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Lansford JE, Goulter N, Godwin J, McMahon RJ, Dodge KA, Crowley M, Pettit GS, Bates JE, Lochman JE. Predictors of problematic adult alcohol, cannabis, and other substance use: A longitudinal study of two samples. Dev Psychopathol 2023; 35:2028-2043. [PMID: 35957585 PMCID: PMC9922340 DOI: 10.1017/s0954579422000670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This study examined whether a key set of adolescent and early adulthood risk factors predicts problematic alcohol, cannabis, and other substance use in established adulthood. Two independent samples from the Child Development Project (CDP; n = 585; 48% girls; 81% White, 17% Black, 2% other race/ethnicity) and Fast Track (FT; n = 463; 45% girls; 52% White, 43% Black, 5% other race/ethnicity) were recruited in childhood and followed through age 34 (CDP) or 32 (FT). Predictors of substance use were assessed in adolescence based on adolescent and parent reports and in early adulthood based on adult self-reports. Adults reported their own problematic substance use in established adulthood. In both samples, more risk factors from adolescence and early adulthood predicted problematic alcohol use in established adulthood (compared to problematic cannabis use and other substance use). Externalizing behaviors and prior substance use in early adulthood were consistent predictors of problematic alcohol and cannabis misuse in established adulthood across samples; other predictors were specific to the sample and type of substance misuse. Prevention efforts might benefit from tailoring to address risk factors for specific substances, but prioritizing prevention of externalizing behaviors holds promise for preventing both alcohol and cannabis misuse in established adulthood.
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Affiliation(s)
- Jennifer E. Lansford
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Natalie Goulter
- Department of Psychology, Simon Fraser University and B.C. Children’s Hospital Research Institute, Burnaby, British Columbia, Canada
| | - Jennifer Godwin
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Robert J. McMahon
- Department of Psychology, Simon Fraser University and B.C. Children’s Hospital Research Institute, Burnaby, British Columbia, Canada
| | - Kenneth A. Dodge
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Max Crowley
- Human Development and Family Studies, Pennsylvania State University, State College, Pennsylvania, USA
| | - Gregory S. Pettit
- Human Development and Family Studies, Auburn University, Auburn, Alabama, USA
| | - John E. Bates
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, Indiana, USA
| | - John E. Lochman
- Department of Psychology, University of Alabama, Tuscaloosa, Alabama, USA
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Carpenter RW, Acuff SF, Meshesha LZ. The Role of Environmental Context and Physical Activity in Prescribed Opioid Use and Pain in Daily Life among Patients With Chronic Low Back Pain. Ann Behav Med 2023; 57:541-550. [PMID: 37000178 PMCID: PMC10465080 DOI: 10.1093/abm/kaac080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/01/2023] Open
Abstract
BACKGROUND Prescription opioids remain a primary treatment option for patients with chronic low back pain. However, little research has examined how patients take opioids in daily life. Behavioral economics suggest that the environmental context may contribute to patients' decisions around opioid use. PURPOSE This study examined the association of self-reported environmental factors and physical activity with likelihood of taking opioids, opioid dosage, and physical pain. METHOD Patients with chronic low back pain on long-term opioid therapy (n = 34) without significant past-year opioid-related problems completed a two-week ecological momentary assessment protocol (nobservations = 1,714). RESULTS Initial multilevel models revealed multiple associations for different specific contexts with opioid use and pain. In models that collapsed specific contexts into categories (where, with whom, doing what), greater occasion-level physical activity was associated with a greater likelihood of taking opioids and greater pain, and being somewhere (v. at home) was associated with taking a smaller opioid dose. At any given occasion, being with someone (v. alone) was associated with taking a larger opioid dose, but patients who spent more time with others over the entire study took fewer opioids overall. Multilevel mediation found that pain did not mediate the association of physical activity and opioid use. CONCLUSION Results suggest that prescribed opioid use in patients with chronic low back pain is not solely determined by pain, but influenced by environmental factors, including physical activity. Psychoeducation regarding environmental factors, including how factors may be associated with both increased and decreased use of opioids, may help patients take fewer opioids more effectively.
