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向专家提问:社区参与工作室为癌症症状管理中大麻使用的研究提供信息。

Ask the experts: Community Engagement studios to inform research on cannabis use in cancer symptom management.

作者信息

Greene Brittney, Mckenzie Grace, Gibbons Keenan, Meghani Salimah H, Worster Brooke, Ashare Rebecca L

机构信息

Department of Psychology at the State University of New York, University at Buffalo, Buffalo, NY, USA.

Clinical and Translational Science Institute, Jacob's School of Medicine, State University of New York, University at Buffalo, Buffalo, NY, USA.

出版信息

J Clin Transl Sci. 2025 Jan 30;9(1):e47. doi: 10.1017/cts.2025.10. eCollection 2025.

Abstract

AIM

Despite one-third of patients with cancer using cannabis for symptom management, little is known about their access to and usage of cannabis. Community Engagement (CE) studios involving community experts with chronic health conditions were used to inform a qualitative study on access to and use of cannabis products among patients with cancer.

METHOD

We conducted two 2-hour CE studios with residents from Western NY (WNY) ( = 18). Our sample primarily included White and Black residents (56% vs. 39%). After a researcher-led 10-minute presentation, a community facilitator led the discussion, which focused on questions about challenges to cannabis use, recommendations for providers when discussing cannabis with patients, and community factors influencing use.

RESULTS

Community experts reported that state legalization of cannabis made it easier to access cannabis, but the costs of cannabis and distance to dispensaries hindered their ability to obtain it. Discrimination was also a key barrier to medical cannabis receipt. There were differences in the perceived safety of where to obtain cannabis (dispensaries vs. friends). Community experts wanted providers to be more informed and less biased about recommending cannabis. Community experts recommended conducting focus groups for the subsequent study to ask questions about cannabis use.

CONCLUSION

The CE studios encouraged us to switch formats from qualitative interviews to focus groups and provided guidance on question topics for the subsequent study. Incorporating community expert's feedback through CE studios is an effective strategy to design more impactful studies.

摘要

目的

尽管三分之一的癌症患者使用大麻来管理症状,但对于他们获取和使用大麻的情况却知之甚少。涉及患有慢性健康状况的社区专家的社区参与(CE)工作室被用于为一项关于癌症患者获取和使用大麻产品的定性研究提供信息。

方法

我们与来自纽约西部(WNY)的居民(=18)进行了两个时长为2小时的CE工作室活动。我们的样本主要包括白人和黑人居民(分别为56%和39%)。在研究人员进行10分钟的介绍之后,一名社区协调员主持了讨论,讨论聚焦于以下问题:使用大麻面临的挑战、与患者讨论大麻时对医疗服务提供者的建议以及影响使用的社区因素。

结果

社区专家报告称,大麻在该州合法化使得获取大麻变得更容易,但大麻的成本和到药房的距离阻碍了他们获取大麻的能力。歧视也是获得医用大麻的一个关键障碍。在获取大麻地点(药房与朋友处)的感知安全性方面存在差异。社区专家希望医疗服务提供者在推荐大麻时能了解更多信息且减少偏见。社区专家建议在后续研究中开展焦点小组讨论以询问有关大麻使用的问题。

结论

CE工作室促使我们将形式从定性访谈转变为焦点小组讨论,并为后续研究的问题主题提供了指导。通过CE工作室纳入社区专家的反馈是设计更具影响力研究的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/615e/11975768/503f01f9fd9e/S205986612500010X_fig1.jpg

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