A two-hour cannabis education module significantly improved nurse practitioner knowledge and willingness to discuss cannabis

After a 2-hour continuing education module, 289 nurse practitioners improved test scores by an average of 39%, with 92% reporting they would now ask patients about cannabis use.

Klein, Tracy A et al.·Cannabis and cannabinoid research·2022·Moderate EvidenceObservational
RTHC-03971ObservationalModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Moderate Evidence
Sample
N=289

What This Study Found

Significant improvement in all content areas from pre- to post-test, with a mean improvement of 39.3%. Greatest increases were for metabolism, pharmacokinetics, and drug-drug interactions. At 3-month follow-up (63% response rate), 52% said the CE changed their attitudes, 92% were now likely to ask patients about cannabis, and 84% were likely to counsel patients about it.

Key Numbers

289 pre/post-test participants. 39.3% mean score improvement (95% CI: 30.6-47.9%). 184 completed follow-up (63%). 52% changed attitudes. 92% now likely to ask about cannabis. 84% likely to counsel. 86% had not yet applied knowledge in practice.

How They Did This

Nationally distributed 2-hour continuing education module for nurse practitioners. Pre- and post-testing (n=289) plus 3-month follow-up survey (n=184, 63%). Content covered pharmacodynamics, law, evidence-based use, metabolism, drug interactions, and adverse reactions.

Why This Research Matters

Nurse practitioners are cannabis authorizing providers in many states and serve as primary care clinicians. If a 2-hour module can significantly improve knowledge and change practice behavior, it represents a scalable solution to the provider education gap.

The Bigger Picture

The finding that 86% had not yet applied the knowledge at 3-month follow-up, despite increased willingness, suggests that knowledge alone may not be sufficient to change practice. Systemic barriers may also need addressing.

What This Study Doesn't Tell Us

Self-selected participants likely more interested in cannabis education. No control group. Self-reported practice changes not verified. 37% lost to follow-up. Short follow-up period for practice change assessment.

Questions This Raises

  • ?Would mandatory cannabis education in NP programs produce similar results?
  • ?What barriers prevent NPs from applying cannabis knowledge in practice despite increased willingness?

Trust & Context

Key Stat:
39% score improvement; 92% now willing to ask patients about cannabis
Evidence Grade:
Pre-post educational intervention with reasonable follow-up rate but no control group and self-selected participants.
Study Age:
Published in 2022.
Original Title:
Ask Your Provider About Cannabis: Increasing Nurse Practitioner Knowledge and Confidence.
Published In:
Cannabis and cannabinoid research, 7(5), 700-705 (2022)
Database ID:
RTHC-03971

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Watches what happens naturally without intervening.

What do these levels mean? →

Frequently Asked Questions

Are nurse practitioners trained to discuss cannabis?

Most are not. In this study, a 2-hour CE module improved NP knowledge scores by 39%, suggesting baseline knowledge is low but can be significantly improved with targeted education.

Does cannabis education change provider behavior?

At 3-month follow-up, 92% of NPs said they would now ask patients about cannabis use and 84% would counsel about it, though 86% had not yet applied the knowledge in practice.

Read More on RethinkTHC

Cite This Study

RTHC-03971·https://rethinkthc.com/research/RTHC-03971

APA

Klein, Tracy A; Bindler, Ross. (2022). Ask Your Provider About Cannabis: Increasing Nurse Practitioner Knowledge and Confidence.. Cannabis and cannabinoid research, 7(5), 700-705. https://doi.org/10.1089/can.2021.0061

MLA

Klein, Tracy A, et al. "Ask Your Provider About Cannabis: Increasing Nurse Practitioner Knowledge and Confidence.." Cannabis and cannabinoid research, 2022. https://doi.org/10.1089/can.2021.0061

RethinkTHC

RethinkTHC Research Database. "Ask Your Provider About Cannabis: Increasing Nurse Practitio..." RTHC-03971. Retrieved from https://rethinkthc.com/research/klein-2022-ask-your-provider-about

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.