Andrew R. Gallucci

Pill popping problems: The non-medical use of stimulant medications in an undergraduate sample

Aims: The non-medical use of prescription stimulants (NMUPS) is an emergent health behaviour among undergraduate college students. This study examined the prevalence, primary motivations and risk factors associated with lifetime and current NMUPS among undergraduates. Methods: An anonymous survey examining the NMUPS behaviour was administered in-class to a sample of 1020 of traditional undergraduate university students. Findings: Findings indicated that 35% of students used a prescription stimulant at least once non-medically during their lifetime and 12% had done so in the previous 30 days. Results also indicated that the majority of current and lifetime non-medical users were motivated to engage in the behaviour to improve or enhance academic performance. Further, multivariate logistic regression analyses revealed that students who engaged in current or lifetime NMUPS were more likely to be non-freshmen, affiliated with a Greek organization and diagnosed with attention deficit/hyperactivity disorder (ADHD). Conclusions: Efforts to reduce college students from engaging in NMUPS would benefit by targeting specific portions of the student body. These initiatives should include information about how to address academic problems without abusing stimulant medications.

An examination of the misuse of prescription stimulants among college students using the theory of planned behavior

The misuse of prescription stimulants (MPS) is an emergent adverse health behavior among undergraduate college students. However, current research on MPS is largely atheoretical. The purpose of this study was to validate a survey to assess MPS-related theory of planned behavior (TPB) constructs (i.e. attitudes, subjective norms, and perceived behavioral control) and determine the relationship between these constructs, MPS-related risk factors (e.g. gender and class status), and current MPS (i.e. past 30 days use) among college students. Participants (N = 978, 67.8% female and 82.9% Caucasian) at a large public university in the southeastern USA completed a survey assessing MPS and MPS-related TPB constructs during fall 2010. To examine the relationship between MPS-related TPB constructs and current MPS, we conducted (1) confirmatory factor analyses to validate that our survey items assessed MPS-related TPB constructs and (2) a series of regression analyses to examine associations between MPS-related TPB constructs, potential MPS-related risk factors, and MPS in this sample. Our factor analyses indicated that the survey items assessed MPS-related TPB constructs and our multivariate logistic regression analysis indicated that perceived behavioral control was significantly associated with current MPS. In addition, analyses found that having a prescription stimulant was a protective factor against MPS when the model included MPS-related TPB variables.

Misuse of prescription stimulant medication in a sample of college students: examining differences between varsity athletes and non-athletes.

BACKGROUND The misuse of prescription stimulants (MPS) has been identified as an adverse health behavior among college students. Because stimulant medication is often taken to increase focus and decrease reaction time, these substances have the potential to enhance athletic performance. However, the role that athlete status (varsity athlete vs. non-athlete) has on MPS has rarely been examined in the college student population. OBJECTIVES To examine whether there are differences in past-year MPS and MPS-related motivations between college varsity athletes and non-athletes. METHODS A sample of 682 (482 non-athletes; 200 athletes) college students between the ages of 18 and 25 completed a paper-based questionnaire to assess MPS, MPS-related motivations, and other potential MPS correlates (e.g., gender, energy drink consumption, tobacco use, heavy episodic drinking). Then, we conducted bivariate and multivariate analyses to examine potential correlates of MPS, including athlete status. Finally, we examined differences in MPS-related motivations between varsity athletes and non-athletes. RESULTS Overall, 98 (13.9%; 16.6% non-athletes v. 7.5% varsity athletes) respondents reported past-year MPS and varsity athletes were significantly less likely (p<0.05) to do so. Past-year MPS was also significantly associated with energy drink consumption, tobacco use, and heavy episodic drinking in our sample. Concerning MPS-related motivations, athletes more often cited a need to enhance athletic performance as the impetus for their misuse. CONCLUSIONS MPS was prevalent among the sample. Varsity athletes were significantly less likely to engage in past-year MPS and were motivated to do so for different reasons.

