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Generation Rx: An Extension
  Partnership to Raise Awareness
  about Prescription Drug Abuse

                   Molly Brown, Ph.D.
      College of Pharmacy, Ohio State University

               Liz Smith, M.S., R.D., L.D.
FCS Extension Educator, Ohio State University Extension
At the completion of this program,
     participants will be able to…

1.  Describe the scope of the prescription drug abuse
    problem.

2.  Identify the successful components of a local evidence-
    based program that raised awareness about prescription
    drug abuse.

3.  Adapt and utilize prescription drug abuse educational
    resources for prevention programming.

4.  Determine how to adapt the structure of our program to
    successfully raise awareness about prescription drug
    abuse in your community.
•  Accidental overdoses and deaths associated with
        prescription drug abuse are on the rise
        Rate of unintentional drug overdose   Unintentional drug overdose deaths by
            death in the United States,        major type of drug, United States,
                    1970-2007                               1999-2007




(National Vital Statistics System)
(Ohio Department of Health, Office of Vital Statistics; Ohio Department of Public Safety)
Why prescription drugs?
“Pharmaceutical Populism”




            “        “…a growing culture of
                     self-diagnosis and
                     self-prescription”
Past Month Use of Specific Illicit Drugs
                            among Persons Aged 12 or Older: 2009	
  




(National Survey on Drug Use & Health, SAMHSA)
(MTF, 2010)
•  1 in 4 teens report misusing medications at least once in
   their lives. (PATS, 2010)

•  1 in 3 teens reports knowing someone who abuses Rx
   drugs. (ONDCP, 2008)

•  Every day, nearly 2,500 youth (aged 12-17) abuse a
   prescription pain reliever for the very first time.
   (NSDUH, 2008)
Stats & Trends:
                 Prescription for Danger

   •  40% of teens consider the abuse of
      prescription drugs to be much safer
      than street drugs

   •  29% believe prescription pain
      relievers are not addictive.

   •  Most do not know that possessing a
      Rx drug without a prescription is a
      felony offense
      (punishable by jail time)

(PATS, 2006)
Ogres are Like Onions:
             They Have Layers


•  Law Enforcement
•  Regulatory Changes
•  Drug Disposal
•  Drug Addiction Treatment Services
•  Counseling and Recovery Services
•  Prescribing and Dispensing
   Guidelines
•  Educational Prevention Initiatives
A mutually beneficial partnership

•    Ohio State’s College of Pharmacy faculty
•    Ohio State’s Family & Consumer Science Extension
     Educators

•    Partnership Structure:
     1.  Recruit
     2.  Train
     3.  Deliver Prevention Programs
Partnership Structure: Recruit

•    Grants provided release time
     –    Cardinal Health Foundation
     –    OSU Community Access to Research & Educational Services


•    1 educator/EERA
Partnership Structure: Training

Recruit   	
   Train (1 day) 	
   Deliver Prevention Programs (1 yr)

  College of Pharmacy                 Extension Educators
•  Provided educational            •  Adapted educational resources
   resources
                                   •  Brainstormed potential
•  Discussed and                      community partners
   demonstrated how to use
   resources
                                   •  Created a 30-45 min
                                      prevention program
Generation Rx Education Resource Toolbox

                    •  Resources organized by
                       target audience

                    •  Customize or Brand with
                       your logo
Education Resource Toolbox: Background
Education Resource Toolbox: General Public
Education Resource Toolbox: Parents
Education Resource Toolbox: Students
Education Resource Toolbox: Students
Education Resource Toolbox: Partners
Example of a 30-45 min. program

•    Audience: Parents

1.  15 minutes—”Generation Rx: Preventing the Misuse
    and Abuse of Prescription Medications” presentation
2.  10 minutes—”Generation Rx” Family Feud
3.  5 minutes—Memorial Video
4.  5 minutes—Question/Answer session
5.  5 minutes—Surveys, disseminate handouts
Partnership Structure:
             Deliver Prevention Programs

Recruit   	
   Train (1 day) 	
   Deliver Prevention Programs (1 yr)

   Extension Educators                    College of Pharmacy
•  Delivered programs                  •  Supported Educators
   –  Community groups                     –  Videoconferencing
   –  High Schools                         –  Conference calls
   –  Train the Trainer                    –  Individual Q&A


•  Uploaded branded resources to       •  Analyzed survey data
   a common website

•  Collected data via surveys
Was the partnership successful?

•  Reached 1,800 Ohioans across 35 counties

                                                 Adults        Teens
                                                (n=507)       (n=356)
I was satisfied with today’s program on            1.3          2.0
prescription drug abuse.1
I will discuss prescription drug misuse and        1.5          2.7
abuse with others. 2
I will share today’s educational materials         1.5          2.5
with others. 2
I will engage in safe medication practices in      1.4          1.9
my home. 2

1Likert Scale Rating: 1=strongly agree; 5=strongly disagree
2Likert Scale Rating: 1=very likely, 5=very unlikely
Why should I try to replicate
           this partnership?

•  OSU’s College of Pharmacy perspective:

1.  Widely disseminates our education prevention
    resources


2.  Provides community-specific prevention strategies
    through the expertise and connections of Extension
    Educators
Why should I try to replicate
            this partnership?
•  OSU’s Extension Educator perspective:

1.  High Impact

2.  Ready-to-go materials
  –    Priority in states with fewer educators


3.  College of Pharmacy is well respected and creates
    credible information
  –    Partnership allowed for rapid analysis of data collected
How could you replicate
           this partnership?

