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？我的博士使用了多种研究方法（系统回顾、调查和个人访谈）来了解使用烟草和大麻的年轻人如何理解他们的体验，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。在这项研究中，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做什么；采用合作生产的方式。在奖学金结束时，我将制作一个“路线图”，显示从a到B所需的步骤，即；从我基于博士研究结果的想法，到一套充分开发的基于证据的共同生产资源：“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，帮助他们在使用药物方面做出更安全的选择，并减少他们可能遭受的伤害。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，但仅凭我的想法是不够的，我需要分享它们以确保我采取了正确的方法。我的建议是什么？在我的博士研究中，我用调查和访谈的方式问了很多年轻人的问题。然而，我没有机会回到那些参与其中的人，也没有机会回到他们就读的大学，对他们说“谢谢你们——这是我从你们那里学到的”。但我不只是想让人们听我的——我想听听他们对我的发现有什么看法，什么让他们感到惊讶或没有意义，他们已经尝试过什么来帮助他们减少药物的使用，他们喜欢或不喜欢什么。我将为员工和学生举办两次“知识交流”研讨会——第一次是初步的想法，第二次是在我收集了信息和资源之后，这将有助于我计划下一步。我也想把我的研究结果写下来给其他研究人员看，并在会议上展示我的发现，听听其他研究人员的想法，了解类似的研究。我想参观另一个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，也许可以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；两者都对我们的身心健康构成威胁。青年期是指人们通常从偶尔使用转向更经常或依赖，从而有害使用的年龄，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，我们知道吸烟非常有害，大麻的使用会给一些人带来真正的困难，但对大麻潜在危害的理解却大相径庭。虽然烟草和大麻经常一起使用（在英国，大多数使用大麻的人将其与烟草一起使用），但吸烟和大麻服务往往只解决一个问题。年轻人可能不会从旨在解决药物使用问题的现有服务中寻求支持，因此我们需要寻找新的方式、途径和场所来提供帮助。有问题的药物使用通常伴随着心理健康等其他问题，我的博士研究结果也表明，你是谁——你的种族、性别、学术成就和你住在哪里——可能会对你的药物使用产生多大影响。在考虑如何帮助年轻人时，我们需要更好地了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，我可以为工具包的特定元素提出建议。这可能是一个教师可以使用的教学包；或者是一个帮助人们减少药物使用的手机应用程序。没有一种单一的干预是万能的——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