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

大麻行动和实践 (CAP) 的发展：以家长为中心的干预措施，解决青少年大麻使用问题

• 批准号: 10057761
• 负责人: Holly Barrett Waldron
• 金额: $ 35.69万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-15 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10057761
• 关键词: Abstinence; Address; Adolescence; Adolescent; Adolescent marijuana use; Adult; Advertising; Affect; Alcohols; Area; Attitude; Awareness; Behavioral; Biological; Biological Assay; Cannabis; Child; Child Rearing; Communication; Communities; Competence; Data Collection; Development; District of Columbia; Drug Addiction; Drug usage; Early Intervention; Education; Effectiveness; Environment; Evaluation; Evidence based treatment; Exposure to; Family; Feedback; Focus Groups; Goals; Health; Home environment; Human Resources; Income; Intervention; Legal; Link; Manuals; Maps; Marijuana; Medical Marijuana; Memory; Methods; Modeling; Outcome; Parents; Pathway interactions; Patients; Perception; Phase; Policies; Prevention; Problem Solving; Publishing; Randomized; Reporting; Research; Resources; Risk; Rural Community; Services; Societies; Source; Structure; Surveys; Teenagers; Testing; Tobacco; Urine; Visual; Waiting Lists; Youth; age group; base; clinical practice; cognitive function; cost; cost effective; design; effective intervention; expectation; improved; innovation; intervention cost; intervention program; knowledge base; marijuana legalization; marijuana use; marijuana user; novel; offspring; parental monitoring; post intervention; prevent; primary outcome; reduce marijuana use; research and development; risk perception; secondary outcome; skill acquisition; skills; success; theories; therapy design; therapy development; tool; Abstinence; Address; Adolescence; Adolescent; Adolescent marijuana use; Adult; Advertising; Affect; Alcohols; Area; Attitude; Awareness; Behavioral; Biological; Biological Assay; Cannabis; Child; Child Rearing; Communication; Communities; Competence; Data Collection; Development; District of Columbia; Drug Addiction; Drug usage; Early Intervention; Education; Effectiveness; Environment; Evaluation; Evidence based treatment; Exposure to; Family; Feedback; Focus Groups; Goals; Health; Home environment; Human Resources; Income; Intervention; Legal; Link; Manuals; Maps; Marijuana; Medical Marijuana; Memory; Methods; Modeling; Outcome; Parents; Pathway interactions; Patients; Perception; Phase; Policies; Prevention; Problem Solving; Publishing; Randomized; Reporting; Research; Resources; Risk; Rural Community; Services; Societies; Source; Structure; Surveys; Teenagers; Testing; Tobacco; Urine; Visual; Waiting Lists; Youth; age group; base; clinical practice; cognitive function; cost; cost effective; design; effective intervention; expectation; improved; innovation; intervention cost; intervention program; knowledge base; marijuana legalization; marijuana use; marijuana user; novel; offspring; parental monitoring; post intervention; prevent; primary outcome; reduce marijuana use; research and development; risk perception; secondary outcome; skill acquisition; skills; success; theories; therapy design; therapy development; tool

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.

33个州的扩大地图和哥伦比亚特区拥有合法的医用大麻的地图反映了 成人大麻使用的标准化增加。成年人的合法使用开始改变对风险的看法 青年和成人都对大麻使用有害的有害感有所减少。青少年态度 在许多州 大麻已合法化。在这种情况下，治疗青少年大麻的使用可能会变成 越来越困难，需要更加有效的干预策略。以下情况 父母是医用大麻（MM）的合法使用者，可能会给其后代带来额外的风险。 拟议的1A/1B阶段治疗开发研究将涉及一种混合方法来制定 大麻行动和实践（CAP）干预。 CAP是以父母为中心的干预措施，可帮助父母MM 用户解决青少年大麻的使用。该研究将分为两个阶段。在第一阶段，将有3个焦点小组 为了告知干预措施交付的结构，内容和内容，以获取反馈 目前是MM合法使用者的父母，从青少年那里获得反馈，以及药房人员 获取有关药房支持传播的可行性的信息。在第二阶段，试点评估 将进行CAP的，将60毫米的父母随机分配给CAP（n = 30）或延迟的帽列表 （WL）条件（n = 30）。父母及其青少年将在基线和3个月后进行评估 基线。主要结果将是青少年大麻的使用和对大麻有害性的看法。 次要结果将包括育儿行为，例如青年接触大麻，传播 阻止青少年大麻使用并设定期望。我们假设上限将是关联的 与WL条件相比，具有明显的正面到序列结果。我们还将检查密钥 变革的目标，包括父母对大麻有害的看法的变化，父母监测，父母 能力感和父母行为意图。多方法，多源数据收集将 包括父母和青年报告以及生物尿液测定。该研究旨在评估 CAP是一种新颖的理论引导，基于经验，简短的早期干预，用于帮助父母法律医学 大麻使用者支持大麻涉及大麻的青少年的戒酒。