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Published in: Substance Abuse Treatment, Prevention, and Policy 1/2012

Open Access 01-12-2012 | Short Report

12-month follow-up of an exploratory ‘brief intervention’ for high-frequency cannabis users among Canadian university students

Authors: Benedikt Fischer, Wayne Jones, Paul Shuper, Jürgen Rehm

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2012

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Abstract

Background

One in three young people use cannabis in Canada. Cannabis use can be associated with a variety of health problems which occur primarily among intensive/frequent users. Availability and effectiveness of conventional treatment for cannabis use is limited. While Brief Interventions (BIs) have been shown to result in short-term reductions of cannabis use risks or problems, few studies have assessed their longer-term effects. The present study examined 12-month follow-up outcomes for BIs in a cohort of young Canadian high-frequency cannabis users where select short-term effects (3 months) had previously been assessed and demonstrated.

Findings

N = 134 frequent cannabis users were recruited from among university students in Toronto, randomized to either an oral or a written cannabis BI, or corresponding health controls, and assessed in-person at baseline, 3-months, and 12-months. N = 72 (54 %) of the original sample were retained for follow-up analyses at 12-months where reductions in ‘deep inhalation/breathholding’ (Q = 13.1; p < .05) and ‘driving after cannabis use’ (Q = 9.3; p < .05) were observed in the experimental groups. Reductions for these indicators had been shown at 3-months in the experimental groups; these reductions were maintained over the year. Other indicators assessed remained overall stable in both experimental and control groups.