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Affiliation(s)
- Ryan W Carpenter
- Department of Psychological Sciences, University of Missouri - St. Louis, St. Louis, MO, USA
| | - Samuel F Acuff
- Department of Psychology, The University of Memphis, Memphis, TN, USA
| | - Lidia Z Meshesha
- Department of Psychology, University of Central Florida, Orlando, FL, USA
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Barringer A, Papp LM, Blumenstock SM. Comparing Reported Prescription Drug Misuse between Ecological Momentary Assessment versus Timeline Follow-Back among College Students. Subst Use Misuse 2022; 57:1743-1746. [PMID: 35946138 PMCID: PMC9627698 DOI: 10.1080/10826084.2022.2107668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Background: Accurate assessment of prescription drug misuse (PDM) is critical among young-adult college students, a particularly high-risk group for this substance behavior. No studies have compared assessments of college students' reports of PDM obtained from their reporting in daily life (via ecological momentary assessment; EMA) to their retrospective accounts of PDM over the same period (via timeline follow-back interview; TLFB), an approach that is commonly used in substance use research. Purpose/Objectives: To determine day-level agreement and person-level agreement in college student reports of PDM in EMA versus TLFB methods. Methods: Participants were 297 college freshmen and sophomores (69% female) recruited based on misuse behavior in the past three months. PDM behaviors were captured in daily life using EMA for 28 days and TLFB administered during an in-person lab visit. Agreement was assessed at the person level (any PDM during the 28 days) and day level (PDM on a given day) using Cohen's kappa and percent agreement. Results: PDM was reported more frequently using TLFB compared to EMA. Person-level agreement between the two methods was good (k = 0.62, 95% CI: 0.53, 0.70), whereas day-level agreement was fair (k = 0.23, 95% CI: 0.19, 0.28). Agreement in stimulant misuse reported across methods was more consistent compared to reports of other medication classes. Conclusions: Findings offer implications for the assessment of college student PDM data in substance use research.
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Affiliation(s)
- Alexandra Barringer
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, USA
| | - Lauren M. Papp
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, USA
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Voepel-Lewis T, Veliz P, Heinze J, Boyd CJ, Zikmund-Fisher B, Lenko R, Grant J, Bromberg H, Kelly A, Tait AR. Enhancing risk perception may be insufficient to curtail prescription opioid use and misuse among youth after surgery: A randomized controlled trial. PATIENT EDUCATION AND COUNSELING 2022; 105:2217-2224. [PMID: 35216854 PMCID: PMC9203921 DOI: 10.1016/j.pec.2022.01.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE This randomized controlled trial examined whether an interactive, risk-focused educational program was associated with higher risk perceptions and decreased prescription opioid use/misuse among emerging adults. METHODS 503 participants aged 15-24 years scheduled for ambulatory surgery were randomized to routine prescription education with or without our Scenario-Tailored Opioid Messaging Program (STOMP) provided prior to receipt of a prescribed opioid. Surveys were completed preoperatively, and at days 7&14, months 1&3 postoperatively. Outcomes included analgesic risk perceptions, opioid use, and misuse intentions/behavior. RESULTS Compared to Controls, STOMP was associated with stable but higher risk perceptions on day 14 (β = 1.76 [95% CI 0.53, 2.99], p = .005) and month 3 (β = 2.13 [95% CI 0.86, 3.40], p = .001). There was no effect of STOMP or analgesic misuse risk perceptions on days of opioid use or subsequent misuse intentions/behavior. The degree to which participants valued pain relief over analgesic risk (trade-off preference) was, however, associated with prolonged postoperative opioid use and later misuse. CONCLUSION Education emphasizing the risks of opioids was insufficient in reducing opioid use and misuse in youth who were prescribed these analgesics for acute pain relief. PRACTICE IMPLICATIONS Education may need to better address analgesic expectations to shorten opioid use and mitigate misuse.
