Progress 09/01/17 to 08/31/20
Outputs
Target Audience:Through local, state, and national conferences, we reached nearly 2,500 individuals. Through formative assessment, we reached nearly 500 Mississippians. Through Farm Week, we reached nearly 2,000 Mississippians. Through the Stand Up, Mississippi campaign, we reached nearly 2,000 Mississippians. Changes/Problems:This project aimed to assess public perceptions of opioid misuse and opioid misuse prevention strategies among rural Mississippians. The formative assessment informed the development of six key prevention messages that were distributed through the MS Department of Mental Health's Stand Up, Mississippi campaign. Therefore, there were no challenges or problems completing goal 1. Initially for goal 2, we proposed to develop a social marketing campaign. However, the MS Department of Mental Health already had plans and funding in place for a state-wide campaign, which was unknown to the project team. Therefore, the project team partnered with the Department of Mental Health to provide primary prevention messages for the campaign. One of the key messages, informed by the forum findings, is proper disposal of opioids. In addition to the Stand Up, Mississippi campaign partnership, the project team was able to conduct a smaller scale social marketing campaign that consisted of mailers that encouraged the use of take-back boxes. Initially, we proposed to provide drug take-back boxes in the three PROMISE counties. However, the project team found it extremely challenging to meet the standards of the DEA for drug take-back box placement. With the challenges of drug take-back box placement, the team was able to leverage this funding beyond the scope of this project. For example, the project team promoted proper disposal methods through providing local pharmacies with DisposeRx Packets and educational materials. Local pharmacies distributed these packets and educational materials with opioid prescriptions. Lastly, forum participants suggested having individuals share their real-life experiences with opioid misuse as a possible effective prevention strategy. The team was also able to expand the scope of this project and have a 4-part film series of real-life stories around opioid misuse created for MS Farm Week and MS Public Broadcasting. Therefore, the project team met all the goals of this project, while expanding the focus of this project. What opportunities for training and professional development has the project provided?The project provided several training and professional development opportunities. For example, Drs. David Buys, Laura Downey, and Dan Williams all traveled to Washington, DC, in February 2018 for the USDA-NIFA-RHSE grantee meeting. The next year, Dr. David Buys, Dr. Mary Nelson Robertson, and Ms. Je'Kylynn Steen all travel to Washington, DC, for the same meeting and professional development opportunity. During these meetings, project team members were able to connect and network with other grantees, specifically those who were working on opioid-related projects. Through these meetings, the project team was able to share the PROMISE 1.0 survey with other states. Montana, Colorado, and Virginia also administered the survey in their states, which allowed for some great cross-state collaboration. Project team members were also able to attend and present findings at state and national conferences, such as MS Public Health Association, National Rural Health Association, National Health Outreach Conference, National Extension Association of Family and Consumer Sciences, and American Public Health Association. Project team members also had the opportunity to hear the US Surgeon General speak and conduct a Narcan Training at UMMC. Project team members also participated in the annual MS Opioid and Heroin Summit. Project team members also attended the MS Behavioral Health Learning Network's, "Opioids: State of the State with Dr. Dan Edney," event. Project team members also served on the MS Delta Opioid Taskforce. In addition to attending professional development conferences and meetings, undergraduate and graduate students gained professional experience conducting community engagement forums. How have the results been disseminated to communities of interest?Dissemination of findings have been and continue to be disseminated at the local, state, and national level. Locally, project team members have partnered with local newspapers to disseminate project findings. At the state level, project team members presented oral and poster presentations at the following state-level meetings and conferences: MS Public Health Association Conference, MS Opioid Summit, MS Opioid and Heroin Summit, Delta Society of Public Health Education Meeting, Annual Farm Bureau Federation Women in Agriculture Conference, various rotary club meetings, and Mississippi State University Wellness Conference. Nationally, project team members presented oral and poster presentations at the following national-level meetings and conferences: USDA-NIFA-RHSE Grantee Meeting, National Health Outreach Conference, National Extension Association of Family and Consumer Sciences, American Public Health Association, National Rural Health Association, and the National Council on Family Relations Conference. Three manuscripts have been accepted for publication, four manuscripts are under review, and other manuscripts are in the editing phase. What do you plan to do during the next reporting period to accomplish the goals?While this is the final report, we will not be reporting on this specific project again. However, we plan to continue disseminating findings from this project. We have received additional funding from SAMHSA and USDA-NIFA-RHSE to expand and continue the PROMISE Initiative. These continuation efforts are informed by PROMISE 1.0 findings. Therefore, we look forward to continuing the PROMISE initiative.
