High-frequency cannabis use is prevalent among young adults and has been linked to negative health consequences, yet effective therapeutic interventions are currently limited. Brief Interventions (BIs) for problematic substance use have shown promise, but are typically limited to quantitative outcome measures. This study aims to document the qualitative experiences of young, high-frequency cannabis users with BIs. Sixty-two high-frequency cannabis users, recruited from university student populations, participated in one of two newly developed cannabis BIs and were surveyed qualitatively at the 3-month post-intervention follow-up. Results show that 69.4% of the respondents believed they had undergone changes in actions/thinking/attitudes regarding their cannabis use, with diversion to potentially less harmful cannabis use patterns—including reductions in the frequency/quantity of use and declines in deep-inhalation/breath-holding techniques—being reported. Findings suggest that a personalized, interactive, culturally appropriate format may be a promising BI template for this population. Future qualitative research on BI experiences is urgently needed.
AaltoM.PekuriP., & SeppaK. (2003). Obstacles to carrying out brief intervention for heavy drinkers in primary health care: A focus group study. Drug & Alcohol Review, 22(2), 169–173.
2.
AdlafE.DemersA., & GliksmanL. (2005). Canadian Campus Survey 2004. Toronto: Centre for Addiction and Mental Health.
3.
AitkenC. K.KergerM., & CroftsN. (2002). Peer-delivered Hepatitis C testing and counselling: A means of improving the health of injecting drug users. Drug & Alcohol Review, 21(1), 33–37.
4.
AnthonyJ. (2006). The epidemiology of cannabis dependence. In RoffmanR. & StephensR. (Eds.), Cannabis dependence: It's nature, consequences and treatment (pp. 58–105). Cambridge: Cambridge University Press.
5.
AnthonyJ.VlahovD.CelentanoD.MenonA.CohnS.NelsonK. (1991). Self-report interview data for a study of HIV-1 infection among intravenous drug users: Description of methods and preliminary evidence on validity. The Journal of Drug Issues, 21(4), 739–757.
6.
ApodacaT., & LongabaughR. (2008). Mechanisms of change in motivational interviewing: A review and preliminary evaluation of the evidence. Addiction, 104(5), 705–715.
7.
ArmitageC. J., & ConnerM. (2001). Efficacy of the theory of planned behavior: A meta-analytic review. British Journal of Social Psychology, 40, 471–500.
8.
ArseneaultL.CannonM.WittonJ., & MurrayR. M. (2007). Causal association between cannabis and psychosis: Examination of the evidence. Focus, 5(2), 270–278.
9.
BeichA.GannikD., & MalterudK. (2002). Screening and brief intervention for excessive alcohol use: Qualitative interview study of the experiences of general practitioners. British Medical Journal, 325(7369), 870–874.
10.
BerghausG.ScheerN., & SchmidtP. (1995). Effects of cannabis on psychomotor skills and driving performance: A meta-analysis of experimental studies. In KloedenC. & McLeanA. (Eds.), Alcohol, drugs and traffic safety (pp. 403–409). Adelaide: Proceedings of the 13th International Conference on Alcohol, Drugs and Traffic Safety.
11.
BernsteinE.EdwardsE.DorfmanD.HeerenT.BlissC., & BernsteinJ. (2009). Screening and Brief Intervention to reduce marijuana use among youth and young adults in a pediatric emergency department. Academy on Emergency Medicine, 16(11),1174–1185.
12.
BienT.MillerW., & ToniganS. (1993). Brief interventions for alcohol problems: A review. Addiction, 88(3), 315–336.
13.
BrandsB.BrandsB.MacDonaldS., & StodutoG. (2004). Impacts of cannabis on driving: An analysis of current evidence with emphasis on Canadian data. Ottawa: Transport Canada.
14.
BroadheadR. S.HeckathornD. D.AlticeF. L.van HulstY.CarboneM.FriedlandG. H. (2002). Increasing drug users' adherence to HIV treatment: Results of a peer-driven intervention feasibility study. Social Science and Medicine, 55(2), 235–246.
