A remote brief intervention plus social media messaging for cannabis use among emerging adults : A pilot randomized controlled trial in emergency department patients

Copyright © 2023 Elsevier Ltd. All rights reserved..

INTRODUCTION: Interventions addressing cannabis use among emerging adults (ages 18-25) are currently needed to prevent negative outcomes. Emergency Department (ED) visits provide an opportunity to initiate interventions. In this pilot study, we created a brief intervention (BI), extended with private social media messaging for emerging adult ED patients who use cannabis regularly. Study aims were to examine intervention feasibility, acceptability, and descriptive outcomes.

METHODS: We recruited and randomized N = 58 emerging adults (M age 21.5 years, 65.5% female) who used cannabis from an ED in-person and remotely after their ED visit (given COVID-19 restrictions). Participants randomized to the intervention (N = 30) received a Motivational Interviewing-based BI and 4 weeks of health coaching via private social media; control participants received a resource brochure and entertaining social media messaging. Follow-ups occurred at 1-month and 3-months.

RESULTS: Most intervention participants liked the BI (95.8%), found it helpful to discuss cannabis use in the BI (91.7%), and liked interacting with coaches on social media (86.3%). Social media content (e.g., video clips, images/still pictures/memes) were highly rated. Descriptively, the intervention group showed theory-consistent changes in importance of and intentions to change cannabis (increases vs. decrease/stability in control group), whereas findings for cannabis consumption/consequences were mixed.

CONCLUSIONS: This BI paired with social media messaging was acceptable in a sample of emerging adults from an ED who used cannabis regularly. Despite feasibility challenges due to COVID-19, this intervention warrants future investigation with a larger sample and longer follow-up period, with attention to the changing cannabis landscape when measuring outcomes.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:147

Enthalten in:

Addictive behaviors - 147(2023) vom: 15. Dez., Seite 107829

Sprache:

Englisch

Beteiligte Personen:

Bonar, Erin E [VerfasserIn]
Goldstick, Jason E [VerfasserIn]
Tan, Chiu Yi [VerfasserIn]
Bourque, Carrie [VerfasserIn]
Carter, Patrick M [VerfasserIn]
Duval, Elizabeth R [VerfasserIn]
McAfee, Jenna [VerfasserIn]
Walton, Maureen A [VerfasserIn]

Links:

Volltext

Themen:

Hallucinogens
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 08.09.2023

Date Revised 09.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.addbeh.2023.107829

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360974031