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Published on: August 1, 2025
An evaluation of web-based clinical practice guidelines for managing problems associated with cannabis use
Melissa M Norberg1, Michael W Turner, Sally E Rooke
1University of New South Wales, National Cannabis Prevention and Information Centre, Randwick, Australia. m.norberg@unsw.edu.au
The quality of online clinical practice guidelines (CPGs) for cannabis use varies significantly. Treatment providers should be aware of this variability and developers should improve guideline reporting and applicability for better implementation.
Area of Science:
- Addiction Medicine
- Clinical Practice Guidelines
- Public Health
Background:
- Cannabis use is prevalent, with increasing development of online clinical practice guidelines (CPGs).
- The quality and accessibility of these online CPGs are not well understood.
- This study evaluates the methodological quality and provider perception of cannabis CPGs.
Purpose of the Study:
- To assess the adherence of online cannabis CPGs to methodological standards.
- To determine treatment providers' familiarity with and perceived quality of these guidelines.
Main Methods:
- Systematic search for online cannabis CPGs providing psychological interventions.
- Quality assessment of 7 identified guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool.
- Online survey of 166 Australian treatment providers assessing guideline familiarity and perceived quality.
Main Results:
- Guideline quality varied significantly, with lowest scores in rigor of development, applicability, and editorial independence.
- Treatment providers perceived all guidelines as acceptable quality, contrasting with AGREE II scores.
- Effective dissemination methods include peers, senior professionals, workshops, and internet; barriers include time, length, and theoretical conflicts.
Conclusions:
- CPG developers must enhance reporting on development, conflicts of interest, and applicability.
- Guideline length may hinder implementation; conciseness is recommended.
- Treatment providers must recognize the substantial variation in cannabis CPG quality.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...

