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

A remote brief intervention plus social media messaging for cannabis use among emerging adults: A pilot randomized controlled trial in emergency department patients.
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针对新兴成年人使用大麻的远程简短干预加上社交媒体消息传递:针对急诊科患者的试点随机对照试验。

DOI:
10.1016/j.addbeh.2023.107829
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发表时间:
2023
影响因子:
4.4
通讯作者:
Walton,MaureenA
Walton,MaureenA
中科院分区:
医学2区
文献类型:
--
作者:
Bonar,ErinE;Goldstick,JasonE;Tan,ChiuYi;Bourque,Carrie;Carter,PatrickM;Duval,ElizabethR;McAfee,Jenna;Walton,MaureenA

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IntroductionInterventions 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.MethodsWe recruited and randomizedN= 58 emerging adults (Mage 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.ResultsMost 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.ConclusionsThis 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.