Alerta Cannabis: A Tailored-Computer Web-Based Program for the Prevention of Cannabis Use in Adolescents: A Cluster-Randomized Controlled Trial Protocol
- Marta Lima Serrano 2
- Ma Carmen Barrera Villalba 2
- Isotta Mac Fadden 34
- Ilse Mesters 1
- Hein de Vries 1
-
1
Maastricht University
info
-
2
Universidad de Sevilla
info
-
3
Universidad de Salamanca
info
-
4
Universidad Pablo de Olavide
info
ISSN: 1472-6955
Year of publication: 2024
Volume: 23
Issue: 1
Type: Article
More publications in: BMC Nursing
Sustainable development goals
Abstract
The growing use of cannabis in adolescence is a public health problem that must be addressed through prevention. In Spain, the average age of initiation of cannabis use in the adolescent population is 14.8 years. At 14 years, the lifetime prevalence of cannabis use is 11.7%, which increases to 51.,5% at the age of 18; the prevalence of cannabis use in the population aged 14 to 18 years is 28.6%, a figure that must be tried to reduce, that is why this school prevention program is proposed: Alerta Cannabis.
Funding information
Grant PID2019-107229RA-I00 funded by MCIN/AEI/10.13039/501100011033; MCIN/AEI/10.13039/501100011033.Bibliographic References
- United Nations Office on Drugs and Crime (UNODC). Booklet 2 - Global overview of drug demand and drug supply. United Nations: Office on Drugs and Crime. [cited 2023 Mar 30]. Available from: https://www.unodc.org/unodc/en/data-and-analysis/wdr-2022_booklet-2.html.
- European Monitoring Center for Drugs and Drug Addiction (EMCDDA). European report on Drugs: Trends and developments 2022. European Monitoring Centre for Drugs and Drug Addiction. [cited 2023 Mar 30]. Available from: https://www.emcdda.europa.eu/system/files/publications/14644/20222419_TDAT22001ESN_PDF.pdf.
- Spanish Observatory of Drugs and Addictions. Report 2021. Alcohol, tobacco, and illegal drugs in Spain. [cited 2023 Mar 30]. Available from: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/ESTUDES_2021_Informe_de_Resultados.pdf.
- Spanish Observatory of Drugs and Addictions. Report 2022. Alcohol, tobacco, and illegal drugs in Spain. [cited 2023 Mar 30]. Available from: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2022_Informe_Indi_admisiones.pdf.
- Social Services Agency and Dependency of the Junta de Andalucia. Annual report of the Treatment Admissions Indicator 2021. [cited 2023 Mar 30]. Available from: e https://www.juntadeandalucia.es/sites/default/files/2022-05/280222-Informe_tratamiento_2021%20%281%29.pdf.
- Calabria B, Degenhardt L, Hall W, Lynskey M. Does cannabis use increase the risk of death? Systematic review of epidemiological evidence on adverse effects of cannabis use. Drug Alcohol Rev. 2010;29(3):318–30.
- Borges G, Bagge CL, Orozco R. A literature review and meta-analyses of cannabis use and suicidality. J Affect Disord. 2016;195:63–74.
- Fontanella CA, Steelesmith DL, Brock G, Bridge JA, Campo JV, Fristad MA. Association of Cannabis Use with Self-harm and mortality risk among youths with Mood disorders. JAMA Pediatr 1 de Abril De. 2021;175(4):377–84.
- United Nations Office on Drugs and Crime (UNODC). Booklet 1 - Executive summary / Policy implications [Internet]. United Nations: Office on Drugs and Crime. [cited 2023 Mar 30]. Available from: https://www.unodc.org/unodc/en/data-and-analysis/wdr-2022_booklet-1.html.
- Porath-Waller AJ, Beasley E, Beirness DJ. A meta-analytic review of school-based prevention for cannabis use. Health Educ Behav. 2010;37(5):709–23.
- (Ministry of Health., (March. 2024). Health Promotion and Prevention. https://www.sanidad.gob.es/areas/promocionPrevencion/home.htm
- Good Practices Portal. In Reducing the Demand for ugs and Others Addictions. (March, 2024). http://www.buenaspracticasadicciones.es/.
- Espada JP, Gonzálvez MT, Orgilés M, Lloret D, Guillén-Riquelme A. Meta-analysis of the effectiveness of school substance abuse prevention programs in Spain. Psicothema. 2015;27(1):5–12.
- Medina-Martínez J, Villanueva-Blasco VJ. Prevention versus pseudoprevention: a systematic review of drug prevention in schools and its indexation in best practices portals. Int J Ment Health Addict. 2023. https://doi.org/10.1007/s11469-023-01122-x.
- Kreeft PVD, Wiborg G, Galanti RM, Siliquini R, Bohrn K, Catigna M, Lindahl AM, Melero JC, Vassara M, Faggiano F, The Eu-Dap Study Group. Unplugged’: a new European school programme against substance abuse. Drugs: Educ Prev Policy. 2009;16(2):167–81. https://doi.org/10.1080/09687630701731189.
