Stimulant diversion risk among college students treated for ADHD: Primary care provider prevention training. (2019)
AuthorsMolina BSG, Kipp HL, Joseph HM, Engster SA, Harty SC, Dawkins M, Lindstrom RA, Bauer DJ, Bangalore SSshow all
OBJECTIVES:To address increasing rates of stimulant misuse in college students, this study developed an evidence-based, brief clinical practice intervention for primary care providers (PCPs) to reduce stimulant medication diversion among young adults with ADHD. METHODS:College students (N-114; 18-25 years; 68% attending universities; 24% attending community college) treated for ADHD with a stimulant and their PCPs across six practices participated in this initial, uncontrolled study of pre- to post-intervention change. An educational workshop providing strategies aimed at reducing stimulant diversion was developed and delivered to providers and staff across all practices (50% pediatric; 50% family medicine). Patients and providers completed baseline and post intervention surveys. RESULTS:Diversion was relatively infrequent, 16.7% at baseline and 14.9% post-intervention, respectively. Statistically significant decreases from baseline to post-intervention were found for three diversion risk factors: (1) number of times approached to divert, (2) intent to share, sell, or trade stimulants, and (3) disclosure of stimulant use. Providers and staff reported mostly high satisfaction with the training. CONCLUSIONS:This study provides initial evidence for a PCP-delivered intervention to reduce stimulant diversion. Research is needed on the efficacy of targeting college students directly, working with pharmacies and student health centers, and preventing misuse among teenagers.
CitationMolina BSG, Kipp HL, Joseph HM, Engster SA, Harty SC, Dawkins M, Lindstrom RA, Bauer DJ, Bangalore SS (2019). Stimulant diversion risk among college students treated for ADHD: Primary care provider prevention training.. Academic pediatrics.
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KeywordsAttention-Deficit/Hyperactivity Disorder (ADHD); College Students; Prescription Misuse
ANZSRC Fields of Research17 - Psychology and Cognitive Sciences
11 - Medical and Health Sciences::1117 - Public Health and Health Services::111717 - Primary Health Care