How Does Being under the Influence Affect Willingness to Experience Overlapping Effects of Alcohol and Marijuana?

OBJECTIVE: This study tested how individuals anticipate they will respond to opportunities to engage in simultaneous alcohol and marijuana (SAM) use. METHODS: Two studies utilizing a within-subjects design were conducted. Study 1 was conducted in Spring 2021 and a replication (Study 2) was conducted in Fall 2021. Participants were presented with pairs of scenarios. One scenario pair compared how willing participants expected to be to get drunk if they were sober vs. high. Another pair compared how willing participants would be to take a hit of marijuana if they were sober vs. drunk. College attending young adults (Study 1: N = 173; female = 81%; Study 2: N = 212; female = 49.1%) with varying degrees of substance use experience were recruited. RESULTS: In Study 1 participants reported greater willingness to get drunk when sober than when high. This was qualified by a statistically significant interaction whereby differences were greater among those who had more experience with past 30-day heavy drinking. Similar findings emerged for willingness to use marijuana. Participants anticipated greater willingness to use marijuana when sober than when drunk. This was also qualified by a statistically significant interaction whereby differences were greater among experimental or established users of marijuana than among abstainers. Study 2 findings replicated those from Study 1. CONCLUSIONS: College attending young adults state greater willingness to remain under the influence of one substance than to engage in SAM use when opportunities arise. Simultaneous use of alcohol and marijuana among college students is likely an exception, not the rule. Implications for prevention are discussed.

Engagement intervention versus treatment as usual for young adults with serious mental illness: a randomized pilot trial.

BACKGROUND: Young adults have elevated rates of mental health disorders, yet they often do not receive consistent care. The challenge of continuing to engage young adults has been pervasive worldwide. Few engagement interventions have been designed for young adults with serious mental illness. Just Do You is a theoretically guided engagement intervention. It uses innovative modalities (i.e., technology, expressive arts activities, narrative expression, mentoring) to engage participants in conversations about services and how they work, while simultaneously orienting them to treatment. METHODS/DESIGN: This pilot and feasibility study utilizes a hybrid research design, examining feasibility, acceptability, and preliminary impact, alongside implementation. The study combines qualitative methods, a small pilot randomized trial, and a small cost-benefit analysis. Respondents are clinic staff and young adults who have made initial contact with the Personalized Recovery Oriented Services (PROS) program. Quantitative survey data are collected at baseline, 2 weeks (post-intervention), 1 month, and 3 months. The assessments focus on measuring feasibility, acceptability, engagement, and mental health outcomes. Medical record extraction will be used to triangulate self-report data. We will conduct single degree of freedom contrasts to examine whether Just Do You leads to improved outcomes relative to Treatment-As-Usual using robust regression for each outcome measure. We will examine whether changes in the proposed mediating variables occur across groups using a similar contrast strategy. In addition, we will use structural equation modeling to examine the contribution of mediators to ultimate outcomes. Finally, we will use constant comparison coding techniques for qualitative analyses. DISCUSSION: The aim of this study is to examine the feasibility of a young adult engagement meta-intervention through an intensive preliminary pilot trial, learning through collaboration with stakeholders. Just Do You has the potential to fill a gap in the service system for young adults with serious mental illnesses, improving the seemingly intractable problem of disengagement. The program uses culturally responsive strategies, is recovery-oriented, and builds upon the best evidence to date. Our efforts align with local and national health care reform efforts embedding people with lived experience. TRIAL REGISTRATION: This trial was registered with ClinicalTrials.gov (Identifier: NCT03423212) on April 18, 2018, as Protocol Record R34 MH111861-01, New York University, as the Just Do You Program for Young Adults with Serious Mental Illness.

Is abstinence an alternative? Predicting adolescent athletes' intentions to use performance enhancing substances.

The present study incorporated the behavioral alternative of abstinence into the Theory of Reasoned Action to test whether abstinence contributed to the prediction of intentions to use performance enhancing substances (PES). Adolescent athletes (N = 241) completed a questionnaire about the use of legal and illegal PES. Approximately 2.5 percent of adolescents reported having tried an illegal PES and 17 percent reported having tried a legal PES. Results showed that attitudes and norms associated with abstinence contribute to the prediction of behavioral intentions over and above that of attitudes and norms associated with using both legal and illegal PES.

The effect of high school sports participation on the use of performance-enhancing substances in young adulthood.

PURPOSE: The present study examined the relationship between high school sports participation and the use of anabolic steroids (AS) and legal performance-enhancing dietary supplements in young adulthood. Additionally, the relationship between the use of AS and legal dietary supplements was explored. METHODS: Data on approximately 15,000 adolescents from the National Longitudinal Study of Adolescent Health were used. School sports participation was assessed when adolescents were in grades 7-12. AS use and legal performance-enhancing dietary supplement use were assessed six years later. RESULTS: Males were more likely than females to use AS and legal supplements. A sport by gender interaction emerged for the use of AS, indicating that the gender differences in AS use were greater for those who participated in sports during high school. High school sports participation was associated with increased likelihood that adolescents would use legal supplements in young adulthood. Finally, there was a positive relationship between the use of legal dietary supplements and AS use. CONCLUSIONS: This study highlights the important role that the social environment during adolescence has on future health behaviors. Results suggest that the sporting context experienced during early adolescence may have lasting effects on the use of performance-enhancing substances. The use of legal performance-enhancing dietary supplements appears to be more prevalent than the use of AS, and there seems to be a positive relationship between the use of AS and legal performance-enhancing dietary supplements.