Many individuals intending to start extended-release naltrexone (XR-NTX) do not and most who do start XR-NTX discontinue treatment prematurely, two factors that limit its clinical utility significantly. XR-NTX appears to decrease opioid use but there are few experimental demonstrations of this effect.
Key Points
Question
What are the prevalence, patterns, and correlates of use and polyuse of combustible, edible, and vaporized cannabis products among adolescents?
Findings
In a 2015 cross-sectional survey study of 3177 adolescents, ever use of edible (21.3%) or vaporized (10.5%) cannabis was appreciable, and most ever users of cannabis (61.7%) used at least 2 products. Current use was higher in boys than girls for vaporized (6.1% vs 3.0%) but not for combustible (13.8% vs 13.1%) or edible (8.4% vs 7.3%) cannabis.
Meaning
Health professionals should be aware that youth might use a diverse spectrum of combustible and alternative cannabis products.
Our findings suggest that delivering technology-based smoking cessation interventions via video games has the potential to reach substantial numbers of smokers and that most smokers, nonsmokers, and health care professionals endorsed this approach.
The acceptability of an Internet-based contingency management (CM) intervention for cigarette-smoking was evaluated in two experiments. In Experiment 1, 67 participants completed an Internet-based CM intervention and then answered questions about the intervention. Experiment 2 assessed the acceptability of the intervention among potential treatment users (smokers, n = 164), non-smokers (n = 166), and healthcare providers (n = 139), who had never used the intervention. Participants in Experiment 2 were randomly assigned to either watch a video describing the standard CM intervention (No Deposit Group) or to watch a video about the standard intervention plus a deposit incentive (Deposit Group). Overall, results of both experiments indicated high acceptability across all dimensions of the intervention. Seventy-four percent of participants in Experiment 1, and 92% of those in Experiment 2, said they would use it if they needed to quit. Eighty one percent of healthcare providers reported that they would be very likely to recommend the intervention to patients. Participants in both experiments reported that monitoring their progress and earning vouchers were strengths of the intervention. The No Deposit group rated voucher earnings, cash earnings, and cost-effectiveness of the intervention higher than the Deposit Group. Healthcare professionals did not differ in their ratings across video conditions. Overall, the results suggest that Internet-based CM is acceptable as a method to help people quit smoking.
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