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. 2018 Jan:76:270-274.
doi: 10.1016/j.addbeh.2017.08.030. Epub 2017 Sep 1.

Changing social norms: The impact of normative feedback included in motivational enhancement therapy on cannabis outcomes among heavy-using adolescents

Claire E Blevins  1 , Denise D Walker  2 , Robert S Stephens  3 , Kelsey E Banes  4 , Roger A Roffman  2
Affiliations

Changing social norms: The impact of normative feedback included in motivational enhancement therapy on cannabis outcomes among heavy-using adolescents

Claire E Blevins et al. Addict Behav. 2018 Jan.

Abstract

Introduction: Heavy cannabis use is a problematic behavior, particularly among some adolescents. Adolescents are particularly prone to social influence. As such, injunctive norms (perceptions of others' approval of cannabis use) and descriptive norms (perception of frequency of others' cannabis use) influence cannabis behavior. Given that norms are not always accurate, motivational enhancement therapy aims to reduce cannabis use through normative feedback and correction of normative misconceptions. The purpose of this study was to evaluate the relationships between perceived norms (descriptive and injunctive) and cannabis-related outcomes (use, cannabis-related problems, and cannabis use disorder symptoms) in a heavy cannabis-using adolescent population receiving motivational enhancement therapy.

Methods: Heavy cannabis-using individuals (n=252, 68% male, mean age 13.38, 59% Caucasian) were recruited from six Seattle high schools for a motivational enhancement therapy-based intervention involving normative feedback.

Results: Participants perceived higher rates of cannabis use among close friends than other same age teens and reported a higher perception of approval for cannabis use from close friends as compared to perceived approval of other same aged peers. Personal approval and the perceived approval of other same age teens were reduced following the intervention but there was no evidence of change in normative perceptions for close friends following the normative feedback interventions. Changes in normative perceptions were related to decreases in cannabis use and -related outcomes.

Conclusions: Results suggest the importance of normative feedback in changing behavior in adolescent cannabis users, but also highlight the ongoing influence of close friends.

Keywords: Cannabis; Motivational enhancement therapy; Normative behavior; Social influence.

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Conflict of interest statement

Conflict of interest

No conflict declared.

References

    1. Barnett E, Sussman S, Smith C, Rohrbach La, Spruijt-Metz D. Motivational Interviewing for adolescent substance use: a review of the literature. Addictive Behaviors. 2012;37(12):1325–34. http://doi.org/10.1016/j.addbeh.2012.07.001. - DOI - PMC - PubMed
    1. Berghuis J, Swift W, Roffman RA, Stephens RS, Copeland J. Cannabis Dependence: It’s Nature, Consequences and Treatment. United Kingdom: Cambridge University Press; 2006. The Teen Cannabis Check-Up: Exploring strategies for reaching young cannabis users; pp. 275–296.
    1. Brown BB. Handbook of Adolescent Psychology. John Wiley & Sons, Inc; 2004. Adolescents’ Relationships with Peers; pp. 363–394. http://doi.org/10.1002/9780471726746.ch12. - DOI
    1. Buckner JD. College cannabis use: The unique roles of social norms, motives, and expectancies. Journal of Studies on Alcohol and Drugs. 2013;74(5):720–726. - PMC - PubMed
    1. Davis JP, Houck JM, Rowell LN, Benson JG, Smith DC. Brief Motivational Interviewing and Normative Feedback for Adolescents: Change Language and Alcohol Use Outcomes. Journal of Substance Abuse Treatment. 2016;65:66–73. http://doi.org/10.1016/j.jsat.2015.10.004. - DOI - PMC - PubMed