Persuasive Communication: A Vehicle for Positive Change In Medication Misuse By University Undergraduates — An Exploratory Study
DOI:
https://doi.org/10.57125/FED.2024.12.25.13Keywords:
Medication misuse, self-medication, examination periods, university students, persuasive communicationAbstract
Stress levels escalating to significant proportions have been reported in university students, especially during tests and examination periods, hence the misuse of prescription and over-the-counter medications. The situation of medication misuse amongst university undergraduates in Nigeria is no exception, as found globally. Medication misuse is influenced by risk and promotive factors. Persuasive communication is a message intended to reinforce or change the responses of others and has been found relevant in behavioural health changes. It could be adopted to change medication misuse by university students. The study was done at the University of Lagos in Lagos State, Nigeria. An exploratory, descriptive research design using one-on-one in-depth interviews to collect data from 20 respondents but with data saturation after the 12th participant. The respondents were selected using a purposive sampling method with defined inclusion and exclusion criteria for registered university undergraduates and academic and non-academic staff of the university. Data analysis was performed using Tesch’s Open Coding method. The study revealed the risk and promotive factors of medication misuse by university students during examination periods, family income, gender, peer influence, and ease of access to medications. The study advocates for the adoption of persuasive communication by the university management to communicate frequently the risks of medication misuse to positively impact students in taking appropriate initiative for their health. Persuasive communication to mitigate medication misuse by university students, including the positive use of the media and celebrities and increased sensitisation by the university management on the dangers of medication misuse, is discussed and recommended. This study contributes to effective public health information dissemination, discouraging medication misuse among university students. The limitations and recommendations of the study were discussed.
References
Abraham, O., Szela, L., Thakur, T., Brasel, K., & Brown, R. (2021). Adolescents’ perspectives on prescription opioid misuse and medication safety. The Journal of Pediatric Pharmacology and Therapeutics, 26(2), 133–143. https://doi.org/10.5863/1551-6776-26.2.133
Agubosi, L. A., Mustapha, M. L., Ajokpaniovo, M. & Abonyi, E. S. (2023). Strategies for curbing drug abuse as perceived by in-school adolescents in Kwara State. African Journal of Science, Technology and Mathematics Education, 9(1), 1–5. https://www.ajstme.com.ng/admin/img/paper/001_1-5_AJSTME9_1-001.pdf
Adejumo, O. O., Asongu, S. A., & Adejumo, A. V. (2021). Education enrolment rate vs employment rate: Implications for sustainable human capital development in Nigeria. International Journal of Educational Development, 83, Article 102385. https://doi.org/10.1016/j.ijedudev.2021.102385
Adeyemo, F. O., Beatrice, O., Okpala, P. U., & Oghale, O. (2016). Prevalence of drug abuse amongst university students in Benin City, Nigeria. Public Health Research, 6(2), 31–37. http://surl.li/cfbaii
Akanbi, M. I., Augustina, G., Theophilus, A. B., Muritala, M. & Ajiboye, A. S. (2015). Impact of substance abuse on academic performance among adolescent students of Colleges of Education in Kwara State, Nigeria. Journal of Education and Practice, 6(28), 108–112. https://files.eric.ed.gov/fulltext/EJ1081233.pdf
Akinsola, H. Y. (2002). Behavioural science for nurses: Perspectives from medical sociology and psychology (2nd ed.) Bay Pub.
Alagbe, A. (2016). The use of Codeine by university undergraduates. PUNCH Newspaper. Sunday, October 9. Lagos: Nigeria.
Almalak, H., Albluwi, A. I., Alkhelb, D. A., Alsaleh, H. M., Khan, T. M., Hassali, M. A. A., & Aljadhey, H. (2014). Students’ attitude toward use of over the counter medicines during exams in Saudi Arabia. Saudi Pharmaceutical Journal, 22(2), 107–112. https://doi.org/10.1016/j.jsps.2013.02.004
Atoyebi, O., Ibirongbe, D., Babatunde, O., & Atoyebi, O. (2013). To start and quit smoking cigarettes: An evaluation of students in a Nigerian city. Journal of Preventive Medicine and Hygiene, 54(2), 104–108. https://doi.org/10.15167/2421-4248/JPMH2013.54.2.382
Attah, A. P., Baba, E., & Audu, J. S. (2016). The effects of drug abuse and addiction on academic performance of students in federal polytechnic Idah, Kogi State Nigeria. International Journal of Democracy and Development Studies, 2(2), 13–22. https://journals.rcmss.com/index.php/ijdds/article/view/576
Benotsch, E. G., Koester, S., Martin, A. M., Cejka, A., Luckman, D., & Jeffers, A. J. (2014). Intentional misuse of over-the-counter medication, mental health, and polysubstance use in young adults. Journal of Community Health, 39(4), 688–695. https://doi.org/10.1007/s10900-013-9811-9
Brink, H., Van der Walt, C., & Van Rensburg, G. H. (2018). Fundamentals of research methodology for health care professionals (4th ed.). Juta and Company (Pty) Ltd.
