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Northeast Tennessee has been disproportionately burdened by a high prevalence of opioid prescribing, prescription drug abuse, addiction, overdose, and Neonatal Abstinence Syndrome. The East Tennessee State University Prescription Drug Abuse and Misuse Working Group (PDAMWG) formed upon recognizing an urgent need for a collaborative, multi-faceted response to reduce prescription drug abuse. Composed of over 100 members from various agencies, organizations, and institutions, members of this highly interprofessional, university-sponsored working group include academic scholars, healthcare providers, pharmacists, elected officials, students, community members, and more. This collaboration has successfully generated multiple funded research projects and numerous evidence- and community-based initiatives targeting prescription drug abuse. This seminar will focus on substance abuse prevention, specifically the prevention of prescription drug abuse. In addition to providing a data supported summary of the epidemic in the region, this seminar will outline the historical development of the PDAMWG and describe past and present research and community-based initiatives. An emphasis will be on the continuous commitment of the PDAMWG to the development, dissemination, and implementation of evidence-based practices to reduce prescription drug abuse and improve population health in the region. This seminar will also document research as well as community-based outcomes of PDAMWG efforts. Consequently, participants will recognize the effectiveness of strong, cross-sector partnerships for population health improvement. Relatedly, participants will develop a concrete understanding of a collaborative approach that bridges academic research and community-based practice. Perhaps most importantly, participants will discover its potential for replication in other communities to support the achievement of maximum, evidence-based outcomes for various health concerns. Lastly, participants will be introduced to the underlying model of the PDAMWG, which visually depicts evidence-based strategies along the disease continuum. As a result, participants will appreciate the complexity of public health problems and the subsequent importance of a multi-pronged, evidence-based response to addressing them

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Background: University scholars and community members formed the Prescription Drug Abuse and Misuse Working Group in response to the prescription drug abuse/misuse epidemic plaguing the Appalachian region. Their collaboration has yielded no fewer than four funded and six volunteer service projects in the community. A concern voiced by key community stakeholders has been the non-medical use of prescription drugs (NMUPD) among the workforce. The team discovered that the relationship between NMUPD and workplace characteristics is understudied. This study aimed to show the overall and industry-specific prevalence of NMUPD, and to examine workplace characteristics associated with NMUPD. Methods: Data from the 2011-2012 National Survey on Drug Use and Health (NSDUH) were used. Multiple logistic regression assessed workplace characteristics on past-year NMUPD among employed adults 18 years and older, controlling for demographic variables. Results: The overall prevalence of NMUPD was 9.23% (95% CI: 8.98-9.48). The industries with the highest prevalence were: arts, entertainment, recreation, accommodation, and food services (14.48%; 95% CI: 13.70-15.27), construction (10.82%; 95% CI: 9.77-11.87), and retail trade (10.04%; 95% CI: 9.34-10.74). NMUPD was significantly associated with industry type (p Conclusions: Results suggest alcohol or drug use workplace policies and employee assistance or other counseling programs may protect against NMUPD. Workplace prevention efforts for NMUPD could benefit from incorporating these approaches.

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Face à la concurrence exacerbée, la prescription d’achat peut être stratégique pour les organisations. Dans des contextes de décision difficiles, la prescription d’achat devient indispensable pour certains consommateurs. La revue de la littérature révèle des carences, des contradictions et un manque de confrontations terrain à propos des quelques théories et propositions émises sur ce concept. Qu’est-ce que la prescription d’achat ? Quel est son poids parmi les principales caractéristiques de décision d’achat ? Quel est l’impact de la culture ? Une étude qualitative menée en France auprès de 10 vétérinaires prescripteurs et 10 acheteurs d’aliments pour animaux de compagnie permet de mieux définir la prescription d’achat, et de valider ou rejeter les précédents apports sur ce thème. A l’aide du Consumer Styles Inventory (Sproles et Kendall 1986), une étude quantitative auprès de 308 acheteurs français et 221 acheteurs chinois d’aliments pour animaux de compagnie valide la sensibilité à la prescription comme caractéristique fondamentale de décision d’achat. Elle a un poids modéré selon le style de décision émergent, mais son rôle est discriminant dans la constitution des segments en France. Elle est positivement et significativement associée au perfectionnisme, à la fidélité, à l’hédonisme et à la confusion ; elle l’est négativement et significativement au prix. Alors qu’il y a une différence significative dans les styles de décision d’achat des français et des chinois, ce n’est pas le cas pour la sensibilité à la prescription. Les principaux apports théoriques et méthodologiques portent sur une meilleure définition de la prescription d’achat, sur la mesure du concept et sur sa présence au sein de deux cultures pourtant opposées. Pour les organisations, cette recherche souligne la valeur ajoutée que constitue le prescripteur face aux indécisions des acheteurs. Celles positionnées sur le haut de gamme sont encouragées à mettre en place des réseaux de prescripteurs pour faciliter leurs ventes. Une série de recommandations opérationnelles en découlent. / In highly competitive markets, shopping prescription may be strategic for organizations. In complex decision-making situations, shopping prescription is useful for some consumers. Literature review reveals gaps, contradictions and field shortcomings about this concept. What brand prescription is? What is its weight among the main decision-making characteristics? What is the impact of culture? A qualitative study conducted in France with 10 vet prescribers and 10 pet food buyers helps to better define this concept, and validate or reject previous contributions to this topic. Using the Consumer Styles Inventory (Sproles et Kendall 1986), a quantitative survey with 308 french and 221 chinese pet food buyers validates prescription consciousness as a fundamental decision-making characteristic. It has a moderate weight within the main decision-making style, but its role is discriminant on the cluster formation in France. It is positiveley and significantly associated with perfectionism, loyalty, hedonism and confusion while it is negatively and sinificantly to price. There is a significant difference in decision-making styles between French and Chinese, but this is not true for prescription consciousness. The main theoretical and methodological contributions are a better definition of this concept, its measurement scale and its presence in both but divergent cultures. From a managerial standpoint, this research highlights the added value brought by prescribers. Companies positioned on the high end market are encouraged to set up prescribers networks to ease sales. A series of operational recommendations arise from there.