Skyler M Hoover, Morgan Haga, Sophie Denton, Michael B Madson
{"title":"Pregaming and Harm Reduction: Comparison of Specific Alcohol PBS Among Pregaming and Non-pregaming College Students.","authors":"Skyler M Hoover, Morgan Haga, Sophie Denton, Michael B Madson","doi":"10.1177/00472379261448253","DOIUrl":"https://doi.org/10.1177/00472379261448253","url":null,"abstract":"<p><p>Pregaming places college students at a higher risk for experiencing alcohol related negative consequences likely through less use of alcohol protective behavioral strategies. This study compared college students who did and did not endorse pregaming behaviors on their use of specific alcohol protective behavioral strategies. Participants were 331 traditional-age college students (Mage = 19.86, 64.8% White, 85.2% Female, 76.1% pregamed in past year) who completed measures assessing alcohol use, alcohol related negative consequences, pregaming, and alcohol protective behavioral strategies. Analysis of variance results showed college students who pregamed used fewer strategies aimed at modifying how one drinks, perhaps due to their potential for limiting pregaming behaviors (i.e., drinking heavily and quickly). Future research and clinical implications are discussed.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261448253"},"PeriodicalIF":0.6,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Queen Jacques, Zhiwei Gao, Maisam Najafizada, Lisa Bishop, Rachel Howells, Jennifer Donnan
{"title":"The Cannabis Health Literacy Questionnaire - Assessing Reliability and Known-Groups Validity in a Canadian Adult Sample.","authors":"Queen Jacques, Zhiwei Gao, Maisam Najafizada, Lisa Bishop, Rachel Howells, Jennifer Donnan","doi":"10.1177/00472379261439959","DOIUrl":"https://doi.org/10.1177/00472379261439959","url":null,"abstract":"<p><p>This study assessed the reliability and known-groups validity of the Cannabis Health Literacy Questionnaire (CHLQ) in a sample of Canadian adults (19+). A total of 1,034 respondents completed the CHLQ online. The CHLQ comprises four dimensions: Knowledge of Cannabis, Knowledge of Risks, Understanding Harms and Risks, and Seeking, Accessing and Using Cannabis Health Information. Internal consistency was assessed with raw questionnaire scores, while known-groups validity was assessed using Rasch-derived person scores with one-way analyses of variance. Internal consistency was acceptable for the Likert-response dimensions (Cronbach's α: 0.76-0.84) and modest for the knowledge-based dimensions (KR-20: 0.59 -0.64). CHLQ scores varied across participant characteristics, with cannabis consumption status emerging as a key characteristic across dimensions. Current cannabis consumers demonstrated higher knowledge of cannabis and confidence in seeking and using cannabis health information but lower agreement with cannabis risk related statements. Age-related differences were also observed, with younger and middle-aged adults scoring higher than older adults in select CHLQ dimensions. These findings provide additional evidence supporting the CHLQ's reliability and construct validity and demonstrating its potential use for evaluating variation in cannabis health literacy across population subgroups. Such evidence may help informed future intended uses of the CHLQ and efforts to refine public-oriented cannabis health education.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261439959"},"PeriodicalIF":0.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mai Helmy, Nadia Rodriguez, Madison Maynard, Robert D Dvorak, Daniel Paulson, Angelina V Leary, Matthew Kramer, Brittany L Stevenson
{"title":"An Application of Deviance Regulation Theory on Indices of Cannabis Involvement in a Sample of Egyptian Young Adults.","authors":"Mai Helmy, Nadia Rodriguez, Madison Maynard, Robert D Dvorak, Daniel Paulson, Angelina V Leary, Matthew Kramer, Brittany L Stevenson","doi":"10.1177/00472379261432257","DOIUrl":"https://doi.org/10.1177/00472379261432257","url":null,"abstract":"<p><p><b>Introduction and Aims:</b> Cannabis use is increasingly common among young adults in Egypt. There is a lack of research on cannabis interventions among this group. This study examines Deviance Regulation Theory (DRT), a social-conformity based intervention, as a way to change indices of cannabis use among Egyptian college students. <b>Design and Methods:</b> Participants were <i>n</i> = 399 Egyptian college students. Participants reported cannabis use and perceived use norms. They were randomly assigned to receive a positively framed message about those who do not use