Conclusions

The results confirm findings from select other studies indicating the potential for longer-term and sustained risk reduction effects of BIs for cannabis use. While further research is needed on the long-term effects of BIs, these may be a valuable – and efficient – intervention tool in a public health approach to high-risk cannabis use.
Literature
1.
go back to reference Health Canada: Canadian Alcohol and Drug Use Monitoring Survey (CADUMS): Summary Results for 2010. 2011. 2012, Ottawa, ON: Health Canada, 1-11. Health Canada: Canadian Alcohol and Drug Use Monitoring Survey (CADUMS): Summary Results for 2010. 2011. 2012, Ottawa, ON: Health Canada, 1-11.
2.
go back to reference United Nations Office on Drugs and Crime (UNODC): Division for Policy Analysis and Public Affairs. World Drug Report 2011. E.11.XI.10. 2011, Vienna Austria: United Nations Office on Drug and Crime (UNODC) United Nations Office on Drugs and Crime (UNODC): Division for Policy Analysis and Public Affairs. World Drug Report 2011. E.11.XI.10. 2011, Vienna Austria: United Nations Office on Drug and Crime (UNODC)
3.
go back to reference Paglia-Boak A, Adlaf EM, Mann RE: Detailed OSDUHS Findings - Drug Use Among Ontario Students 1977–2011. Int J Drug Policy. 2011, 32: 1-11. 2012 Paglia-Boak A, Adlaf EM, Mann RE: Detailed OSDUHS Findings - Drug Use Among Ontario Students 1977–2011. Int J Drug Policy. 2011, 32: 1-11. 2012
4.
go back to reference Room R, Fischer B, Hall W, Lenton S, Reuter P: Cannabis policy: moving beyond stalemate. 2010, New York, NY: Oxford University Press Room R, Fischer B, Hall W, Lenton S, Reuter P: Cannabis policy: moving beyond stalemate. 2010, New York, NY: Oxford University Press
5.
go back to reference Hall W: The adverse health effects of cannabis use: What are they, and what are their implications for policy?. Int J Drug Policy. 2009, 20: 458-466. 10.1016/j.drugpo.2009.02.013.CrossRefPubMed Hall W: The adverse health effects of cannabis use: What are they, and what are their implications for policy?. Int J Drug Policy. 2009, 20: 458-466. 10.1016/j.drugpo.2009.02.013.CrossRefPubMed
6.
go back to reference Hall W, Pacula RL: Cannabis Use and dependence: public health and public policy. 2004, Melbourne: Cambridge University Press Hall W, Pacula RL: Cannabis Use and dependence: public health and public policy. 2004, Melbourne: Cambridge University Press
7.
go back to reference Fischer B, Rehm J, Irving H, Ialomiteanu A, Fallu J-S, Patra J: Typologies of cannabis users and associated characteristics relevant for public health: a latent class analysis of data from a nationally representative Canadian adult survey. Int J Meth Psychiatric Res. 2010, 19: 110-124. Fischer B, Rehm J, Irving H, Ialomiteanu A, Fallu J-S, Patra J: Typologies of cannabis users and associated characteristics relevant for public health: a latent class analysis of data from a nationally representative Canadian adult survey. Int J Meth Psychiatric Res. 2010, 19: 110-124.
8.
go back to reference Moore THM, Zammit S, Lingford-Hughes A, Barnes TRE, Jones PB, Burke M: Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review. Lancet. 2007, 370: 319-328. 10.1016/S0140-6736(07)61162-3.CrossRefPubMed Moore THM, Zammit S, Lingford-Hughes A, Barnes TRE, Jones PB, Burke M: Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review. Lancet. 2007, 370: 319-328. 10.1016/S0140-6736(07)61162-3.CrossRefPubMed
9.
go back to reference Fischer B, Jefferies V, Hall W, Room R, Goldner E, Rehm J: Lower Risk Cannabis Use Guidelines for Canada (LRCUG): a narrative review of evidence and recommendations. Can J Public Health. 2011, 102: 324-327.PubMed Fischer B, Jefferies V, Hall W, Room R, Goldner E, Rehm J: Lower Risk Cannabis Use Guidelines for Canada (LRCUG): a narrative review of evidence and recommendations. Can J Public Health. 2011, 102: 324-327.PubMed
10.
go back to reference Copeland J, Swift W: Cannabis use disorder: epidemiology and management. Int Rev Psychiatry. 2009, 21: 96-103. 10.1080/09540260902782745.CrossRefPubMed Copeland J, Swift W: Cannabis use disorder: epidemiology and management. Int Rev Psychiatry. 2009, 21: 96-103. 10.1080/09540260902782745.CrossRefPubMed
11.
go back to reference Rush B, Urbanoski K: Estimating the demand for treatment for cannabis-related problems in Canada. Int J Mental Health Addiction. 2007, 5: 181-186. 10.1007/s11469-007-9061-0.CrossRef Rush B, Urbanoski K: Estimating the demand for treatment for cannabis-related problems in Canada. Int J Mental Health Addiction. 2007, 5: 181-186. 10.1007/s11469-007-9061-0.CrossRef
12.
go back to reference McRae A, Budney A, Brady K: Treatment of marijuana dependence: a review of the literature. J Subst Abuse Treat. 2003, 24: 369-376. 10.1016/S0740-5472(03)00041-2.CrossRefPubMed McRae A, Budney A, Brady K: Treatment of marijuana dependence: a review of the literature. J Subst Abuse Treat. 2003, 24: 369-376. 10.1016/S0740-5472(03)00041-2.CrossRefPubMed
13.
go back to reference Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J: Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007, 28: 7-30. 10.1300/J465v28n03_03.CrossRefPubMed Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J: Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007, 28: 7-30. 10.1300/J465v28n03_03.CrossRefPubMed
