Theses and Dissertations

Issuing Body

Mississippi State University


Buys, David R.

Committee Member

Evans, Marion W.

Committee Member

Seitz, Holli

Date of Degree


Original embargo terms


Document Type

Graduate Thesis - Open Access


Food Science, Nutrition, and Health Promotion

Degree Name

Master of Science


College of Agriculture and Life Sciences


Department of Food Science, Nutrition and Health Promotion


The state of Mississippi is undergoing a prescription opioid epidemic that mimics national trends in which prescribing rates are dropping, yet overdoses involving opioids remain high. In response to the state’s crisis, the PReventing Opioid Misuse In the SouthEast (PROMISE) Initiative was created to provide education for preventing the misuse of prescription opioids. A mail survey and post card intervention were distributed in six Appalachian counties in the state to gather the self-reported attitudes, norms, and perceived behavioral control of residents as it related to using a prescription drug take-box. Descriptive and multivariable analyses indicate the intervention did not increase intention to use prescription drug take-back boxes as a method of disposal. Lack of awareness and inconvenience remain common themes among individuals who chose not to use take-back boxes. Thus, researchers recommend future interventions incentivize prescription disposal.