The Impact of Normative Feedback on Undergraduates' Prescription Drug Use Knowledge and Behavior: A Mixed Methods Study

Jason Y. Isaacs, Kara Thompson, Igor Yakovenko, Karen Stewart-Kirk, Noelle J. Strickland, Sherry H. Stewart

Résultat de recherche: Articleexamen par les pairs

Résumé

ABSTRACTSocial norms feedback interventions are effective in correcting overestimations of peer alcohol use and changing undergraduates' drinking behaviors. Undergraduates represent a high-risk group for harmful prescription drug use (PDU), yet a group-based social norms intervention has yet to be investigated for undergraduate PDU. Our objectives involved utilizing a mixed methods research design to investigate the impact of a social norms feedback session on norms perceptions and intentions to engage in PDU, and to obtain students' qualitative feedback on this intervention approach. Thirty-six undergraduates (Mage = 20.17; 63.89% women) with PDU use within the prior 4 months were provided accurate information regarding peer PDU rates. Participants reported on their perceptions of rates of peer PDU for each prescription drug type, and their behavioral intentions to engage in PDU, pre- and post-intervention. Subsequently, they participated in a focus group on their perceptions of the PDU intervention. Participants significantly overestimated all types of PDU at pre-intervention. While the intervention led to significant reductions in perceptions of peer PDU rates, significant overestimations remained. Behavioral intentions to use were not reduced from pre- to post-intervention. Content analysis of the focus group data generated four themes that elucidated participants' thinking about the intervention: (1) Coming to Terms with Overestimation, (2) Reflections on Social Networks, (3) Stigma and Norms, and (4) Benefits of a Social Norms Approach. Results highlight that an intervention which changes knowledge of social norms may not be sufficient to curb PDU. Qualitative findings provide insight into ways to potentially improve the utility of PDU social norms interventions for undergraduates.

Langue d'origineEnglish
Pages (de-à)S48-S61
JournalCanadian Journal of Addiction
Volume13
Numéro de publication2
DOI
Statut de publicationPublished - juin 1 2022

Note bibliographique

Funding Information:
Funding: Our youth summit was part of a cross-Canada initiative funded by Health Canada and the Canadian Institutes of Health Research (CIHR) through the Canadian Research Initiative in Substance Misuse (CRISM) intended to explore the opioid crisis in currently affected and at-risk Canadian youth. The overall objective of CRISM is to conduct clinically relevant substance misuse research and to translate evidence-based interventions for substance use into clinical practice, community-based prevention, harm reduction, and health systems changes. There are four nodes in the network located in BC, the Prairies, Ontario, and the Quebec/Atlantic regions. All participating nodes hosted their own summit with different types of at-risk or currently affected youth to provide unique perspectives on opioid use and related highrisk behaviours. Our manuscript reports on results for the Atlantic region youth summit, which was focused on university students’ prescription drug use/misuse. Additional funding for the current project was provided by an Educational Activity Student Grant from the Canadian Psychological Association (CPA), awarded to the first author, which provided a single payment to assist in costs associated with summit creation and implementation.

Funding Information:
Our youth summit was part of a cross-Canada initiative funded by Health Canada and the Canadian Institutes of Health Research (CIHR) through the Canadian Research Initiative in Substance Misuse (CRISM) intended to explore the opioid crisis in currently affected and at-risk Canadian youth. The overall objective of CRISM is to conduct clinically relevant substance misuse research and to translate evidence-based interventions for substance use into clinical practice, community-based prevention, harm reduction, and health systems changes. There are four nodes in the network located in BC, the Prairies, Ontario, and the Quebec/Atlantic regions. All participating nodes hosted their own summit with different types of at-risk or currently affected youth to provide unique perspectives on opioid use and related high-risk behaviors. Our article reports on results for the Atlantic region youth summit, which was focused on university students’ prescription drug use/misuse. Additional funding for the current project was provided by an Educational Activity Student Grant from the Canadian Psychological Association (CPA), awarded to the first author, which provided a single payment to assist in costs associated with summit creation and implementation.

Publisher Copyright:
© 2022 by the Canadian Society of Addiction Medicine.

ASJC Scopus Subject Areas

  • Psychiatry and Mental health

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