cannabis or negatively framed message about those who do use cannabis. They then reported cannabis use intentions and self-disappointment (i.e., how disappointed in themselves they would feel) if they were to use cannabis. <b>Results:</b> Logistic regression results were that decreased odds of extreme self-disappointment associated with the belief that cannabis use was infrequent when presented with a negative frame about those who use cannabis. There were lower odds of extreme self-disappointment for participants who believed cannabis use was frequent when presented a positive frame about those who do not use cannabis. Both findings contradict DRT. Moderation results were that, among a small sample (<i>n</i> = 25), reporting less than extreme self-disappointment, there was an increase in self-disappointment in the negative frame as cannabis use norms decreased and an increase in self-disappointment in the positive frame as cannabis norms increased. Both findings are consistent with DRT. <b>Discussion and Conclusions:</b> Results were largely counter to US samples. These findings highlight the importance of identifying individuals who hold differing views on the acceptability of cannabis use in order to provide targeted messaging about cannabis use among Egyptian emerging adults.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261432257"},"PeriodicalIF":0.6,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Waseem Abu-Ashour, Michael Wahl, Saman Hadjizadeh Anvar, Mohammadmahdi Bahrami, Ali Zahiri, Jose Carlos Aragão-Santos, John T Weber, David G Behm
{"title":"Physical Performance Impairment with Cannabis Consumption in Adults Over 12 Hours.","authors":"Waseem Abu-Ashour, Michael Wahl, Saman Hadjizadeh Anvar, Mohammadmahdi Bahrami, Ali Zahiri, Jose Carlos Aragão-Santos, John T Weber, David G Behm","doi":"10.1177/00472379261433203","DOIUrl":"https://doi.org/10.1177/00472379261433203","url":null,"abstract":"<p><p>Assessing cannabis-induced impairment in physical performance is critical for safety-sensitive occupations. This study evaluated the magnitude and duration of impairment following acute cannabis use. Twenty-eight adult users completed baseline and follow-up assessments at 1, 6, and 12 h after smoking a standardized cannabis cigarette. Measures included subjective intoxication, vital signs, psychomotor performance, muscle strength, balance, and endurance. Blood Δ9-tetrahydrocannabinol (THC) concentrations peaked at one hour and declined by six hours (<i>p</i> < 0.001), while Carboxy-THC showed minimal temporal variation (<i>p</i> = 0.005). Cannabis use significantly increased systolic blood pressure and heart rate, elevated muscle force variability, reduced the rate of force development, and impaired balance and endurance for up to 12 h. Despite reduced perceived intoxication, measurable functional impairments persisted, indicating prolonged performance effects.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261433203"},"PeriodicalIF":0.6,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Change and Antecedents of Cannabis Consumption After the Legalization of Recreational Cannabis in Germany.","authors":"Lena Hahn, Gil Konz, Kai Sassenberg","doi":"10.1177/00472379261430434","DOIUrl":"https://doi.org/10.1177/00472379261430434","url":null,"abstract":"<p><p>Since April 1<sup>st</sup>, 2024, recreational cannabis has been legalized in Germany. Following the legalization, an increase in cannabis consumption appeared likely; however, data supporting this statement is missing. Therefore, the current study examines changes in cannabis consumption after the legalization and investigates antecedents of cannabis use intention and behavior. Data from 605 adults were collected one month after the legalization (Time 1) and six months later (Time 2). Shortly after the cannabis legalization, attitude, subjective norm, intention, and perceived behavior control seem to be closely related to cannabis consumption. Although the data did not indicate increased cannabis consumption after the legalization, prevention programs-especially for vulnerable groups (e.g., adolescents)-should be implemented and focus on changing attitudes and perceived behavior control.