Abstract
Background and Objective
The present survey was a preliminary to a European research project on the attitude and knowledge of healthcare professionals towards the use of medical cannabis. The objective was to evaluate the readability, understandability, and relevance of a first version of the study questionnaire before preparing the finalized questionnaire, which will be subsequently proposed to European healthcare professionals on a large scale.
Methods
A cross-sectional study was conducted between December 2019 and May 2020. We established an electronic evaluation questionnaire relating to the study questionnaire. This evaluation questionnaire was proposed to multidisciplinary experts from all over Europe. Feedback from the evaluation questionnaire was considered for improving and finalizing the study questionnaire.
Results
66 evaluation questionnaires were collected from nine European countries (Cyprus, France, Germany, Italy, Lithuania, Portugal, Spain, Sweden, United Kingdom), which corresponded to a participation rate of 41.5%. Most participants were women (65.2%, n = 43). The mean age was 39.5 years ± 11.6. Each participant could specify several occupations. There were 25 pharmacologists, 24 physicians, ten pharmacists, four university teachers, three epidemiologists or public health experts, one nurse, one biotechnologist, one microbiologist, and one police researcher. Overall, 84.8% of participants were interested in the topic of the survey on the knowledge and attitudes of healthcare professionals towards recreational and medical cannabis across Europe. Participants were satisfied with all but six of the proposed questions. In addition, two additional questions were subject for comments despite a high level of satisfaction. Consequently, the concerned questions (n = 8) were modified.
Conclusion
This evaluation survey was a necessary step to improve the quality of the future research project. The positive feedback encourages the authors to proceed with the project on a European scale, scheduled for 2021.
Similar content being viewed by others
References
United Nations. Convention on Psychotropic substances, 1971 [Internet]. Vienna; 1971. Accessed 26 Jun 2021. https://www.unodc.org/pdf/convention_1971_en.pdf
Abuhasira R, Shbiro L, Landschaft Y. Medical use of cannabis and cannabinoids containing products—regulations in Europe and North America. Eur J Intern Med. 2018;49:2–6.
European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). Medical use of cannabis and cannabinoids: questions and answers for policymaking : December 2018. Luxembourg: Publication Office of the European Union; 2018.
EMCDDA. Monitoring and evaluating changes in cannabis policies: insights from the Americas. [Internet]. LU: Publications Office; 2020. Accessed 26 Jun 2021. https://data.europa.eu/doi/10.2810/151487
Bridgeman MB, Abazia DT. Medicinal Cannabis: history, pharmacology, and implications for the acute care setting. Pharm Ther. 2017;42:180–8.
Contreras AE, Hall KE, Vigil DI, Rosenthal A, Azofeifa A, Van Dyke M. Results from the Colorado Cannabis Users Survey on Health (CUSH), 2016. Int J Ment Health Addict. 2020;18:1–13.
Cremer-Schaeffer P, Knöss W, Broich K. Cannabis for medical purposes: impact of the law of 6 March 2017 on physicians. Schmerz Berl Ger. 2019;33:378–83.
Sznitman SR, Lewis N. Examining effects of medical cannabis narratives on beliefs, attitudes, and intentions related to recreational cannabis: a web-based randomized experiment. Drug Alcohol Depend. 2018;185:219–25.
Montero-Oleas N, Arevalo-Rodriguez I, Nuñez-González S, Viteri-García A, Simancas-Racines D. Therapeutic use of cannabis and cannabinoids: an evidence mapping and appraisal of systematic reviews. BMC Complement Med Ther. 2020;20:12.
Boggs DL, Nguyen JD, Morgenson D, Taffe MA, Ranganathan M. Clinical and preclinical evidence for functional interactions of cannabidiol and Δ9-tetrahydrocannabinol. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol. 2018;43:142–54.
Lucas CJ, Galettis P, Schneider J. The pharmacokinetics and the pharmacodynamics of cannabinoids. Br J Clin Pharmacol. 2018;84:2477–82.
Bradford AC, Bradford WD. Medical Marijuana laws reduce prescription medication use in Medicare Part D. Health Aff Proj Hope. 2016;35:1230–6.
Bruce D, Brady JP, Foster E, Shattell M. Preferences for Medical Marijuana over prescription medications among persons living with chronic conditions: alternative, complementary, and tapering uses. J Altern Complement Med N Y N. 2018;24:146–53.
Kondrad E, Reid A. Colorado family physicians’ attitudes toward medical Marijuana. J Am Board Fam Med. 2013;26:52–60.
Adler JN, Colbert JA. Clinical decisions. Medicinal use of marijuana–polling results. N Engl J Med. 2013;368:e30.
Braun IM, Wright A, Peteet J, Meyer FL, Yuppa DP, Bolcic-Jankovic D, et al. Medical Oncologists’ beliefs, practices, and knowledge regarding marijuana used therapeutically: a nationally representative survey study. J Clin Oncol Off J Am Soc Clin Oncol. 2018;36:1957–62.
