de Gee Elisabeth A, Verdurmen Jacqueline E E, Bransen Els, de Jonge Jannet M, Schippers Gerard M
Trimbos Institute, Postbus 725, 3500 AS Utrecht, The Netherlands.
Trimbos Institute, Postbus 725, 3500 AS Utrecht, The Netherlands.
J Subst Abuse Treat. 2014 Sep;47(3):181-8. doi: 10.1016/j.jsat.2014.05.001. Epub 2014 May 17.
Evidence for negative effects of early-onset cannabis use has led to a need for effective interventions targeting adolescent cannabis users. A randomized controlled trial of an Australian two-session intervention based on motivational interviewing (the ACCU, or Weed-Check in Dutch) was replicated in a larger Dutch sample of 119 non-treatment-seeking adolescent cannabis users. Outcome measures at the 3-month follow-up were quantity and frequency of cannabis use, symptoms of dependence, stage of change, and psychosocial functioning. Changes in all measures were in the expected direction, yet not significant. In moderation analyses, heavier cannabis users at baseline receiving the Weed-Check had greater reductions in cannabis use than those in the control condition. These results suggest that the Weed-Check might be beneficial for heavier cannabis-using adolescents. Further research is needed to confirm these results in a sample of adolescent heavy cannabis users and to examine the relationship between MI skills of prevention workers and outcome.
早期使用大麻产生负面影响的证据表明，需要针对青少年大麻使用者采取有效的干预措施。一项基于动机访谈的澳大利亚两阶段干预措施（ACCU，荷兰语为Weed-Check）的随机对照试验，在一个由119名未寻求治疗的青少年大麻使用者组成的更大荷兰样本中进行了复制。3个月随访时的结果指标包括大麻使用量和频率、依赖症状、改变阶段以及心理社会功能。所有指标的变化都在预期方向，但不显著。在调节分析中，基线时使用大麻较多且接受Weed-Check干预的青少年，其大麻使用量的减少幅度大于对照组。这些结果表明，Weed-Check可能对使用大麻较多的青少年有益。需要进一步研究以在青少年重度大麻使用者样本中证实这些结果，并研究预防工作人员的动机访谈技能与结果之间的关系。