1.  How could you adapt the structure of this
    program to best meet the needs of your
    community?

2.  Who could you partner with in your
    community?	
  
Questions or Comments?


               Molly Brown
               brown.4354@osu.edu




               Liz Smith
               smith.3993@cfaes.osu.edu



  www.go.osu.edu/generationrx

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Generation Rx: An Extension Partnership to Raise Awareness about Prescription Drug Abuse

  • 1. Generation Rx: An Extension Partnership to Raise Awareness about Prescription Drug Abuse Molly Brown, Ph.D. College of Pharmacy, Ohio State University Liz Smith, M.S., R.D., L.D. FCS Extension Educator, Ohio State University Extension
  • 2. At the completion of this program, participants will be able to… 1.  Describe the scope of the prescription drug abuse problem. 2.  Identify the successful components of a local evidence- based program that raised awareness about prescription drug abuse. 3.  Adapt and utilize prescription drug abuse educational resources for prevention programming. 4.  Determine how to adapt the structure of our program to successfully raise awareness about prescription drug abuse in your community.
  • 3. •  Accidental overdoses and deaths associated with prescription drug abuse are on the rise Rate of unintentional drug overdose Unintentional drug overdose deaths by death in the United States, major type of drug, United States, 1970-2007 1999-2007 (National Vital Statistics System)
  • 4. (Ohio Department of Health, Office of Vital Statistics; Ohio Department of Public Safety)
  • 6. “Pharmaceutical Populism” “ “…a growing culture of self-diagnosis and self-prescription”
  • 7. Past Month Use of Specific Illicit Drugs among Persons Aged 12 or Older: 2009   (National Survey on Drug Use & Health, SAMHSA)
  • 9. •  1 in 4 teens report misusing medications at least once in their lives. (PATS, 2010) •  1 in 3 teens reports knowing someone who abuses Rx drugs. (ONDCP, 2008) •  Every day, nearly 2,500 youth (aged 12-17) abuse a prescription pain reliever for the very first time. (NSDUH, 2008)
  • 10.
  • 11. Stats & Trends: Prescription for Danger •  40% of teens consider the abuse of prescription drugs to be much safer than street drugs •  29% believe prescription pain relievers are not addictive. •  Most do not know that possessing a Rx drug without a prescription is a felony offense (punishable by jail time) (PATS, 2006)
  • 12. Ogres are Like Onions: They Have Layers •  Law Enforcement •  Regulatory Changes •  Drug Disposal •  Drug Addiction Treatment Services •  Counseling and Recovery Services •  Prescribing and Dispensing Guidelines •  Educational Prevention Initiatives
  • 13. A mutually beneficial partnership •  Ohio State’s College of Pharmacy faculty •  Ohio State’s Family & Consumer Science Extension Educators •  Partnership Structure: 1.  Recruit 2.  Train 3.  Deliver Prevention Programs
  • 14. Partnership Structure: Recruit •  Grants provided release time –  Cardinal Health Foundation –  OSU Community Access to Research & Educational Services •  1 educator/EERA
  • 15. Partnership Structure: Training Recruit    Train (1 day)    Deliver Prevention Programs (1 yr) College of Pharmacy Extension Educators •  Provided educational •  Adapted educational resources resources •  Brainstormed potential •  Discussed and community partners demonstrated how to use resources •  Created a 30-45 min prevention program
  • 16. Generation Rx Education Resource Toolbox •  Resources organized by target audience •  Customize or Brand with your logo
  • 18. Education Resource Toolbox: General Public
  • 23. Example of a 30-45 min. program •  Audience: Parents 1.  15 minutes—”Generation Rx: Preventing the Misuse and Abuse of Prescription Medications” presentation 2.  10 minutes—”Generation Rx” Family Feud 3.  5 minutes—Memorial Video 4.  5 minutes—Question/Answer session 5.  5 minutes—Surveys, disseminate handouts
  • 24. Partnership Structure: Deliver Prevention Programs Recruit    Train (1 day)    Deliver Prevention Programs (1 yr) Extension Educators College of Pharmacy •  Delivered programs •  Supported Educators –  Community groups –  Videoconferencing –  High Schools –  Conference calls –  Train the Trainer –  Individual Q&A •  Uploaded branded resources to •  Analyzed survey data a common website •  Collected data via surveys
  • 25. Was the partnership successful? •  Reached 1,800 Ohioans across 35 counties Adults Teens (n=507) (n=356) I was satisfied with today’s program on 1.3 2.0 prescription drug abuse.1 I will discuss prescription drug misuse and 1.5 2.7 abuse with others. 2 I will share today’s educational materials 1.5 2.5 with others. 2 I will engage in safe medication practices in 1.4 1.9 my home. 2 1Likert Scale Rating: 1=strongly agree; 5=strongly disagree 2Likert Scale Rating: 1=very likely, 5=very unlikely
  • 26. Why should I try to replicate this partnership? •  OSU’s College of Pharmacy perspective: 1.  Widely disseminates our education prevention resources 2.  Provides community-specific prevention strategies through the expertise and connections of Extension Educators
  • 27. Why should I try to replicate this partnership? •  OSU’s Extension Educator perspective: 1.  High Impact 2.  Ready-to-go materials –  Priority in states with fewer educators 3.  College of Pharmacy is well respected and creates credible information –  Partnership allowed for rapid analysis of data collected
  • 28. How could you replicate this partnership? 1.  How could you adapt the structure of this program to best meet the needs of your community? 2.  Who could you partner with in your community?  
  • 29. Questions or Comments? Molly Brown brown.4354@osu.edu Liz Smith smith.3993@cfaes.osu.edu www.go.osu.edu/generationrx