Development of the Cannabis Actions and Practices (CAP): A Parent-Focused Intervention to Address Adolescent Marijuana Use

医用大麻合法化的33个州和哥伦比亚特区的地图不断扩大， 成人大麻使用的正常化程度提高。成年人的法律的使用开始改变人们对风险的看法， 青少年和成年人都一样，大麻使用的危害性的看法减少。青少年的态度 对大麻的态度越来越积极，大麻的使用率在许多州都在上升， 大麻已经合法化。在这种情况下，治疗青少年大麻使用可能会成为 越来越困难，更迫切需要更有效的干预战略。的上下文 父母是医用大麻（MM）的法律的使用者可能会给他们的后代带来额外的风险。的 拟议的1A/1B阶段治疗开发研究将涉及一种混合方法， 大麻行动和做法（CAP）。CAP是一种以父母为中心的干预措施， 用户解决青少年大麻使用。研究将分两个阶段进行。在第一阶段，3个焦点小组将 为干预措施的实施提供结构、内容和背景信息， 目前是MM法律的使用者的父母，以获得青少年和医务人员的反馈 获得有关药房支持传播的可行性的信息。在第二阶段， 的CAP将进行，与60 MM父母随机分配到CAP（n=30）或延迟CAP等待名单 (WL)条件（n=30）。父母和他们的青少年将在基线和3，6个月后进行评估 基线。主要结果将是青少年大麻使用和大麻危害性的看法。 次要结果将包括养育行为，如青少年接触大麻，通信 劝阻青少年使用大麻，并设定期望。我们假设CAP与 与WL条件相比，具有显著更积极的前后结果。我们还将研究关键 改变的目标，包括父母对大麻危害性的看法的变化，父母的监控，父母 能力感和父母行为意图。多方法、多来源的数据收集将 包括父母和青少年报告以及尿液生物分析。这项研究旨在评估 CAP，一种新的理论指导，以经验为基础，简短的早期干预，用于帮助父母法律的医疗 大麻使用者支持他们的青少年在吸食大麻时戒除大麻。

The expanding map of 33 states and the District of Columbia with legalized medical marijuana reflects an increased normalization of adult cannabis use. Legal use by adults is beginning to shift perceptions of risk among youth and adults alike, with perceptions of the harmfulness of marijuana use decreasing. Adolescent attitudes toward marijuana are becoming more positive and rates of marijuana use are rising in many states where cannabis has been legalized. Within this context, treating adolescent marijuana use is likely to become increasingly difficult and the need for more effective intervention strategies more urgent. The context in which parents are legal users of medical marijuana (MM) may pose an additional set of risks for their offspring. The proposed Stage 1A/1B treatment development research will involve a mixed-methods approach to formulating the Cannabis Actions and Practices (CAP) intervention. CAP is a parent-focused intervention to help parent MM users address adolescent marijuana use. The study will occur in two phases. In Phase I, 3 focus groups will be conducted to inform the structure, content, and context for the interventions’ delivery, to obtain feedback from parents who are currently legal users of MM, to obtain feedback from adolescents, and for dispensary personnel to obtain information about the feasibility of dispensary-supported dissemination. In Phase II, a pilot evaluation of CAP will be conducted, with 60 MM parents randomly assigned to CAP (n=30) or to a delayed CAP wait-list (WL) condition (n=30). Parents and their adolescents will be assessed at baseline and 3, and 6 months after baseline. Primary outcomes will be adolescent marijuana use and perceptions of marijuana harmfulness. Secondary outcomes will include parenting behaviors such as youth exposure to marijuana, communications discouraging adolescent marijuana use, and setting expectations. We hypothesize that CAP will be associated with significantly more positive pre-to-post outcomes, compared to the WL condition. We will also examine key targets of change, including changes in parent perceptions of marijuana harmfulness, parent monitoring, parent sense of competence, and parent behavioral intentions. The multi-method, multi-source data collection will include parent and youth report and biological urine assays. The study is designed to evaluate the promise of CAP, a novel theory-guided, empirically based, brief early intervention, for helping parent legal medical marijuana users support marijuana abstinence in their marijuana-involved adolescents.