Real-time, contextual intervention using mobile technology to reduce marijuana use among youth: A pilot study

Shrier, Lydia A.; Rhoads, Amanda M.; Burke, Pamela; Walls, Courtney; Blood, Emily A.

doi:10.1016/j.addbeh.2013.09.028

Cited by 58 publications

(94 citation statements)

References 46 publications

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“…Adolescent marijuana users randomized to a computer-based treatment reported fewer cannabis-related problems and lower use of other drugs that were in the small to medium effect size [53]. Text-messaging interventions aimed at promoting self-efficacy and skills use during self-reported triggering situations reduced marijuana use and desire in a triggering situation [54]. …”

Section: Treatmentmentioning

confidence: 99%

Treatment of Adolescent Substance Use Disorders

Belendiuk

Riggs

2014

Curr Treat Options Psych

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Opinion statement Significant progress has been made in development and dissemination of evidence-based behavioral interventions for adolescents with substance use disorders (SUD). Medications have also shown promise in reducing substance use when used in conjunction with psychosocial treatment for adolescents with SUD, even in the context of co-occurring psychopathology. Although the efficacy or “probable efficacy” of the behavioral interventions discussed in this review have been established based on at least two randomized controlled trials, they produce relatively low abstinence rates and modest reductions in substance use that attenuate over time. Research has shown that abstinence rates may increase with the addition of abstinence-based incentives, however, post-treatment relapse rates remain high with few treated adolescents sustaining abstinence one year post-treatment. This may be due to the paucity of continuing care or post-treatment recovery support services and the lack of integrated or concurrent treatment for co-occurring psychiatric conditions that contribute to poorer treatment outcomes. Thus, despite significant progress, there is clearly room for improvement of existing treatment for adolescents with SUD. There is also critical need to increase the availability and access to substance and behavioral health treatment services for adolescents. Although 10–15% of U.S. high school students would currently meet diagnostic criteria for at least one SUD, only 10% of those who could benefit from substance treatment receive it. Five-year trends showing significant increases in the use of marijuana and nonmedical prescription drugs among U. S. high school students are evidence of the shortcomings of existing school-based interventions and poor access to community-based substance treatment for non-juvenile-justice involved youth. There is clearly a need to adapt or develop more effective prevention, early interventions, and treatment for youth who are “at risk” as well as the increasing number of adolescents who have progressed to more serious substance involvement.

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Section: Treatmentmentioning

confidence: 99%

Treatment of Adolescent Substance Use Disorders

Belendiuk

Riggs

2014

Curr Treat Options Psych

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“…51 All of these models have been modestly successful in showing reductions in substance use and related consequences and/ or risky behaviors, although 1 trial found similar substance use reductions in both experimental and control groups. 50 Physicianimplemented BI is acceptable to both teenagers 16 and clinicians. 52 Although a recent US Preventive Services Task Force 53 review found insufficient scientific basis to recommend any particular BI for addressing adolescent substance use, this clinical report reviews the current literature base to summarize expert opinion about practical BI strategies.…”

Section: Brief Interventionmentioning

confidence: 99%

“…46 Several BI models have been evaluated in primary care: structured intervention "5A's, " 47 "CHAT, " 48 intervention with follow-up "Healthy Choices, " 49 "MOMENT, " 50 and therapist-delivered versus computerdelivered BI. 51 All of these models have been modestly successful in showing reductions in substance use and related consequences and/ or risky behaviors, although 1 trial found similar substance use reductions in both experimental and control groups.…”

Section: Brief Interventionmentioning

confidence: 99%

Substance Use Screening, Brief Intervention, and Referral to Treatment

Levy¹,

Williams²,

Ryan³

et al. 2016

Pediatrics

237

178

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The enormous public health impact of adolescent substance use and its preventable morbidity and mortality highlight the need for the health care sector, including pediatricians and the medical home, to increase its capacity regarding adolescent substance use screening, brief intervention, and referral to treatment (SBIRT). The American Academy of Pediatrics first published a policy statement on SBIRT and adolescents in 2011 to introduce SBIRT concepts and terminology and to offer clinical guidance about available substance use screening tools and intervention procedures. This clinical report provides a simplified adolescent SBIRT clinical approach that, in combination with the accompanying updated policy statement, guides pediatricians in implementing substance use prevention, detection, assessment, and intervention practices across the varied clinical settings in which adolescents receive health care.

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“…Mobile interventions for marijuana use have been developed for youth in primary care [61], youth discharged from residential treatment [62], and marijuana users in the general population [29,63]. These mobile marijuana interventions focus on an individual user and provide content at scheduled intervals or when a user initiates contact with the software.…”

Section: Prediction Model Linking Peer Interactions To Marijuana Use mentioning

confidence: 99%

Innovative Routes for Enhancing Adolescent Marijuana Treatment: Interplay of Peer Influence Across Social Media and Geolocation

et al. 2016

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Peer behaviors are highly influential in youth decision-making around whether to use marijuana. Social media, as a popular form of peer interaction, has extended peer influence on marijuana use from "in-person" to "on-line" relationships. This is highly concerning, as youth may report their marijuana use on social media as it occurs. The immediacy and possible virality of this type of on-line interaction not only is a source of risk, but also may have utility for monitoring and predicting an episode of marijuana use just before it occurs. This article discusses how in-person and on-line peer interactions contribute to youth marijuana use in order to identify triggering social contexts (e.g., in-person co-location of peers, on-line peer influence) associated with marijuana use. The development of an innovative approach to youth intervention for marijuana use, which combines real-time assessment of social media activity and geographic location of youth and a peer, is described.

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Real-time, contextual intervention using mobile technology to reduce marijuana use among youth: A pilot study

Cited by 58 publications

References 46 publications

Treatment of Adolescent Substance Use Disorders

Treatment of Adolescent Substance Use Disorders

Substance Use Screening, Brief Intervention, and Referral to Treatment

Innovative Routes for Enhancing Adolescent Marijuana Treatment: Interplay of Peer Influence Across Social Media and Geolocation

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