Department of Psychiatry, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 16, Ann Arbor, MI 48109, USA; Injury Prevention Center, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 10, Ann Arbor, MI 48109, USA.
Injury Prevention Center, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 10, Ann Arbor, MI 48109, USA; Department of Emergency Medicine, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 10, Ann Arbor, MI 48109, USA; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA.
Addict Behav. 2023 Dec;147:107829. doi: 10.1016/j.addbeh.2023.107829. Epub 2023 Aug 11.
Interventions addressing cannabis use among emerging adults (ages 18-25) are currently needed to prevent negative outcomes. Emergency Department (ED) visits provide an opportunity to initiate interventions. In this pilot study, we created a brief intervention (BI), extended with private social media messaging for emerging adult ED patients who use cannabis regularly. Study aims were to examine intervention feasibility, acceptability, and descriptive outcomes.
We recruited and randomized N = 58 emerging adults (M age 21.5 years, 65.5% female) who used cannabis from an ED in-person and remotely after their ED visit (given COVID-19 restrictions). Participants randomized to the intervention (N = 30) received a Motivational Interviewing-based BI and 4 weeks of health coaching via private social media; control participants received a resource brochure and entertaining social media messaging. Follow-ups occurred at 1-month and 3-months.
Most intervention participants liked the BI (95.8%), found it helpful to discuss cannabis use in the BI (91.7%), and liked interacting with coaches on social media (86.3%). Social media content (e.g., video clips, images/still pictures/memes) were highly rated. Descriptively, the intervention group showed theory-consistent changes in importance of and intentions to change cannabis (increases vs. decrease/stability in control group), whereas findings for cannabis consumption/consequences were mixed.
This BI paired with social media messaging was acceptable in a sample of emerging adults from an ED who used cannabis regularly. Despite feasibility challenges due to COVID-19, this intervention warrants future investigation with a larger sample and longer follow-up period, with attention to the changing cannabis landscape when measuring outcomes.
目前需要针对 18-25 岁的青年开展干预措施，以防止出现负面后果。急诊部就诊为干预提供了机会。在这项试点研究中，我们为经常使用大麻的青年急诊患者创建了一个简短的干预措施（BI），并通过私人社交媒体消息进行了扩展。研究目的是检验干预的可行性、可接受性和描述性结果。
我们招募并随机选择了 58 名（N=58）在急诊就诊的青年（M 年龄 21.5 岁，65.5%为女性），他们通过急诊现场和远程方式（由于 COVID-19 限制）参与研究。随机分配到干预组的参与者（N=30）接受基于动机访谈的 BI，并在 4 周内通过私人社交媒体获得健康辅导；对照组参与者收到资源手册和有趣的社交媒体消息。随访时间为 1 个月和 3 个月。
大多数干预组参与者喜欢 BI（95.8%），认为 BI 有助于讨论大麻使用问题（91.7%），并喜欢在社交媒体上与教练互动（86.3%）。社交媒体内容（例如，视频剪辑、图像/静态图片/模因）得到了高度评价。描述性地，干预组在大麻的重要性和改变意图方面表现出与理论一致的变化（与对照组相比增加），而大麻消费/后果的发现则存在差异。
在一个经常使用大麻的青年急诊患者样本中，这种 BI 与社交媒体消息相结合是可以接受的。尽管由于 COVID-19 存在可行性挑战，但该干预措施值得在更大的样本和更长的随访期内进行进一步研究，同时在测量结果时应注意不断变化的大麻环境。
