Coleman Janell, Kido Jaclyn, Xing Josie, Aquino Cherish, Godoy Bree, Eckman Crystal, McMullen Jaimie, Bavarian Niloofar
Department of Health Science, California State University, Long Beach, 1250 Bellflower Blvd, Long Beach, CA, 90840, USA.
School of Sport and Exercise Science, University of Northern Colorado, Gunter Hall 2640, Campus Box 39, Greeley, CO, 80639, USA.
J Prev (2022). 2023 Apr;44(2):193-206. doi: 10.1007/s10935-022-00714-y. Epub 2022 Nov 10.
Although a growing number of studies have sought to understand what motivates the initiation of prescription stimulant misuse and diversion among college students, there has been a lack of studies focused on what motivates behavior cessation. We aimed to explore what motivates prescription stimulant misuse and diversion cessation, from the perspective of college students with a history of having initiated and then discontinued these behaviors. We conducted face-to-face interviews with students who had a history of misuse, diversion, or both, and who had intentionally, either for the short-term or long-term, ceased these behaviors. We audio-recorded, transcribed, and analyzed interviews inductively using a thematic analysis approach. Of the six themes we identified, four applied to both misuse and diversion, while two applied to diversion only. Engaging in related behavior change, seasonality of the behaviors, changes in personal needs, and negative and/or null experiences with the behaviors were themes for both misuse and diversion cessation. Themes that emerged solely for diversion cessation included: moral and legal concerns and not wanting to be perceived as a drug dealer. The information shared by students with first-hand misuse and diversion cessation experience has the potential to guide interventions designed to address prescription stimulant misuse on college campuses.
尽管越来越多的研究试图了解是什么促使大学生开始滥用和转移处方兴奋剂，但缺乏关注行为停止动机的研究。我们旨在从有过开始并随后停止这些行为经历的大学生的角度，探索促使处方兴奋剂滥用和转移行为停止的动机。我们对有滥用、转移或两者兼有的历史，且有意短期或长期停止这些行为的学生进行了面对面访谈。我们对访谈进行了录音、转录，并采用主题分析方法进行归纳分析。在我们确定的六个主题中，四个适用于滥用和转移行为，而两个仅适用于转移行为。参与相关行为改变、行为的季节性、个人需求的变化以及对这些行为的负面和/或无影响的经历是滥用和转移行为停止的主题。仅针对转移行为停止出现的主题包括：道德和法律问题以及不想被视为毒贩。有过滥用和转移行为停止的第一手经验的学生分享的信息有可能指导旨在解决大学校园处方兴奋剂滥用问题的干预措施。