Impacts
What was accomplished under these goals?
Goal 1: Determine community members' perceptions of the opioid problem and elicit proposed prevention strategies and solutions through community engagement forums. Three community engagement forums were held in each PROMISE 1.0 County (a total of nine forums) to assess community members' perceptions of the opioid problem and elicit proposed prevention strategies and solutions. In addition to the focus groups, a statewide, web-based survey was administered to assess community members' perception of the opioid problem and elicit proposed prevention strategies and solutions. The formative assessment findings were used to inform goal 2. In addition, finding reports were created and disseminated at the local, state, and national level. Local newspapers featured articles about the forums that included findings and state-level statistics. At the state level, we disseminated findings at state-level organization conferences and conferences/meetings held by the MS Department of Mental Health, MS Department of Health, and MS Public Health Institute. We also presented findings at national conferences, such as National Health Outreach Conference, National Rural Health Association Annual Conference, and American Public Health Association Annual Meeting. Objective 2: Develop educational resources and a social marketing campaign to promote opioid misuse through personal actions, including use of drug take-back boxes/safes. Six key messages were developed from the forum findings: 1) Dispose of prescription opioids (painkillers). 2) Monitor opioid use. 3) Store medicine safely and securely. 4) Talk to healthcare providers about opioids. 5) Talk to children about opioids. 6) Talk to older adults about opioids. These six key messages were used in educational materials and the social marketing campaign. The project team partnered with Montana Cooperative Extension Service to modify a Healthy Homes Initiative module that focuses on opioid misuse prevention strategies for the home. In addition, one-page handouts were developed and disseminated at local and state conferences and meetings. The MS Department of Mental Health, along with MS Governor Phil Bryant's Opioid and Heroin Taskforce, already had a marketing campaign in place entitled, Stand Up, Mississippi. Therefore, we partnered with the Stand Up, Mississippi campaign team and add the six key primary prevention messages to their campaign. The Stand Up, Mississippi campaign focused more on tertiary prevention strategies, so our primary prevention messages were much needed. Next, we sent a pre- and post-survey mailer to assess the use of take-back boxes to the three PROMSIE counties and match counties. The PROMISE counties received an additional mailer promoting the use of take-back boxes. No significant difference was found between the control and intervention counties. Take-back boxes were a challenge to get provide to local, independent pharmacies. Therefore, we received approval from the project officer to provide independent pharmacies with DisposeRx packets and educational materials. One independent pharmacy in each of the PROMISE Counties received 2,500 DisposeRx packets attached to PROMISE educational materials to distribute with opioid prescriptions in their counties. Objective 3: Evaluate the effectiveness of the PROMISE Initiative. To evaluate the effectiveness of the PROMISE Initiative, the project team administered a pre- and post-test mailer to assess the effectiveness of the drug take-back box social marketing campaign. To evaluate the effectiveness of the DisposeRx packet distribution, a survey link was attached to each packet. As we continue the PROMISE Imitative with additional funding opportunities, we will continue to evaluate the effectiveness of the PROMISE Initiative.
