice patterns of health professionals toward medical and non-medical stimulant use by young adults. The Journal of the American Board of Family Medicine, 33(1), 59–70. https://doi.org/10.3122/jabfm.2020.01.190071

22.

Mason

M. J.

Coatsworth

J. D.

Russell

Khatri

Bailey

Moore

Brown

Zaharakis

Trussell

Stephens

C. J.

Wallis

Hale

(2021). Reducing risk for adolescent substance misuse with text-delivered counseling to adolescents and parents. Substance Use & Misuse, 56(9), 1247–1257. https://doi.org/10.1080/10826084.2021.1910709

23.

McCabe

S. E.

Veliz

Wilens

T. E.

Schulenberg

J. E.

(2017). Adolescents’ prescription stimulant use and adult functional outcomes: A national prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 56(3), 226–233. https://doi.org/10.1016/j.jaac.2016.12.008

24.

Miles

M. B.

Huberman

A. M.

Saldaña

(2020). Qualitative data analysis: A methods sourcebook (4th ed.). SAGE Publishing.

25.

Nowell

L. S.

Norris

J. M.

White

D. E.

Moules

N. J.

(2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917733847

26.

Parks

K. A.

Levonyan-Radloff

Przybyla

S. M.

Darrow

Muraven

Hequembourg

(2017). University student perceptions about the motives for and consequences of nonmedical use of prescription drugs (NMUPD). Journal of American College Health, 65(7), 457–465. https://doi.org/10.1080/07448481.2017.1341895

27.

Reay

Zafar

Monteiro

Glaser

(2019). Presenting findings from qualitative research: One size does not fit all The production of managerial knowledge and organizational theory: New approaches to writing, producing and consuming theory. Emerald Publishing Limited.

28.

Schelleman

Bilker

W. B.

Kimmel

S. E.

Daniel

G. W.

Newcomb

Guevara

J. P.

Cziraky

M. J.

Strom

B. L.

Hennessy

(2012). Methylphenidate and risk of serious cardiovascular events in adults. American Journal of Psychiatry, 169(2), 178–185. https://doi.org/10.1176/appi.ajp.2011.11010125

29.

Schultz

N. R.

Silvestri

M. M.

Correia

C. J.

(2017). Diversion of prescription stimulants among college students: An initial investigation of injunctive norms. Addictive Behaviors, 65, 264–268. https://doi.org/10.1016/j.addbeh.2016.08.022

30.

Stewart

S. H.

Chinneck

Thompson

Afzali

M. H.

Nogueira-Arjona

Mahu

I. T.

Conrod

P. J.

(2021). Personality to prescription drug misuse in adolescents: Testing affect regulation, psychological dysregulation, and deviance proneness pathways. Frontiers in Psychiatry, 12, 640766. https://doi.org/10.3389/fpsyt.2021.640766

31.

Vrecko

(2013). Just how cognitive is “cognitive enhancement”? On the significance of emotions in university students’ experiences with study drugs. AJOB Neuroscience, 4(1), 4–12. https://doi.org/10.1080/21507740.2012.740141

32.

Vrecko

(2015). Everyday drug diversions: A qualitative study of the illicit exchange and non-medical use of prescription stimulants on a university campus. Social Science & Medicine, 131, 297–304. https://doi.org/10.1016/j.socscimed.2014.10.016

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