Publications by authors named "Emily A Kenyon"

Background: Cannabis use can have unintended, harmful consequences for adolescents, a developmental group that struggles with heightened pressure to align with peer attitudes and behaviors. The role of social-cognitive factors in shifting cannabis use dynamics remains under explored, particularly in states where recreational cannabis use is legal.

Objectives: The present study examined multilevel longitudinal associations between resistance to peer influence, peer norms, and adolescent cannabis use over the course of 12 months.

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Article Synopsis
  • - This study examined how different types of social adversity (like neighborhood conditions and life stress) impact genetic and environmental influences on behaviors like aggression and delinquency among twins aged 10-11.
  • - Findings revealed that as neighborhood adversity increases, the influence of shared environmental factors on these behaviors grows, while genetic influences decrease.
  • - The results indicate that at higher levels of adversity, environmental factors become more significant, suggesting that a lack of resources can heighten genetic risks for negative behaviors, thus highlighting the need for better measurement of social adversity in research.
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  • There is an increase in adolescents using electronic nicotine delivery systems (vaping), cannabis, and prescription opioids, grouped together as ECPO, which poses challenges in detection.
  • ECPO use is difficult to identify due to subtle long-term effects and a lack of immediate physical signs, complicating screening and intervention for care providers.
  • The text reviews empirical data on the hidden effects of ECPO on adolescent development and offers strategies and recommendations for healthcare providers to better screen for and address these issues.
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Emerging adulthood (EA; ages 18-25) is characterized by socioemotional and neurodevelopmental challenges. Cannabis is a widely used substance among EAs, and hazardous use may increase risk for sustained use patterns and related health consequences. Research shows differential increases in hazardous use by objective as well as subjective measures of social inequality, with more concerning trajectories for youth with greater experiences of social inequality.

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For some, substance use during adolescence may be a stepping stone on the way to substance use disorders in adulthood. Risk prediction models may help identify adolescent users at elevated risk for hazardous substance use. This preliminary analysis used cross-sectional data (n = 270, ages 13-18) from the baseline dataset of a randomized controlled trial intervening with adolescent alcohol and/or cannabis use.

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Cannabis use peaks during adolescence and emerging adulthood, and cannabis use disorder (CUD) is associated with a wide range of adverse outcomes. This is particularly pertinent in youth, because the developing brain may be more vulnerable to adverse effects of frequent cannabis use. Combining evidence-based psychosocial interventions with safe and effective pharmacotherapy is a potential avenue to improve youth outcomes, but we lack approved CUD pharmacotherapies.

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Objective: To describe VHA primary care clinician and staff perspectives on conducting firearms storage safety (FSS) discussions in primary care, and to identify key approaches for primary care teams to facilitate FSS conversations.

Method: Qualitative analysis of transcripts and notes from focus groups with VA primary care staff and individual semi-structured interviews with primary care clinicians. One hundred-seven VHA primary care team members participated in one of four focus groups or individual semi-structured interviews (n = 5).

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Health systems currently underutilize systematic reviews. Here, we describe a proof of concept project designed to augment the standard systematic review process by presenting qualitative information as a companion to a review on deprescribing interventions. We conducted a thematic analysis of semi-structured interviews with Veterans Health Administration clinicians and Veterans to describe first-hand experiences of engaging in the deprescribing process.

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Objective: The OpenNotes initiative encourages health care systems to provide patients online access to clinical notes. Some individuals have expressed concerns about use of OpenNotes in mental health care. This study evaluated changes in mental health clinicians' attitudes and communications with patients after participation in a Web-based course designed to reduce potential for unintended consequences and enhance likelihood of positive outcomes of OpenNotes.

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