15.
BrownS. (1993). Recovery patterns in adolescent substance abuse. In BaerJ.MarlottG., & MRJ (Eds.), Addictive behaviors across the life span: Prevention, treatment, and policy issues (pp. 161–183). Newbury Park, CA: Sage Publications.
16.
BudneyA.RoffmanR.StephensR., & WalkerD. (2007). Marijuana dependence and its treatment. Addiction Science & Clinical Practice, December (2007), 4–16.
17.
CareyK.B. (1996). Substance use reduction in the context of outpatient psychiatric treatment: A collaborative, motivational, harm reduction approach. Community Mental Health Journal, 32(3), 291–306.
18.
ChenK.KandelD., & DaviesM. (1997). Relationships between frequency and quantity of marijuana use and last year proxy dependence among adolescents and adults in the United States. Drug and Alcohol Dependence, 46(1), 53–67.
19.
ColemanL., & CarterS. (2007). Changing the culture of young people's binge drinking: From motivations to practical solutions. Drugs Education, Prevention, and Policy, 14(4), 305–317.
20.
ColemanL., & RammJ. (2008). Researching the effects of Digital Storytelling as a brief alcohol intervention for young people delivered in non-medical settings. Brighton, UK: AERC—The Alcohol Education and Research Council & The Trust for the Study of Adolescents.
21.
ConnerM., & McMillanB. (1999). Interaction effects in the theory of planned behavior: Studying cannabis use. British Journal of Social Psychology, 38, 195–222.
22.
CopelandJ. (2004). Developments in the treatment of cannabis use disorder. Current Opinion in Psychiatry, 17(3), 161–167.
23.
CopelandJ., & MartinG. (2004). Web-based interventions for substance use disorders: A qualitative review. Journal of Substance Abuse Treatment, 26(1), 109–116.
24.
CopelandJ., & SwiftW. (2009). Cannabis use disorder: Epidemiology and management. International Review of Psychiatry, 21(2), 96–103.
25.
CopelandJ.SwiftW.RoffmanR., & StephensR. (2001). A randomized controlled trial of brief cognitive-behavioral interventions for cannabis use disorder. Journal of Substance Abuse Treatment, 21(2), 55–64.
26.
CreswellJ. (2003). Research design: Qualitative, quantitative, and mixed methods approaches (2nd ed.). Thousand Oaks, CA: Sage Publications.
27.
CreswellJ. (2007). Qualitative inquiry & research design: Choosing among five approaches (2nd ed.). Thousand Oaks: Sage.
28.
DarkeS. (1998). Self-report among injecting drug users: A review. Drug and Alcohol Dependence, 51(1), 253–262.
29.
DenisC.LavieE.FatseasM., & AuriacombeM. (2008). Psycho-therapeutic interventions for cannabis abuse and/or dependence in outpatient settings [review]. (Rep. No. 3). Retrieved December 2, 2010 from http://www2.cochrane.org/reviews/en/ab005336.html
30.
DennisM.GodleyS.DiamondG.TimsF.BaborT.DonaldsonJ. (2004). The Cannabis Youth Treatment (CYT) study: Main findings from two randomized trials. Journal of Substance Abuse Treatment, 27(3), 197–213.
31.
DhitalR.WhittleseaC.M.NormanI.J., & MilliganP. (2010). Community pharmacy service users' views and perceptions of alcohol screening and brief intervention. Drug and Alcohol Review, 29, 596–602.
32.
DunnC.DerooL., & RivaraF. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96(12), 1725–1742.
33.
ElderJ.P.AyalaG.X., & HarrisS. (1999). Theories and intervention approaches to health behaviour change. American Journal of Preventive Medicine, 17(4), 275–284.
34.
European Monitoring Centre for Drugs and Drug Addiction. (2002). Annual report on the state of the drugs problem in the European Union and Norway. Lisboa: Author.