14.
go back to reference Madras B, Compton W, Avula D, Stegbauer T, Stein J, Clark H: Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug Alcohol Depend. 2009, 99: 280-295. 10.1016/j.drugalcdep.2008.08.003.PubMedCentralCrossRefPubMed Madras B, Compton W, Avula D, Stegbauer T, Stein J, Clark H: Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later. Drug Alcohol Depend. 2009, 99: 280-295. 10.1016/j.drugalcdep.2008.08.003.PubMedCentralCrossRefPubMed
15.
go back to reference Martin G, Copeland J: The adolescent cannabis check-up: randomized trial of a brief intervention for young cannabis users. J Subst Abuse Treat. 2008, 34: 407-414. 10.1016/j.jsat.2007.07.004.CrossRefPubMed Martin G, Copeland J: The adolescent cannabis check-up: randomized trial of a brief intervention for young cannabis users. J Subst Abuse Treat. 2008, 34: 407-414. 10.1016/j.jsat.2007.07.004.CrossRefPubMed
16.
go back to reference Stephens R, Roffman R, Curtis L: Comparisons of extended versus brief treatments for marijuana use. J Consult Clin Psychol. 2000, 68: 898-908.CrossRefPubMed Stephens R, Roffman R, Curtis L: Comparisons of extended versus brief treatments for marijuana use. J Consult Clin Psychol. 2000, 68: 898-908.CrossRefPubMed
17.
go back to reference Fischer B, Dawe M, McGuire F, Shuper P, Capler R, Bilsker D: Feasibility and Impact of Brief Interventions for Frequent Cannabis Users in Canada. J Subst Abuse Treat. (in press) Fischer B, Dawe M, McGuire F, Shuper P, Capler R, Bilsker D: Feasibility and Impact of Brief Interventions for Frequent Cannabis Users in Canada. J Subst Abuse Treat. (in press)
18.
go back to reference Dennis M, Godley S, Diamond G, Tims FM, Babor T, Donaldson J: The Cannabis Youth Treatment (CYT) Study: Main findings from two randomized trials. J Subst Abuse Treat. 2004, 27: 197-213. 10.1016/j.jsat.2003.09.005.CrossRefPubMed Dennis M, Godley S, Diamond G, Tims FM, Babor T, Donaldson J: The Cannabis Youth Treatment (CYT) Study: Main findings from two randomized trials. J Subst Abuse Treat. 2004, 27: 197-213. 10.1016/j.jsat.2003.09.005.CrossRefPubMed
19.
go back to reference Babor T: Brief treatments for cannabis dependence: findings from a randomized multisite trial. J Consult Clin Psychol. 2004, 72: 455-466.CrossRef Babor T: Brief treatments for cannabis dependence: findings from a randomized multisite trial. J Consult Clin Psychol. 2004, 72: 455-466.CrossRef
20.
go back to reference Fischer B, Rehm J, Hall W: Cannabis use in Canada - The need for a public health approach. Can J Public Health. 2009, 100: 101-103.PubMed Fischer B, Rehm J, Hall W: Cannabis use in Canada - The need for a public health approach. Can J Public Health. 2009, 100: 101-103.PubMed
21.
go back to reference Ramaekers JG, Bergaus G, van Laar M, Drummer OH: Dose related risk of motor vehicle crashes after cannabis use. Drug Alcohol Depend. 2004, 73: 109-119. 10.1016/j.drugalcdep.2003.10.008.CrossRefPubMed Ramaekers JG, Bergaus G, van Laar M, Drummer OH: Dose related risk of motor vehicle crashes after cannabis use. Drug Alcohol Depend. 2004, 73: 109-119. 10.1016/j.drugalcdep.2003.10.008.CrossRefPubMed
22.
go back to reference Hall W, Fischer B, Simon L, Reuter P, Room R: Making space for cannabis policy experiments. Addiction. 2011, 106: 1192-1193. 10.1111/j.1360-0443.2011.03405.x.CrossRef Hall W, Fischer B, Simon L, Reuter P, Room R: Making space for cannabis policy experiments. Addiction. 2011, 106: 1192-1193. 10.1111/j.1360-0443.2011.03405.x.CrossRef
23.
go back to reference McKay JR: Is there a case for extended interventions for alcohol and drug use disorders?. Addiction. 2005, 100: 1594-1610. 10.1111/j.1360-0443.2005.01208.x.CrossRefPubMed McKay JR: Is there a case for extended interventions for alcohol and drug use disorders?. Addiction. 2005, 100: 1594-1610. 10.1111/j.1360-0443.2005.01208.x.CrossRefPubMed
24.
go back to reference Leslie E: University campus settings and the promotion of physical activity in young adults: lessons from research in Australia and the USA. Heal Educ. 2001, 101: 116-125. 10.1108/09654280110387880.CrossRef Leslie E: University campus settings and the promotion of physical activity in young adults: lessons from research in Australia and the USA. Heal Educ. 2001, 101: 116-125. 10.1108/09654280110387880.CrossRef
25.
go back to reference Werch CE, Carlson JM, Pappas DM, Edgemon P, Diclemente CC: Effects of a brief alcohol preventive intervention for youth attending school sports physical examinations. Subst Use Misuse. 2000, 35: 421-432. 10.3109/10826080009147704.CrossRefPubMed Werch CE, Carlson JM, Pappas DM, Edgemon P, Diclemente CC: Effects of a brief alcohol preventive intervention for youth attending school sports physical examinations. Subst Use Misuse. 2000, 35: 421-432. 10.3109/10826080009147704.CrossRefPubMed
Metadata
Title
12-month follow-up of an exploratory ‘brief intervention’ for high-frequency cannabis users among Canadian university students
Authors
Benedikt Fischer
Wayne Jones
Paul Shuper
Jürgen Rehm
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2012
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/1747-597X-7-15

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