{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:56:38Z","timestamp":1790668598477,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004508","name":"Prince of Songkla University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004508","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Thailand's cannabis policy transition created a knowledge vacuum regarding the boundaries between authorized medicinal use and non\u2010medical consumption, thereby increasing misuse risks. This study evaluated a culturally\u2010tailored medicinal cannabis health literacy program delivered by Village Health Volunteers (VHVs) under public health nursing supervision as a community\u2010based harm reduction strategy. An exploratory sequential mixed\u2010methods design was employed in Northern Thailand. Phase 1 surveyed baseline health literacy (). Phase 2 involved focus groups to co\u2010design the intervention based on initial findings. Phase 3 was a quasi\u2010experimental pilot study comparing an experimental group () with a control group () at a 3\u2010month follow\u2010up. Baseline findings showed 72.8% of the community had inadequate cannabis health literacy. Post\u2010intervention, the experimental group achieved a significantly higher overall health literacy score than the control group (), primarily accounted for by superior scores in information access (), communication (), and self\u2010management (). A culturally adapted program delivered through trusted VHV infrastructure, managed within a nursing supervisory framework, provides a promising proof of concept for establishing superior cannabis\u2010related literacy compared to standard community care. This model offers a replicable blueprint for community\u2010based prevention in response to evolving cannabis policies globally.<\/jats:p>","DOI":"10.1111\/phn.70192","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:21:38Z","timestamp":1790666498000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Culturally\u2010Tailored Health Literacy: A Pilot Study of VHV\u2010Led Cannabis Harm Reduction Under Nursing Supervision in Rural Northern Thailand"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3971-1064","authenticated-orcid":false,"given":"Pimpisa","family":"Chomsri","sequence":"first","affiliation":[{"name":"School of Nursing Mae Fah Luang University  Chiang Rai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mullika","family":"Matrakul","sequence":"additional","affiliation":[{"name":"School of Nursing Mae Fah Luang University  Chiang Rai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wuthichai","family":"Chairinkam","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Phayao  Phayao Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surinporn","family":"Likhitsathian","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropharm.2021.108518"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.13140\/RG.2.2.30647.23209"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph23050618"},{"key":"e_1_2_18_5_1","volume-title":"The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence","author":"Burns N.","year":"2009"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13090"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103381"},{"key":"e_1_2_18_8_1","volume-title":"Brief Intervention for Substance Use: a Manual for Use in Primary Care (Draft Version 1.1 for Field Testing)","author":"Henry\u2010Edwards S.","year":"2003"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010015\u20100292\u20106"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e09462"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.4102\/phcfm.v14i1.2911"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0320559"},{"key":"e_1_2_18_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447003000308"},{"key":"e_1_2_18_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.10.008"},{"key":"e_1_2_18_15_1","volume-title":"Research Strategies for Advanced Practice Nurses","author":"Norwood S. 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