Evidence map›Paper›PMID 39522766›Full record

ArticleJournal of substance use and addiction treatment2025

Clinician perspectives on barriers and facilitators to the treatment of adolescent cannabis use: A qualitative study.

Maha N Mian, Jay Annam, Andrea Altschuler, Monique B Does, Stacy A Sterling, Derek D Satre, Cynthia I Campbell, Asma H Asyyed, Lynn D Silver, Sarah F Cunningham and 1 more

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Maha N MianDepartment of Psychology, Suffolk University, Boston, MA, United States of America; Division of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America. Electronic address: Maha.mian@suffolk.edu.
Jay AnnamDepartment of Psychiatry, Kaiser Permanente Oakland Medical Center, Oakland, CA, United States of America.
Andrea AltschulerDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America.
Monique B DoesDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America.
Stacy A SterlingDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America.
Derek D SatreDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America.
Cynthia I CampbellDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America.
Asma H AsyyedRegional Offices, Kaiser Permanente Northern California, Oakland, CA, United States of America.
Lynn D SilverPublic Health Institute, Oakland, California, United States of America.
Sarah F CunninghamDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America.
Kelly C Young-WolffDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States of America; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, CA, United States of America.

Funding

Substance Use Disorders Treatment/Services Research Training ProgramT32DA007250 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre, Janice Y Tsoh · 1991 to 2026
$7.4M
Assessing the Impact of Cannabis Legalization on Adolescent Cannabis Use and Cannabis-Related Health ConditionsR01DA053192 · NIDA · KAISER FOUNDATION RESEARCH INSTITUTE · PI Kelly Corinne Young-Wolff · 2022 to 2026
$3.3M
Mentoring alcohol use intervention research in HIV health care settingsK24AA025703 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Derek D Satre · 2018 to 2026
$1.8M
NIAAA NIH HHS K24 AA025703NIDA NIH HHS R01 DA053192NIDA NIH HHS T32 DA007250
6 · The paper itself

Abstract

introductionCannabis use among adolescents is prevalent, and clinicians who work with adolescents have unique insights about how to treat cannabis use in this population.

methodsThis qualitative study interviewed 32 clinicians from addiction medicine recovery services (AMRS), the emergency department (ED), mental health (MH), and pediatrics in an integrated healthcare system to understand their perspectives and experiences regarding barriers and facilitators to treating adolescent cannabis use. The analysis was developed using thematic analysis of interviews.

resultsThirty-two clinicians (Mean age = 45.9, SD =7.6; 56.3 % Female; 56.3 % White) were recruited from AMRS (n = 13; 41.6 %), the ED (n = 7; 21.9 %), MH (n = 7; 21.9 %) and pediatrics (n = 5; 15.6 %). Clinicians discussed several key barriers and facilitators of treating adolescent cannabis use. Facilitators include the use of multiple screening tools for adolescent cannabis use (i.e., self-report and toxicology testing) which provide more comprehensive information; patient-centered treatment approaches; and discussing cannabis use in the context of adolescents' mental health. Barriers discussed included adolescents' and parents' minimization of adolescent cannabis use risks. Several factors were discussed as potential facilitators or barriers, depending on context, including the influence of peers, virtual treatment, and parental involvement or lack thereof in treatment.

conclusionsInterviews with clinicians who work with adolescents across settings highlighted factors that serve as barriers and facilitators to treating adolescent cannabis use. These findings have important implications for guiding future research and intervention efforts, including the inclusion of universal screening practices, addressing stigma, reducing adolescents' and parents' minimization of cannabis use-related harms, and improving adolescent and parent engagement in treatment.

Indexed as

Adolescent BehaviorAttitude of Health PersonnelHealth Services AccessibilityMarijuana AbuseAdolescentAdultEmergency Service, HospitalFemaleHumansMaleMiddle AgedQualitative ResearchAdolescentscannabisMarijuanaSubstance use treatment

Identifiers

PMID39522766
PMCPMC11772051

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.