The contemporary muscular Christian instrument: A scale developed for contemporary sport

Social scientists have conducted quantitative research investigations since at least the early 1980s. However, to date no valid, reliable and objective survey instrument has been developed for sport sociologists to measure important religious ideals in contemporary sport. Historical and theoretical scholarship identifies muscular Christianity as primary to modern sport ideals. Therefore we developed and validated The Contemporary Muscular Christian Instrument, an easily distributable survey that measures the prevalence of muscular Christian values among contemporary participants and consumers of recreation and sport. Our aim in developing this quantitative instrument is to provide social sport scholars a research tool that informs their understanding of these muscular Christian values as they continue to influence notions of sport, recreation, the body, physical activity, and other social indices. This valid and reliable scale allows scholars to examine larger populations and provides data suited to identify differences in levels of the constructs measured, thus allowing researchers and theorists alike to deepen their understanding of the relationship sport and religion have in the globalized social context.

Examining the Relationship between Religious Coping and the Misuse of Prescription Stimulants among a Sample of Undergraduate Students

ABSTRACT Background: There is a well-established inverse relationship in undergraduate samples between a persons religious coping and substance abuse. Positive religious coping (PRC) has been associated with decreases in the use of alcohol, tobacco, and marijuana. Investigations examining prescription drug misuse and PRC found that higher levels of PRC were related to a reduction in the misuse of some prescription drugs. However, the literature has yet to identify an inverse relationship between PRC and the misuse of prescription stimulants (MPS) among undergraduates. Objective: Examine the association between religious coping and past-year MPS in a sample of undergraduate students. Methods: Undergraduates were recruited to complete an anonymous online survey from three universities (1 private, 2 public) in the United States. Results: The sample consisted of 908 undergraduates between the ages of 18 and 25. Statistical analyses revealed that higher levels of PRC were associated with a reduction in past-year MPS. A separate model found that attending religious events also decreased the behavior. Conversely older students, males, Greek organization affiliation, a lower GPA and having a current stimulant prescription all increased the odds of reporting past-year MPS. Negative religious coping and a students race were not significantly associated with MPS. Conclusions: Findings indicate that PRC skills have the potential to reduce MPS in college students. Therefore, it is possible that the development of similar secular skills could have the same effect. Future studies should explore the role that positive coping skills having on the reduction of MPS among undergraduates regardless of religious conviction.

Do Energy Drink Consumers Study More

The use and motivations for use of energy drinks (EDs) in college students has been documented in the literature. Many college students identify academic reasons, such as a need to study more, as a motivation for ED use. However, research has not determined if users who claim academic motivations actually study more than those who claim other motivations. A sample of 692 undergraduate students at a large, private university completed a paper survey that inquired about demographics, ED use, motivations for ED use, sleep quality, and average amount of time spent sleeping and studying per week. Descriptive statistics were used to analyze demographics, and analysis of variance was used to compare ED users with different motivations to amount of time spent sleeping and studying per week. Regression analysis was also used to determine if ED use could be predicted by any of the other variables. Increased ED consumption was predicted by being male (B = −0.394, p < .001) and having a decreased sleep quality (B = 0.586, p < .001). Reported study hours by subjects who claimed academic reasons as motivation for ED use were not significantly different in comparison to ED users who claimed other motivations. In our sample, ED users who reported academic reasons as motivations for use did not report significantly more study hours per week when compared to those who claimed other motivations. This demonstrates a disconnect between reported motivations for energy drink use and outcomes that are expected to be associated with those motivations.

An Examination of the Situational Factors Associated with the Misuse of Prescription Analgesics among College Students.

The current study examined the effect that students’ educational environment has on the prevalence and motivations associated with the misuse of prescription analgesics (MPA). A sample of 893 undergraduate students was recruited from one religiously affiliated private university and one public university in the Southern United States. Participants completed an in-class survey assessing MPA-related behavior and their associated motivations. Results indicated that students attending the religiously affiliated university displayed lower rates of MPA. Multivariate analyses revealed that a positive drug abuse screening, prescription status, and grade point average are the strongest predictors of past-year MPA for both schools. Some motivations for medical misuse differed significantly between campuses. Implications as to how these differences can inform programs aimed at the reduction of prescription analgesic abuse are discussed.