Publications
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N. (Author & Presenter), Hardman, A. M., Downey, L. H., Seitz, H. H., Stone, A., Steen, J., & Buys, D. (November 2019). Applying theory of planned behavior to predict intention to talk about opioids with family members. National Council on Family Relations 2019 Annual Conference (oral presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N. (Author & Presenter), Seitz, H. H., Downey, Laura H., Hardman, A. M., Steen, J. S., Williams, D., Stone, A., & Buys, D. (November 2019). Increasing uptake of prescription drug take-back boxes: Eliciting preferences and applying the theory of planned behavior to predict use. American Public Health Association 2019 Annual Meeting (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N. (Author & Presenter), Buys, D. R., Steen, J. S., Evans, W., Stone, A., Seitz, H., and Hardman, A. M. (October 2019). Farm stress and opioid misuse: MSU extensions response to an emerging public health crisis. 2019 Mississippi Public Health Association Annual Meeting (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Buys, D., Steen, J., Robertson, M. N. (Author & Presenter), Seitz, H., Downey, L., Hardman, A., Stone, A., & Williams, D. (October 2019). A call to action for cooperative extension: Addressing the opioid epidemic. 2019 National Extension Association Family and Consumer Sciences Conference (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N. (Author & Presenter), Williams, D., Seitz, H., Downey, L. H., Hardman, A., Stone, A., Steen, J., & Buys, D. R. (May 2019). Physicians or media: Who gives patients opioid-related information? National Rural Health Association 2019 Annual Conference (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N. (Author & Presenter), Downey, L. H., Hardman, A. M., Seitz, H. H., Steen, J. S., & Buys, D. R. (May 2019). Promoting prescription opioid misuse prevention strategies in rural America: Findings from focus groups. 2019 National Health Outreach Conference (oral presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M. N. (Author & Presenter), Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Mississippi Public Health Association 81st Conference and Annual Meeting (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M. N. (Author & Presenter), Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Delta Society for Public Health Education Annual Conference (oral presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M. N. (Author & Presenter), Downey, L. H., Buys, D. R., Hardman, A., & Seitz, H. H. (October 2018). Perceptions of Prescription Opioid Use: Findings from Focus Groups with Rural Mississippians. Delta Society for Public Health Education Annual Conference (poster presentation).
- Type:
Journal Articles
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N., Williams, D., Seitz, H., Downey, L., Hardman, A., & Buys, D. (2019). The PROMISE Initiative: Who should give patients information on opioids? Journal of the Mississippi State Medical Association, 60(2).
- Type:
Journal Articles
Status:
Published
Year Published:
2019
Citation:
Steen, J., Robertson, M. N., Seitz, H., Downey, L., Hardman, A., & Buys, D. (2019). Addressing the opioid epidemic: Defining cooperative extensions role. Journal of Extension, 57(6).
- Type:
Journal Articles
Status:
Awaiting Publication
Year Published:
2020
Citation:
Robertson, M. N., Downey, L. H., Seitz, H. H., Hardman, A. M., & Buys, D. R. (2020). Rural adults perceived role of family members in prescription opioid misuse prevention: Implications for family-based approaches. Manuscript submitted for publication.
- Type:
Journal Articles
Status:
Awaiting Publication
Year Published:
2020
Citation:
Robertson, M. N., Downey, L. H., Hardman, A. M., Seitz, H. H., & Buys, D. R. (2020). Intention to talk about opioids with family and friends: Role of family communication. Manuscript submitted for publication.
- Type:
Journal Articles
Status:
Awaiting Publication
Year Published:
2020
Citation:
Evans, M.W., Robertson, M.N., Christian, M., Deason, J.A., & Buys, D.R. (2020). Academic detailing and extension: Can a time-tested medical education tool assist agricultural or consumer science outreach? Manuscript submitted for publication.
