British Journal of Health Psychology (2012)
© 2012 The British Psychological Society
The
British
Psychological
Society
www.wileyonlinelibrary.com
The Prototype/Willingness model, academic
versus health-risk information, and risk cognitions
associated with nonmedical prescription stimulant
use among college students
Michelle L. Stock
1
*, Dana M. Litt
2
, Virginia Arlt
3
,
Laurel M. Peterson
1
and Jessica Sommerville
1
1
Department of Psychology, The George Washington University, Washington, DC,
USA
2
Center for the Study of Health Risk and Behaviour, University of Washington, USA
3
Seattle Pacific University, School of Psychology, Family, and Community, Seattle,
Washington, USA
Objectives. Nonmedical prescription stimulant (NPS) use is an important problem
among university students. The present studies applied the prototype-willingness model
(Gibbons, Gerrard & Lane, 2003) to academic-based NPS use and examined the impact of
academic versus health information on university students’ NPS use cognitions.
Design and Methods. Study 1 used the prototype-willingness model to examine
cognitions associated with academic-based willingness to use NPS. In Study 2, participants
were randomly assigned to a control condition or to read information on the negative
academic or negative health effects of NPS use. Beliefs, willingness, and expectation of
engaging in future NPS use, prototypes of users, and perceived vulnerability were
assessed.
Results. Students without a prescription for stimulants or a diagnosis of attention deficit
hyperactivity disorder (ADHD) participated in each study (Ns = 555; 166). Twenty to
thirty per cent reported NPS use, primarily for academic reasons. Controlling for past
NPS, alcohol, and marijuana use: friends’ NPS use, prototypes, perceived vulnerability, and
negative health and positive academic beliefs were associated with willingness to use NPS
in Study 1. Study 2 demonstrated that participants in the academic-information condition
reported the lowest willingness and expectations as well as the least favourable
prototypes of NPS users. Participants in the health-information condition reported the
highest perceived vulnerability.
Conclusions. These studies highlight: the utility of using a health model framework to
examine NPS cognitions, the importance of examining beliefs about the behaviour, and
the potential for academic and health information to reduce risky NPS use cognitions.
*Correspondence should be addressed to Michelle L. Stock, Department of Psychology, The George Washington University,
2125 G St. N.W., Washington DC 202-994-2171, USA (e-mail: mstock@gwu.edu).
DOI:10.1111/j.2044-8287.2012.02087.x
1