Cannabis Use
Conditions
Brief summary
The purpose of the study is to develop and test social media interventions to help young people increase well-being and reduce risky behaviors. The study will help researchers learn about ways to deliver wellness information in a way that is appealing and helpful to young people who use Snapchat.
Interventions
BEHAVIORALSnapcoach
A brief motivational interviewing-based intervention combined with health coaching via social media for 4 weeks
Sponsors
National Institute on Drug Abuse (NIDA)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
Individuals seen in the Emergency Department at Hurley Medical Center who meet these criteria * self-report of weekly or more frequent cannabis use for past 3 months * past month Snapchat use * ability to consent * English-speaking * between ages 18-25 * smart phone ownership
Exclusion criteria
* Emergency Department presentation for suicidality and/or acute psychosis, being in police custody, or present with psychological distress requiring intensive social work (e.g. sexual assault) * having a medical cannabis card
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brief Intervention Acceptability | Immediate post-test administered after the session | Acceptability rating completed by participants for the brief intervention session |
| Snapchat Acceptability Rating | 1 month | Acceptability rating completed by participants for the Snapchat-delivered health coaching. Item: In general, I enjoyed the Snapchat messages from the SnapCoach team. (Not at all, A little, Somewhat, Very, Extremely) |
| Brief Intervention Feasibility | Immediate | % of participants assigned to condition who complete the brief intervention |
| Snapchat Health Coaching Feasibility | Up to 1 month | % of participants who complete key activities (e.g., % who add health coach on Snapchat) |
Countries
United States
Participant flow
Recruitment details
Recruitment occurred October 2020 through November 2021 with patients who were attending the Emergency Department or had a recent Emergency Department visit.
Pre-assignment details
N = 63 consented at baseline for the RCT, but 5 were lost to follow-up prior to randomization.
Participants by arm
| Arm | Count |
|---|---|
| Brief Intervention+Health Coaching Brief intervention with social-media delivered health coaching
Snapcoach: A brief motivational interviewing-based intervention combined with health coaching via social media for 4 weeks | 30 |
| Control Enhanced usual care brochure plus attention control with social media messaging | 28 |
| Total | 58 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| 1-month Post-test | Lost to Follow-up | 7 | 2 |
| 3-month Follow-up | Lost to Follow-up | 10 | 2 |
| Baseline Enrollment | Lost to Follow-up | 1 | 1 |
| Immediate Post-Test | Lost to Follow-up | 5 | 1 |
Baseline characteristics
| Characteristic | Control | Total | Brief Intervention+Health Coaching |
|---|---|---|---|
| Age, Continuous | 21.8 years STANDARD_DEVIATION 2.5 | 21.5 years STANDARD_DEVIATION 2.4 | 21.3 years STANDARD_DEVIATION 2.4 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 4 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 27 Participants | 54 Participants | 27 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 11 Participants | 28 Participants | 17 Participants |
| Race (NIH/OMB) More than one race | 4 Participants | 9 Participants | 5 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) White | 10 Participants | 18 Participants | 8 Participants |
| Sex: Female, Male Female | 19 Participants | 38 Participants | 19 Participants |
| Sex: Female, Male Male | 9 Participants | 20 Participants | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 30 | 0 / 28 |
| other Total, other adverse events | 0 / 30 | 0 / 28 |
| serious Total, serious adverse events | 0 / 30 | 0 / 28 |
Outcome results
Primary
Brief Intervention Acceptability
Acceptability rating completed by participants for the brief intervention session
Time frame: Immediate post-test administered after the session
Population: These data were not collected from the participants in the Control Arm/Group. These data refer to the intervention only.~24 participants who completed ratings of the intervention session immediately post-intervention.~Acceptability measured by the following item: How much did you enjoy talking to your health coach today?
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brief Intervention+Health Coaching | Brief Intervention Acceptability | Liked it/Liked it a lot | 23 Participants |
| Brief Intervention+Health Coaching | Brief Intervention Acceptability | Neutral | 1 Participants |
| Brief Intervention+Health Coaching | Brief Intervention Acceptability | Disliked it/disliked it a lot | 0 Participants |
Primary
Brief Intervention Feasibility
% of participants assigned to condition who complete the brief intervention
Time frame: Immediate
Population: Individuals randomized to intervention condition These data were not collected from the participants in the Control Arm/Group. These data refer to the intervention only.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brief Intervention+Health Coaching | Brief Intervention Feasibility | completed brief intervention session | 26 Participants |
| Brief Intervention+Health Coaching | Brief Intervention Feasibility | did not complete brief intervention session | 4 Participants |
Primary
Snapchat Acceptability Rating
Acceptability rating completed by participants for the Snapchat-delivered health coaching. Item: In general, I enjoyed the Snapchat messages from the SnapCoach team. (Not at all, A little, Somewhat, Very, Extremely)
Time frame: 1 month
Population: These data were not collected from the participants in the Control Arm/Group. These data refer to the intervention only.~22 participants in intervention condition who completed a post-test at 1-month after enrollment (i.e., conclusion of intervention period)
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brief Intervention+Health Coaching | Snapchat Acceptability Rating | Not at all | 0 Participants |
| Brief Intervention+Health Coaching | Snapchat Acceptability Rating | A little/somewhat | 4 Participants |
| Brief Intervention+Health Coaching | Snapchat Acceptability Rating | Very much/extremely | 18 Participants |
Primary
Snapchat Health Coaching Feasibility
% of participants who complete key activities (e.g., % who add health coach on Snapchat)
Time frame: Up to 1 month
Population: 30 individuals randomized to the intervention group These data were not collected from the participants in the Control Arm/Group. These data refer to the intervention only.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brief Intervention+Health Coaching | Snapchat Health Coaching Feasibility | % who added coaches on Snapchat | 29 Participants |
| Brief Intervention+Health Coaching | Snapchat Health Coaching Feasibility | % who did not add coaches on Snapchat | 1 Participants |
Primary
Snapchat Health Coaching Feasibility
% of participants who complete key activities (e.g., % who reply to at least 1 Snapchat message)
Time frame: Up to 1 month
Population: 30 individuals randomized to the intervention group These data were not collected from the participants in the Control Arm/Group. These data refer to the intervention only.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brief Intervention+Health Coaching | Snapchat Health Coaching Feasibility | % who replied to at least 1 Snapchat message | 26 Participants |
| Brief Intervention+Health Coaching | Snapchat Health Coaching Feasibility | % who did not reply to at least 1 Snapchat message | 4 Participants |