- Villanueva VJ, Puig-Perez S, Becoña E. Efficacy of the Sé tú Mismo (be yourself) program in Prevention of Cannabis Use in adolescents. Int J Ment Health Addict. 2021;19(4):1214–26.
- Boumparis N, Loheide-Niesmann L, Blankers M, Ebert DD, Korf D, Schaub MP, et al. Short- and long-term effects of digital prevention and treatment interventions for cannabis use reduction: a systematic review and meta-analysis. Drug Alcohol Depend. 2019;200:82–94.
- Lize SE, Iachini AL, Tang W, Tucker J, Seay KD, Clone S, et al. A Meta-analysis of the effectiveness of Interactive Middle School Cannabis Prevention Programs. Prev Sci. 2017;18(1):50–60.
- Norberg MM, Kezelman S, Lim-Howe N. Primary prevention of cannabis use: a systematic review of randomized controlled trials. PLoS ONE. 2013;8(1):e53187.
- Marsiglia FF, Booth JM. Cultural Adaptation of interventions in Real Practice settings. Res Soc Work Pract. 2015;25(4):423–32.
- Sidani S, Ibrahim S, Lok J, Fan L, Fox M, Guruge S. An Integrated Strategy for the Cultural Adaptation of evidence-based interventions. Health. 2017;9(4):738–55.
- Burlew AK, Copeland VC, Ahuama-Jonas C, Calsyn DA. Does Cultural Adaptation have a role in substance abuse treatment? Soc Work Public Health. 2013;28(0):440–60.
- Kulis SS, Marsiglia FF, Medina-Mora ME, Nuño-Gutiérrez BL, Corona MD, Ayers SL. Keepin’ it REAL-Mantente REAL in Mexico: a Cluster Randomized Controlled Trial of a culturally adapted Substance Use Prevention Curriculum for early adolescents. Prev Sci. 2021;22(5):645–57.
- De Vries H. An Integrated Approach for Understanding Health Behavior; The I-Change Model as an Example. PBSIJ. March 9, 2017 [updated 2017; cited 2023 Mar 30];2(2). Available from: https://juniperpublishers.com/pbsij/PBSIJ.MS.ID.555585.php.
- Torrejón-Guirado MC, Lima-Serrano M, Mercken L, de Vries H. Which factors are associated with cannabis use among adolescents in Andalusia? An application of the I-Change model. Journal of Nursing Scholarship. [citado 5 de abril de 2023];n/a(n/a). Available from: https://onlinelibrary.wiley.com/doi/abs/https://doi.org/10.1111/jnu.12806.
- De Vries H, Mudde AN. Predicting stage transitions for smoking cessation applying the attitude-social influence-efficacy model. Psychol Health. 1998;13(2):369–85.
- Azjen I. Theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.
- Ajzen I. From intentions to actions: a theory of Planned Behavior. Action Control: Cognition Behav. 1985. https://doi.org/10.1007/978-3-642-69746-3_2.
- Bandura A, Rivière-Gómez Á. Social Learning theory. Espasa Calpe Spain; 1982 [cited 2023 Mar 30]. Available from: https://dialnet.unirioja.es/servlet/libro?codigo=184893.
- Prochaska JO, Velicer WF. The Transtheoretical Model of Health Behavior Change. Am J Health Promot. 1997;12(1):38–48.
- Janz NK, Becker MH. The Health Belief Model: a Decade later. Health Educ Q. 1984;11(1):1–47.
- Gastelurrutia MA, Amezúa MJ, Gil M, Noain MA, Castrillón CC. The integration of different strategies to boost the adoption of the pharmacotherapy follow-up service in Spanish community pharmacies. Pharm Care Spain. 2009;1:11:52–62.
- More KR, Phillips LA. The utility of the integrated behavior change model as an extension of the theory of planned behavior. Frontiers in Psychology. 2022 [updated 2022; cited 2023 April 5];13. Available from: https://www.frontiersin.org/articles/https://doi.org/10.3389/fpsyg.2022.940777.
- De Vries H, Brug J. Computer-tailored interventions motivating people to adopt health promoting behaviors: introduction to a new approach. Patient Educ Couns. 1999;36(2):99–105.
- Smit ES, Linn AJ, van Weert JCM. Taking online computer-tailoring forward: the potential of tailoring the message frame and delivery mode of online health behaviour change interventions. Eur Health Psychol. 2015;17(1):25–31.
- Altendorf MB, van Weert JCM, Hoving C, Smit ES. An economic evaluation of an online computer-tailored smoking cessation intervention that includes message frame-tailoring: a randomized controlled trial. PLOS Digit Health. 2022;1(9):e0000094.
- Krebs P, Prochaska JO, Rossi JS. A meta-analysis of computer-tailored interventions for health behavior change. Prev Med. 2010;51(3):214–21.
- Vargas-Martínez AM, Lima-Serrano M, Trapero-Bertran M. Cost-effectiveness and cost-utility analyses of a web-based computer-tailored intervention for prevention of binge drinking among Spanish adolescents. Alcohol Clin Exp Res. 2023;47(2):319–35.