- Type:
Theses/Dissertations
Status:
Published
Year Published:
2019
Citation:
Use of formative research to inform family-based approaches to prevent prescription opioid misuse among Mississippians
|
Progress 09/01/18 to 08/31/19
Outputs
Target Audience:Rural adults ages 30 - 59 years or likely to be caring for children or youth and aging parents (the sandwich generation) who resided in one of the three PROMISE counties (Itawamba, Lee, and Tishomingo Counties) were recruited to participate in one of nine community engagement forums (n = 55). Members of the sandwich generation are the target population of the PROMISE 1.0 Initiative because they may be more at risk for having access to prescription opioids, considering the multiple age groups they are caring for. The participants were asked questions about their perceptions of prescription opioid misuse, factors perceived to be easiest to change and most important to change in preventing prescription opioid misuse, efforts perceived to be the best at raising awareness, perceived responsibilities of family members in preventing prescription opioid misuse, and perceptions of prescription drug disposal methods, specifically prescription drug take-back boxes. Adults ages 30 - 59 years who reside in the state of Mississippi were recruited to participate in an anonymous, web-based survey administered through a Qualtrics panel (n=495). The sample was representative of the state of Mississippi. The web-based survey consisted of 5 sections: (1) demographics, (2) perceptions of prescription opioid use and misuse and drug securing behaviors, (3) information seeking and scanning, (4) willingness to use prescription drug take-back boxes, and (5) history of prescription opioid use. In addition, the project team tested the messages with participants residing in rural counties in Mississippi who were 30 - 59 years of age (n = 24). We also reached Mississippi adults at multiple state conferences (n = 500). Changes/Problems:There are no major changes to the project. However, the project team did welcome two new team members, Dr. Holli Seitz, and Mary Nelson Robertson. Dr. Holli Seitz is a communication specialist who runs the Mississippi State University Social Science Research Center Message Laboratory. Dr. Seitz assists with the message development. Mary Nelson Robertson serves as the project coordinator for the project and assists with project management. The project team is having some difficulties navigating the system to get prescription drug take-back boxes placed in local pharmacies. The local pharmacies in the PROMISE counties are on board and excited to have take-back boxes placed in their pharmacies. The process to get the placement of take-back boxes approved has taken longer than expected. We are working closely with DEA to achieve this goal. What opportunities for training and professional development has the project provided?The project team was able to attend state meetings that focused on the opioid epidemic in MS. Attending the state meetings allowed the project team members to network and collaborate with other organizations in Mississippi. The student workers gained professional experience with conducting community engagement forums. The project team was also able to attend national conferences and meetings to disseminate project findings as well as attend professional development sessions. How have the results been disseminated to communities of interest?Dissemination of findings have been and continue to be disseminated during year 2 and 3 of the project. For example, the Project Director and Project Coordinator presenting findings at the state opioid summit in January 2019. Findings from the forums and web-based survey were disseminated at local, state, and national conferences. What do you plan to do during the next reporting period to accomplish the goals?During year 3 of PROMISE 1.0, the following plans are in place: Disseminate findings from the forums and web-based survey at local, state, and national conferences and publish findings in rural and health-related journals Place six prescription drug take-back boxes in the PROMISE 1.0 counties (two in each county) Share primary prevention messages and materials on the webpage and social media of the State Opioid Response team (Mississippi Department of Mental Health) campaign, Stand Up Mississippi Evaluate the effectiveness of PROMISE 1.0 efforts Disseminate evaluation efforts through conferences and publications
Impacts
What was accomplished under these goals?
PReventing Opioid Misuse In the SouthEast: PROMISE Initiative 1.0 (PROMISE 1.0) aims to promote behavior change at the consumer-level that can reduce the risk of opioid misuse and abuse through a coordinated education and communications campaign that specifically promotes use of prescription drug take-back boxes/ safes where people can drop off their unused prescriptions, in addition to other changes in consumers' home environments that may reduce risk of developing an opioid addition. PROMISE 1.0 uses an integrated multi-phased approach to promote prescription opioid misuse prevention including: 1) Community engagement forums to assess the perceived needs and readiness of the community for education on this topic; 2) Extension agent-led and peer-to-peer education; 3) a social marketing campaign; and 4) placement of drug take-back boxes/ safes throughout the community. During the second year of PROMISE 1.0, the team continued working with the state partner, State Opioid Response team (Mississippi Department of Mental Health), to use the findings from year 1 to develop and add primary prevention messages to the Stand Up Mississippi Campaign. The PROMISE 1.0 Team tested the messages and is currently working with Fahrenheit Creative Group to design the messages. The messages are scheduled to go live at the first of 2020. The team partnered with Montana State University Extension Service to incorporate drug securing behavior education in the Mississippi State University Extension Service Healthy Homes Curriculum. The team is still navigating the appropriate process to place take-back boxes in local pharmacies in the three PROMISE Counties. Goals: - Determine community members' perceptions of the opioid problem and elicit proposed prevention strategies and solutions through community engagement forums (forums). This was completed during year 1 of the project. Develop educational resources and a social marketing campaign to promote opioid misuse prevention through personal actions, including use of drug take-back boxes/safes. Placement of prescription drug take-back boxes in each of the PROMISE counties, educational resources for Mississippi State University Extension Service Healthy Homes Curriculum, messages for the Stand Up Mississippi social marketing campaign will be implemented and evaluated during year 3 of the project. Activities were developed during year 1 and 2 of the project. Evaluate the effectiveness of the PROMISE Initiative. A pre- and post-survey card mailer was developed in year 2 and is scheduled to be mailed out during year 3 of the project. Evaluation efforts will take place during year 3 of the project.