35.
FaulknerN.McCambridgeJ.SlymR., & RollnickS. (2009). It ain't what you do, it's the way that you do it: A qualitative study of advice for young cannabis users. Drug and Alcohol Review, 28(March), 129–134.
36.
FischerB.DaweM.McGuireF.ShuperP.CaplerR.BilskerD. (under review). Feasibility and impact of brief interventions for frequent cannabis users in Canada.
37.
FischerB.RehmJ., & HallW. (2009). Cannabis use in Canada—The need for a public health approach. Canadian Journal of Public Health, 100(2), 101–103.
38.
FischerB.RehmJ.IrvingH.IalomiteanuA.FalluJ., & PatraJ. (2010). Typologies of cannabis users and associated characteristics relevant for public health: A latent class analysis of data from a nationally representative Canadian Adult Survey. International Journal of Methods in Psychiatric Research, 19(2), 110–124.
39.
FungM.GallagherC., & MacHtayM. (1999). Lung and aero-digestive cancers in young marijuana smokers. Tumori, 85(2), 140–142.
40.
GrovesP.PickS.DavisP.CloudesleyR.CookeR.ForsytheM. (2010). Routine alcohol screening and brief interventions in general hospital in-patient wards: Acceptability and barriers. Drugs: Education, Prevention, and Policy, 17(1), 55–71.
41.
HallW., & SolowijN. (1998). Adverse effects of cannabis. The Lancet, 352(9140), 1611–1616.
42.
Health Canada. (2010). Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) 2009. Ottawa: Author.
43.
HumeniukR.DenningtonV., & AliR. (2008). The effectiveness of a brief intervention for illicit drugs linked to the alcohol, smoking and substance involvement screening test (ASSIST) in primary health care settings: A technical report of phase III findings of the Who ASSISST Randomized Controlled Trial. Geneva: World Health Organization.
44.
HutchingsD.CassidyP.DallolioE.PearsonP.HeatherN., & Kaner-EileenF. S. (2006). Implementing screening and brief alcohol interventions in primary care: Views from both sides of the consultation. Primary Health Care Research and Development, 7, 1–9.
45.
JohanssonK.AkerlindI., & BendtsenP. (2005). Under what circumstances are nurses willing to engage in brief alcohol interventions? A qualitative study from primary care in Sweden. Addictive Behaviors, 30(5), 1049–1053.
46.
JohnstonL.O'MalleyP.BachmanJ., & SchulenbergJ. (2009). Monitoring the future national results on adolescent drug use: Overview of key findings, 2008. Bethesda, MD: National Institute on Drug Abuse (NIDA).
47.
JungermanF.AndreoniS., & LaranjeiraR. (2007). Short term impact of same intensity but different duration interventions for cannabis users. Drug and Alcohol Dependence, 90(2–3), 120–127.
48.
KalantH. (2004). Adverse effects of cannabis on health: An update of the literature since 1996. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 28(5), 849–863.
49.
KerrT.OlesonM.TyndallM.MontanerJ., & WoodE. (2005). A description of a peer-run supervised injection site for injection drug users. Journal of Urban Health, 82(2), 267–275.
LockC. A. (2004). Alcohol and brief intervention in primary health care: What do patients think?Primary Health Care Research and Development, 5, 162–178.
52.
LockC. A.KanerE.LamontS., & BondS. (2002). A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care. Journal of Advanced Nursing, 39(4), 333–342.
53.
Marijuana Treatment Project Research Group. (2004). Brief treatments for cannabis dependence: Findings from a randomized multisite trial. Journal of Consulting and Clinical Psychology, 72(3), 455–466.
54.
MartinG. & CopelandJ. (2008). The adolescent cannabis check-up: Randomized trial of a brief intervention for young cannabis users. Journal of Substance Abuse Treatment, 34(4), 407–414.
55.
MartinG.CopelandJ., & SwiftW. (2005). The adolescent cannabis check-up: Feasibility of a brief intervention for young cannabis users. Journal of Substance Abuse Treatment, 29(3), 207–213.
