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Abstract
Purpose of the project was to test a Web-based program designed to prevent prescription drug misuse. Study sample consisted of 346 working women randomized into either an experimental or wait-list control condition. Analysis of covariance and logistic regression were used to compare responses. Women receiving the intervention had greater knowledge of drug facts and greater self-efficacy in medication adherence and ability to manage problems with medications compared with controls. Women receiving the intervention also had reduced symptoms reported on the CAGE for prescription medications. Findings suggest that multimedia Web-based programs can be a beneficial addition to substance misuse prevention services. The study's limitations are noted.
RESUME
But du projet était de tester un programme basé sur le Web visant à prévenir l’utilisation abusive des médicaments d’ordonnance. L’échantillon comprenait 346 femmes travaillant randomisés en soit une condition de contrôle expérimental ou liste d’attente. Une analyse de covariance et de régression logistique ont été utilisés pour comparer les réponses. Les femmes recevant l’intervention avait eu une meilleure connaissance des faits de drogue et une plus grande auto-efficacité des médicaments dans le respect et la capacité à gérer les problèmes avec des médicaments par rapport aux témoins. Les femmes recevant l’intervention avait aussi réduit les symptômes signalés sur la cage pour les médicaments sur ordonnance. Les résultats suggèrent que les programmes multi-media sur le Web peut être un complément bénéfique aux services de prévention de l’abus de substances.
RESUMEN
Objetivo del proyecto era poner a prueba un programa basado en web diseñada para impedir el uso indebido de medicamentos recetados. muestra del estudio consistió en 346 mujeres trabajadoras que se agruparon en un grupo experimental oa un grupo control. El análisis de covarianza y la regresión logística se utilizó para comparar las respuestas. Las mujeres que recibieron la intervención tenían más conocimiento de los hechos de drogas y una mayor auto-eficacia en adherencia a la medicación y la capacidad para manejar los problemas con los medicamentos en comparación con los controles. Las mujeres que recibieron la intervención también ha reducido los síntomas reportados en una encuesta para los síntomas asociados con el abuso de medicamentos recetados. Los resultados sugieren que los programas multimedia basados en la Web puede ser una adición beneficiosa a los servicios de prevención del uso indebido de sustancias.
THE AUTHORS
Dr. Diane Deitz is a health psychologist and senior health scientist at ISA Associates, a behavioral health organization that designs and implements health promotion programs for workplaces and other communities serving adult and youth populations. Since joining ISA in 1998, Dr. Deitz has served as Principal Investigator on several research projects that have focused on innovative approaches to substance abuse prevention. Dr. Deitz has authored peer-reviewed publications on this topic and presented at professional meetings and conferences. Dr. Deitz has focused much attention on issues related to the development of Internet- and DVD-based health programs, including program design, implementation, and analysis of data evaluating program effectiveness. Diane lives with her two children in Virginia.
Dr. Royer Cook is a research psychologist and president of ISA Associates, a behavioral health research organization specializing in substance abuse prevention and health promotion in the workplace. Since founding the ISA Group in 1978, he has directed a program of R&D on health improvement programs, serving as Principal Investigator on more than 25 research projects, supported mainly by numerous grants from the National Institutes of Health. Dr. Cook is the author of more than 75 peer-reviewed publications and has presented testimony before two committees of the US Congress. For the past 15 years, Dr. Cook and his colleagues have focused on the development of Internet- and DVD-based health programs for working adults, including substance abuse prevention programs cast in a health promotion framework. Royer lives in Alexandria, VA, with his wife Kathleen, and enjoys sailing, tennis, skiing, and reading.
April Hendrickson worked for the ISA Group from November Citation2000 through May 2007. While there responsibilities included providing principal investigators with support on health behavior research and evaluation projects, managing project databases, analyzing data, designing and managing online surveys, co-running focus groups, and conducting interviews. April has been employed by OMNI Institute in Denver, CO, since May 2007 where she manages small to medium research projects, provides support to leaders of larger projects, supervises junior staff, analyzes process and outcome data, provides evaluation technical assistance to local nonprofit organizations, and contributes to reports and grant proposals.