In Canada, emerging adults consume more cannabis than any other age-group. This study examined emerging adults’ perceptions of dangerousness, perceptions of negative impacts, and level of disapproval associated with regular cannabis use. An experimental vignette design was utilized to examine the extent to which perceptions differ depending on the age and sex of the user. Participants ( N = 656) were randomly assigned to one of six vignettes and were asked to rate 7 items of perceived dangerousness, perceived negative impacts, and level of disapproval. Significant main effects of age were found on 6 of 7 items, where cannabis use by a 14-year-old was viewed as more dangerous than cannabis use by a 21- and 28-year-old. However, cannabis use by a 21-year-old was not viewed as more dangerous than cannabis use by a 28-year-old. Female cannabis use was perceived as more dangerous than male cannabis use with respect to social life.
Background
Pain among long-term care (LTC) residents, and especially residents with dementia, is often underassessed and this underassessment has been attributed, in part, to gaps in front-line staff education. Furthermore, although evidence-based clinical guidelines for pain assessment in LTC are available, pain assessment protocols are often inconsistently implemented and, when they are implemented, it is usually within urban LTC facilities located in large metropolitan centers. Implementation science methodologies are needed so that changes in pain assessment practices can be integrated in rural facilities. Thus, our purpose was to evaluate an online pain assessment training program and implement a standardized pain assessment protocol in rural LTC environments.
Methods
During the baseline and implementation periods, we obtained facility-wide pain-related quality indicators from seven rural LTC homes. Prior to implementing the protocol, front-line staff completed the online training program. Front-line staff also completed a set of self-report questionnaires and semi-structured interviews prior to and following completion of the online training program.
Results
Results indicated that knowledge about pain assessment significantly increased following completion of the online training program. Implementation of the standardized protocol resulted in more frequent pain assessments on admission and on a weekly basis, although improvements in the timeliness of follow-up assessments for those identified as having moderate to severe pain were not as consistent. Directed content analysis of semi-structured interviews revealed that the online training program and standardized protocol were well-received despite a few barriers to effective implementation.
Conclusions
In conclusion, we demonstrated the feasibility of the remote delivery of an online training program and implementation of a standardized protocol to address the underassessment of pain in rural LTC facilities.
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