The efficacy of computerized interventions to reduce cannabis use: a systematic review and meta-analysis
Abstract
Background and aims Cannabis is the most widely consumed illicit drug. Although it is too early to confirm the impact of legalization, the use of cannabis appears to be on the rise in some countries due to its authorization for medical/recreational purposes. Among different types of therapeutic approaches to reduce cannabis use, computerized interventions are becoming a new treatment option. To assess their efficacy, a systematic review and meta-analysis was conducted.Methods A systematic review and meta-analysis was performed employing randomized controlled clinical trials indexed in MEDLINE and PsycINFO. The principal outcome measure was cannabis use, and the secondary one was the use of other substances during interventions. A subgroup analysis was conducted by length of follow-up, number of sessions, age group, type of analysis, and type of control condition.Results The meta-analysis included nine studies with 2963 participants. Computerized interventions resulted in significant reductions in the use of cannabis (standardized mean difference [SMD]: -0.19; 95% CI: -0.26, -0.11) and other substances (SMD: -0.27; 95% CI: -0.46, -0.08).Conclusions Computerized interventions examined in the present study reduced the frequency of cannabis and other substance use. Limitations included the recalculation of dichotomous and continuous data as SMD and the lower number of studies included in the secondary outcome. Computerized interventions could be a viable option to reduce cannabis use.
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- Authors
- Olmos, A., Tirado-Muñoz, J., Farré, M., & Torrens, M.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Hospital Del Mar (ES)
- Corresponding author
- Torrens, Marta
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 79
- Pages
- 52-60
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W2774781750
- Cited by
- 47
- References
- 49
- Citations by year
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- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Instituto de Salud Carlos III (ISCIII-FEDER PI14/00715)
- Red de Trastornos Adictivos (RD12/0028/0009, RD16/0017/0010, RD16/0017/0003)
- Ministerio de Sanidad-Plan Nacional sobre Drogas (PNSD 2015I054)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
- Keywords
- computer-based intervention, cannabis use reduction, substance use, cannabis legalization, recreational cannabis, medical cannabis, treatment efficacy
- MeSH terms
- Marijuana Use, Humans, Person-Centered Psychotherapy, Psychotherapy, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Motivational Interviewing
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