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

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个州和哥伦比亚特区的扩大地图，并具有合法的医用大麻Reflems Ann 成人的法律用途增加正在改变 青年和成人都对大麻使用的伤害有所减少。 大麻越来越积极，许多州的大麻使用率上升的速度是 在这种情况下，大麻已经合法化了 越来越多的difficalt以及更需要更加紧迫的更需要更加紧迫的。 父母是医用大麻（MM）的合法使用者，可能会为其后代带来额外的风险 支撑阶段的1A/1B治疗发展发展研究涉及制定的混合方法 大麻动作和实践（CAP）干预是一种以父级为中心的互动 用户解决青少年的使用。 为了告知干预措施交付的结构，内容和上下文，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 为了获取有关二级处置性传播的可行性的信息。 将进行帽的帽子，并随机分配给CAP（n = 30）或延迟的帽列表，将进行60毫米的父母 （WL）条件（n = 30）。 基线。 次要结果将包括育儿行为，例如青年接触大麻，传播 劝阻青少年大麻的使用，并设定期望。 与WL条件相比，随着更多的积极到序列结果。 变化的目标，包括大麻危害的父母完美，父母监测，父母的变化 能力感和父行为意图。 包括父母和青年报告和生物尿液测定。 CAP是一种新颖的理论，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。