{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:24:51Z","timestamp":1786926291800,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["204107"],"award-info":[{"award-number":["204107"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Cannabis use is highly prevalent among young adults with first\u2010episode psychosis (FEP) and is associated with poorer clinical and functional outcomes. Mobile health interventions may help address structural barriers to delivering cannabis\u2010focused psychosocial interventions within early intervention services (EIS), yet little is known about how such tools are experienced and integrated into routine care. This study explored young adults with FEP and clinician experiences of two cannabis\u2010focused mobile interventions, iCanChange (iCC) and Cannabis Harm\u2010reducing App to Manage Practices Safely (CHAMPS), with a particular focus on implementation within EIS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative exploratory study using semi\u2010structured individual interviews. Data were analysed using a reflexive thematic approach informed by the integrated Promoting Action on Research Implementation in Health Services (i\u2010PARIHS) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Six EIS programs in Canada (five in Quebec and one in Nova Scotia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty\u2010eight young adults aged 18\u201335\u2009years with FEP who participated in the intervention arms of the iCC or CHAMPS pilot randomized controlled trials, and 17 EIS clinicians from multiple professional backgrounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews explored experiences of app use, perceived benefits and challenges, contextual influences, clinician involvement and factors affecting engagement and integration within EIS. Themes were mapped to the i\u2010PARIHS domains of innovation, recipients, context and facilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Participants generally perceived both mobile interventions as acceptable, relevant and well aligned with the daily realities of young adults with FEP. The apps' accessibility, flexibility and non\u2010judgmental approach supported self\u2010reflection, autonomy and increased awareness of cannabis use. However, engagement was shaped by individual motivation, psychosis\u2010related symptoms, competing life and treatment priorities and, for some, app\u2010related challenges, including content\u2010related concerns and technical issues that interfered with use. Clinician involvement was widely viewed as beneficial for sustaining engagement and supporting reflection, yet was inconsistently implemented due to time constraints, limited familiarity with app content and uncertainty regarding clinicians' roles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cannabis\u2010focused mobile interventions appear to be acceptable and relevant complements to standard early intervention service care for psychosis. Their successful implementation depends not only on usability, but also on active facilitation, clear clinician role definitions and adaptive integration strategies that align with real\u2010world constraints within early intervention services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70581","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T23:40:07Z","timestamp":1786923607000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Towards the implementation of cannabis\u2010focused apps in early intervention services for psychosis: A qualitative investigation of patient and clinician perspectives"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3886-3125","authenticated-orcid":false,"given":"Selim","family":"Abou\u2010Rahal","sequence":"first","affiliation":[{"name":"Research Centre Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Psychiatry and Addiction, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Doucet","sequence":"additional","affiliation":[{"name":"Research Centre Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM)  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Psychiatry and Addiction, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Lachance\u2010Touchette","sequence":"additional","affiliation":[{"name":"Research Centre Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM)  Montr\u00e9al Qu\u00e9bec 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