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Engaging Youth (Adolescents and Young Adults) to Change Frequent Marijuana Use: Motivational Enhancement Therapy (MET) in Primary Care.
- Source :
-
Journal of pediatric nursing [J Pediatr Nurs] 2019 Nov - Dec; Vol. 49, pp. 24-30. Date of Electronic Publication: 2019 Aug 29. - Publication Year :
- 2019
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Abstract
- Purpose: To characterize information elicited from adolescent/young adults with frequent cannabis use in Motivational Enhancement Therapy (MET), and determine whether differences exist across stages of change (SOC) for reducing use.<br />Design and Methods: Primary care patients 15-24 years old using cannabis ≥3 times/week enrolled in a pilot randomized intervention trial. All youth were offered two 1-hour MET sessions. Content analysis was used to code and categorize main reasons for use, alternative behaviors, goals, values, pros and cons of change, and compared results between youth in Pre-Contemplation vs. Contemplation SOC.<br />Results: Fifty-six youth completed MET session 1, 46 completed session 2. Most reported their main reason for use was related to emotional coping, negative feelings were a top-3 trigger, and distraction was an alternative way to meet their needs. Youth most frequently described progress in education or career/job as 1-year goals. More than half identified family as a very important value. They most frequently reported pros of using less related to achieving goals, self-improving, and saving money, and a con related to stress/coping. Compared to youth in Pre-Contemplation SOC, those in Contemplation were more likely to identify relationships as both a pro and con of using less cannabis.<br />Conclusions: MET can reveal developmentally appropriate goals, healthy values, and ambivalence about cannabis use that can be used to facilitate movement along the stages of behavior change toward reduction/cessation.<br />Practice Implications: Brief motivational therapy can be used in primary care to gather information important in helping youth to reduce cannabis use.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Female
Follow-Up Studies
Humans
Male
Marijuana Abuse prevention & control
Patient Compliance statistics & numerical data
Patient Selection
Pilot Projects
Primary Health Care methods
Risk Assessment
Substance-Related Disorders prevention & control
Treatment Outcome
United States
Young Adult
Cognitive Behavioral Therapy methods
Marijuana Abuse psychology
Marijuana Abuse rehabilitation
Motivational Interviewing methods
Patient Participation statistics & numerical data
Substance-Related Disorders rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8449
- Volume :
- 49
- Database :
- MEDLINE
- Journal :
- Journal of pediatric nursing
- Publication Type :
- Academic Journal
- Accession number :
- 31473464
- Full Text :
- https://doi.org/10.1016/j.pedn.2019.08.011