Evidence map›Paper›PMID 31185307›Full record

ArticleAcademic pediatrics

Stimulant Diversion Risk Among College Students Treated for ADHD: Primary Care Provider Prevention Training.

Brooke S G Molina, Heidi L Kipp, Heather M Joseph, Stacey A Engster, Seth C Harty, Montaya Dawkins, Rachel A Lindstrom, Daniel J Bauer, Srihari S Bangalore

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. Use of Stimulant Diversion Prevention Strategies in Pediatric Primary Care and Associations With Provider Characteristics.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Practice Pearls for Stimulant Treatment of Attention-Deficit/Hyperactivity Disorder in Youth.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  13. Review
  14. Article
  15. Stimulant misuse among youth.Current problems in pediatric and adolescent health care · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Brooke S G MolinaDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa; Department of Psychology (BSG Molina), University of Pittsburgh, Pittsburgh, Pa; Department of Pediatrics (BSG Molina and SA Engster), University of Pittsburgh School of Medicine, Pittsburgh, Pa. Electronic address: molinab@upmc.edu.
Heidi L KippDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa.
Heather M JosephDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa.
Stacey A EngsterDepartment of Pediatrics (BSG Molina and SA Engster), University of Pittsburgh School of Medicine, Pittsburgh, Pa.
Seth C HartyDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa; Department of Psychology (SC Harty), University of Canterbury, Christchurch, New Zealand.
Montaya DawkinsDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa.
Rachel A LindstromDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa.
Daniel J BauerDepartment of Psychology and Neuroscience (DJ Bauer), University of North Carolina, Chapel Hill, NC.
Srihari S BangaloreDepartment of Psychiatry (BSG Molina, HL Kipp, HM Joseph, SC Harty, M Dawkins, RA Lindstorm, and SS Bangalore), University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pa; Department of Psychiatry (SS Bangalore), Kaiser Permanente, Roseville Medical Center, Roseville, Calif.
University of Pittsburgh Medical Center · USUniversity of Pittsburgh · USKaiser Permanente Roseville Medical Center · USUniversity of Canterbury · NZUniversity of North Carolina at Chapel Hill · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
Primary care prevention of stimulant diversion by high school students with ADHDU01DA040213 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOLINA, BROOKE S.G. · 2015 to 2019
$3.5M
Stimulant diversion by young adults with ADHD: piloting primary care preventionR34DA035464 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOLINA, BROOKE S.G. · 2014 to 2016
$687k
NCATS NIH HHS UL1 TR001857NIDA NIH HHS R34 DA035464NIDA NIH HHS U01 DA040213NIMH NIH HHS T32 MH018951
6 · The paper itself

Abstract

objectiveTo address increasing rates of stimulant misuse in college students, this study developed an evidence-based, brief clinical practice intervention for primary care providers (PCPs) to reduce stimulant medication diversion among young adults with attention-deficit/hyperactivity disorder (ADHD).

methodsCollege students (N-114; 18-25 years; 68% attending universities; 24% attending community college) treated for ADHD with a stimulant and their PCPs across six practices participated in this initial, uncontrolled study of pre- to post-intervention change. An educational workshop providing strategies aimed at reducing stimulant diversion was developed and delivered to providers and staff across all practices (50% pediatric; 50% family medicine). Patients and providers completed baseline and post intervention surveys.

resultsDiversion was relatively infrequent, 16.7% at baseline and 14.9% post-intervention, respectively. Statistically significant decreases from baseline to post-intervention were found for three diversion risk factors: (1) number of times approached to divert, (2) intent to share, sell, or trade stimulants, and (3) disclosure of stimulant use. Providers and staff reported mostly high satisfaction with the training.

conclusionsThis study provides initial evidence for a PCP-delivered intervention to reduce stimulant diversion. Research is needed on the efficacy of targeting college students directly, working with pharmacies and student health centers, and preventing misuse among teenagers.

Indexed as

Education, Medical, ContinuingPrimary Health CareAdolescentAdultAttention Deficit Disorder with HyperactivityCentral Nervous System StimulantsFemaleHumansMalePrescription Drug DiversionStudentsSubstance-Related DisordersCentral Nervous System StimulantsAttention-deficit/hyperactivity disorder (ADHD)college studentsprescription misuse

Identifiers

PMID31185307
PMCPMC6899216
OpenAlexW2948062045

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.