A Qualitative Study of Nonmedical Prescription Stimulant Use

非医疗处方兴奋剂使用的定性研究

基本信息

批准号：
8538926
负责人：
Sheigla Brighid Murphy
金额：
$ 57.61万
依托单位：
SCIENTIFIC ANALYSIS CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-01 至 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8538926
关键词：
Acute Address Adult Age Age-Years Alcohols Amphetamines Area Attention deficit hyperactivity disorder Attitude Behavior Belief Benefits and Risks Cardiac Child Cognitive Decision Making Development Drug Prescriptions Drug usage Elderly Enhancers Environment Health Heart Individual Intervention Interview Investigation Knowledge Lesion Life Location Mental Health Methods Motivation Myocardial Infarction Outcome Participant Pathway interactions Patient Self-Report Pattern Perception Performance Pharmaceutical Preparations Population Prevention Prevention education Preventive Intervention Process Questionnaires Recreation Research Risk San Francisco Sleep Disorders Source Staging Street Drugs Stroke Structure Students Symptoms Tachycardia Testing Time Toxic effect Work age group cohort college experience instrument nonmedical use research study risk perception screening social university student

项目摘要

DESCRIPTION (provided by applicant): We propose a 36-month project to conduct a QUAL/quan mixed methods study of nonmedical prescription stimulant users in San Francisco. We define "nonmedical prescription stimulant use" as the use of prescription stimulants in a manner other than prescribed, including use for cognitive performance enhancement, recreational purposes, or to self-medicate for ADHD-type or other problems. Nonmedical use of prescription stimulants among college students has been well documented. To date, research studies ignore an entire population of non students who use nonmedical prescription stimulants as performance enhancers for work or recreation. What we do not know is how older adults use prescription stimulants nonmedically. Thus, we will conduct a QUAL/quan mixed method study of the experiences of nonmedical prescription stimulant users in three age cohorts. Using an adaptive intersectionality theoretical framework, we will conduct in-depth qualitative interviews with 150 participants. Fifty will be between 18 - 25 years of age, fifty 26 - 45 year olds who make up the first cohort (beginning in 1994) of recipients of ADHD medications, and fifty who are 46 and older. All participants will have used prescription stimulants nonmedically at least six times in the twelve months prior to interview. We will examine the types of prescription stimulants and the use of other prescription drugs and/or street drugs or alcohol to counter or enhance the effects of prescription stimulants. We will explore the intersection of individual factors, includig life stage and social location that contribute to decisions to use prescription stimulants nonmedically, motivations to use, knowledge about risks and benefits of prescription stimulant use, any adverse health or social consequences experienced, availability and diversion of prescription stimulants, differences in attitudes and behaviors relating to nonmedical prescription stimulant use and differences among the various age groups concerning all of the above. Findings will contribute to our understandings of users' experiences, including motivations to use, decision-making processes, perceptions of risk, health and social consequences of use, sources of prescription stimulants, and impact of age cohort on all of the above.

描述（由申请人提供）：我们提出了一个36个月的项目，以对旧金山非医学处方刺激用户进行质量/Quan混合方法研究。我们将“非医学处方兴奋剂使用”定义为以处方以外的方式使用处方刺激物，包括用于增强认知性能，娱乐目的或用于多动症类型或其他问题的自我药物。在大学生中，非医学使用处方兴奋剂的使用已得到充分记录。迄今为止，研究忽略了使用非医学处方兴奋剂作为工作或娱乐的绩效增强剂的非学生的全部人群。我们不知道的是老年人如何非医学使用处方兴奋剂。因此，我们将对三个年龄群体中非医学处方刺激使用者的经历进行质量/Quan混合方法研究。使用自适应相交的理论框架，我们将对150名参与者进行深入的定性访谈。五十岁将在18-25岁之间，五十26-45岁的孩子第一批ADHD药物的第一个队列（从1994年开始）和46岁及46岁以上的五十种。在面试前的十二个月中，所有参与者将至少六次使用处方兴奋剂。我们将检查处方兴奋剂的类型以及其他处方药和/或街头药物或酒精的使用来对抗或增强处方兴奋剂的作用。我们将探讨各个因素的交汇处，包括生命阶段和社会位置，有助于决定使用处方刺激物，使用的动机，有关处方刺激使用者使用的风险和益处的知识，任何不利的健康或社会后果，遇到的任何不利的健康或社会后果，对处方的刺激物，态度的差异以及各种刺激性的差异和危机的差异和差异，以及在非神秘的处方中的差异和差异。调查结果将有助于我们对用户经验的理解，包括使用动机，决策过程，对使用的风险，健康和社会后果的看法，处方兴奋剂的来源以及年龄群对上述所有事物的影响。