Publications
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M.N., Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Mississippi Public Health Association 81st Conference and Annual Meeting (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M.N., Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Delta Society for Public Health Education Annual Conference (oral presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2018
Citation:
Robertson, M. N., Downey, L. H., Buys, D. R., Hardman, A., & Seitz, H. H. (October 2018). Perceptions of Prescription Opioid Use: Findings from Focus Groups with Rural Mississippians. Delta Society for Public Health Education Annual Conference (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N., Williams, D., Seitz, H., Downey, L. H., Hardman, A., Stone, A., Steen, J., & Buys, D. R. (May 2019). Physicians or media: Who gives patients opioid-related information? National Rural Health Association 2019 Annual Conference (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N., Downey, L. H., Hardman, A. M., Seitz, H. H., Steen, J. S., & Buys, D. R. (May 2019). Promoting prescription opioid misuse prevention strategies in rural America: Findings from focus groups. 2019 National Health Outreach Conference (oral presentation).
- Type:
Journal Articles
Status:
Published
Year Published:
2019
Citation:
Robertson, M. N., Williams, D., Seitz, H., Downey, L., Hardman, A., & Buys, D. (2019). The PROMISE Initiative: Who should give patients information on opioids? Journal of the Mississippi State Medical Association, 60(2).
- Type:
Other
Status:
Published
Year Published:
2018
Citation:
On October 24, 2018, Mississippi State University Extension Service featured a press release, National drug disposal event for Saturday, on their website. The press release was also featured in newspapers across the state of Mississippi. The new release provided locations of prescription drug take-back boxes as well. http://extension.msstate.edu/news/feature-story/2018/national-drug-disposal-event-set-for-saturday
- Type:
Other
Status:
Published
Year Published:
2018
Citation:
On August 6, 2019, Mississippi State University Extension Service featured a press release, "Extension "promises" to help communities combat opioids. The press release was also featured in newspapers across Mississippi. http://extension.msstate.edu/news/feature-story/2018/extension-%E2%80%98promises%E2%80%99-help-communities-combat-opioids
- Type:
Other
Status:
Published
Year Published:
2019
Citation:
On August 13, 2019, Mississippi State University Extension Service released a news article titled, "Extension connects producers to mental health resources." This article was shared all over the state of Mississippi. http://extension.msstate.edu/news/feature-story/2019/extension-connects-producers-mental-health-resources
- Type:
Other
Status:
Published
Year Published:
2019
Citation:
Mississippi State University Extension Service Publication Number M2296; http://extension.msstate.edu/publications/you-have-the-power-prevent-opioid-addiction
- Type:
Other
Status:
Published
Year Published:
2019
Citation:
On November 6, 2019, Mississippi State University Extension Service released a news article titled, "Gran reveals concerns for agricultural families." This article was shared all over the state of Mississippi. http://extension.msstate.edu/news/feature-story/2018/grant-reveals-concerns-for-agricultural-families
|
Progress 09/01/17 to 08/31/18
Outputs
Target Audience:Rural adults ages 30 - 59 years or likely to be caring for children or youth and aging parents (the sandwich generation) who resided in one of the three PROMISE counties (Itawamba, Lee, and Tishomingo Counties) were recruited to participate in one of nine community engagement forums (n = 55). Members of the sandwich generation are the target population of the PROMISE 1.0 Initiative because they may be more at risk for having access to prescription opioids, considering the multiple age groups they are caring for. The participants were asked questions about their perceptions of prescription opioid misuse, factors perceived to be easiest to change and most important to change in preventing prescription opioid misuse, efforts perceived to be the best at raising awareness, perceived responsibilities of family members in preventing prescription opioid misuse, and perceptions of prescription drug disposal methods, specifically prescription drug take-back boxes. Adults ages 30 - 59 years who reside in the state of Mississippi were recruited to participate in an anonymous, web-based survey administered through a Qualtrics panel (n=495). The sample was representative of the state of Mississippi. The web-based survey consisted of 5 sections: (1) demographics, (2) perceptions of prescription opioid use and misuse and drug securing behaviors, (3) information seeking and scanning, (4) willingness