Online personalized feedback intervention reduces cannabis-related problems among college students with high problem distress.

Walukevich-Dienst, Katherine; Lewis, Elizabeth; Neighbors, Clayton; Green, Jackson C.; Buckner, Julia D.

doi:10.1037/pha0000361

Cited by 9 publications

(8 citation statements)

References 39 publications

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“…For instance, one study using the monitoring the future data found that while 8.2% of young adults endorsed using alcohol to cope with the pandemic, this was nearly double (15.7%) for cannabis use, and that only cannabis use coping motives were associated with isolation experienced during the pandemic (Patrick et al, 2022). It is notable that certain SM groups were already engaging in higher rates of solitary cannabis use (Tucker et al, 2008) and cannabis coping motives (Walukevich-Dienst et al, 2019, 2021) compared to their non-SM peers before the pandemic. Certain SM groups also report higher rates of solitary cannabis use than solitary drinking (Dyar, Feinstein, et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Increased coping motives during the COVID-19 pandemic widen cannabis disparities between sexual minoritized and nonminoritized young adults: A bimonthly assessment of data preceding and spanning the pandemic.

McCabe¹,

Rhew²,

Walukevich-Dienst³

et al. 2023

Psychology of Addictive Behaviors

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Objective: Since the start of the coronavirus pandemic, some U.S. adults have increased alcohol and cannabis use frequency to cope with distress. Among sexual minoritized young adults (SM YAs), copingrelated use may be greater due to disproportionate negative social and financial consequences of the pandemic. Nonetheless, it remains unclear whether pandemic substance use has increased among SM YAs compared to non-SM YAs relative to prepandemic levels and whether heightened coping motives mediate these potential differences. Method: A total of 563 YAs (18-24 years at baseline; 31.0% SM) provided survey data collected across 12 bimonthly assessments. Six assessments were measured in 2015 or 2016 and six across the coronavirus pandemic (2020-2021). Controlling for prepandemic assessments matched by calendar month, latent structural equation models examined group differences in alcohol and cannabis frequency and consequences across the COVID-19 period and tested coping motives as mediators of these differences. Results: Substance use and consequences were similar during the pandemic relative to prepandemic levels across groups. Nonetheless, compared to non-SM individuals, SM participants reported greater cannabis frequency, consequences, and cannabis coping motives during the pandemic independent of prepandemic levels. Cannabis use and consequences were each explained largely by coping motives during the pandemic among SM compared to non-SM YAs. These patterns were not found for alcohol outcomes. Conclusions: The COVID-19 pandemic has widened cannabis disparities between SM and non-SM YAs, due in part to pandemic-related increases in coping motives. Responsive public policy is needed that may prevent and remit SM cannabis disparities during societal crises. Public Health Significance StatementThis study indicates that the coronavirus pandemic has widened preexisting gaps in coping motives for cannabis use and cannabis use frequency among sexual minoritized compared to sexual nonminoritized young adults. This study also shows that cannabis use is largely explained by heightened coping motives for use during the pandemic, independent of prepandemic levels of use and motives, highlighting need for responsive intervention and policy aimed at reducing impacts of societal crises on substance use among sexual minoritized communities.

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Section: Discussionmentioning

confidence: 99%

Increased coping motives during the COVID-19 pandemic widen cannabis disparities between sexual minoritized and nonminoritized young adults: A bimonthly assessment of data preceding and spanning the pandemic.

McCabe¹,

Rhew²,

Walukevich-Dienst³

et al. 2023

Psychology of Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

show abstract

“…Participants were from a sample of 268 undergraduates recruited for the parent intervention trial ( Morris & Buckner, 2023 ; Walukevich-Dienst et al, 2021 ; Walukevich-Dienst et al, 2019 ). For the parent study, eligible participants were current undergraduate students at Louisiana State University who reported past-month cannabis use and at least one cannabis-related problem in the past three months.…”

Section: Methodsmentioning

confidence: 99%

“…The present aims were tested through secondary data analyses from a study that developed and tested problem-focused personalized feedback (PFI) against brief personalized normative feedback (PNF; Morris & Buckner, 2023 ; Walukevich-Dienst et al, 2021 ; Walukevich-Dienst et al, 2019 ). Neither domains of risk nor baseline associations between risk domains and outcomes were examined as part of the parent study primary aims.…”

