{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:04:36Z","timestamp":1787918676006,"version":"build-2784847793"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cannabis &amp; Cannabinoid Research"],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nurse practitioners (NPs) are authorizing providers for medical cannabis in many states, and may serve as a primary care clinician. We report findings from a nationally distributed 2-h continuing education (CE) module aimed to improve knowledge, confidence, and willingness to communicate with patients about cannabis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Data were electronically obtained from the CE platform pre- and post-test (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =289) and a follow-up survey sent within 3 months postcompletion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =184, 63%). Pre- and post-testing assessed cannabis pharmacodynamics, law, evidence-based use, metabolism, pharmacokinetics, laboratory testing, adverse reactions, and drug\u2013drug interactions. The subsequent survey asked about changes in practice behavior, including willingness and self-identified recommendations for use. Quantitative and qualitative descriptive analysis and repeated-measures analysis of variance were used to analyze CE impact.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Significant improvement in scores was noted from pretest to post-test for all content with a mean improvement of 39.3% (95% CI: 30.6\u201347.9%). The greatest increases were for metabolism, pharmacokinetics, and drug\u2013drug interaction content. At follow-up, 52.2% reported that the CE changed their attitudes about cannabis and although 86% had rarely or never applied it yet in practice, 92% reported they were now likely to inquire about cannabis use in their patients and 84% were likely to counsel patients about it. Although self-identified recommendations overlapped by conditions, some were unique to CBD (complex regional pain syndrome, migraine, mood disorder, smoking cessation) and THC products (appetite, cachexia, depression, fibromyalgia, HIV, seizure disorder, stress, and weight loss). Pain was the most common condition for recommendation of both CBD and THC, followed by anxiety and arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>NPs gained key knowledge about cannabis, which may impact patient care and prescribing practices. The educational module resulted in more willingness to discuss and counsel patients about cannabis, even if practitioner attitudes did not change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/can.2021.0061","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T16:59:10Z","timestamp":1629910750000},"page":"700-705","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Ask Your Provider About Cannabis: Increasing Nurse Practitioner Knowledge and Confidence"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6618-3538","authenticated-orcid":false,"given":"Tracy A.","family":"Klein","sequence":"first","affiliation":[{"name":"College of Nursing, Washington State University Vancouver, Vancouver, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7259-2549","authenticated-orcid":false,"given":"Ross","family":"Bindler","sequence":"additional","affiliation":[{"name":"College of Nursing, Washington State University Spokane, Spokane, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"State medical marijuana laws. National Conference of State Legislatures. Updated April 2021. Accessed May10 2021. www.ncsl.org\/research\/health\/state-medical-marijuana-laws.aspx"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2019.11.007"},{"key":"e_1_3_4_4_2","unstructured":"SB 976: Pharmaceutical processors; operation of cannabis dispensing facilities. Virginia General Assembly 2020. Accessed August4 2021. https:\/\/lis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+SB976."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30879"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz322"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/can.2019.0051"},{"key":"e_1_3_4_8_2","first-page":"815","article-title":"A cross-sectional survey of health professionals' attitudes toward medicinal cannabis use as part of cancer management","volume":"26","author":"Hewa-Gamage D","year":"2019","unstructured":"Hewa-Gamage D, , Blaschke S, , Drosdowsky A, et al. A cross-sectional survey of health professionals' attitudes toward medicinal cannabis use as part of cancer management. J Law Med. 2019; 26:815\u2013824.","journal-title":"J Law Med"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.03.007"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2020.107102"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2020.102328"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/can.2019.0025"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2019.102237"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0216556"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/can.2018.0002"},{"key":"e_1_3_4_16_2","unstructured":"NP Fact Sheet. American Association of Nurse Practitioners website. Updated August 2020. Accessed December18 2020. https:\/\/www.aanp.org\/about\/all-about-nps\/np-fact-sheet."},{"key":"e_1_3_4_17_2","unstructured":"Buppert C Klein T. Certifying patients for medical use of cannabis: what advanced practice registered nurses need to know. Accessed February20 2021. https:\/\/www.medscape.com\/viewarticle\/943249"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2155-8256(18)30014-0"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30401-8"},{"key":"e_1_3_4_20_2","unstructured":"State and Territory Qualifying Condition Chart. Americans for Safe Access website. Updated July 2020. Accessed May10 2021. https:\/\/www.safeaccessnow.org\/condition"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.2196\/15118"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-019-0390-7"}],"container-title":["Cannabis &amp; Cannabinoid Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/can.2021.0061","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/can.2021.0061","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/can.2021.0061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:11:24Z","timestamp":1777385484000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/can.2021.0061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,1]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10,1]]}},"alternative-id":["10.1089\/can.2021.0061"],"URL":"https:\/\/doi.org\/10.1089\/can.2021.0061","relation":{},"ISSN":["2578-5125","2378-8763"],"issn-type":[{"value":"2578-5125","type":"print"},{"value":"2378-8763","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,1]]}}}