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Article ; Online: An agenda for research to transform care for cannabis use disorder.

Coughlin, Lara N / Lin, Lewei Allison / Bonar, Erin E

2023 Volume 148, Page(s) 107774

Language	English
Publishing date	2023-06-12
Publishing country	England
Document type	Editorial
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2023.107774
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Article ; Online: Toward a Harm Reduction Approach to Cannabis Use Disorder.

Lin, Lewei Allison / Bonar, Erin E / Coughlin, Lara N

The American journal of psychiatry

2023 Volume 181, Issue 2, Page(s) 98–99

MeSH term(s)	Humans ; Harm Reduction ; Substance-Related Disorders ; Marijuana Abuse/complications ; Marijuana Abuse/prevention & control ; Cannabis
Language	English
Publishing date	2023-12-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	280045-7
ISSN	1535-7228 ; 0002-953X
ISSN (online)	1535-7228
ISSN	0002-953X
DOI	10.1176/appi.ajp.20230381
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Article ; Online: Driving under the influence of cannabis, alcohol, and illicit drugs among adults in the United States from 2016 to 2020.

Myers, Matthew G / Bonar, Erin E / Bohnert, Kipling M

Addictive behaviors

2023 Volume 140, Page(s) 107614

Abstract: Objective: Driving under the influence (DUI) of substances increases motor vehicle crash risk. Understanding current national trends of driving under the influence of alcohol (DUIA), cannabis (DUIC), and drugs other than cannabis (DUID) can inform ... ...

Abstract	Objective: Driving under the influence (DUI) of substances increases motor vehicle crash risk. Understanding current national trends of driving under the influence of alcohol (DUIA), cannabis (DUIC), and drugs other than cannabis (DUID) can inform public health efforts. Herein, we provide updated trends among United States (US) adults regarding DUIA, DUIC, DUID, and DUI of any substance. Method: We used nationally-representative National Survey on Drug Use and Health (2016-2020) data to derive prevalence estimates of past-year DUIC, DUIA, DUID, and DUI of any substance among non-institutionalized US adults and among those reporting respective past-year substance use. Prevalence estimates and adjusted logistic regressions characterized temporal trends of these behaviors among US adults, among those with respective past-year substance use, and among stratified demographic subpopulations. Results: Over 1 in 10 US adults reported DUI of any substance annually from 2016 to 2020.DUIA was most prevalent among all US adults (8.7% in 2017); however, this behavior is decreasing (AOR:0.96; 95%CI:0.94,0.98). No change in DUIC among the US adult population was found, but a decrease was found among those with past-year cannabis use (AOR:0.95; 95%CI:0.93,0.98), which coincided with a 29.1% increase in past-year cannabis use. There were no significant changes in overall DUID; however, females, those ages 26-34 and 65 or older with past-year use displayed increasing trends. DUI of any substance decreased among the US adult population. Conclusions: DUI remains a salient public health concern in the US and results indicate population subgroups who may benefit from impaired driving prevention interventions.
MeSH term(s)	Female ; Adult ; Humans ; United States/epidemiology ; Cannabis ; Driving Under the Influence ; Illicit Drugs ; Automobile Driving ; Hallucinogens ; Substance-Related Disorders/epidemiology ; Ethanol
Chemical Substances	Illicit Drugs ; Hallucinogens ; Ethanol (3K9958V90M)
Language	English
Publishing date	2023-01-09
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2023.107614
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Article ; Online: Development and Pilot Testing of an Experimental Cannabis Marketplace: Toward Evaluating the Impact of Cannabis Policy on Consumer Choices.

Coughlin, Lara N / Jennings, Claudia J / Hellman, Lauren / Florimbio, Autumn Rae / Jannausch, Mary / Bonar, Erin E

Cannabis and cannabinoid research

2023

Abstract: Introduction: ...

Abstract	Introduction:
Language	English
Publishing date	2023-06-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2867624-5
ISSN	2378-8763 ; 2578-5125
ISSN (online)	2378-8763
ISSN	2578-5125
DOI	10.1089/can.2022.0273
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Article ; Online: A social media intervention for high-intensity drinking among emerging adults: a pilot randomized controlled trial.

Bonar, Erin E / Tan, Chiu Y / Fernandez, Anne C / Goldstick, Jason E / Chapman, Lyndsay / Florimbio, Autumn R / Walton, Maureen A

Alcohol and alcoholism (Oxford, Oxfordshire)

2024 Volume 59, Issue 2

Abstract: ... related content (e.g. stress; 59.6% very/extremely helpful) than alcohol-related content (40.4% very ...

Abstract	Aims: High-intensity drinking (HID) is a pattern of risky drinking defined as at least 8 drinks (for women) or 10 drinks (for men) in a single episode. Individuals engaged in HID may be at greater risk for consequences, necessitating tailored interventions. Herein, we report the feasibility and acceptability of a social media-delivered 8-week intervention for emerging adults with recent HID. Methods: Using social media advertising, we recruited 102 emerging adults who reported past-month HID. Average age was 20.0 year-olds (SD = 2.0); 51.0% were male. Most identified as White (64.7%; 14.7% Black/African American, 13.7% multiracial) and 26.5% identified as Hispanic/Latinx. Participants were randomized to an 8-week intervention delivered via Snapchat by health coaches (N = 50) or to a control condition (psychoeducational website referral; N = 52). Follow-ups occurred at 2 and 4 months post-baseline. Results: The intervention was acceptable (85.1% liked it/liked it a lot) and there were high follow-up rates. Participants rated coaches as supportive (91.5%) and respectful (93.6%). Descriptively, helpfulness ratings were higher for non-alcohol-related content (e.g. stress; 59.6% very/extremely helpful) than alcohol-related content (40.4% very/extremely helpful). Regarding engagement, 86.0% engaged approximately weekly and 59.6% indicated they saved intervention snaps. Descriptive data showed reductions over time in several measures of alcohol consumption and consequences as well as cannabis-impaired driving and mental health symptoms. Conclusions: This 8-week social media intervention for HID was feasible and acceptable among emerging adults, supporting the benefit of future testing in a fully powered trial.
MeSH term(s)	Adult ; Humans ; Male ; Female ; Young Adult ; Pilot Projects ; Social Media ; Emotions ; Mental Disorders ; Alcohol Drinking/therapy
Language	English
Publishing date	2024-01-01
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	604956-4
ISSN	1464-3502 ; 0309-1635 ; 0735-0414
ISSN (online)	1464-3502
ISSN	0309-1635 ; 0735-0414
DOI	10.1093/alcalc/agae005
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Article ; Online: Telehealth-delivered Psychotherapy for the Treatment of Alcohol Use Disorder: Patient Perspectives in the Age of COVID-19.

Girard, Rachel / Foreman, Jane / Pinnette, Ellen / Bonar, Erin E / Fernandez, Anne / Lin, Lewei Allison

Journal of addiction medicine

2023 Volume 17, Issue 6, Page(s) e367–e373

Abstract: ... benefits (e.g., eliminating transportation challenges) and barriers (e.g., technology costs). Treatment ...

