Pilot randomized trial of MOMENT, a motivational counseling-plus-ecological momentary intervention to reduce marijuana use in youth

MHealth
Lydia A ShrierSion Kim Harris

Abstract

Ecological momentary interventions (EMIs) influence behavior in real time, in real life. We evaluated trial feasibility and preliminary efficacy of MOMENT, a counseling-plus-EMI to reduce frequent marijuana use in youth in primary care. Primary care patients age 15-24 years using marijuana at least 3 times/week were randomized to MOMENT [motivational enhancement therapy (MET)/smartphone-based momentary assessment/responsive motivational messaging] vs. No-messages (MET/momentary assessment) vs. MET-only. In MOMENT, two MET sessions were followed by 2 weeks of momentary assessment of marijuana use and factors related to use, with motivational messaging displayed after report of marijuana triggers, desire, use, and effort to avoid use. We evaluated study feasibility (recruitment, retention, and response rates; feedback survey responses) and explored intervention effects on marijuana desire and use at three months with linear mixed effects modeling. Seventy youth [mean (M) =20.7 years, 60% female] were assigned to MOMENT (n=27), No-messages (n=15; assignment suspended to enrich other arms), or MET-only (n=28). Most attrition occurred during baseline, before MET. Of those completing MET session 1, 82% completed their assigned treatm...Continue Reading

Citations

Mar 12, 2021·PloS One·Andreas BalaskasGavin Doherty
Dec 12, 2020·Journal of Substance Abuse Treatment·Amy McDonnellStephanie Carreiro
Apr 3, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Jessica A LinLydia A Shrier
Jul 14, 2021·Journal of Medical Internet Research·Bruna Carolina Rodrigues CunhaMaria Da Graça Campos Pimentel
Sep 1, 2021·Early Intervention in Psychiatry·Anna BeneriaMario Alvarez-Jimenez
Jul 28, 2021·Harvard Review of Psychiatry·Melanie NisensonMeredith Gansner
May 3, 2020·Pediatrics·Ana Radovic, Sherif M Badawy
Jul 3, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Maddie O'ConnellSion K Harris

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