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An investigation of the supportive effect of an internet-based self-help model based on motivational interviewing on stages of change and craving in individuals with cannabis use problem

2024
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Advisor: Dr. Öğr. Üyesi Serhat Yüksel

Abstract (EN)

This study was designed to investigate the effect of two applications, face-to-face interview method based on motivational interview technique and internet-based self-help application in addition to face-to-face interview method based on motivational interview technique, on the craving and change stages of cannabis substance. In this study, in which pre-test-post-test control group experimental design was used, individuals who were in the same stage of the rehabilitation programme carried out by the Provincial Health Directorate AMATEM clinic for the target group were stratified and random assignment was made to three groups within these strata. As data collection tools, "Addiction Profile Index Sociodemographic Information Form", "Brief Symptom Inventory", Addiction Profile Index (BAPI), "Addiction Profile Index Clinical Form (BAPI-K)" were used. Cannabis Ladder and Cannabis Craving Scale Short Form' were used. In the study, MG-based individual interviews were conducted with individuals with cannabis use problems, and if they were in the experimental group, in addition to these interviews, a WEB-CC intervention containing short voice messages appropriate to the change stages of individuals was applied. Individuals who did not have internet access or had technical problems were included in the control group. The control group received a face-to-face motivational interview and two voicemails with only general information about cannabis use, while individuals in the second control group on the waiting list received only pre- and post-tests. This study examined the effects of a web-based self-help model based on motivational interviewing. Split-Plot ANOVA and Bonferroni tests were used to evaluate the effectiveness of the model. The results of the analyses showed a significant increase (p<0.001) in the pre-test and post-test scores of the participants in the experimental group on the 'Cannabis Ladder' scale and a significant decrease (p<0.001) on the 'Cannabis Craving' scale. These changes were not observed in the control and waiting groups (p>0.05). These findings showed that the web-based intervention studied had positive effects on certain behavioural and psychological parameters and that these effects were limited to the experimental group. The results showed significant improvement on the Cannabis Craving and Change stages in the experimental group, indicating that this motivational interviewing-based approach can positively change behaviours related to cannabis use.Participants were randomly assigned to two control groups and one experimental group based on their levels of craving and stages of change. In the study, individuals with cannabis use problems underwent individual motivational interviews based on the Motivational Interviewing (MG) technique, and in the experimental group, in addition to these interviews, the WEB-KK intervention, which included short voice messages appropriate for the individuals' stages of change, was applied. Those who did not have internet access or encountered technical issues were included in the control group. The control group received face-to-face motivational interviews and two voice messages containing only general information about cannabis use, while the second control group on the waiting list only underwent pre- and post-tests. This study examined the effects of a web-based self-help model based on motivational interviewing. Split-Plot ANOVA and Bonferroni tests were used to evaluate the effectiveness of the model. The results of the analyses showed a significant increase (p<0.001) in the pre-test and post-test scores of the participants in the experimental group on the 'Cannabis Ladder' scale and a significant decrease (p<0.001) on the 'Cannabis Craving' scale. These changes were not observed in the control and waiting groups (p>0.05). These findings indicated that the web-based intervention studied had positive effects on certain behavioural and psychological parameters and that these effects were limited to the experimental group. Results showed significant improvements in the Cannabis Craving and Cannabis Ladder scale scores in the experimental group, indicating that the motivational interview-based approach can positively change behaviors related to cannabis use.

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Özlem Fidan Acar

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Özlem Fidan Acar (Doctorate thesis). An investigation of the supportive effect of an internet-based self-help model based on motivational interviewing on stages of change and craving in individuals with cannabis use problem, 2024, Doğuş University.

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