Abstract	Objectives: The COVID-19 pandemic precipitated increases in alcohol use and ushered in virtually delivered health care, creating an opportunity to examine the impacts of telehealth on alcohol use disorder (AUD) treatment. To understand these impacts, we explored perspectives on telehealth-delivered psychotherapy among individuals with AUD. Methods: This was a qualitative study using semi-structured interviews. Participants (N = 31) were patients with AUD who had received telehealth-delivered AUD psychotherapy in the last 2 years (n = 11) or had never experienced AUD psychotherapy (n = 20), recruited from two large academically-affiliated health care systems in Michigan between July and August 2020. Participants were asked about perceived barriers and facilitators to AUD psychotherapy, benefits and drawbacks of telehealth-delivered AUD psychotherapy, and changes needed to improve psychotherapy delivery. Interviews were transcribed, coded, and analyzed iteratively using thematic analysis. Results: Participants identified factors relating to perceptions of and experience with telehealth-delivered AUD psychotherapy. Findings reflected four major themes: treatment accessibility, treatment flexibility, treatment engagement, and stigma. Perceptions about telehealth's impact on treatment accessibility varied widely and included benefits (e.g., eliminating transportation challenges) and barriers (e.g., technology costs). Treatment flexibility and treatment engagement factors included the ability to use phone and video and perceptions of receiving care via telehealth, respectively. Telehealth impacts on treatment stigma were also a key theme. Conclusions: Overall, perceptions of telehealth treatment for AUD varied. Participants expressed the importance of options, flexibility, and collaborating on decisions with providers to determine treatment modality. Future research should explore who benefits most from telehealth and avenues to enhance implementation.
MeSH term(s)	Humans ; Alcoholism ; Pandemics ; COVID-19 ; Psychotherapy ; Telemedicine
Language	English
Publishing date	2023-08-11
Publishing country	Netherlands
Document type	Journal Article
ISSN	1935-3227
ISSN (online)	1935-3227
DOI	10.1097/ADM.0000000000001210
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Article ; Online: Measuring Electronically Shared Rape Myths: Scale Creation and Correlates.

Thulin, Elyse J / Florimbio, Autumn Rae / Philyaw-Kotov, Meredith L / Walton, Maureen A / Bonar, Erin E

Journal of interpersonal violence

2023 Volume 39, Issue 1-2, Page(s) 369–392

Abstract: Increased access to information online (e.g., social media) provides opportunities for exposure ... to rape myths (i.e., false beliefs about incidents of sexual assault). Social media, in particular ...

Abstract	Increased access to information online (e.g., social media) provides opportunities for exposure to rape myths (i.e., false beliefs about incidents of sexual assault). Social media, in particular, may serve a critical role in shaping rape culture. Thus, it is important to identify ways to assess online exposure to rape myths, especially given the influence online exposure may have on offline behaviors. Data were analyzed from 2,609 18-25-year-old participants (mean age = 20.9 years; 46.1% male; 71.6% White) recruited in 2017 through social media to complete an online survey on experiences and perceptions of sexual violence. We used exploratory and confirmatory factor analyses (EFA, CFA) to evaluate the relatedness of nine items adapted to reflect rape myths posted by friends on social media. We split the sample into training (50%) and testing (50%) sets for the EFA and CFA, respectively, then evaluated the correlation between experiences of sexual violence, substance use, and social media use and exposure to online rape myths. Eigenvalues (1-factor: 5.509; 2-factor: 0.803; 3-factor: 0.704; 4-factor: 0.482), factor loadings, fit statistics (RMSEA: 0.03; CFI: 0.99; TLI: 0.99; SRMR: 0.057), interpretability, and existing theory supported a 1-factor solution, which was supported by CFA fit statistics (RMSEA: 0.021; CFI: 0.99; TLI: 0.99; SRMR: 0.038
MeSH term(s)	Humans ; Male ; Young Adult ; Adult ; Female ; Rape ; Sex Offenses ; Crime Victims ; Sexual Behavior ; Violence
Language	English
Publishing date	2023-08-31
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Research Support, N.I.H., Extramural
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/08862605231197140
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Article ; Online: Perceived risk of harm for different methods of cannabis consumption: A brief report.

Florimbio, Autumn Rae / Walton, Maureen A / Coughlin, Lara N / Lin, Lewei Allison / Bonar, Erin E

Drug and alcohol dependence

2023 Volume 251, Page(s) 110915

Abstract: ... to different consumption methods (e.g., smoking, dabbing). We examined differences in cannabis risk perceptions ...