Section: The Current Studymentioning

confidence: 99%

General and Domain-Specific Perceived Risk Demonstrate Unique Associations with Cannabis Use, Negative Outcomes, and Motivation to Change among Undergraduate Students

Smith-LeCavalier,

Morris,

Larimer

et al. 2024

Cannabis

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College student cannabis use is at an all-time high. Although frequent heavy cannabis use is related to cannabis problems, perceived risk of cannabis use is rapidly decreasing. Yet, it is unknown whether specific domains of risk perceptions (general and domain-specific risk, risk to others and personal risk) are related to more cannabis use or related problems. Thus, among 130 undergraduates who reported past-month cannabis use, the present study conducted secondary analyses to test whether, for both perceived risk to others and perceived personal risk: (1) general perceived risk was associated with cannabis-related outcomes (i.e., use, negative consequences, cannabis use disorder (CUD) symptoms, motivation to change), (2) seven specific domains of perceived risk were related to cannabis outcomes, and (3) domain-specific perceived risk was related to cannabis use frequency. General perceived risk to others was negatively associated with cannabis use frequency whereas general perceived personal risk was positively associated with cannabis-related negative consequences, CUD symptoms, and importance and readiness to change. Greater legal and withdrawal/dependence risks were uniquely related to several outcomes (e.g., CUD symptoms). Participants who used cannabis frequently perceived more personal risk in most risk domains and less general risk to others than those who used infrequently. Findings suggest personal risk is an important component to consider when assessing perceived risk of cannabis use and focusing on both general and domain-specific risks may provide valuable insight for future prevention and intervention efforts.

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“…For example, mandated treatment programs have been consistently shown to reduce alcohol (Carey et al, 2016) and cannabis use (Buckner et al, 2018) among students. Various studies have also demonstrated the effectiveness of non-mandated web- or computer-based as well as in-person interventions for reducing college students’ substance use (e.g., Cadigan et al, 2015; Walukevich-Dienst et al, 2020). The availability of effective interventions for reducing college student substance use further supports the need to understand intervention receptiveness among this population.…”

Section: Treatment Seeking Behaviorsmentioning

confidence: 99%

College students’ receptiveness to intervention approaches for alcohol and cannabis use.

Helle¹,

Boness²,

Sher³

2022

Psychology of Addictive Behaviors

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Objective: Addressing high-risk alcohol and cannabis use represent major challenges to institutions of higher education. A range of evidence-based treatment approaches are available, but little is known concerning students’ receptiveness to such approaches. Prior work identified that students were most open to individual therapy and self-help options for reducing alcohol use, but less open to medication. The current study examines student receptiveness to intervention approaches across a wider range of intervention approaches (e.g., remote/telehealth), and extends to evaluate cannabis intervention receptiveness. Method: Undergraduate students reported on alcohol and cannabis use, motives for and reasons against use, and openness to an array of interventions for reducing alcohol and cannabis use. Results: Informal options (self-help, talking with family/friends), individual therapy, and appointments with a primary care provider (PCP) were endorsed most frequently. Group therapy and medication were less commonly endorsed, though medication was endorsed at a higher prevalence than in prior studies. Women generally expressed higher receptiveness than men. Lower alcohol consumption was associated with increased receptiveness to some approaches. Students at high risk for alcohol and/or cannabis dependence were less receptive to many treatment options. Conclusions: College students were open to a wide variety of approaches for reducing their alcohol and cannabis use. These results can inform selection, implementation, and availability of campus-wide services, especially as low-cost technological-based approaches are expanding. Further attention to existing services (e.g., PCP) for addressing alcohol and cannabis use may be considered, given students’ receptiveness to such approaches.

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Online personalized feedback intervention reduces cannabis-related problems among college students with high problem distress.

Cited by 9 publications

References 39 publications

Increased coping motives during the COVID-19 pandemic widen cannabis disparities between sexual minoritized and nonminoritized young adults: A bimonthly assessment of data preceding and spanning the pandemic.

Increased coping motives during the COVID-19 pandemic widen cannabis disparities between sexual minoritized and nonminoritized young adults: A bimonthly assessment of data preceding and spanning the pandemic.

General and Domain-Specific Perceived Risk Demonstrate Unique Associations with Cannabis Use, Negative Outcomes, and Motivation to Change among Undergraduate Students

College students’ receptiveness to intervention approaches for alcohol and cannabis use.

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