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Affiliation(s)
- Terri Voepel-Lewis
- Department of Health Behavior and Biological Science at the School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA; Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Phillip Veliz
- Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
| | - Justin Heinze
- Department of Health Behavior and Health Education at the School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Carol J Boyd
- Department of Health Behavior and Biological Science at the School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
| | - Brian Zikmund-Fisher
- Department of Health Behavior and Health Education at the School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | - Rachel Lenko
- Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
| | - John Grant
- Department of Orthopedic Surgery at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
| | - Harrison Bromberg
- Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
| | - Alyssa Kelly
- Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
| | - Alan R Tait
- Department of Pediatric Anesthesiology at Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA
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Pandika D, Bailey JA, Oesterle S, Kuklinski MR. Young adult opioid misuse indicates a general tendency toward substance use and is strongly predicted by general substance use risk. Drug Alcohol Depend 2022; 235:109442. [PMID: 35461085 DOI: 10.1016/j.drugalcdep.2022.109442] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 03/22/2022] [Accepted: 04/03/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To examine whether young adult opioid misuse reflects a general tendency toward substance use and is influenced by general substance use risk or whether it is a different phenomenon from other drug use. METHODS At ages 23 (2016) and 26 (2019), a panel of young adults (n = 3794 to 3833) in the United States self-reported their past-month substance use (opioid misuse, heavy drinking, cigarettes, cannabis) and substance-specific risk factors (perceptions of harm; approval of use; and use of each substance by friends and romantic partners). Structural equation models examined non-opioid and opioid-specific associations between latent risk and substance use factors. RESULTS Opioid misuse and opioid-specific risk factors shared significant variance with latent substance use and latent substance use risk, respectively, which were strongly associated. A statistically significant residual correlation between opioid-specific risk and opioid misuse remained. CONCLUSION Young adult opioid misuse reflects a general tendency toward substance use and is strongly predicted by risk for substance use. Opioid-specific risk factors play only a small independent role. Existing evidence-based substance use interventions may be effective in preventing opioid misuse among young adults.
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Affiliation(s)
- Danielle Pandika
- Social Development Research Group, School of Social Work, University of Washington, 9725 3rd Ave. NE, Suite 401, Seattle, WA 98115, USA.
| | - Jennifer A Bailey
- Social Development Research Group, School of Social Work, University of Washington, 9725 3rd Ave. NE, Suite 401, Seattle, WA 98115, USA
| | - Sabrina Oesterle
- Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, 400 E Van Buren St, Suite 800, Phoenix, AZ 85004, USA
| | - Margaret R Kuklinski
- Social Development Research Group, School of Social Work, University of Washington, 9725 3rd Ave. NE, Suite 401, Seattle, WA 98115, USA
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Kouros CD, Papp LM, Kelly BC, Blumenstock SM. College-based social and situational predictors of real-time prescription drug misuse in daily life. Drug Alcohol Depend 2021; 227:108969. [PMID: 34482032 PMCID: PMC8464504 DOI: 10.1016/j.drugalcdep.2021.108969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/29/2021] [Accepted: 07/23/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND This study examined social and situational context predictors of prescription drug misuse among college-students at a large public university in the Midwest. Social and situational context predictors considered were hour of the day, weekend vs weekday, whether participants were at home or another place, and who they were with during instances of misuse. Salient social events, including home football games, city-regulated parties, and the 2019 Midwest polar vortex were also recorded. METHOD Using ecological momentary assessment methodology, 297 students completed momentary reports for 28 days. Participants indicated whether they had misused prescription medication (sedatives or sleeping pills, tranquilizers or anxiety medications, stimulants, and pain relievers) and reported on their social and situational context in the moment of misuse. RESULTS Multilevel modeling indicated that participants were more likely to misuse prescription medication earlier in the day vs. the evening, on weekdays vs. weekends, when at home vs. not at home, and while alone vs. with others. CONCLUSIONS This study provides descriptive information on the social context in which prescription drug misuse is most likely to occur among college students. Our findings suggest that social and situational contexts of prescription drug misuse likely differ as compared to other substances (e.g., alcohol) among college students. Further research aimed at identifying momentary predictors of prescription drug misuse in this population is warranted.