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261430434"},"PeriodicalIF":0.6,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes, Norms, and Efficacy: Understanding Maternal Communication About Over-the-Counter Drug Use.","authors":"Elizabeth Candello","doi":"10.1177/00472379261430049","DOIUrl":"https://doi.org/10.1177/00472379261430049","url":null,"abstract":"<p><p>This study aims to understand the factors influencing maternal communication about over-the-counter (OTC) drugs. Semi-structured interviews were conducted with 20 mothers of children aged 2-10 years. Interview questions were based on constructs from the Integrative Behavioral Model (IBM), including beliefs, norms, and perceived behavioral control. Thematic analysis identified key factors influencing maternal communication about OTC drugs. Results showed that perceived control, knowledge and skills, and injunctive norms significantly affect mothers' communication about OTC drugs with their children. These findings suggest that social norms-based health interventions could effectively reduce OTC drug misuse among youth by enhancing mothers' knowledge and skills regarding OTC drugs, addressing perceived social norms, and promoting dialogic engagement between mothers and children.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"472379261430049"},"PeriodicalIF":0.6,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Junkin, Isabel A Martinez, Emma K Rawls, Cathy Lau-Barraco
{"title":"Intervention Preferences, Barriers, and Motivators of Nonstudent Emerging Adult Drinkers.","authors":"Emily Junkin, Isabel A Martinez, Emma K Rawls, Cathy Lau-Barraco","doi":"10.1177/00472379251389674","DOIUrl":"10.1177/00472379251389674","url":null,"abstract":"<p><p>Emerging adults with lower educational attainment are at elevated risk for a range of negative outcomes. Relative to college populations, far less attention has focused on reducing drinking-related risks among noncollege-attending young adults. Research that elucidates nonstudents' preferences for interventions along with differences based on drinking-related risk level is critical to the development of tailored efficacious intervention approaches. We aimed to describe nonstudent emerging adults' intervention utilization and presenting concerns, as well as intervention preferences and perceived motivators and barriers to intervention engagement. We also examined differences based on drinking-related risk status (i.e., high vs. low-risk drinkers). Our sample consisted of nonstudent drinkers (<i>N</i> = 184) who completed a cross-sectional, online survey. Results revealed surprisingly low intervention utilization histories. Participants largely preferred online or web-based services over other modalities, which may be related to high endorsement of access-related barriers. Certain barriers and motivators were more endorsed than others among the overall sample. High-risk drinkers had higher endorsement of barriers related to access (e.g., time, costs) and personal or emotional concerns (e.g., lack of support, shame and embarrassment) relative to low-risk drinkers. Our findings provide key insights into possible approaches for improving alcohol intervention efforts among this underserved, high-risk population.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"38-62"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle L Kelley, Jeffrey M Gabelmann, Megan Strowger, John Hearton, Folly Folivi, Adrian J Bravo, Jinjoo Noh, Kristin Kuskye, William Haber, Adam P McGuire
{"title":"Substance use in Military Personnel: Associations with Combat Exposure, Moral Injury, Posttraumatic Stress Disorder and Pain.","authors":"Michelle L Kelley, Jeffrey M Gabelmann, Megan Strowger, John Hearton, Folly Folivi, Adrian J Bravo, Jinjoo Noh, Kristin Kuskye, William Haber, Adam P McGuire","doi":"10.1177/00472379251394435","DOIUrl":"10.1177/00472379251394435","url":null,"abstract":"<p><p>BackgroundPrior research suggests that military personnel endorse higher rates of prescription drug misuse, cannabis, and heavy alcohol use than civilians. Factors related to substance use may differ for military personnel compared to civilians. In the present study, we examined whether combat exposure, moral injury, posttraumatic stress disorder (PTSD), and pain were associated with military personnel's self-reports of misuse of prescription opiates, prescription sedatives, both prescription opiates and sedatives, cannabis use, and hazardous alcohol consumption.MethodParticipants were a community sample of 238 U.S. military personnel who had deployed one or more times (71.0% males; <i>M</i> = 33.3 years; <i>SD</i> = 3.2).ResultsIn our sample, rates of past week misuse were as follows: 21.0% prescription opiates, 25.6% prescription sedatives, 16.4% both prescription opiates and sedative medications. With respect to cannabis use and alcohol consumption, 14.7% reported past-week cannabis use and 46.2% participants reported