Incorporating a Routine Cannabis-Specific ASSIST Screen in Student Health Primary Care ADHD Visits: A Quality Improvement Study

Milliken, Claire, Nursing Practice - School of Nursing, University of Virginia
Quatrara, Beth, Nursing, University of Virginia
Friberg, Elizabeth, Nursing, University of Virginia

Objective: To conduct a systematic review of screening for cannabis use with college-aged individuals in student health primary care. College students have the highest rates of cannabis use. Methods: Via PRISMA guidelines, four databases were searched, as well as references, between 2012-2022. Results: There were no high-quality studies of screening within the university setting; all were single-setting specific. Three themes emerged from analysis. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) dominated as the screening instrument used. Both clinician-structured and non-clinician structured formats were efficacious for this population and setting. Screening and brief interventions were deemed feasible but research on brief interventions for cannabis use were mixed. Conclusions: The ASSIST was the most frequently incorporated instrument. More research is needed to test efficacy of short-term brief interventions (SBI) for cannabis use in college health, including what factors contribute to, or are predictive of, response to SBI.

DNP (Doctor of Nursing Practice)
cannabis, screen, student health, primary care
All rights reserved (no additional license for public reuse)
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