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Affiliation(s)
- Chrystyna D. Kouros
- Department of Psychology, Southern Methodist University, PO BOX 750442, Dallas, TX 75275
| | - Lauren M. Papp
- Department of Human Development and Family Studies, University of Wisconsin-Madison, 1300 Linden Drive, Madison, WI 53706
| | - Brian C. Kelly
- Department of Sociology, Purdue University, 700 W. State St., West Lafayette, IN 47907
| | - Shari M. Blumenstock
- Kinsey Institute, Indiana University, 150 S. Woodlawn Ave., Bloomington, IN 47405
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Lansford JE, Goulter N, Godwin J, Crowley M, McMahon RJ, Bates JE, Pettit GS, Greenberg M, Lochman JE, Dodge KA. Development of individuals' own and perceptions of peers' substance use from early adolescence to adulthood. Addict Behav 2021; 120:106958. [PMID: 33940335 PMCID: PMC8184593 DOI: 10.1016/j.addbeh.2021.106958] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Revised: 04/14/2021] [Accepted: 04/16/2021] [Indexed: 11/29/2022]
Abstract
This study evaluated how individuals' own substance use and their perception of peers' substance use predict each other across development from early adolescence to middle adulthood. Participants were from two longitudinal studies: Fast Track (FT; N = 463) and Child Development Project (CDP; N = 585). Participants reported on their own and peers' substance use during early and middle adolescence and early adulthood, and their own substance use in middle adulthood. From adolescence to early adulthood, individuals' reports of their own substance use in a given developmental period predicted reports of their peers' substance use in the next developmental period more than peers' substance use in a given developmental period predicted individuals' own substance use in the next. In the higher-risk FT sample, individuals' own substance use in early adulthood predicted alcohol, cannabis, and other substance use in middle adulthood, and peers' substance use in early adulthood predicted cannabis use in middle adulthood. In the lower-risk CDP sample, participants' own substance use in early adulthood predicted only their own cannabis use in middle adulthood, whereas peers' substance use in early adulthood predicted participants' alcohol, cannabis, opioid, and other substance use in middle adulthood. The findings suggest that peer substance use in early adulthood may indicate a greater propensity for subsequent substance use in lower-risk groups, whereas those in higher-risk groups may remain more stable in substance use, with less variability explained by peer contexts.
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Affiliation(s)
- Jennifer E. Lansford
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Natalie Goulter
- Department of Psychology, Simon Fraser University and B.C. Children’s Hospital Research Institute, Burnaby, British Columbia, Canada
| | - Jennifer Godwin
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
| | - Max Crowley
- Human Development and Family Studies, Pennsylvania State University, State College, Pennsylvania, USA
| | - Robert J. McMahon
- Department of Psychology, Simon Fraser University and B.C. Children’s Hospital Research Institute, Burnaby, British Columbia, Canada
| | - John E. Bates
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, Indiana, USA
| | - Gregory S. Pettit
- Human Development and Family Studies, Auburn University, Auburn, Alabama, USA
| | - Mark Greenberg
- Human Development and Family Studies, Pennsylvania State University, State College, Pennsylvania, USA
| | - John E. Lochman
- Department of Psychology, University of Alabama, Tuscaloosa, Alabama, USA
| | - Kenneth A. Dodge
- Center for Child and Family Policy, Duke University, Durham, North Carolina, USA
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Papp LM, Kouros CD. Effect of COVID-19 disruptions on young adults' affect and substance use in daily life. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2021; 35:391-401. [PMID: 34014686 PMCID: PMC8184623 DOI: 10.1037/adb0000748] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Guided by accounts of adjustment in daily life as a key indicator of health, the current study examined prospective changes in young adults' emotions and substance behaviors assessed during a normative baseline period and during the acute COVID-19 disruption period in late March/early April 2020. The COVID-19 assessment also collected psychosocial risk factors expected to moderate changes in adjustment across time. METHOD Participants included 295 young adults (70.8% female; ages 18-21 at baseline), drawn from an ongoing study of daily behaviors and health in college life that oversampled for recent substance behaviors, who completed both the baseline and COVID-19 assessments. Hypotheses were tested using analyses of repeated-measures data that included covariates of length of time between assessments and sampling group status. RESULTS Direct tests in support of hypotheses indicated an increase in negative affect (d = .67, p < .001), and greater alcohol use (d = .75, p < .001) and marijuana use (d = .58, p < .001), in daily life across time. Levels of positive affect (d = .08, p > .05), nicotine use (d = .01, p > .05), and prescription drug misuse (d = .003, p > .05) did not reliably change in tests of direct models. Moderation tests indicated several risk factors for experiencing steeper increases in negative affect, and increased likelihood of marijuana and nicotine use, in daily life across time. CONCLUSIONS Findings offer implications for future research and clinical efforts to improve young adult adjustment in response to the pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Lauren M Papp
- Department of Human Development and Family Studies, University of Wisconsin-Madison
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Sznitman SR, Rosenberg D, Vulfsons S, Meiri D, Greene T. Medical Cannabis Use and Pain: An Experience Sampling Study. Front Psychiatry 2021; 12:728283. [PMID: 34777039 PMCID: PMC8578807 DOI: 10.3389/fpsyt.2021.728283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 10/04/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Little research has tested associations of pain and MC use after long-term treatment and through methods that have external validity outside experimental settings. The study examined associations of pain, associated painful experiences, and long-term medical cannabis (MC) use in chronic pain (CP) patients using a naturalistic daily diary study that provided novel and externally valid data. Methods: Data were obtained from 78 MC users with CP three times daily over a 10-day period (nobservations = 1,688). Mixed-effects models were used to test the associations between MC use and momentary experiences of pain, affect, and fatigue. Results: Within persons, elevated experiences of pain intensity were associated with greater intention to use MC within the next hour. No evidence was found that the time lapse since last MC use was associated with pain levels, negative affect, or fatigue. Conclusions: The results imply that after long-term use, CP patients intend to use MC in response to pain experiences. Yet, they may not actually achieve the pain relief. More research is needed to examine whether continued MC use despite lack of pain relief is related to relief of other symptoms (e.g., dependence, withdrawal) or positive benefits (e.g., general sense of well-being) or tolerance.
