We used the narrative vignette/storytelling approach to provide a holistic illustration of prescription stimulant misuse [PSM] and diversion [PSD] initiation and maintenance among college-attending emerging adults. We conducted 32 semi-structured, theory-guided interviews with 20 students during spring and summer 2019. The participants were diverse with respect to age, race/ethnicity and gender, and had a history of PSM and/or PSD. We created four narrative vignettes using a multi-step, collaborative process that incorporated patterns of what contributed to initiation and maintenance for four identified student groups (i.e., PSM with and without a prescription and PSD with and without a prescription). Characteristics of the individual, social and broader environments influenced behavior initiation, and positive reinforcement from trial behavior contributed to maintenance. Similarities and differences were identified across the groups. Approaches for PSM and PSD prevention and intervention in college-attending emerging adults should be multifaceted and consider prescription status.

我们使用叙事小插曲/讲故事的方法来提供处方兴奋剂滥用 [PSM] 和转移 [PSD] 在上大学的新兴成年人中启动和维持的整体说明。我们在 2019 年春季和夏季对 20 名学生进行了 32 次半结构化、理论指导的访谈。参与者的年龄、种族/民族和性别各不相同，并且有 PSM 和/或 PSD 的病史。我们使用多步骤、协作过程创建了四个叙事小插曲，其中结合了对四个确定的学生群体（即，有和没有处方的 PSM 和有和没有处方的 PSD）的启动和维护做出贡献的模式。个人、社会和更广泛环境的特征影响了行为的启动，试验行为的积极强化有助于维持。确定了各组之间的相似性和差异。对正在上大学的新兴成年人进行 PSM 和 PSD 预防和干预的方法应该是多方面的，并考虑处方状态。