Exploring the Relationship Between the Misuse of Stimulant Medications and Academic Dishonesty Among a Sample of College Students

The misuse of prescription stimulant medications (MPS) and academic dishonesty (AD) are both problematic behaviors among college students. Although both behaviors are linked to a student’s desire to succeed academically, little research has been conducted to examine the relationship between these behaviors. The purpose of this study was to determine if students who engaged in past-year MPS committed acts of AD more frequently than those who do not engage in MPS. We collected our data from a sample of undergraduates (n = 974) between the ages of 18 and 25 enrolled at one of three universities in the US who completed an online questionnaire to assess AD and MPS. Results indicated that 18.2 % of the sample engaged in MPS in the past year and 65 % committed one or more acts of AD during the past year. An increased frequency of AD increased the odds of reporting MPS when controlling for known covariates (e.g., gender, stimulant prescription status, and energy drink consumption). In addition, higher rates of MPS were identified in students affiliated with a Greek organization, those with a current stimulant prescription, those who consume energy drinks, and those who misuse other prescriptions. Concerning specific AD-types, misusers reported copying off someone else’s homework, having someone copy of their homework, and using the internet to commit acts of dishonesty more frequently than those who do not engage in MPS. This study adds to the MPS college student literature by highlighting the relationship between MPS and AD.

The Size and Scope of Collegiate Athletic Training Facilities and Staffing

CONTEXT   Athletic training facilities have been described in terms of general design concepts and from operational perspectives. However, the size and scope of athletic training facilities, along with staffing at different levels of intercollegiate competition, have not been quantified. OBJECTIVE   To define the size and scope of athletic training facilities and staffing levels at various levels of intercollegiate competition. To determine if differences existed in facilities (eg, number of facilities, size of facilities) and staffing (eg, full time, part time) based on the level of intercollegiate competition. DESIGN   Cross-sectional study. SETTING   Web-based survey. PATIENTS OR OTHER PARTICIPANTS   Athletic trainers (ATs) who were knowledgeable about the size and scope of athletic training programs. MAIN OUTCOME MEASURE(S)   Athletic training facility size in square footage; the ATs overall facility satisfaction; athletic training facility component spaces, including satellite facilities, game-day facilities, offices, and storage areas; and staffing levels, including full-time ATs, part-time ATs, and undergraduate students. RESULTS   The survey was completed by 478 ATs (response rate = 38.7%) from all levels of competition. Sample means for facilities were 3124.7 ± 4425 ft2 (290.3 ± 411 m2) for the central athletic training facility, 1013 ± 1521 ft2 (94 ± 141 m2) for satellite athletic training facilities, 1272 ± 1334 ft2 (118 ± 124 m2) for game-day athletic training facilities, 388 ± 575 ft2 (36 ± 53 m2) for athletic training offices, and 424 ± 884 ft2 (39 ± 82 m2) for storage space. Sample staffing means were 3.8 ± 2.5 full-time ATs, 1.6 ± 2.5 part-time ATs, 25 ± 17.6 athletic training students, and 6.8 ± 7.2 work-study students. Division I schools had greater resources in multiple categories (P < .001). Differences among other levels of competition were not as well defined. Expansion or renovation of facilities in recent years was common, and almost half of ATs reported that upgrades have been approved for the near future. CONCLUSIONS   This study provides benchmark descriptive data on athletic training staffing and facilities. The results (1) suggest that the ATs were satisfied with their facilities and (2) highlight the differences in resources among competition levels.

Medial Patellofemoral Ligament Double Avulsion in a Collegiate American Football Athlete: A Case Report

An 18-year-old male collegiate American football player with no previous medical history of knee injury suffered an acute left patellofemoral dislocation during preseason practice. Diagnostic imaging and exploratory surgery revealed multiple avulsions of the medial patellofemoral ligament as well as significant lateral patellar tilt and chondromalacia of the left patella. A surgical repair of the ligament was performed as well as a lateral release and debridement of multiple structures. With no rehabilitative protocols available for multiple avulsion repair, a protocol for a single avulsion repair of the medial patellofemoral ligament was used with some exceptions. The patient returned to full-contact American football activities at 5 months postoperation with no reported complications. These findings indicate that a rehabilitation protocol for single avulsion repair may be appropriate for multiple avulsions as well.