对有精神病风险并吸食大麻的年轻人进行定性访谈：为移动干预措施的开发提供依据

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-11-20 DOI:10.1016/j.addbeh.2024.108216

Jennifer E. Merrill , Ethan Moitra , Kayla Giorlando , Elizabeth M. Olsen , Avery Leigland , Ana M. Abrantes , Laura Whiteley

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引用次数: 0

摘要

大麻使用障碍在接受精神病治疗的年轻人中很常见，尤其是那些有精神病风险的人。然而，针对这一问题的干预措施却很有限。这项定性研究的目的是确定减少/戒除大麻使用的障碍和促进因素，并了解最终用户的观点，为基于手机应用的干预措施提供依据。20 名使用大麻的精神病高危青年（60% 为女性）完成了一项简短调查和个人定性访谈。主题分析结果显示了减少/戒除大麻的五个障碍（即用大麻来应对、社会影响、依赖症状、容易获得、对改变的矛盾心理）和四个促进因素（如经历/害怕后果、注重动机、社会支持、应对技巧）。关于移动干预的开发，与会者建议开发高级别的个性化内容，如目标设定、自我监控、应对技巧和肯定性信息。此外，他们还建议干预措施应具有视觉吸引力和互动性。要帮助高危青少年减少/戒除大麻使用，重要的是要考虑到他们在这样做时面临的独特障碍，以及他们对开发移动干预的具体偏好。

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Qualitative interviews with young adults at risk for psychosis and who use Cannabis: Informing the development of a mobile intervention

Cannabis use disorder is common among young adults in psychiatric care, particularly those at risk for psychosis. Yet, interventions tailored to address this issue are limited. The goal of this qualitative study was to determine barriers and facilitators for reducing/quitting cannabis use, and to obtain end-user perspectives to inform a mobile app-based intervention. Twenty young adults (60% female) at high-risk for psychosis who use cannabis completed a brief survey and individual qualitative interview. Results of thematic analysis revealed five barriers (i.e., cannabis to cope, social influences, dependence symptoms, easy access, ambivalence about change) and four facilitators (e.g., experienced/feared consequences, focusing on motivation, social support, coping skills) to cutting down/quitting cannabis. Regarding mobile intervention development, participants recommended high-level personalization and content features such as goal setting, self-monitoring, coping skills, and affirming messages. Additionally, they suggested the intervention be visually appealing and interactive. To assist high-risk youth in reducing/quitting cannabis use, it is important to consider the unique barriers they face in doing so, as well as their specific preferences for the development of a mobile intervention.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.