Trial Outcomes & Findings for Feasibility and Acceptability of the Cannabis Awareness and Prevention Toolkit (NCT NCT05521321)

NCT ID: NCT05521321

Last Updated: 2026-07-28

Results Overview

Investigator-originated survey measures (questions) assess lifetime cannabis use. This outcome measure assesses cannabis use.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

658 participants

Primary outcome timeframe

Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Results posted on

2026-07-28

Participant Flow

19 schools were assessed for eligibility. 11 were randomized to intervention or standard of care. Educators were considered to be enrolled only at those schools that received the intervention (they delivered the intervention to the students, and participated in post-intervention qualitative interviews focused on quality assurance and quality improvement).

Unit of analysis: Schools

Participant milestones

Participant milestones
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
Receives another curriculum or no cannabis prevention curriculum
Overall Study
STARTED
427 6
239 5
Overall Study
Received Allocated Intervention - Middle School Students
134 3
144 3
Overall Study
Received Allocated Intervention - High School Students
165 1
0 0
Overall Study
COMPLETED
304 4
144 3
Overall Study
NOT COMPLETED
123 2
95 2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Feasibility and Acceptability of the Cannabis Awareness and Prevention Toolkit

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum (Middle Schools)
n=3 Schools
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum (Middle Schools)
n=3 Schools
Receives another curriculum or no cannabis prevention curriculum
Receives the Stanford Cannabis Prevention and Awareness Curriculum (High Schools)
n=1 Schools
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Total
n=7 Schools
Total of all reporting groups
Age, Continuous
13.5 years
STANDARD_DEVIATION 0.78 • n=20 Participants
13.7 years
STANDARD_DEVIATION 0.47 • n=20 Participants
14.8 years
STANDARD_DEVIATION 0.46 • n=40 Participants
14.0 years
STANDARD_DEVIATION 0.80 • n=5 Participants
Sex/Gender, Customized
Woman
57 Participants
n=20 Participants
59 Participants
n=20 Participants
70 Participants
n=40 Participants
186 Participants
n=5 Participants
Sex/Gender, Customized
Man
52 Participants
n=20 Participants
64 Participants
n=20 Participants
78 Participants
n=40 Participants
194 Participants
n=5 Participants
Sex/Gender, Customized
Non-binary/Gender Diverse
18 Participants
n=20 Participants
13 Participants
n=20 Participants
9 Participants
n=40 Participants
40 Participants
n=5 Participants
Sex/Gender, Customized
Unknown/Not Reported
1 Participants
n=20 Participants
1 Participants
n=20 Participants
3 Participants
n=40 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
36 Participants
n=20 Participants
18 Participants
n=20 Participants
30 Participants
n=40 Participants
84 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
88 Participants
n=20 Participants
115 Participants
n=20 Participants
122 Participants
n=40 Participants
325 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=20 Participants
4 Participants
n=20 Participants
8 Participants
n=40 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
1 Participants
n=20 Participants
0 Participants
n=40 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
15 Participants
n=20 Participants
12 Participants
n=20 Participants
24 Participants
n=40 Participants
51 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
3 Participants
n=20 Participants
1 Participants
n=20 Participants
1 Participants
n=40 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=20 Participants
9 Participants
n=20 Participants
3 Participants
n=40 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
White
59 Participants
n=20 Participants
69 Participants
n=20 Participants
95 Participants
n=40 Participants
223 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
28 Participants
n=20 Participants
38 Participants
n=20 Participants
26 Participants
n=40 Participants
92 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
16 Participants
n=20 Participants
7 Participants
n=20 Participants
11 Participants
n=40 Participants
34 Participants
n=5 Participants
Region of Enrollment
United States
128 Participants
n=20 Participants
137 Participants
n=20 Participants
160 Participants
n=40 Participants
425 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assess lifetime cannabis use. This outcome measure assesses cannabis use.

