A roadmap to a toolkit: exploring intervention opportunities for tobacco and cannabis co-use in the Further Education sector

该奖学金旨在构建一个共同使用工具包的路线图--这意味着什么？我的博士使用了各种研究方法(系统回顾、调查和个人访谈)来了解吸食烟草和大麻的年轻人如何理解他们各自的经历，以及他们如何做出减少或停止吸烟的选择。我了解到，很少有人使用任何支持。在这个团契中，我将把这些发现直接带回给年轻人和其他研究人员，开始讨论下一步应该采取什么措施；使用联合制作的方法。在奖学金结束时，我将制定一份“路线图”，显示从A到B所需的步骤，也就是从我基于我的博士发现的想法到一套充分发展的、基于证据的、共同制作的资源：A“烟草和大麻共同使用工具包”。年轻人和与年轻人一起工作的人可以使用这个工具包，以帮助做出关于物质使用的更安全的选择，并减少他们可能遇到的伤害。根据我论文中的研究结果，我已经对这个工具包中的内容有了一些想法，但仅有我的想法是不够的，我需要分享它们，以确保我采取的是正确的方法。我的建议是什么？在我的博士研究中，我通过调查和访谈向年轻人提出了很多问题。然而，我没有机会回到那些参与其中的人那里，也没有机会回到他们所在的大学，对他们说‘谢谢你们--这是我从你们所有人那里学到的东西’。但我不想让人们只听我说--我想听听他们对我的发现的看法，什么让他们惊讶或没有意义，他们已经试图帮助他们减少药物使用，他们做了什么或不喜欢什么。我将为员工和学生举办两个“知识交流”研讨会--第一个是初步的想法，第二个是在我收集了信息和资源之后，这将帮助我计划下一步的行动。我还想为其他研究人员写下我的研究结果，并在会议上展示我的发现，听取其他研究人员的想法，并了解类似的研究。我想参观另一家做过类似工作的研究机构，亲眼看看他们是如何开始设计支持来帮助共同用户的，也许还会使用他们的一些材料--我不想重新发明轮子。为什么这很重要？在年轻人可能使用的所有物质中，烟草和大麻是最常见的两种；这两种物质都会对我们的身心健康构成风险。青壮年意味着人们通常会从偶尔使用转向更频繁或更依赖的使用，因此这是提供帮助和支持以做出更安全的选择和改变使用模式的关键时期。例如，我们知道吸烟是非常有害的，吸食大麻会给一些人带来真正的困难，但对大麻潜在危害的理解差异很大。尽管烟草和大麻经常一起使用(在英国，大多数吸食大麻的人将其与烟草一起使用)，但吸烟和大麻服务往往只针对一种。年轻人可能不会从现有的旨在解决物质使用问题的服务中寻求支持，所以我们需要找到新的方式、途径和地点来提供帮助。有问题的物质使用往往伴随着心理健康等其他问题，我的博士发现还表明，你是谁--你的种族、性取向、学业成就和居住地--可能会在多大程度上影响你的物质使用。在思考如何帮助年轻人时，我们需要更好地理解如何考虑所有这些因素。通过与年轻人和其他研究人员的对话，我可以就工具包的具体要素提出建议。这可能是教师可以使用的课程教学包，也可能是帮助人们减少物质使用的手机应用程序。没有一种干预措施适用于所有人--这就是为什么我们

This fellowship aims to build a roadmap to a co-use toolkit - what does this mean? My PhD used a variety of research methods (systematic review, survey and individual interviews) to understand how young adults who use tobacco and cannabis understood their experiences of each, and how they made choices about reducing or stopping them. I learned that few used any support. In this fellowship, I will take these findings back to the young adults directly and to other researchers, to start a conversation about what the next steps should be; using co-production methods. By the end of the fellowship, I will produce a 'roadmap', showing the steps required to get from A to B, that is; from my ideas based on my PhD findings to a fully developed set of evidence based, co-produced resources: a 'tobacco and cannabis co-use toolkit'. This toolkit could be accessed by young adults, and people who work with young adults, to help make safer choices about substance use, and to reduce the harms they might experience. I already have some ideas about what might be in this toolkit based on the findings of the studies in my thesis, but my ideas alone aren't enough, I need to share them to make sure I'm taking the right approach. What am I proposing? In my PhD research, I asked a lot of questions of young adults, using a survey and interviews. However, I didn't get the chance to go back to those who were involved, nor to the colleges where they studied, to say 'thank you - this is what I learned from you all'. But I don't want to just get people to listen to me - I want to hear what they think about what I've found out, what surprises them or doesn't make sense, and what they have already tried to help them reduce their substance use, and what they did or didn't like. I will deliver two 'knowledge exchange' workshops to staff and students- a first with initial ideas, the second after I've gathered information and resources, which will help me to plan the next steps. I also want to write up my results for other researchers, and present my findings at conferences, to hear what other researchers think and to learn about similar studies. I'd like to visit another research institute that has done similar work to see first hand how they start designing support to help co-users, and maybe use some of their materials - I don't want to reinvent the wheel. Why is this important?Amongst all the substances young adults might use, tobacco and cannabis are two of the most common; bothpose risk to our physical and mental health. Young adulthood represents the age when people typically move from occasional use to more regular or dependent and therefore harmful use, so it is a key time to offer help and support to make safer choices and change use patterns. For example, we know that tobacco smoking is very harmful, and that cannabis use can create real difficulties for some people, but that understanding of the potential harms of cannabis vary widely.Although tobacco and cannabis are very often used together (most people who use cannabis in the UK use it with tobacco) smoking and cannabis services tend to address only one. Young adults might not seek support from existing services designed to address substance use, so we need to find new ways, routes and places to offer help. Problematic use of substances often sits alongside other problems like mental health, , and my PhD findings also showed how much who you are - your ethnicity, sexuality, academic achievement and where you live - might influence your substance use. When thinking about how to help young adults, we need to better understand how to consider all of these factors.Using my conversations with young adults and other researchers, I can develop proposals for specific elements of the toolkit. This might be a teaching pack for a lesson teachers can use; or a mobile phone app which helps someone reduce their substance use. There is no single intervention which fits all - this is why we