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Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users

BACKGROUND: Co-use of cannabis and tobacco has become increasingly popular among young adults. Interactive voice response (IVR) based ecological momentary assessment (EMA) allows for measurement of behavior in or near real-time, but has limitations including non-compliance, missing data, and potenti...

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Autores principales: Niznik, Taylor, Ehlke, Sarah J., Mermelstein, Robin, Vandrey, Ryan, Hedeker, Donald, Villanti, Andrea C., Cohn, Amy M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research Society on Marijuana 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361806/
https://www.ncbi.nlm.nih.gov/pubmed/37484048
http://dx.doi.org/10.26828/cannabis/2023/000139
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author Niznik, Taylor
Ehlke, Sarah J.
Mermelstein, Robin
Vandrey, Ryan
Hedeker, Donald
Villanti, Andrea C.
Cohn, Amy M.
author_facet Niznik, Taylor
Ehlke, Sarah J.
Mermelstein, Robin
Vandrey, Ryan
Hedeker, Donald
Villanti, Andrea C.
Cohn, Amy M.
author_sort Niznik, Taylor
collection PubMed
description BACKGROUND: Co-use of cannabis and tobacco has become increasingly popular among young adults. Interactive voice response (IVR) based ecological momentary assessment (EMA) allows for measurement of behavior in or near real-time, but has limitations including non-compliance, missing data, and potential for reactivity (e.g., behavior change) from frequent assessments. METHODS: This study examined tobacco and cannabis use characteristics and factors associated with IVR compliance and self-reported reactivity in 97 young adults who reported cannabis and tobacco co-use at baseline and completed daily IVR surveys of co-use behavior at three random times per day for 28 days. RESULTS: Overall IVR compliance was 55%, with a modal compliance of 60%. Compliance rates did not differ across morning, midday, and evening surveys, but significantly declined over time. The sample was divided into high frequency responders (>70% calls completed, n=35) and low frequency responders (<70%, calls completed n=62). There were no differences between high and low frequency responders on any baseline demographic, tobacco use (nicotine dependence severity), alcohol, or cannabis use characteristics (past 30-day frequency of use). Participants were receptive to IVR-based EMA monitoring and, 16.5% reported purposely decreasing nicotine/tobacco use due to monitoring, while 19.6% reported purposely decreasing cannabis use, which predicted lower cannabis use post-EMA monitoring. CONCLUSIONS: Real-time assessment of co-use behavior among young adults does not appear to be impacted by specific demographics or substance use severity (nicotine dependence, heavy drinking). Data suggest some predictive utility of IVR-based EMA monitoring on short-term behavior change. More intensive approaches are needed to improve compliance among young adult cannabis and tobacco co-users.
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spelling pubmed-103618062023-07-22 Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users Niznik, Taylor Ehlke, Sarah J. Mermelstein, Robin Vandrey, Ryan Hedeker, Donald Villanti, Andrea C. Cohn, Amy M. Cannabis Research Article BACKGROUND: Co-use of cannabis and tobacco has become increasingly popular among young adults. Interactive voice response (IVR) based ecological momentary assessment (EMA) allows for measurement of behavior in or near real-time, but has limitations including non-compliance, missing data, and potential for reactivity (e.g., behavior change) from frequent assessments. METHODS: This study examined tobacco and cannabis use characteristics and factors associated with IVR compliance and self-reported reactivity in 97 young adults who reported cannabis and tobacco co-use at baseline and completed daily IVR surveys of co-use behavior at three random times per day for 28 days. RESULTS: Overall IVR compliance was 55%, with a modal compliance of 60%. Compliance rates did not differ across morning, midday, and evening surveys, but significantly declined over time. The sample was divided into high frequency responders (>70% calls completed, n=35) and low frequency responders (<70%, calls completed n=62). There were no differences between high and low frequency responders on any baseline demographic, tobacco use (nicotine dependence severity), alcohol, or cannabis use characteristics (past 30-day frequency of use). Participants were receptive to IVR-based EMA monitoring and, 16.5% reported purposely decreasing nicotine/tobacco use due to monitoring, while 19.6% reported purposely decreasing cannabis use, which predicted lower cannabis use post-EMA monitoring. CONCLUSIONS: Real-time assessment of co-use behavior among young adults does not appear to be impacted by specific demographics or substance use severity (nicotine dependence, heavy drinking). Data suggest some predictive utility of IVR-based EMA monitoring on short-term behavior change. More intensive approaches are needed to improve compliance among young adult cannabis and tobacco co-users. Research Society on Marijuana 2023-07-05 /pmc/articles/PMC10361806/ /pubmed/37484048 http://dx.doi.org/10.26828/cannabis/2023/000139 Text en © 2023 Authors et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits unrestricted use, distribution, and reproduction, provided the original author and source are credited, the original sources is not modified, and the source is not used for commercial purposes.
spellingShingle Research Article
Niznik, Taylor
Ehlke, Sarah J.
Mermelstein, Robin
Vandrey, Ryan
Hedeker, Donald
Villanti, Andrea C.
Cohn, Amy M.
Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title_full Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title_fullStr Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title_full_unstemmed Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title_short Parameters of EMA Compliance and Self-Reported Reactivity in a Longitudinal Study of Young Adult Cannabis and Tobacco Co-Users
title_sort parameters of ema compliance and self-reported reactivity in a longitudinal study of young adult cannabis and tobacco co-users
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361806/
https://www.ncbi.nlm.nih.gov/pubmed/37484048
http://dx.doi.org/10.26828/cannabis/2023/000139
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