Historique
Article de Périodique
Validation of self-reported cannabis dose and potency: an ecological study (2013)
Auteur(s) :
P. VAN DER POL ;
N. LIEBREGTS ;
R. DE GRAAF ;
D. J. KORF ;
W. VAN DEN BRINK ;
M. VAN LAAR
Article en page(s) :
1801-1808
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
PAYS-BAS
Thésaurus mots-clés
CANNABIS
;
TETRAHYDROCANNABINOL
;
AUTOEVALUATION
;
FIABILITE
;
VALIDITE
;
CONSOMMATION
;
ADULTE
;
USAGE REGULIER
Résumé :
Aims: To assess the reliability and validity of self-reported cannabis dose and potency measures.
Design: Cross-sectional study comparing self-reports with objective measures of amount of cannabis and delta-9-tetrahydrocannabinol (THC) concentration.
Setting: Ecological study with assessments at participants' homes or in a coffee shop.
Participants: Young adult frequent cannabis users (n = 106) from the Dutch Cannabis Dependence (CanDep) study.
Measurements: The objectively measured amount of cannabis per joint (dose in grams) was compared with self-reported estimates using a prompt card and average number of joints made from 1 g of cannabis. In addition, objectively assessed THC concentration in the participant's cannabis was compared with self-reported level of intoxication, subjective estimate of cannabis potency and price per gram of cannabis.
Findings: Objective estimates of doses per joint (0.07-0.88 g/joint) and cannabis potency (1.1-24.7%) varied widely. Self-reported measures of dose were imprecise, but at group level, average dose per joint was estimated accurately with the number of joints made from 1 g [limit of agreement (LOA) = -0.02 g, 95% confidence interval (CI) = -0.29; 0.26], whereas the prompt card resulted in serious underestimation (LOA = 0.14 g, 95% CI = -0.10; 0.37). THC concentration in cannabis was associated with subjective potency ['average' 3.77% (P = 0.002) and '(very) strong' 5.13% more THC (P Conclusions: Self-report measures relating to cannabis use appear at best to be associated weakly with objective measures. Of the self-report measures, number of joints per gram, cannabis price and subjective potency have at least some validity.
Design: Cross-sectional study comparing self-reports with objective measures of amount of cannabis and delta-9-tetrahydrocannabinol (THC) concentration.
Setting: Ecological study with assessments at participants' homes or in a coffee shop.
Participants: Young adult frequent cannabis users (n = 106) from the Dutch Cannabis Dependence (CanDep) study.
Measurements: The objectively measured amount of cannabis per joint (dose in grams) was compared with self-reported estimates using a prompt card and average number of joints made from 1 g of cannabis. In addition, objectively assessed THC concentration in the participant's cannabis was compared with self-reported level of intoxication, subjective estimate of cannabis potency and price per gram of cannabis.
Findings: Objective estimates of doses per joint (0.07-0.88 g/joint) and cannabis potency (1.1-24.7%) varied widely. Self-reported measures of dose were imprecise, but at group level, average dose per joint was estimated accurately with the number of joints made from 1 g [limit of agreement (LOA) = -0.02 g, 95% confidence interval (CI) = -0.29; 0.26], whereas the prompt card resulted in serious underestimation (LOA = 0.14 g, 95% CI = -0.10; 0.37). THC concentration in cannabis was associated with subjective potency ['average' 3.77% (P = 0.002) and '(very) strong' 5.13% more THC (P Conclusions: Self-report measures relating to cannabis use appear at best to be associated weakly with objective measures. Of the self-report measures, number of joints per gram, cannabis price and subjective potency have at least some validity.
Affiliation :
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands