Development of Mobile Contingency Management for Cannabis Use Reduction

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy Pub Date : 2024-01-01 DOI:10.1016/j.beth.2023.03.004

Jean C. Beckham, Patrick S. Calhoun, Zhengxi Chen, Michelle F. Dennis, Angela C. Kirby, Emili T. Treis, Jeffrey S. Hertzberg, Lauren P. Hair, Adam J. Mann, Alan J. Budney, Nathan A. Kimbrel

{"title":"Development of Mobile Contingency Management for Cannabis Use Reduction","authors":"Jean C. Beckham, Patrick S. Calhoun, Zhengxi Chen, Michelle F. Dennis, Angela C. Kirby, Emili T. Treis, Jeffrey S. Hertzberg, Lauren P. Hair, Adam J. Mann, Alan J. Budney, Nathan A. Kimbrel","doi":"10.1016/j.beth.2023.03.004","DOIUrl":null,"url":null,"abstract":"<div>Many interventions for cannabis use disorder (CUD) are associated with decreases in frequency and quantity of use but fail to increase overall rates of sustained abstinence. It is currently unknown whether reductions in use (in the absence of sustained abstinence) result in clinically significant improvements in functioning. The objective of this study was to refine a mobile contingency management approach to reduce cannabis use to ultimately evaluate whether reductions in frequency and quantity of cannabis are related to improvements in functional and mental health status. Three cohorts of participants (n = 18 total, n = 10 women) were enrolled and completed 2 weeks of ecological momentary assessment (EMA) during a baseline ad lib cannabis use period, followed by a 6-week reduction period. Participants completed EMA assessments multiple times per day and were prompted to provide videotaped saliva cannabis testing 2–3 times daily. Data from participants who were at least 80% adherent to all EMA prompts were analyzed (13 out of 18). During the ad lib phase, participants were using cannabis on 94% of the days and reported using a mean of 1.42 grams daily. The intervention was a mobile application that participants used to record cannabis use by saliva tests to bioverify abstinence and participants completed electronic diaries to report their grams used. During the 6-week intervention phase, participants reported reducing their use days to 47% of the days with a reported mean of .61 grams daily. In the last cohort, at least 50% of the heavy users were able to reduce their cannabis use by at least 50%. The effect of cannabis reduction (versus abstinence) is largely unknown. Observations suggest that it is possible to develop a mobile intervention to reduce cannabis use among heavy users, and this paradigm can be utilized in future work to evaluate whether reductions in cannabis use among heavy users will result in improvements in functional and mental health status.</div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 1-13"},"PeriodicalIF":3.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behavior Therapy","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0005789423000333","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Many interventions for cannabis use disorder (CUD) are associated with decreases in frequency and quantity of use but fail to increase overall rates of sustained abstinence. It is currently unknown whether reductions in use (in the absence of sustained abstinence) result in clinically significant improvements in functioning. The objective of this study was to refine a mobile contingency management approach to reduce cannabis use to ultimately evaluate whether reductions in frequency and quantity of cannabis are related to improvements in functional and mental health status. Three cohorts of participants (n = 18 total, n = 10 women) were enrolled and completed 2 weeks of ecological momentary assessment (EMA) during a baseline ad lib cannabis use period, followed by a 6-week reduction period. Participants completed EMA assessments multiple times per day and were prompted to provide videotaped saliva cannabis testing 2–3 times daily. Data from participants who were at least 80% adherent to all EMA prompts were analyzed (13 out of 18). During the ad lib phase, participants were using cannabis on 94% of the days and reported using a mean of 1.42 grams daily. The intervention was a mobile application that participants used to record cannabis use by saliva tests to bioverify abstinence and participants completed electronic diaries to report their grams used. During the 6-week intervention phase, participants reported reducing their use days to 47% of the days with a reported mean of .61 grams daily. In the last cohort, at least 50% of the heavy users were able to reduce their cannabis use by at least 50%. The effect of cannabis reduction (versus abstinence) is largely unknown. Observations suggest that it is possible to develop a mobile intervention to reduce cannabis use among heavy users, and this paradigm can be utilized in future work to evaluate whether reductions in cannabis use among heavy users will result in improvements in functional and mental health status.

查看原文本刊更多论文

开发减少使用大麻的移动应急管理工具

许多针对大麻使用障碍（CUD）的干预措施都能减少使用频率和数量，但却无法提高持续戒断的总体比率。在没有持续戒断的情况下，减少吸食是否会带来临床上显著的功能改善，目前还不得而知。本研究的目的是改进一种减少大麻使用的移动应急管理方法，以最终评估大麻使用频率和数量的减少是否与功能和精神健康状况的改善有关。共招募了三组参与者（共 18 人，女性 10 人），他们在大麻使用基线期完成了为期两周的生态瞬间评估（EMA），随后又完成了为期 6 周的减少使用期。参与者每天多次完成 EMA 评估，并在提示下每天进行 2-3 次唾液大麻检测录像。我们分析了至少 80% 的参与者（18 人中有 13 人）遵守所有 EMA 提示的数据。在随意使用阶段，参与者使用大麻的天数占 94%，平均每天使用 1.42 克。干预措施是一种移动应用程序，参与者通过唾液检测记录大麻使用情况，以确定是否戒断，参与者还填写电子日记，报告其使用的克数。在为期 6 周的干预阶段，参与者报告称使用天数减少到 47%，平均每天使用 0.61 克。在最后一批参与者中，至少有 50% 的重度使用者能够减少至少 50% 的大麻使用量。大麻减量（相对于戒断）的效果在很大程度上是未知的。观察结果表明，有可能开发出一种移动干预措施来减少重度使用者的大麻使用，在未来的工作中可以利用这种模式来评估重度使用者减少大麻使用是否会导致功能和精神健康状况的改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Behavior Therapy Multiple-

CiteScore

7.40

自引率

2.70%

发文量

113

审稿时长

121 days

期刊介绍： Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.