Karanges EA, Suraev A, Elias N, Manocha R, McGregor IS. Knowledge and attitudes of Australian general practitioners towards medicinal cannabis: a cross-sectional survey. BMJ Open. 2018;8:e022101.
Philpot LM, Ebbert JO, Hurt RT. A survey of the attitudes, beliefs and knowledge about medical cannabis among primary care providers. BMC Fam Pract. 2019;20:17.
McLennan A, Kerba M, Subnis U, Campbell T, Carlson LE. Health care provider preferences for, and barriers to, cannabis use in cancer care. Curr Oncol Tor Ont. 2020;27:e199-205.
Szaflarski M, McGoldrick P, Currens L, Blodgett D, Land H, Szaflarski JP, et al. Attitudes and knowledge about cannabis and cannabis-based therapies among US neurologists, nurses, and pharmacists. Epilepsy Behav EB. 2020;109:107102.
Downie AS, Hancock M, Shaheed CA, McLachlan AJ, Kocaballi AB, Williams CM, et al. An electronic clinical decision support system for the management of low back pain in Community Pharmacy: Development and Mixed Methods Feasibility Study. JMIR Med Inform. 2020;8:e17203.
Rodrigo O, Caïs J, Monforte‐Royo C. The influence of Anglo-American theoretical models on the evolution of the nursing discipline in Spain. Nurs Inq. 2017;24:e12175.
Dattani S, Mohr H. Pharmacists’ role in cannabis dispensing and counselling. Can Pharm J Rev Pharm Can. 2019;152:14–5.
Graham-Clarke E, Rushton A, Noblet T, Marriott J. Facilitators and barriers to non-medical prescribing—a systematic review and thematic synthesis. PLoS One. 2018;13:e0196471.
García-Martínez E, Soler-González J, Rubí-Carnacea F, García-Martínez B, Climent-Sanz C, Blanco-Blanco J, et al. The influence of an educational internet-based intervention in the beliefs and attitudes of primary care professionals on non-specific chronic low back pain: study protocol of a mixed methods approach. BMC Fam Pract. 2020;20:31.
Moeller KE, Woods B. pharmacy students’ knowledge and attitudes regarding Medical Marijuana. Am J Pharm Educ. 2015;79:85.
European Drug Report 2019. www.emcdda.europa.eu [Internet], http://www.emcdda.europa.eu/edr2019. Accessed 26 Jun 2021.
Acknowledgements
The authors are grateful to all the experts who voluntarily participated in the evaluation of the study questionnaire on knowledge and attitudes of health professionals towards recreational and medical cannabis across Europe. Thank you for having taken the time to provide this qualitative feedback. We also thank Manuela Rueter for inviting professionals from Germany to participate.
List of collaborators of the Working Group on medical cannabis projects of the EACPT Young Clinical Pharmacologists: Elena Guillén (Barcelona, Spain), Cristiana Freixo (Lisbon, Portugal), Pau Alcubilla (Barcelona, Spain), Faizan Mazhar (Milan, Italy), Richard Turner (Liverpool, UK), Persoulla Nicolaou (Nicosia, Cyprus), Simona Stankevičiūtė (Kaunas, Lithuania), Vincent Leclerc (Paris, France).
Author information
Authors and Affiliations
Consortia
Corresponding author
Ethics declarations
Funding
This study was not funded.
Conflict of Interest
None of authors have conflicts of interest to disclose.
Availability of Data and Material
The data that support the findings of this study are partially available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
Code Availability
Not applicable.
Author Contributions
Conception and design—EJ, IE; drafting the questionnaire—EJ; revising the questionnaire—EJ, CSP, IE and members of the Working Group: CF, PA, FM and VL; acquisition of data—EJ, CSP, BM, IE and members of the Working Group: EG, CF, PA, FM, RT, PN and SS; data management and analysis—EJ; interpretation of data—EJ, IE; drafting the manuscript—EJ; revising the manuscript critically for important intellectual content—all authors; given final approval of the version to be published—all authors. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ethics Approval
The study complies with the European General Data Protection Regulation (GDPR), applicable as of 25 May 2018 in all member states. The Research Ethics Committee (REC) of the University of Toulouse agreed that the study protocol was in accordance with ethical standards.
Disclaimers
The views expressed in the submitted article are the authors’ own and not an official position of the institution or funder.
Consent to Participate
Not applicable.
Consent for Publication
Not applicable.
Rights and permissions
About this article
Cite this article
Jouanjus, E., Sans-Pola, C., Mainoli, B. et al. Establishing and Evaluating a Study Questionnaire on Knowledge and Attitudes of Healthcare Professionals Towards Recreational and Medical Cannabis Across Europe. Clin Drug Investig 41, 701–710 (2021). https://doi.org/10.1007/s40261-021-01058-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40261-021-01058-x