to use prescription drug take-back boxes, and (5) history of prescription opioid use. In addition to the rural adults reached during the first year of PROMISE 1.0, three undergraduate and one graduate student served as co-moderators for the community engagement forums. Changes/Problems:We have found collaboration with the Mississippi Bureau of Narcotics to be challenging. While the personnel there are friendly, they are concerned about conducting pick-up of drugs from take-back boxes placed in locations other than law enforcement agencies. To address this challenge, we are seeking out opportunities to present our data that shows that Mississippians are more comfortable with and view as more convenient, taking drugs back to boxes located in pharmacies and medical clinics. What opportunities for training and professional development has the project provided?The project team was able to attend state meetings that focused on the opioid epidemic in MS. Attending the state meetings allowed the project team members to network and collaborate with other organizations in Mississippi. The student workers gained professional experience with conducting community engagement forums. How have the results been disseminated to communities of interest?Dissemination of findings are scheduled for year 2 of the project. For example, a follow-up community engagement forum to share the findings with forum participants is scheduled for January 2019. Findings from the forums and web-based survey will also be disseminated at local, state, and national conferences. What do you plan to do during the next reporting period to accomplish the goals?During year 2 of PROMISE 1.0, the following plans are in place: Host a follow-up community engagement forum to share the forum findings with community members Disseminate findings from the forums and web-based survey at local, state, and national conferences and publish findings in rural and health-related journals Place nine prescription drug take-back boxes in the PROMISE 1.0 counties (three in each county) Use PROMISE 1.0 findings to develop, test, and share primary prevention messages and materials on the State Opioid Response team (Mississippi Department of Mental Health) campaign, Stand Up Mississippi Evaluate the effectiveness of PROMISE 1.0 efforts Disseminate evaluation efforts through conferences and publications
Impacts
What was accomplished under these goals?
PReventing Opioid Misuse In the SouthEast: PROMISE Initiative 1.0 (PROMISE 1.0) aims to promote behavior change at the consumer-level that can reduce the risk of opioid misuse and abuse through a coordinated education and communications campaign that specifically promotes use of prescription drug take-back boxes/ safes where people can drop off their unused prescriptions, in addition to other changes in consumers' home environments that may reduce risk of developing an opioid addition. PROMISE 1.0 uses an integrated multi-phased approach to promote prescription opioid misuse prevention including: 1) Community engagement forums to assess the perceived needs and readiness of the community for education on this topic; 2) Extension agent-led and peer-to-peer education; 3) a social marketing campaign; and 4) placement of drug take-back boxes/ safes throughout the community. During the first year of PROMISE 1.0, the team led assessment of community members' perceptions of the opioid problem and elicited proposed prevention strategies and solutions through community engagement forums and a web-based survey. We also assessed perceptions, prevention strategies, awareness efforts, and family responsibilities during the forums. Furthermore, we collected data on demographics, perceptions of prescription opioid use and misuse and drug securing behaviors, information seeking and scanning, willingness to use prescription drug take-back boxes, and history of prescription opioid use through the administration of a web-based survey. The findings from the forums and survey suggest that community members view the opioid epidemic as a problem in their community and think it is important to do something about the opioid crisis. During the second year of PROMISE 1.0, plans are in place to partner with the State Opioid Response team (Mississippi Department of Mental Health) to use the findings from year 1 to develop and add primary prevention messages to the Stand Up Mississippi Campaign, place three prescription drug take-back boxes in each of the three PROMISE 1.0 counties, and incorporate drug securing behavior education in the Mississippi State University Extension Service Healthy Homes Curriculum. Goals: - Determine community members' perceptions of the opioid problem and elicit proposed prevention strategies and solutions through community engagement forums (forums). 