Alan W. Stacy

Cognitive motivation and drug use : a 9-year longitudinal study

The predictive precedence of expectancy constructs, operationally defined as cognitive motivations, and drug use was investigated over a 9-year period from adolescence to adulthood. Alternative predictions from three different classes of theories of expectancy-behavior relations, including expectancy theory, a Skinnerian approach, and a reciprocal determinism perspective, were evaluated. The results are most consistent with the notion based in expectancy theory that cognitive motivations are nonspurious and possibly functionally autonomous influences on the use and abuse of drugs. More limited support is found for the view that drug use leads to cognitive motivations, as postulated in other theoretical perspectives. Other findings reveal the presence of expectancy generalization processes consistent with Rotters (1954) expectancy theory, as well as the unique status of cognitive motivations for alcohol as an independent predictor of problem drug use.

Validity of Alternative Self-Report Indices of Smoking Among Adolescents

The convergent validity of popularly used open-ended and closed-ended self-report measures of smoking was examined. Carbon monoxide (CO) samples were obtained as an independent method of assessing recent smoking. In addition to CO, 5 known psychosocial correlates of smoking (attitude, subjective norm, risk-taking, best friends smoking, and other friends smoking) were used to estimate convergence with the self-report smoking indices. The results indicated that both simple closed-ended scales, with only a few response options, and more continuous, open-ended measures performed about equally as well as correlates of CO and the psychosocial measures, but only if the open-ended scales were subjected to a normalizing transformation to optimize their convergence. After this transformation was performed, convergence depended more on the time-span covered by the self-report indices than on the open-ended/closed-ended distinction. Implications of these results for different assessment goals were discussed.

Neurologically Plausible Distinctions in Cognition Relevant to Drug Use Etiology and Prevention

This article outlines several distinctions in cognition and related topics in emotion that receive support from work in cognitive neuroscience and have important implications for prevention: implicit cognition, working memory, nonverbal memory, and neurobiological systems of habit. These distinctions have not been widely acknowledged or applied in drug use prevention research, despite their neural plausibility and the availability of methods to make this link. The authors briefly review the basis for the distinctions and indicate general implications and assessment possibilities for prevention researchers conducting large-scale field trials. Subse-quently, the article outlines a connectionist framework for specific applications in prevention interventions. These possibilities begin the attempt to derive useful fusions of normally distinct areas of prevention and cognitive neuroscience, in the spirit of a transdisciplinary approach.

Associations Between Drug Abuse Treatment and Cigarette Use: Evidence of Substance Replacement.

The influence of risk-behavior bias, drug use, prior cigarette use, and prior and current participation in drug treatment on cigarette use was analyzed using a 3-wave survey of 346 drug abusers. Participation in drug treatment and a risk-behavior bias were hypothesized to predict greater cigarette use. After controlling for prior levels of cigarette use with a longitudinal path model, it was found that participation in drug treatment at Wave 2 significantly predicted increased cigarette use at Wave 2. There were similar results at Wave 3. Additional analyses indicated that reduced heroin use was especially associated with more smoking. Risk-behavior bias predicted more drug and cigarette use and predicted less participation in drug treatment at Wave 3. These results suggest that drug treatment, reduced heroin use, and a tendency toward risky behavior may lead to increased cigarette use, which may represent a form of substance replacement.

Memory Association and Personality as Predictors of Alcohol Use: Mediation and Moderator Effects

We investigated the nature of the effects of memory associations on alcohol use and abuse. First, we determined if effects of memory associations on drinking problems are mediated entirely through the frequency of alcohol consumption or, alternatively, if such effects are more direct. Second, personality traits were assessed to evaluate whether they were confounded with memory association in their effects or whether they might moderate the effects of memory associations on alcohol use and abuse. The results showed that memory association measures directly and independently predicted alcohol consumption; these measures indirectly predicted problems from drinking, including drunk driving. None of the assessed personality variables moderated the predictive effects of memory association. The results are consistent with the view that memory associations influence behavior through cognitive processes that are not affected by personality traits or by cognitions emanating from such traits.

Habit intention and drug use as interactive predictors of condom use among drug abusers.

This three-wave study explored the prospective effects of habit (previous condom use), intentions to use condoms, past and proximal (before sex) drug use (alcohol, marijuana, cigarette, and hard drug use), and interactions among these variables on condom use among 211 men and women intravenous drug users. Several theoretical alternatives were evaluated. In one alternative, habit is thought to have preeminence over intentions and other variables in the prediction of behavior. In another alternative, drug use is thought to interact in its effects on condom use, by making individuals susceptible to not adhering to their previous intentions regarding safe sex practices. The results showed that condom use habit was a consistent and strong predictor of future condom use, whereas intention was a weak and inconsistent predictor. Neither past (long-term) nor proximal (before sex) drug use moderated (interacted with) the effects of either intention or habit on later condom use. The preeminence of habit in the prediction of condom use is similar to findings from other areas of health behavior, underscoring the need for more focused research on the underpinnings of health habit effects.

A Web-Based Program for Coding Open-Ended Response Protocols

A Web-based coding application was designed to improve coding efficiency and to provide a systematic means of evaluating responses to open-ended assessments. The system was developed for use by multiple raters to assign open-ended responses to predetermined categories. The application provides a software environment for efficiently supervising the work of coders and evaluating the quality of the coding by (1) systematically presenting open-ended responses to coders, (2) tracking each coder’s categorized responses, and (3) assessing interrater consistency at any time in order to identify coders in need of further training. In addition, the application can be set to automatically assign repeated responses to categories previously identified as appropriate for those responses. To evaluate the efficacy of the coding application and to determine the statistical reliability of coding open-ended data within this application, we examined data from two empirical studies. The results demonstrated substantial interrater agreement on items assigned to various categories across free and controlled association tasks. Overall, this new coding application provides a feasible method of reliably coding open-ended data and makes the task of coding these data more manageable.