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=127 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=137 Participants
Receives another curriculum or no cannabis prevention curriculum
Cannabis Use (Lifetime)
Baseline
13 Participants
10 Participants
Cannabis Use (Lifetime)
Post-intervention (approx. 3 days post-baseline)
13 Participants
13 Participants
Cannabis Use (Lifetime)
6-month Follow-up
15 Participants
21 Participants

PRIMARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who reported any lifetime cannabis use, received the allocated intervention, and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assess cannabis use in the past 30 days.

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=15 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=21 Participants
Receives another curriculum or no cannabis prevention curriculum
Cannabis Use (Past 30 Days)
6-month Follow-up
11 Participants
11 Participants
Cannabis Use (Past 30 Days)
Baseline
8 Participants
3 Participants
Cannabis Use (Past 30 Days)
Post-intervention (approx. 3 days post-baseline)
8 Participants
4 Participants

PRIMARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participant intention to use cannabis in the future. Assessed on a Likert-scale (1 - Definitely not, 4 - Definitely yes).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=127 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=136 Participants
Receives another curriculum or no cannabis prevention curriculum
Intention to Use Cannabis in the Future - Smoked Cannabis
Baseline - Ever-Users
2.71 score on a scale
Standard Deviation 0.95
3.67 score on a scale
Standard Deviation 0.58
Intention to Use Cannabis in the Future - Smoked Cannabis
Post-intervention (approx. 3 days post-baseline) - Ever-Users
2.57 score on a scale
Standard Deviation 1.13
2.44 score on a scale
Standard Deviation 1.42
Intention to Use Cannabis in the Future - Smoked Cannabis
6-month Follow-up - Ever-Users
3.08 score on a scale
Standard Deviation 0.52
3.58 score on a scale
Standard Deviation 0.67
Intention to Use Cannabis in the Future - Smoked Cannabis
Baseline - Never-Users
1.85 score on a scale
Standard Deviation 0.95
1.92 score on a scale
Standard Deviation 0.99
Intention to Use Cannabis in the Future - Smoked Cannabis
Post-intervention (approx. 3 days post-baseline) - Never-Users
1.78 score on a scale
Standard Deviation 0.92
1.85 score on a scale
Standard Deviation 0.95
Intention to Use Cannabis in the Future - Smoked Cannabis
6-month Follow-up - Never-Users
1.92 score on a scale
Standard Deviation 0.95
1.88 score on a scale
Standard Deviation 1.0

PRIMARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participant intention to use cannabis in the future. Assessed on a Likert-scale (1 - Definitely not, 4 - Definitely yes).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=126 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=136 Participants
Receives another curriculum or no cannabis prevention curriculum
Intention to Use Cannabis in the Future - Vaped Cannabis
Baseline - Ever-Users
2.67 score on a scale
Standard Deviation 0.87
2.6 score on a scale
Standard Deviation 1.34
Intention to Use Cannabis in the Future - Vaped Cannabis
Post-intervention (approx. 3 days post-baseline) - Ever-Users
2.7 score on a scale
Standard Deviation 0.95
2.4 score on a scale
Standard Deviation 1.35
Intention to Use Cannabis in the Future - Vaped Cannabis
6-month Follow-up - Ever-Users
2.75 score on a scale
Standard Deviation 1.04
2.94 score on a scale
Standard Deviation 1.06
Intention to Use Cannabis in the Future - Vaped Cannabis
Baseline - Never-Users
1.46 score on a scale
Standard Deviation 0.65
1.61 score on a scale
Standard Deviation 0.73
Intention to Use Cannabis in the Future - Vaped Cannabis
Post-intervention (approx. 3 days post-baseline) - Never-Users
1.43 score on a scale
Standard Deviation 0.68
1.56 score on a scale
Standard Deviation 0.71
Intention to Use Cannabis in the Future - Vaped Cannabis
6-month Follow-up - Never-Users
1.5 score on a scale
Standard Deviation 0.74
1.56 score on a scale
Standard Deviation 0.73

PRIMARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participant intention to use cannabis in the future. Assessed on a Likert-scale (1 - Definitely not, 4 - Definitely yes).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=126 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=136 Participants
Receives another curriculum or no cannabis prevention curriculum
Intention to Use Cannabis in the Future - Cannabis Edibles
Baseline - Ever-Users
2.71 score on a scale
Standard Deviation 0.95
2.86 score on a scale
Standard Deviation 0.9
Intention to Use Cannabis in the Future - Cannabis Edibles
Post-intervention (approx. 3 days post-baseline) - Ever-Users
2.5 score on a scale
Standard Deviation 1.07
2.45 score on a scale
Standard Deviation 1.29
Intention to Use Cannabis in the Future - Cannabis Edibles
6-month Follow-up - Ever-Users
3.0 score on a scale
Standard Deviation 1.0
3.45 score on a scale
Standard Deviation 0.69
Intention to Use Cannabis in the Future - Cannabis Edibles
Baseline - Never-Users
1.88 score on a scale
Standard Deviation 0.95
1.88 score on a scale
Standard Deviation 0.95
Intention to Use Cannabis in the Future - Cannabis Edibles
Post-intervention (approx. 3 days post-baseline) - Never-Users
1.83 score on a scale
Standard Deviation 0.95
1.95 score on a scale
Standard Deviation 0.99
Intention to Use Cannabis in the Future - Cannabis Edibles
6-month Follow-up - Never-Users
1.89 score on a scale
Standard Deviation 0.81
1.97 score on a scale
Standard Deviation 1.04

SECONDARY outcome

Timeframe: Baseline and Post-intervention (approx. 3 days post-baseline)

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Participants were asked 13 questions related to their knowledge of cannabis, resulting in an overall scale of 0 to 13, higher scores indicated greater knowledge.

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=128 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=137 Participants
Receives another curriculum or no cannabis prevention curriculum
Cannabis Knowledge
Baseline
6.45 score on a scale
Standard Deviation 2.21
6.28 score on a scale
Standard Deviation 1.98
Cannabis Knowledge
Post-intervention (approx. 3 days post-baseline)
7.64 score on a scale
Standard Deviation 2.84
6.20 score on a scale
Standard Deviation 2.49

SECONDARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participants' perceptions of cannabis addiction and harm. Assessed on a Likert-scale (1 - Not at all addictive/harmful, 5 - Extremely addictive/harmful).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=128 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=137 Participants
Receives another curriculum or no cannabis prevention curriculum
Perceived Addictiveness and Harmfulness - Smoked Cannabis
Baseline - Addictiveness
3.78 score on a scale
Standard Deviation 1.04
3.59 score on a scale
Standard Deviation 1.01
Perceived Addictiveness and Harmfulness - Smoked Cannabis
Post-intervention (approx. 3 days post-baseline) - Addictiveness
3.98 score on a scale
Standard Deviation 1.04
3.69 score on a scale
Standard Deviation 1.03
Perceived Addictiveness and Harmfulness - Smoked Cannabis
6-month Follow-up - Addictiveness
3.59 score on a scale
Standard Deviation 1.09
3.4 score on a scale
Standard Deviation 1.08
Perceived Addictiveness and Harmfulness - Smoked Cannabis
Baseline - Harmfulness
3.85 score on a scale
Standard Deviation 1.04
3.95 score on a scale
Standard Deviation 0.97
Perceived Addictiveness and Harmfulness - Smoked Cannabis
Post-intervention (approx. 3 days post-baseline) - Harmfulness
4.2 score on a scale
Standard Deviation 0.95
3.99 score on a scale
Standard Deviation 0.96
Perceived Addictiveness and Harmfulness - Smoked Cannabis
6-month Follow-up - Harmfulness
3.86 score on a scale
Standard Deviation 1.04
3.81 score on a scale
Standard Deviation 1.04

SECONDARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participants' perceptions of cannabis addiction and harm. Assessed on a Likert-scale (1 - Not at all addictive/harmful, 5 - Extremely addictive/harmful).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=128 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=137 Participants
Receives another curriculum or no cannabis prevention curriculum
Perceived Addictiveness and Harmfulness - Vaped Cannabis
Baseline - Addictiveness
4.36 score on a scale
Standard Deviation 0.97
4.21 score on a scale
Standard Deviation 0.93
Perceived Addictiveness and Harmfulness - Vaped Cannabis
Post-intervention (approx. 3 days post-baseline) - Addictiveness
4.38 score on a scale
Standard Deviation 0.99
4.17 score on a scale
Standard Deviation 1.02
Perceived Addictiveness and Harmfulness - Vaped Cannabis
6-month Follow-up - Addictiveness
4.23 score on a scale
Standard Deviation 1.0
4.0 score on a scale
Standard Deviation 1.11
Perceived Addictiveness and Harmfulness - Vaped Cannabis
Baseline - Harmfulness
4.23 score on a scale
Standard Deviation 0.83
4.13 score on a scale
Standard Deviation 0.9
Perceived Addictiveness and Harmfulness - Vaped Cannabis
Post-intervention (approx. 3 days post-baseline) - Harmfulness
4.53 score on a scale
Standard Deviation 0.73
4.12 score on a scale
Standard Deviation 0.95
Perceived Addictiveness and Harmfulness - Vaped Cannabis
6-month Follow-up - Harmfulness
4.19 score on a scale
Standard Deviation 0.83
4.07 score on a scale
Standard Deviation 0.93

SECONDARY outcome

Timeframe: Baseline, Post-intervention (approx. 3 days post-baseline), and 6-month Follow-up

Population: Students from middle schools who received the allocated intervention and responded to the survey at the respective time points.

Investigator-originated survey measures (questions) assessing participants' perceptions of cannabis addiction and harm. Assessed on a Likert-scale (1 - Not at all addictive/harmful, 5 - Extremely addictive/harmful).

Outcome measures

Outcome measures
Measure
Receives the Stanford Cannabis Prevention and Awareness Curriculum
n=128 Participants
Stanford Cannabis Awareness and Prevention curriculum delivered as a 5-session course administered in a school classroom setting.
Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum
n=136 Participants
Receives another curriculum or no cannabis prevention curriculum
Perceived Addictiveness and Harmfulness - Cannabis Edibles
Baseline - Addictiveness
3.43 score on a scale
Standard Deviation 1.15
3.41 score on a scale
Standard Deviation 1.01
Perceived Addictiveness and Harmfulness - Cannabis Edibles
Post-intervention (approx. 3 days post-baseline) - Addictiveness
3.73 score on a scale
Standard Deviation 1.13
3.41 score on a scale
Standard Deviation 1.15
Perceived Addictiveness and Harmfulness - Cannabis Edibles
6-month Follow-up - Addictiveness
3.25 score on a scale
Standard Deviation 1.16
3.09 score on a scale
Standard Deviation 1.09
Perceived Addictiveness and Harmfulness - Cannabis Edibles
Baseline - Harmfulness
3.36 score on a scale
Standard Deviation 1.13
3.47 score on a scale
Standard Deviation 1.14
Perceived Addictiveness and Harmfulness - Cannabis Edibles
Post-intervention (approx. 3 days post-baseline) - Harmfulness
3.78 score on a scale
Standard Deviation 1.06
3.39 score on a scale
Standard Deviation 1.19
Perceived Addictiveness and Harmfulness - Cannabis Edibles
6-month Follow-up - Harmfulness
3.41 score on a scale
Standard Deviation 1.14
3.17 score on a scale
Standard Deviation 1.2

Adverse Events

Receives the Stanford Cannabis Prevention and Awareness Curriculum

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Does Not Receive Stanford Cannabis Prevention and Awareness Curriculum

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Bonnie Halpern-Felsher, PhD

Stanford University

Phone: 6507241981

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place