1) Major activities completed/experiments conducted; Nine community engagement forums (three in each county) were conducted in the three PROMISE counties, Itawamba, Lee, and Tishomingo County (n=55). Participants in the community engagement forums were recruited by local Extension agents. In addition to the community engagement forums, a web-based survey was administered state-wide through a Qualtrics panel (n=495). Community engagement forum participants were also given the opportunity to participate in the web-based survey after the community engagement forums were complete. 2) Data collected; All forums were audio-recorded, transcribed, and analyzed using NVivo software. All survey data was exported from Qualtrics and analyzed using SPSS version 24 and Stata version 15 software. 3) Summary statistics and discussion of results and; A total of 55 community members participated in the nine community engagement forums. The majority of the forum participants identified as female (72.7%) and white (83.8%). Overall, the forum findings suggest that community members perceive opioids as a community, family, healthcare, legal, and mental health problem. The forum findings also suggest that community members perceive education and healthcare as the two most important and easiest to change prevention strategies. Community members suggest raising awareness about prescription opioid misuse through schools, churches, community events, healthcare professionals, family and friends, digital media, print media, and social media. Community members also identified the following responsibilities for family members: having conversations with children and other family members about prescription opioids, monitoring prescription opioid use among family members, locking up prescription opioid in the home, keeping prescription opioids out of reach of young children in the home, and discussing alternative pain management methods for family members with doctors. There is a great need for educational interventions centered on prescription opioid misuse prevention. Further research on the development, implementation, and evaluation of community-based prescription opioid misuse prevention and education interventions is warranted. A sample of Mississippians, 30-59 years of age (hereafter referred to as the "sandwich generation"), were recruited through a Qualtrics panel to participate in a 164-item web-based survey. The web-based survey consisted of 5 sections: (1) demographics, (2) perceptions of prescription opioid use and misuse and drug securing behaviors, (3) information seeking and scanning, (4) willingness to use prescription drug take-back boxes, and (5) history of prescription opioid use. A total of 495 responses were collected from the web-based survey, however 335 of those responses were complete and met the inclusion criteria. Therefore, data from those 335 participants were included in this project. The data was analyzed using SPSS version 24 and Stata 15 software packages. Overall, the findings from the survey suggest that the sandwich generation views the opioid crisis as a problem in their community and think that it is important to do something about the opioid crisis. 4) Key outcomes or other accomplishments realized. The project team learned what community members perceive is causing or supporting opioid misuse and the broader epidemic. Develop educational resources and a social marketing campaign to promote opioid misuse prevention through personal actions, including use of drug take-back boxes/safes. Placement of prescription drug take-back boxes in each of the PROMISE counties, educational resources for Mississippi State University Extension Service Health Homes Curriculum, messages for the Stand Up Mississippi social marketing campaign will be developed, implemented, and evaluated during year 2 of the project. Evaluate the effectiveness of the PROMISE Initiative. Evaluation efforts will take place during year 2 of the project.
Publications
- Type:
Conference Papers and Presentations
Status:
Submitted
Year Published:
2018
Citation:
Robertson, M.N., Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Mississippi Public Health Association 81st Conference and Annual Meeting (poster presentation).
- Type:
Conference Papers and Presentations
Status:
Submitted
Year Published:
2018
Citation:
Robertson, M.N., Buys, D. R., Downey, L. H., Seitz, H. H., & Hardman, A. (October 2018). Prescription Opioid Use and Misuse: Perceptions among the Sandwich Generation of Mississippi. Delta Society for Public Health Education Annual Conference (oral presentation).
- Type:
Conference Papers and Presentations
Status:
Submitted
Year Published:
2018
Citation:
Robertson, M. N., Downey, L. H., Buys, D. R., Hardman, A., & Seitz, H. H. (October 2018). Perceptions of Prescription Opioid Use: Findings from Focus Groups with Rural Mississippians. Delta Society for Public Health Education Annual Conference (poster presentation).
|