Abstract	Background: Emerging adults' (EAs; ages 18-25) perceived risk of cannabis-related harms has decreased in recent decades, potentially contributing to their high prevalence of cannabis consumption. With the changing cannabis policy and product landscape, it is critical to understand perceived risk related to different consumption methods (e.g., smoking, dabbing). We examined differences in cannabis risk perceptions by method and consumption patterns. Methods: EAs recruited from an emergency department (N=359, 71.3% female, 53.5% Black) completed assessments on individual characteristics, cannabis/other substance use, and perceived risk of cannabis-related harm for four different methods (smoking, vaping, dabbing, ingestion) and two use frequencies (occasional, regular). Analyses examined associations between variables of interest and three mutually exclusive groups: no cannabis use, smoking-only, and multiple/other methods. Results: Forty-two percent of EAs reported no past 3-month cannabis use, 22.8% reported smoking only, and 35.1% reported consumption via multiple/other methods. Among all participants, the methods and frequency with the largest number of EAs endorsing any perceived risk from cannabis were dabbing and vaping cannabis regularly; smoking occasionally had the smallest number of EAs endorsing perceived risk. A greater proportion of EAs in the no use group viewed vaping cannabis regularly as having the most risk (63.6%), whereas the largest proportion of EAs in the smoking-only (64.6%) and multiple/other methods (47.2%) groups perceived dabbing regularly as having the most risk. Conclusions: This work shows that EAs vary in perceptions of risk across methods of cannabis use and can inform potential directions for public health and policy efforts.
MeSH term(s)	Adult ; Humans ; Female ; Adolescent ; Young Adult ; Male ; Cannabis/adverse effects ; Marijuana Smoking/adverse effects ; Marijuana Smoking/epidemiology ; Smoking ; Vaping ; Substance-Related Disorders
Language	English
Publishing date	2023-08-09
Publishing country	Ireland
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	519918-9
ISSN	1879-0046 ; 0376-8716
ISSN (online)	1879-0046
ISSN	0376-8716
DOI	10.1016/j.drugalcdep.2023.110915
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Article ; Online: Telehealth for Substance-Using Populations in the Age of Coronavirus Disease 2019: Recommendations to Enhance Adoption.

Lin, Lewei Allison / Fernandez, Anne C / Bonar, Erin E

JAMA psychiatry

2020 Volume 77, Issue 12, Page(s) 1209–1210

MeSH term(s)	COVID-19/epidemiology ; Centers for Medicare and Medicaid Services, U.S./legislation & jurisprudence ; Humans ; Pandemics ; Practice Patterns, Physicians'/legislation & jurisprudence ; Psychiatry/trends ; SARS-CoV-2 ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy ; Telemedicine/legislation & jurisprudence ; Telemedicine/organization & administration ; United States ; United States Substance Abuse and Mental Health Services Administration/legislation & jurisprudence
Keywords	covid19
Language	English
Publishing date	2020-06-29
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2701203-7
ISSN	2168-6238 ; 2168-622X
ISSN (online)	2168-6238
ISSN	2168-622X
DOI	10.1001/jamapsychiatry.2020.1698
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Article ; Online: Patterns and predictors of high-intensity drinking and implications for intervention.

Patrick, Megan E / Terry-McElrath, Yvonne M / Bonar, Erin E

Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors

2021 Volume 36, Issue 6, Page(s) 581–594

Abstract: Efforts to intervene with subgroups at particularly high risk for alcohol use require information on factors that differentiate drinking intensity levels. This article summarizes existing research and provides new findings on sociodemographics and risk ... ...

Abstract	Efforts to intervene with subgroups at particularly high risk for alcohol use require information on factors that differentiate drinking intensity levels. This article summarizes existing research and provides new findings on sociodemographics and risk factors that differentiate high-intensity drinking (HID) to provide context for developing and delivering interventions for the highest-risk drinkers. Cross-sectional data were obtained in 2019 from participants who reported past 30-day alcohol use in 2018 as part of the nationally representative 12th grade Monitoring the Future study. Among past 2-week drinkers in 2019 (
MeSH term(s)	Adult ; Alcohol Drinking/adverse effects ; Alcohol Drinking/epidemiology ; Alcohol Drinking in College ; Binge Drinking/epidemiology ; Cross-Sectional Studies ; Female ; Harm Reduction ; Humans ; Male ; Students ; Universities ; Young Adult
Language	English
Publishing date	2021-05-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2101111-4
ISSN	1939-1501 ; 0893-164X
ISSN (online)	1939-1501
ISSN	0893-164X
DOI	10.1037/adb0000758
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