RNRCTJournal of pediatric nursing2019

Engaging Youth (Adolescents and Young Adults) to Change Frequent Marijuana Use: Motivational Enhancement Therapy (MET) in Primary Care.

Meredith Kells, Pamela J Burke, Sarah Parker and 2 others

PMID 31473464

WHAT IT FOUND

Frequent users aged 15 to 24 rated two nurse-delivered motivational sessions good or excellent; 68% used cannabis to cope and 71% feared stress worsened.

The paper does not report whether use changed.

Key findings

0156 participants (80%) returned for MET session 1 and 46 (82%) returned for session 2; 93% and 94% rated the sessions excellent or good.

02Emotional coping was the most common reason for frequent cannabis use (68%), and 71% identified stress and coping as a concern about using less cannabis.

03Participants were nearly evenly distributed across pre-contemplation (35%), contemplation (35%), and post-contemplation (30%); compared with pre-contemplation, contemplation participants were more likely to cite relationship pros and cons for change.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The supplied text reports no randomization details, comparison group outcomes, or primary outcome result, so it cannot be read as evidence that the intervention worked. It used a convenience sample from clinics at one urban children's hospital in the northeastern United States, so findings may not apply to rural or other settings. 56 participants returned for session 1 and 46 returned for session 2, so the session content results may not represent all 70 enrolled. Cannabis use was self-reported and not validated by drug testing because of cost. The authors acknowledge possible social desirability bias in adolescent and young adult self-report. The study did not examine whether session content, such as pros, cons, or stage of change, predicted later reduction or cessation. The smartphone self-monitoring and messaging component of MOMENT is not described with results, so its contribution cannot be separated from the MET sessions.

Declared interests

No funding source or author conflict of interest declaration is reported in the supplied text. The paper states that a Certificate of Confidentiality was obtained from the National Institute on Drug Abuse and that participants received gift cards up to $175.

The easy way to misread this

Do not conclude that motivational enhancement therapy reduced cannabis use. The MOMENT intervention also included smartphone self-monitoring and messaging, and the supplied text does not report a randomized comparison or a primary outcome result. The authors also did not examine whether session content predicted later reduction or cessation.

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