Buckley, P., & Lee, P. (2021). The impact of extra-curricular activity on the student experience. Active Learning in Higher Education, 22(1), 37–48. https://doi.org/10.1177/1469787418808988
Collins, D., Abadi, M. H., Johnson, K., Shamblen, S., & Thompson, K. (2011). Non-medical use of prescription drugs among youth in an Appalachian population: Prevalence, predictors, and implications for prevention. Journal of Drug Education, 41(3), 309–326. https://doi.org/10.2190/DE.41.3.e
Cooper, R. J. (2013). Over-the-counter medicine abuse — a review of the literature. Journal of Substance Use, 18(2), 82–107. https://doi.org/10.3109/14659891.2011.615002
Creswell, J. W. (2009). Research design: Qualitative, quantitative, and mixed methods approaches (3rd ed.). Sage Publications, Inc.
Elemile, M. G., Bello, C. B., & Akinwale, O. D. (2023). Substance abuse among youths in nigeria: implication for community and national health. Research and Reviews: Journal of Forensic Nursing, 1(1), 1-15. https://www.academia.edu/download/110400600/SUBSTANCE_20ABUSE_20AMONG_20NIGERIAN_20YOUTHS_20-Formatted_20Paper.pdf
Fareo, D. O. (2012). Drug abuse among Nigerian adolescents strategies for counseling. The Journal of International Social Research, 5(20), 341–347. https://www.sosyalarastirmalar.com/articles/drug-abuse-among-nigerian-adolescents-strategies-for-counselling.pdf
Fingleton, N. A., Watson, M. C., Duncan, E. M., & Matheson, C. (2016). Non-prescription medicine misuse, abuse and dependence: A cross-sectional survey of the UK general population. Journal of Public Health, 38(4), 722–730. https://doi.org/10.1093/pubmed/fdx085
Flory, K., Payne, R. A., & Benson, K. (2014). Misuse of prescription stimulant medication among college students: Summary of the research literature and clinical recommendations. Clinical Review, 21(12). https://www.mdedge.com/jcomjournal/article/146969/mental-health/misuse-prescription-stimulant-medication-among-college
Franke, A. G., Bonertz, C., Christmann, M., Huss, M., Fellgiebel, A., Hildt, E., & Lieb, K. (2011). Non-medical use of prescription stimulants and illicit use of stimulants for cognitive enhancement in pupils and students in Germany. Pharmacopsychiatry, 44(02), 60–66. https://doi.org/10.1055/s-0030-1268417
Geurts, S. M., Koning, I. M., Vossen, H. G. M., & Van Den Eijnden, R. J. J. M. (2022). Rules, role models or overall climate at home? Relative associations of different family aspects with adolescents’ problematic social media use. Comprehensive Psychiatry, 116, Article 152318. https://doi.org/10.1016/j.comppsych.2022.152318
Hannon, E., Anselimus, S. M., Bardikoff, N., Bulc, B., Germann, S., Gonsalves, P. P., Melendez-Torres, G. J., Ospina-Pinillos, L., Sinha, M., & Wanjiru, M. (2024). Why cities matter for adolescent mental health and wellbeing. The Lancet, 403(10428), 708–710. https://doi.org/10.1016/S0140-6736(23)02238-9
Hovland, C. I., Janis, I. L., & Kelley, H. H. (1953). Communication and persuasion. Yale University Press.