- Population that uses the Internet (in the last three months). Type of activities carried out on the Internet. Statistics National Institute. [cited 2023 April 5]. Available in:https://www.ine.es/ss/Satellite?L=es_ES&c=INESeccion_C&cid=1259925528782&p=1254735110672&pagename=ProductosYServicios%2FPYSLayoutm1=PYSDetallem3=1259924822888
- Jander A, Crutzen R, Mercken L, Candel M, de Vries H. Effects of a web-based computer-tailored game to reduce binge drinking among Dutch adolescents: a Cluster Randomized Controlled Trial. J Med Internet. 2016;18(2):e29.
- Lima-Serrano M, Martínez-Montilla JM, Lima-Rodríguez JS, Mercken L, de Vries H. Design, implementation and evaluation of a web-based computer-tailored intervention to prevent binge drinking in adolescents: study protocol. BMC Public Health. 2018;18(1):449.
- Martinez-Montilla JM, Mercken L, de Vries H, Candel M, Lima-Rodríguez JS, Lima-Serrano MA, Web-Based. Computer-tailored intervention to reduce alcohol consumption and binge drinking among Spanish adolescents: Cluster Randomized Controlled Trial. J Med Internet Res. 2020;22(1):e15438.
- Cremers HP, Mercken L, Oenema A, de Vries H. A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol. BMC Public Health. 2012;12(1):277.
- Lima-Serrano M, Fernández-León P, Mercken L, Martínez-Montilla JM, de Vries H. An animation- Versus text-based computer-tailored game intervention to prevent alcohol consumption and binge drinking in adolescents: study protocol. Int J Environ Res Public Health. 2021;18(19):9978.
- González-Cano-Caballero M, Torrejón-Guirado C, Cano-Caballero MD, Mac-Fadden I, Barrera-Villalba C, Lima-Serrano M. Adolescents and youths’ opinions about the factors associated with cannabis use: a qualitative study based on the I-Change model. BMC Nurs. 2023;22(114). https://doi.org/10.1186/s12912-023-01283-z.
- Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.
- Dupont HB, Lemmens P, Adriana G, van de Mheen D, de Vries NK. Developing the Moti-4 intervention, assessing its feasibility and pilot testing its effectiveness. BMC Public Health. 2015;15(1):500.
- Research Randomizer. [Cited 2023 Apr 10]. Available from: https://www.randomizer.org/.
- Calculator. [Cited 2023 Apr 10]. Available from: https://www.imim.cat/ofertadeserveis/software-public/granmo/.
- Ministry of Education. Culture, and Sport. Junta de Andalucía. [cited 2023 May 3]. Available from: https://www.juntadeandalucia.es/educacion/vscripts/centros/index.asp.
- Ministry of Educational Development. and Vocational Training. [cited 2023 May 3]. Available from: https://www.juntadeandalucia.es/educacion/portals/web/ipasen.
- Hartley JEK, Levin K, Currie C. A new version of the HBSC Family affluence scale - FAS III: Scottish qualitative findings from the international FAS development study. Child Ind Res. 2016;9:233–45. https://doi.org/10.1007/s12187-015-9325-3.
- Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: the development of the Health Behaviour in School-aged children (HBSC) family affluence scale. Soc Sci Med. 2008;66(6):1429–36.
- Currie C, Inchley J, Molchi M, Lenzi M, Veselska Z, Wild F. Health Beha aviou rr in. School-aged children (HBSC) study protocol: background, methodology and mandatory items for the 2013/14 survey. St Andrews: Child and Adolescent Health Research Unit (CAHRU); 2014.
- Inchley J, Molcho M, Lenzi M, Veselska Z, Wild F. Health Behavior Study Protocol in School-Age Children (HBSC): Background, Methodology, and Required Items for the 2013/14 Survey. Child and Adolescent Health Research Unit: St. Andrews; Available from: https://drive.google.com/file/d/1FZ8c2Xa_FcZ5Yx5gPXkPtlbV545NKhnx/view.
- Moreno C, Ramos P, Rivera F et al. Technical report on the results obtained from the Health Behavior in School-aged Children Study (HBSC) 2018 in Spain. Ministry of Health, 2020.
- Portal National Plan on Drugs. - Surveys and studies. [cited 2023 April 5]. Available from: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/encuestas_ESTUDES.htm
- Head of state. Royal Decree-Law 5/2018, of July 27, on urgent measures for the adaptation of Spanish Law to the European Union regulations on data protection. Section 1, Royal Decree-Law 5/2018 Jul 30, 2018 p. 76249-57. Available from: https://www.boe.es/eli/es/rdl/2018/07/27/5.
- Autonomous Community of Andalusia. Law 4/1997, of July 9, on Drug Prevention and Assistance. Section 1, Law 4/1997 Aug 14, 1997 p. 24916-25. Available from: https://www.boe.es/eli/es-an/l/1997/07/09/4.
- Andalusian Health Service. Functions and competencies of the Reference Nurses of Educational Centers in Andalusia. Andalusian Health Service. [cited 2023 May 17]. Available from: https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/publicaciones/funciones-y-competencias-de-las-enfermeras-referentes-de-centros-educativos-erc-en-andalucia.