Internet as Supplier: Preventing Adolescent Use of Non-Medical Addictive Rx

互联网作为供应商：防止青少年使用非医疗成瘾药物

• 批准号: 7651889
• 负责人: AMELIA M ARRIA
• 金额: $ 49.96万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7651889
• 关键词: Administrator; Adolescent; Advertising; Age; Attention; Characteristics; Clinical; Computers; Confidentiality; Data; Data Collection; Dependence; Development; Diazepam; Drug Controls; Drug Prescriptions; Drug Prevention Program; Drug abuse; Drug usage; Equipment and supply inventories; Face; Family; Fostering; Foundations; Friends; Future; Health; Health Services Research; Hearing; Internet; Interview; Investigation; Lead; Legal; Marketing; Medical; Monitor; National Institute of Drug Abuse; Nature; Online Systems; Opioid; Oxycodone; Paper; Participant; Pattern; Pharmaceutical Preparations; Pharmacy facility; Physicians; Play; Policies; Prevalence; Procedures; Protocols documentation; Relapse; Reporting; Research; Research Institute; Residential Treatment; Respondent; Risk; Role; Sales; Sampling; Sanofi brand of zolpidem tartrate; Schools; Self-Administered; Severities; Site; Source; Substance abuse problem; Surveys; Teenagers; Testing; Tranquilizing Agents; United States Substance Abuse and Mental Health Services Administration; Vicodin; Xanax; Youth; addiction; adolescent drug use; age group; base; college; cost effective; demographics; design; high risk; news; peer; policy implication; prevent; programs; public health relevance; research study; sedative; theories; treatment program; web interface

DESCRIPTION (provided by applicant): Adolescent non-medical use of highly addictive prescription opioid drugs, such as Vicodin and Oxycontin; and tranquilizers, such as Valium and Xanax, is increasing. Although the reasons for increasing adolescent non-medical use of addictive prescription drugs are not known, we do know that they are widely advertised and sold over the internet without prescription. The Treatment Research Institute and Drug Strategies have conducted research on internet drug sales for the past four years and we believe that "non-prescription websites (NPWs)" may be one important contributing factor to increasing adolescent use of these drugs. There has been no research on the role of the internet in supplying prescription medications to adolescents without a prescription. This revised RO1 will continue our investigations of the use of internet and other sources for drug purchase by high risk adolescents currently in residential treatment programs. We have a revised 30-minute data collection protocol using well-validated items from the CASI (Meyers et al., 1995 - 2007) that will be administered via a well-tested and engaging web interface (BubbleMonkey) to a purposive sample of 2000 adolescents (12 - 17) from 30 programs in a two-year data collection period. The data collection has been designed to completely protect confidentiality. The study has three primary aims: 1. To determine whether internet purchase is a significant source of drug availability for adolescents with serious substance abuse and addiction problems. We operationally define "significant" as a prevalence rate of 20 percent or higher in this sample. 2. To determine whether internet drug availability is associated with a significant proportion of relapses following efforts to stop drug use. Again, we operationally define "significant as a prevalence rate of 20 percent or higher. 3. To explore whether use of internet websites and other sources, differs as a function of demographic and drug use characteristics among these high-risk adolescents. Information is urgently needed about the relationship between rising rates of adolescent non- medical use of prescription drugs and internet websites that market those drugs without a prescription. This study will be the first to obtain this information directly from adolescents about internet sources of drug supply. PUBLIC HEALTH RELEVANCE: Adolescent non-medical use of highly addictive prescription opioid drugs, such as Vicodin and Oxycontin and tranquilizers such as Valium and Xanax, continues at high levels. These substances are widely advertised and sold over the internet without prescription, perhaps fostering adolescent use. This study will obtain information directly from adolescents about their use of the internet and other sources to obtain drugs.

描述（由申请人提供）：青少年非医疗使用高度成瘾的处方阿片类药物，如维柯丁和奥施康定;和镇静剂，如安定和Xanax，正在增加。虽然青少年非医疗使用成瘾性处方药的原因尚不清楚，但我们确实知道它们在互联网上广泛宣传和销售，没有处方。治疗研究所和药物战略在过去四年中对互联网药物销售进行了研究，我们认为“非处方网站（NPWs）”可能是增加青少年使用这些药物的一个重要因素。目前还没有关于互联网在向没有处方的青少年提供处方药方面所起作用的研究。修订后的RO 1将继续调查目前在住院治疗计划中的高危青少年使用互联网和其他来源购买药物的情况。我们使用来自CASI的充分验证的项目修改了30分钟数据收集方案（Meyers等人，1995 - 2007年），将通过一个良好的测试和从事网络界面（BubbleMonkey）管理的有目的的样本2000青少年（12 - 17）从30个程序在两年的数据收集期。数据收集旨在完全保护机密性。本研究有三个主要目的：1。确定互联网购买是否是有严重物质滥用和成瘾问题的青少年获得药物的重要来源。我们在操作上将“显著”定义为该样本中的患病率为20%或更高。2.确定互联网药物可用性是否与努力停止药物使用后的大部分复吸有关。同样，我们在操作上将“显著”定义为患病率为20%或更高。3.探讨是否使用互联网网站和其他来源，不同的功能，人口和药物使用的特点，这些高危青少年。迫切需要有关青少年非医疗使用处方药的比率上升与在没有处方的情况下销售这些药物的互联网网站之间关系的信息。这项研究将是第一个直接从青少年那里获得有关互联网毒品供应来源的信息。 公共卫生相关性：青少年非医疗使用高度上瘾的处方类阿片药物，如维柯丁和奥施康定以及安定和赞安诺等镇静剂的情况仍然很多。这些物质被广泛宣传，并在互联网上出售，没有处方，也许促进青少年使用。这项研究将直接从青少年那里获得关于他们使用互联网和其他来源获得药物的信息。