hazardous alcohol consumption above suggested clinical cut-offs. In multivariable multinomial logistic regression analyses, combat exposure and moral injury were uniquely associated with a greater likelihood of misusing prescription opiates, sedatives, and both opiates and sedatives versus no misuse. Higher PTSD symptoms scores were uniquely associated with past week cannabis use versus no use. Further, greater combat exposure was uniquely associated with a greater likelihood of engaging in hazardous alcohol use.ConclusionsThese results suggest that distinct psychosocial factors may differentially impact substance use among military personnel. Findings indicate the importance of assessing combat exposure, moral injury, PTSD, and pain to better understand substance use and treatment of military personnel.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"3-20"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sterling M Hubbard, Diamonde McCollum, Shelby A Whalen, Jenni B Teeters
{"title":"Investigating Social Support as a Moderator of the Association Between Adverse Childhood Experiences and Problematic Alcohol Use.","authors":"Sterling M Hubbard, Diamonde McCollum, Shelby A Whalen, Jenni B Teeters","doi":"10.1177/00472379251391531","DOIUrl":"10.1177/00472379251391531","url":null,"abstract":"<p><p>Adverse childhood experiences (ACES) increase the risk for problematic alcohol use. However, protective factors, such as social support have been found to buffer against these consequences. The goal of this study was to highlight the connection between ACES and problematic alcohol use. Additionally, the aim was to investigate perceived social support as a moderator between ACES and problematic alcohol use and examine the domains of social support and how they individually moderate the association between ACES and social support. Data were collected using an international online subject pool (n = 350; 88.3% Caucasian, 66.9% female; 87.7% from the United Kingdom). Participants completed a battery of assessments to assess the topics of childhood trauma, perceived social support, and problematic alcohol use. Moderation analyses were used to investigate whether overall social support and the various domains of social support moderated the association between ACES and problematic alcohol use. Findings revealed that perceived family support significantly moderated the connection between ACES and alcohol use, such that the relation between ACES and problematic alcohol use was strongest at higher levels of family support (<i>b</i> = .24, SE = .09, <i>p</i> < .008, 95% <i>CI</i> [.06, .41]). In general, these findings contradict previous literature in that higher levels of family support did not appear to act as a buffer between ACES and problematic drinking. Future work is needed to explore additional factors that could impact the relations between social support, ACES, and problematic drinking.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"21-37"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Teacher Social-Emotional Support in the Prevention of Adolescent ATOD Use During the COVID-19 Pandemic.","authors":"Peter C Scales, Amy K Syvertsen","doi":"10.1177/00472379241311452","DOIUrl":"10.1177/00472379241311452","url":null,"abstract":"<p><p>We studied alcohol, tobacco, and other drug use (ATOD) among adolescents during the COVID-19 pandemic, hypothesizing that social-emotional support from teachers during the pandemic would lessen adolescent-reported use of ATOD in the last 30 days. A sample of 3,086 high school youth (51% girls; 45% youth of color) from seven U.S. communities participated in an anonymous online survey between March 2021 and July 2021. Data were analyzed using logistic regressions and structural equation modeling. Teacher social-emotional support predicted greater perceived risk from using ATOD (OR = 1.36-1.73), less 30-day ATOD use (OR = .65-.84), and greater perceived school cultural responsiveness, adolescent social-emotional competencies, and adolescent use of positive coping strategies. Social-emotional support from teachers during the COVID-19 pandemic was significantly related to students perceiving greater risk from using ATOD and reporting more social-emotional competence, which in turn contributed to less ATOD use in the last 30 days. School policies and practices that strengthen student-teacher relationships can help mitigate adolescent ATOD use.</p>","PeriodicalId":46281,"journal":{"name":"JOURNAL OF DRUG EDUCATION","volume":" ","pages":"169-189"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}