{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:01:15Z","timestamp":1784876475827,"version":"3.55.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["R01HD093611"],"award-info":[{"award-number":["R01HD093611"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cannabis is one of the most common substances used during pregnancy. This study examined motivation to quit cannabis use among pregnant women enrolled in a randomized controlled trial of a technology-delivered brief motivational intervention targeting sexually transmitted infection (STI) risk behaviors, including substance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Secondary analyses used data from a clinical trial among pregnant adults who screened positive for STI risk behavior (\n                      <jats:italic toggle=\"yes\">e.g.,<\/jats:italic>\n                      sexual behavior and alcohol\/drug use risk during pregnancy). Four subscales (autonomous, introjected, external, and amotivation) from the Treatment Self-Regulation Questionnaire assessed motivation for not using cannabis and the timeline follow-back assessed cannabis use at baseline, 2-month, and 6-month follow-up during pregnancy. Mixed logistic regression and negative binomial regression investigated the relationship between motivation and cannabis use (Y\/N) and cannabis use days, respectively, with a generalized estimating equations approach after adjusting for age and marital status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 176 participants (mean age: 30.2 [standard deviation = 5.0]; 26% Black),\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 62 (35.2%) reported cannabis use during pregnancy. Participants with cannabis use during pregnancy were more likely to be younger, Black, and have lower socioeconomic status than those with no cannabis use. Higher autonomous, introjected, and amotivation scores were associated with lower odds of cannabis use (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0003,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0033,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0307, respectively). Higher autonomous, introjected, and external regulation scores were associated with fewer average cannabis use days (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0013,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0035,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Higher levels of motivation are associated with less cannabis use during pregnancy. Given psychosocial barriers to treatment, these findings may support delivery of brief technology-delivered motivational interventions to reduce prenatal cannabis use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261471764","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:18:15Z","timestamp":1784701095000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Motivation to Quit Using Cannabis Was Associated with Lower Cannabis Use Among Pregnant Women at Risk for Sexually Transmitted Infections"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-9548","authenticated-orcid":false,"given":"Anna Beth","family":"Parlier-Ahmad","sequence":"first","affiliation":[{"name":"VA Advanced Postdoctoral Fellow in Mental Illness Research and Treatment, Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor VA Health Care System, Ann Arbor, Michigan, USA."},{"name":"Department of Psychiatry, Michigan Medicine, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brienna","family":"Milleson","sequence":"additional","affiliation":[{"name":"Department of Family &amp; Community Medicine, Southern Illinois University School of Medicine, Alton, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananda","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."},{"name":"Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongru","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Countryman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caron","family":"Zlotnick","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA."},{"name":"Department of Medicine, Women and Infants Hospital, Providence, Rhode Island, USA."},{"name":"Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Golfo","family":"Tzilos Wernette","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Michigan Medicine, Ann Arbor, Michigan, USA."},{"name":"Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-022-01550-y"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2026.108621"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2024.3656"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.70188"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-025-04096-5"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.45653"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.3270"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000006053"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.12.002"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1613324"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000001027"},{"key":"e_1_3_2_13_2","volume-title":"Motivational Interviewing: Helping People Change and Grow","author":"Miller WR","year":"2023","unstructured":"Miller WR, , Rollnick S. 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