Family Members of Young Adults with Psychosis: Intentions to Use Motivational Interviewing to Address Cannabis Use
Ryan Petros, Denise D. Walker, A. Davis, Maria Monroe‐DeVita
American Journal of Psychiatric Rehabilitation March 1, 2021 DOI: 10.1353/jpr.2021.a934165 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Sample size | 8 |
| Population | Family members of individuals with first-episode psychosis |
| Topics | Cannabis |
| Citations | 1 |
| Key findings | Family members' intentions to use motivational interviewing to address a relative's cannabis use were reduced by disagreement that cannabis was "a problem," vested interest in cessation, concern about relationship strain, and lack of accessible risk information. Participants proposed that accessible information about cannabis-psychosis interactions and support in reconciling competing goals could increase these intentions. |
Abstract
ABSTRACT: Individuals with first episode psychosis (FEP) use cannabis at high rates. A family-based intervention grounded in motivational interviewing (MI) appears promising. Focus groups ( N = 3) were conducted with family members ( n = 8) of individuals with FEP. Questions were developed based on theory of planned behavior (TPB) to identify factors contributing to intentions to utilize MI to address cannabis. Researchers used content analysis to sort data into TPB constructs and thematic analysis to identify breadth of themes. Factors decreasing intention to utilize MI included disagreement about cannabis being “a problem,” having vested interests in cessation, concern about relationship strain, and lack of accessible data about risks and consequences of use. Strategies to increase intentions include providing families accessible information about cannabis-psychosis interactions and support to reconcile the following: preference for cessation versus respect for autonomy, desire to use evocation versus provide information, and the desire to avoid versus engage in discussion of cannabis.
Comparable studies
Other qualitative studies on cannabis, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psychoactive substances as a last resort—a qualitative study of self-treatment of migraine and cluster headaches Users of online forums discussing cluster headache and migraine treatments | 2017 | Qualitative thematic analysis | |
| Psychoactive drug or mystical incense? Overview of the online available information on Spice products Web pages related to Spice products | 2009 | Qualitative study | n = 200 |
| Patterns, Trends, and Meanings of Drug Use by Dance-drug Users in Edinburgh, Scotland Clubbers in clubs and pre-club bars | 2004 | Cross-sectional survey with focus groups | n = 124 |
| Fascination and Social Togetherness-Discussions about Spice Smoking on a Swedish Internet Forum. Swedish internet forum users who posted reports about Spice intoxication | 2013 | Qualitative study | n = 40 |
| Cannabis as entheogen: survey and interview data on the spiritual use of cannabis. Participants recruited from seven online communities, median age 33, 81% male | 2020 | Mixed methods (qualitative interviews and quantitative survey) | n = 319 |