56.
MasonM.MalottK., & KnoperT. (2009). Urban adolescents' reflections on brief substance use treatment, social networks, and self-narratives. Addiction Research and Theory, 17(5), 453–468.
57.
NygaardP., & AaslandO.G. (2011). Barriers to implementing screening and Brief Interventions in general practice: Findings from a qualitative study in Norway. Alcohol and Alcoholism, 46(1), 52–60.
58.
PittsM., & Miller-DauM. (2007). Upward turning points and positive rapport-development across time in researcher-participant relationships. Qualitative Research, 7(2), 177–201.
59.
RapleyT.MayC., & KanerE. F. (2006). Still a difficult business? Negotiating alcohol-related problems in general practice consultations. Social Science & Medicine, 63(9), 2418–2428.
60.
RoomR.FischerB.HallW.LentonS., & ReuterP. (2010). Cannabis policy: Moving beyond stalemate. New York: Oxford University Press.
61.
RushB. R.PowellL. Y.CroweT. G., & EllisK. (1995). Early intervention for alcohol use: Family physicians' motivations and perceived barriers. Canadian Medical Association Journal, 152(6), 863–869.
62.
SAMHSA. (2005). The Dasis Report—Trends in marijuana treatment admissions, by state: 1992–2002. Rockville, MD: Author.
63.
SAMHSA. (2009). Results from the 2008 national survey on drug use and health: National findings. Rockville, MD: Author.
64.
ShawV. (2002). Substance use and abuse: Sociological perspectives. Connecticut: Praeger.
65.
SobellL.CunninghamJ., & SobellM. (1996). Recovery from alcohol problems with and without treatment: Prevalence in two participation surveys. American Journal of Public Health, 86(7), 966–972.
66.
SobellL.EllingstadT., & SobellM. (2000). Natural recovery from alcohol and drug problems: Methodological review of the research with suggestions for future directions. Addiction, 95(5), 749–764.
67.
SolowijN. (1999). Long-term effects of cannabis on the central nervous system. In KalantH.CorrigallW.HallW., & SmartR. (Eds.), The health effects of cannabis (pp. 29–42). Toronto: Addiction Research Foundation.
68.
StarksH. & TrinidadS. (2007). Choose your method: A comparison of Phenomenology, Discourse Analysis, and Grounded Theory. Qualitative Health Research, 17(10), 1372–1380.
69.
StephensR.RoffmanR., & CurtinL. (2000). Comparison of extended versus brief treatment for marijuana use. Journal of Consulting and Clinical Psychology, 68(5), 898–908.
70.
StephensR.RoffmanR.FearerS.WilliamsC., & BurkeR. (2007). The marijuana check-up: Promoting change in ambivalent marijuana users. Addiction, 102(6), 947–957.
71.
StraussA. & CorbinJ. (1990). Chapter 5—Open coding. In Basics of qualitative research: Techniques and procedures for developing Grounded Theory (pp. 61–74). Thousand Oaks: Sage.
72.
TashkinD. (1999). Effects of cannabis on the respiratory system. In KalantH.CorrigallW.HallW., & SmartR. (Eds.), The health effects of cannabis (pp. 63–79). Toronto: Addiction Research Foundation.
WebbT.L.SniehottaF.F., & MichieS. (2010). Using theories of behaviour change to inform interventions for addictive behaviours. Addiction, 105, 1879–1892.
75.
WeilandT.J.DentA.W.PhillipsG.A., & LeeN.K. (2008). Emergency clinician-delivered screening and intervention for high-risk alcohol use: A qualitative analysis. Emergency Medicine Australasia, 20,129–135.
76.
WerchC.GrenardJ.BurnettJ.WatkinsJ.AmesS., & JobliE. (2006). Translation as a function of modality: The potential of brief interventions. Evaluation & the Health Professions, 29(1), 89–125.
