About this trial
This study aims to develop an App-based intervention (CANQUIT) aimed at regular cannabis users. The efficacy of this intervention will be evaluated in the short-term (1-month follow-up) and long-term (3- and 6-months follow-ups) using a sample of 120 participants. Participants will be randomly assigned to the experimental arm (App-assisted CBT-based intervention) or the control (App-assisted self-help guide). The study will also estimate the economic impact of the intervention by considering the benefit-cost ratio (BCR) and net benefit (in €) associated with the total cost of the program. The goal is to provide evidence that can inform policy decisions regarding cannabis use and minimize the negative consequences on the physical and mental health of young adults in Spain. This study aims to offer a cost-effective prevention strategy that minimize the negative consequences on the physical and mental health of young adults in Spain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Between 18 and 30 years old.
At least one occasion of cannabis use in the last month.
Access to smartphones (iOS or Android).
Access to Internet.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
CBT-based intervention
Behavioral* 1st week: Daily self-report on cannabis and tobacco use, myths regarding cannabis use and its health consequences, motives for cannabis use reduction/quitting, psychoeducation concerning withdrawal symptomatology, therapist's recommendation (progressive reduction of cannabis use). * 2nd week: Daily self-report on cannabis and tobacco use, myths regarding cannabis use and its health and behavioral consequences, identification of triggers, alternatives to cannabis use, therapist's recommendation (progressive reduction of cannabis use). * 3rd week: Daily self-report on cannabis and tobacco use benefits from quitting cannabis, behavioral activation, diaphragmatic breathing, training in social abilities, strategies to prevent smoking, therapist's recommendation (progressive reduction of cannabis use). * 4th week: Daily self-report on cannabis and tobacco use (i.e., nº of joints/cigarettes), high-risk situations for relapse, lapse vs. relapse, coping strategies, relapse prevention plan.
Self-help guide
BehavioralPsychoeducation on cannabis.
Treatment groups
Trial outcomes
Primary outcomes
Cannabis abstinence
* Self-reported point prevalence cannabis abstinence * Continuous self-reported cannabis abstinence
Cannabis reduction
* Self-reported reduction in quantity of cannabis used on a weekly basis (daily joints, number of hashish/marijuana joints, grams) * Decreases in self-reported past-month frequency of cannabis use (i.e., once, less than one per week, once/twice per week, 3-4 times a week, 5-6 times a week, every day).
Acceptability
Client Satisfaction Questionnaire-8 (CSQ-8). The CSQ-8 is an 8-item questionnaire that evaluates the level of satisfaction with the treatment received by the participants. Scores range between 8-32, with higher scores indicating higher levels of satisfaction.
Secondary outcomes
Changes in legal and illegal substance use
Self-reported past-month legal and illegal substance use (alcohol, tobacco, cocaine, heroine, amphetamine, ecstasies, hallucinogens, prescription drugs).
Changes in cannabis-related problems
Pre to post-intervention changes in cannabis problems as measured by the Cannabis Use Disorder Identification Test-Revised (CUDIT-R). The CUDIT-R is an 8-item screening test for measuring cannabis-related problems. Scores of 8 or more are indicative of hazardous cannabis use. Meanwhile, scores of 12 or more indicate the participant may present a cannabis use disorder.
Improvement in risk of emotional disorders
Reductions in the severity of symptoms of depression, anxiety, somatization as measured by the Brief Symptoms Inventory-18 (BSI-18). The BSI-18 is an 18-item assessment screening of psychological distress (somatic, anxious and depressive symptomatology). Scores range between 0-72, with higher values indicating higher risk of depression, anxiety and somatization.
Sponsors and contacts
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Alba González-Roz, PhD
Lead sponsor
University of Oviedo
Sponsor institution
Delegación del Gobierno para el Plan Nacional sobre Drogas
Collaborator