scholarly journals Developing a Smartphone-Based Adjunct Intervention to Reduce Cannabis Use Among Juvenile Justice-Involved Adolescents: A Multiphase Study Protocol (Preprint)

10.2196/35402 ◽  
2021 ◽  
Author(s):  
Sarah Ashley Helseth ◽  
John Guigayoma ◽  
Dayna Price ◽  
Anthony Spirito ◽  
Melissa A Clark ◽  
...  
2016 ◽  
Vol 5 (3) ◽  
pp. e177 ◽  
Author(s):  
Inge Simons ◽  
Eva Mulder ◽  
Henk Rigter ◽  
René Breuk ◽  
Wander van der Vaart ◽  
...  

2021 ◽  
Author(s):  
Sarah Ashley Helseth ◽  
John Guigayoma ◽  
Dayna Price ◽  
Anthony Spirito ◽  
Melissa A Clark ◽  
...  

BACKGROUND Adolescents involved in the juvenile justice system who use cannabis are at an increased risk for future substance use disorders and rearrest. Many court-involved, non-incarcerated (CINI) youth are referred for services in the community and often encounter multiple barriers to care, highlighting a need for minimally burdensome services that can be delivered in justice settings. Digital health interventions are accessible, easy to implement, and can provide ongoing support, but have not been developed to address the unique needs of CINI youth who use cannabis. OBJECTIVE This multiphase study will develop, implement, and pilot test a novel smartphone app, Teen Empowerment through Computerized Health (TECH), to reduce cannabis and other substance use among CINI youth. TECH is conceptualized as a digital adjunct to a brief computerized intervention delivered by our family court partner. METHODS Following the principles of user-centered design, Phase I interviews with CINI youth ages 14-18 (n = 14-18), their caregivers (n = 6-8), and behavioral health app developers (n = 6-8) will guide TECH design decisions. Next, in Phase II CINI youth (n = 10) will beta test the TECH app prototype for 1 month; their feedback regarding feasibility and acceptability will directly inform the app refinement process. Finally, in Phase III CINI youth (n = 60) will participate in a pilot randomized control trial for 6 months comparing the preliminary effectiveness of the adjunctive TECH app on cannabis use outcomes. RESULTS Phase I data collection began in September 2020 and was completed in December 2021; 14 CINI youth, 8 caregivers, and 11 behavioral health app developers participated. Phases II and III will take place in 2022-2023 and 2023-2025, respectively. CONCLUSIONS This body of work will provide insight into the feasibility and acceptability of a smartphone-based adjunctive intervention designed for CINI youth. Phase III results will offer preliminary indication of the effectiveness of the TECH app in reducing cannabis use among CINI youth. CLINICALTRIAL We completed Phase I of this 3-phase research study in December 2021. The pilot RCT (Phase III of the research) is scheduled to launch in Summer 2023 and will be submitted for registration the clinicaltrials.gov website within 21 days of enrolling the first Phase III participant.


Author(s):  
Wayne Hall ◽  
Rosalie Liccardo Pacula
Keyword(s):  

2001 ◽  
Vol 60 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Holger Schmid

Cannabis use does not show homogeneous patterns in a country. In particular, urbanization appears to influence prevalence rates, with higher rates in urban areas. A hierarchical linear model (HLM) was employed to analyze these structural influences on individuals in Switzerland. Data for this analysis were taken from the Switzerland survey of Health Behavior in School-Aged Children (HBSC) Study, the most recent survey to assess drug use in a nationally representative sample of 3473 15-year-olds. A total of 1487 male and 1620 female students indicated their cannabis use and their attributions of drug use to friends. As second level variables we included address density in the 26 Swiss Cantons as an indicator of urbanization and officially recorded offences of cannabis use in the Cantons as an indicator of repressive policy. Attribution of drug use to friends is highly correlated with cannabis use. The correlation is even more pronounced in urban Cantons. However, no association between recorded offences and cannabis use was found. The results suggest that structural variables influence individuals. Living in an urban area effects the attribution of drug use to friends. On the other hand repressive policy does not affect individual use.


VASA ◽  
2010 ◽  
Vol 39 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Grotenhermen

Background: To investigate the hypothesis that cases of arteritis similar to thromboangiitis obliterans (TAO) and associated with the use of cannabis were caused by cannabis or THC (dronabinol), or that cannabis use is a co-factor of TAO. Patients and methods: A systematic review on case reports and the literature on so-called cannabis arteritis, TAO, and cardiovascular effects of cannabinoids was conducted. Results: Fifteen reports with 57 cases of an arteritis associated with the use of cannabis and two additional case series of TAO, in which some patients also used cannabis, were identified. Clinical and pathological features of cannabis-associated arteritis do not differ from TAO and the major risk factor of TAO, tobacco use, was present in most, if not in all of these cases. The proposed pathophysiological mechanisms for the development of an arteritis by cannabis use are not substantiated. Conclusions: The hypothesis of cannabis being a causative factor or co-factor of TAO or an arteritis similar to TAO is not supported by the available evidence. The use of the term “cannabis arteritis” should be avoided until or unless more convincing scientific support is forthcoming.


1988 ◽  
Vol 43 (1) ◽  
pp. 65-69 ◽  
Author(s):  
Edward P. Mulvey ◽  
Phillip Phelps

Sign in / Sign up

Export Citation Format

Share Document