Evaluation of the efficacy of a mobile application developed for cannabis users to help them reduce or quit their consumption

ISRCTN ISRCTN24288134
DOI https://doi.org/10.1186/ISRCTN24288134
Submission date
03/10/2024
Registration date
25/11/2024
Last edited
05/09/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aim
Digital interventions offer opportunities for cannabis users willing to stop or reduce their consumption, but who may be reluctant to seek physical help or are far from a specialised health centre. A personalised 5-week e-coaching program has been designed and developed based on an app in association with other services such as helpline, peer forums and chat services. The main aim of this study is to assess the effectiveness of the cannabis app in helping to stop or reduce cannabis use.

Who can participate?
People aged 18 years or over who are willing to stop or reduce their current cannabis consumption

What does the study involve?
Participants are recruited mainly through the drogues-info-service.fr (DIS) website managed by Santé publique France and randomly allocated to an intervention group or a control group. The intervention group are invited to download the app (available on Google Play and Apple Store). The control group will receive a leaflet with basic information about the harmful effects of cannabis and how to find help. Data will be collected using online questionnaires sent to participants at the start of the study, after the intervention and 3 months later.
To evaluate the effectiveness of the intervention, the number of joints smoked in the last 7 days are compared between the two groups at 3 months after the end of the intervention. Secondly, the number of joints smoked in the last 7 days just after the intervention and the number of days with cannabis consumption in the last 7 days at 3 months will also be compared. The level of satisfaction and perceived utility of the app will also be analysed.

What are the possible benefits and risks of participating?
Participants of the intervention group can continue to use the app beyond the duration of the experiment. Participants in the control group can download the app after answering the last follow-up questionnaire. Participants who have fully completed the three study questionnaires will receive a gift card worth €20 and access to a random draw allowing five of them to win an additional gift card worth €300.

Where is the study run from?
Santé publique France, the French national public health agency, manages the study. As the experiment involves only the use of a personal smartphone, there is no special or dedicated place to participate.

When is the study starting and how long is it expected to run for?
March 2022 to January 2026

Who is funding the study?
Santé publique France

Who is the main contact?
Emmanuel Lahaie, emmanuel.lahaie@santepubliquefrance.fr

Study website

Contact information

Mr Emmanuel Lahaie
Public, Scientific, Principal Investigator

Santé publique France
12, rue du val d'osne
Saint Maurice
94415
France

ORCiD logoORCID ID 0009-0007-7504-0241
Phone +33 (0)1 41 79 69 13
Email emmanuel.lahaie@santepubliquefrance.fr

Study information

Study designInterventional two-arm randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Internet/virtual
Study typePrevention
Participant information sheet 46164 PIS.pdf
Scientific titleEfficacy of a digital intervention to reduce or stop cannabis use: study protocol for a randomized controlled trial (ESCAL)
Study acronymESCAL-protocol
Study objectivesThis mobile application increase the chance of reducing or quiting the cannabis use of cannabis users willing to reduce or quit their consumption
Ethics approval(s)Ethics approval not required
Ethics approval additional informationIn view of the information collected and the type of intervention, this study has been qualified as an evaluation in the field of health outside research involving humans, in accordance with the recommendations of the referal methodology MR-004 of the CNIL (independent administrative authority created by the National Data Protection Act in 1978)

As a research of public interest, the data controller has undertaken to collect only data that is strictly necessary and relevant to the objectives of the research. The protocol has been registered in a public directory held by the Health Data Hub (health-data-hub.fr, number 17990932)
Health condition(s) or problem(s) studiedProblematic cannabis use
InterventionCannabis users are invited to complete an online information and consent questionnaire and for those eligible a first questionnaire about their use (T0). Those who have completed the T0 questionnaire are included and randomised into two groups. Randomization follows the order of arrival of participants. Allocation is done every other time in each group.

Participants in the intervention group receive:
1. An invitation (email) to download the app, named "Jeanne" and to use it during the 5-week program of the app
2. Invitations to complete two follow-up questionnaires at the end of the program (T1) and 3 months after (T2)

Participants in the control (non-intervention) group receive :
1. A PDF leaflet including basic information about the risks of cannabis use
2. Invitations to complete two follow-up questionnaires at T1 and 3 months after (T2)
Intervention typeBehavioural
Primary outcome measureThe number of joints smoked in the last 7 days, measured at 3 months after the end of the intervention (T2)
Secondary outcome measures1. The number of joints smoked in the last 7 days, measured just after the intervention (T1)
2. The number of days with cannabis consumption in the last 7 days, measured at 3 months (T2)
3. The level of satisfaction and perceived utility of the app, measured at T1
Overall study start date12/03/2022
Completion date15/01/2026

Eligibility

Participant type(s)Population
Age groupAdult
Lower age limit18 Years
Upper age limit99 Years
SexBoth
Target number of participants580
Total final enrolment629
Key inclusion criteria1. Age >= 18 years old
2. Have used cannabis in the last 7 days
3. Willing to reduce or quit cannabis use in the next 15 days
4. Have a smartphone connected to the internet
5. French speaking
Key exclusion criteria1. Not currently following treatment for cannabis addiction
2. Not pregnant
3. Not recently hospitalized for mental disorders
4. Not having used digital or online help to stop or reduce cannabis in the last few months
Date of first enrolment17/10/2024
Date of final enrolment31/08/2025

Locations

Countries of recruitment

  • France
  • French Guiana
  • French Polynesia
  • French Southern Territories
  • Saint Martin (French part)

Study participating centre

Santé publique France
12, rue du val d'osne
Saint-Maurice
94415
France

Sponsor information

Funders

Funder type

Government

Santé Publique France

No information available

Results and Publications

Intention to publish date31/12/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in an English-language peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Emmanuel Lahaie (emmanuel.lahaie@santepubliquefrance.fr). Anonymized data can be shared with external teams after analysis of the project by Santé publique France and the signing of a confidentiality commitment

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other files Data collection protocol 11/10/2024 No No
Participant information sheet 11/10/2024 No Yes

Additional files

46164 PIS.pdf
46164 data collection protocol.pdf
Data collection protocol

Editorial Notes

05/09/2025: The following changes were made to the trial record:
1. The completion date was changed from 30/10/2025 to 15/01/2026.
2. The total final enrolment was added.
28/07/2025: The date of final enrolment was changed from 31/07/2025 to 31/08/2025.
21/05/2025: The recruitment end date was changed from 17/05/2025 to 31/07/2025.
08/10/2024: Trial's existence confirmed by Health Data Hub.