Josephine, M. T., Andrew, C. T., & Stephen, M. K. (2019). Investigation of the socio-economic factors that influences deviant behaviour among the youth: a case study of Madonsi Village, South Africa. Gender and Behaviour, 17(1), 12630–12648 https://www.proquest.com/scholarly-journals/investigation-socio-economic-factors-that/docview/2323348833/se-2?accountid=36534
Khalifah, W., Abu-Yusef, M., Abed-Elhadi, A., Barq, A., Yassen, M., Hanani, A., Abu Hassan, A., Abuawad, M., & Damiri, B. (2023). Exams-related stress and the pattern of substance use and misuse among Palestinian medical and health sciences students. Discover Psychology, 3(1), Article 36. https://doi.org/10.1007/s44202-023-00098-y
Kehinde, O. O., & Ogunnowo, B. E. (2013). The pattern of antibiotic use in an urban slum in Lagos State, Nigeria. West African Journal of Pharmacy, 24(1), 49–57. https://www.academia.edu/download/45293780/Pattern_of_antibiotic_use_published_2013.pdf
Kuntsche, S., & Kuntsche, E. (2016). Parent-based interventions for preventing or reducing adolescent substance use — A systematic literature review. Clinical Psychology Review, 45, 89–101 https://doi.org/10.1016/j.cpr.2016.02.004
Lee, J., Jeong, S., Ko, G., Park, H. and Ko, Y. (2016). Development of a food safety and nutrition education program for adolescents by applying Social Cognitive Theory. Osong Public Health and Research Perspectives, 7(4), 248–260. https://doi.org/10.1016/j.phrp.2016.05.005
Ogbodu, O. M., Adekola, P. A., Thupayagale-Tshweneagae, G., & Onisuru, O. O. (2023). Perceived Associated Factors with medication misuse by undergraduate students during examination periods: A qualitative study. African Journal of Drug and Alcohol Studies, 22(1), 22–45. https://www.ajol.info/index.php/ajdas/article/view/272119
Oliha, J.A. (2014). Adolescent and drug abuse in tertiary institution implication for counselling. British Journal of Education, 2(1), 1–9. https://www.academia.edu/download/45964189/Adolescent-and-Drug-Abuse-in-Tertiary-Institution-Implication-for-Counselling.pdf
Olapegba, P. O., Onigbogi, S. O., & Uye, E. E. (2021). Academic stress and personality traits as predictors of substance use among adolescents in secondary schools in Osun State, Nigeria. The Nigerian Journal of Economic and Social Studies, 63(1), 85–104. http://surl.li/klvfga
Omolola, O., Goodluck, L., & Taye, B., Samuel Oloruntobi. (2021). Substance abuse and addiction among undergraduates in Nigerian private universities; communicating behavioural change for sustainable human development. Asian Research Journal of Arts & Social Sciences, 13(1), 11–26. https://doi.org/10.9734/arjass/2021/v13i130203
Onuoha, U. D., & Subair, M. O. (2013). Study habits of undergraduate students in selected Federal Universities in South-West Nigeria. Educational Research, 4(10), 717–721. https://www.interesjournals.org/articles/study-habits-of-undergraduate-students-in-selectedfederal-universities-in-southwest-nigeria.pdf
Oreagba, I. A., Ogunleye, O. J., & Olayemi, S. O. (2011). The knowledge, perceptions and practice of pharmacovigilance amongst community pharmacists in Lagos state, southwest Nigeria. Pharmacoepidemiology and Drug Safety, 20(1), 30–35. https://doi.org/10.1002/pds.2021
Orayj, K., Alshahrani, S. M., Alqahtani, A. M., Alasmari, N., Atef, A. A. A., Jrais, H. S., & Muslot, D. (2021). The use of over-the-counter (OTC) medications by university students during examinations in Saudi Arabia: A cross-sectional study. Risk Management and Healthcare Policy, 14, 2675–2682. https://doi.org/10.2147/RMHP.S312559
Osemene, K. P., & Lamikanra, A. (2012). A study of the prevalence of self-medication practice among university students in South-Western Nigeria. Tropical Journal of Pharmaceutical Research, 1(4), 683–689. https://doi.org/10.4314/tjpr.v11i4.21
Parahoo, K. 2006. Nursing research: Principles, process and issues (2nd ed.). New York: Palgrave Macmillan.
Salmanzadeh, H., Mohammad Ahmadi-Soleimani, S., Pachenari, N., Azadi, M., Halliwell, R.F., Rubino, T., & Azizi, H. (2020). Adolescent drug exposure: A review of evidence for the development of persistent changes in brain function. Brain Research Bulletin, 156, 105–117. https://doi.org/10.1016/j.brainresbull.2020.01.007
Sharif, S., Guirguis, A., Fergus, S., & Schifano, F. (2021). The use and impact of cognitive enhancers among university students: A systematic review. Brain Sciences, 11(3), Article 355. https://doi.org/10.3390/brainsci11030355
Sujan, Md. S. H., Tasnim, R., Hossain, S., Sikder, Md. T., & Hasan, M. T. (2023). Impact of drug abuse on academic performance and physical health: A cross-sectional comparative study among university students in Bangladesh. Journal of Public Health, 31(1), 65–71. https://doi.org/10.1007/s10389-020-01428-3
Tavolacci, M. P., Ladner, J., Grigioni, S., Richard, L., Villet, H., & Dechelotte, P. (2013). Prevalence and association of perceived stress, substance use and behavioral addictions: A cross-sectional study among university students in France, 2009–2011. BMC Public Health, 13(1), Article 724. https://doi.org/10.1186/1471-2458-13-724
Zimba, W. (2022). Reflecting on health promotion campaigns: Key lessons from persuasive communication theories for responding to COVID-19. Journal of Research in Humanities and Social Sciences 10(3), 13–19. https://www.academia.edu/download/81910737/C10031319.pdf
Zuhri, M. N. (2022). Cognitive psychology development in early adolescence. Journal of Education on Social Issues, 2(1), 44–51. https://doi.org/10.26623/jesi.v2i1.40
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 author

This work is licensed under a Creative Commons Attribution 4.0 International License.