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Affiliation(s)
| | | | - Simon Vulfsons
- Institute for Pain Medicine, Rambam Health Care, Haifa, Israel.,Rappaport School of Medicine, Technion Israel Institute of Technology, Haifa, Israel
| | - David Meiri
- Department of Biology, Technion Israel Institute of Technology, Haifa, Israel
| | - Talya Greene
- Department of Community Mental Health, University of Haifa, Haifa, Israel
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Papp LM, Barringer A, Blumenstock SM, Gu P, Blaydes M, Lam J, Kouros CD. Development and Acceptability of a Method to Investigate Prescription Drug Misuse in Daily Life: Ecological Momentary Assessment Study. JMIR Mhealth Uhealth 2020; 8:e21676. [PMID: 32877351 PMCID: PMC7563627 DOI: 10.2196/21676] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Revised: 08/11/2020] [Accepted: 09/02/2020] [Indexed: 11/13/2022] Open
Abstract
Background Prescription drug misuse and abuse is an established public health challenge, and young adults are particularly affected. There is a striking lack of real-time, naturalistic data collection assessing intentions to misuse and other precipitating factors at the time of actual misuse, leaving the conditions under which individuals are most likely to misuse prescription medications unknown. Ecological momentary assessment (EMA) apps and protocols designed to capture this information would accelerate and expand the knowledge base and could directly contribute to prevention and treatment efforts. Objective The objectives of this study are to describe the development and administration of a mobile app and the EMA protocol designed to collect real-time factors associated with college students’ prescription drug misuse intentions and behaviors in daily life; present completion rates, compliance, acceptability, and reactivity associated with the EMA protocol for participants who endorsed recent prescription drug misuse at screening (ie, risk group; n=300) and those who did not (ie, nonrisk group; n=55); and establish initial construct validity by linking the reports of misuse behaviors in daily life collected via the EMA app to prescription drug misuse reported on a standard survey. Methods An EMA data collection app and protocol were designed specifically to capture hypothesized contextual factors along with prescription drug misuse intentions and behaviors in daily life. Using this protocol, young adult college students (N=352) completed signal- and event-contingent reports over a 28-day period. When the intention to misuse a prescription drug was endorsed, a brief follow-up prompt was sent 15 min later to collect participants’ indications of whether or not misuse had occurred. Results Risk-group participants were significantly more likely than nonrisk counterparts to endorse any prescription drug misuse intentions in daily life (P<.001), to complete one or more follow-up reports (P<.001), and to endorse any prescription drug misuse behavior in daily life on the follow-ups (P<.001). Overall, participants demonstrated consistent engagement with the EMA procedures and returned an average of 74.5 (SD 23.82; range 10-122) reports. Participants in the risk and nonrisk groups did not differ in the number of reports they completed (P=.12), the number of their reporting days (P=.32), or their average completion rates (P=.14). The results indicated some evidence of reactivity to the momentary reporting procedure. Participants reported uniformly positive experiences and remained highly engaged throughout the reporting protocol and broader study. Conclusions The novel EMA app and protocol provide an effective way to assess real-time factors associated with prescription drug misuse intentions and behaviors in daily life. The resulting investigations offer the potential to provide highly translatable information for research and prevention efforts.
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Affiliation(s)
- Lauren M Papp
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Alexandra Barringer
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Shari M Blumenstock
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Pamela Gu
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Madison Blaydes
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Jaime Lam
- Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, United States
| | - Chrystyna D Kouros
- Department of Psychology, Southern Methodist University, Dallas, TX, United States
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