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Concurrent validity of the marijuana purchase task: a meta-analysis of trait-level cannabis demand and cannabis involvement

Journal

ADDICTION
Volume 118, Issue 4, Pages 620-633

Publisher

WILEY
DOI: 10.1111/add.16075

Keywords

Behavioral economics; cannabis; demand; marijuana purchase task; meta-analysis; validity

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This meta-analysis evaluated the concurrent validity of the Marijuana Purchase Task (MPT) in relation to cannabis involvement. The results showed that the MPT has adequate concurrent validity in measuring cannabis demand, particularly in intensity, O-max, and elasticity. There may be meaningful sex differences in the reinforcing value of cannabis.
Background and aimsThe Marijuana Purchase Task (MPT) is increasingly used to measure cannabis reinforcing value and has potential use for cannabis etiological and regulatory research. This meta-analysis sought to evaluate for the first time the MPT's concurrent validity in relation to cannabis involvement. MethodsElectronic databases and pre-print repositories were searched for MPT studies that examined the cross-sectional relationship between frequency and quantity of cannabis use, problems, dependence, and five MPT indicators: intensity (i.e. unrestricted consumption), O-max (i.e. maximum consumption), P-max (i.e. price at which demand becomes elastic), breakpoint (i.e. first price at which consumption ceases), and elasticity (i.e. sensitivity to rising costs). Random effects meta-analyses of cross-sectional effect sizes were conducted, with Q tests for examining differences by cannabis variables, meta-regression to test quantitative moderators, and publication bias assessment. Moderators included sex, number of MPT prices, variable transformations, and year of publication. Populations included community and clinical samples. ResultsThe searches yielded 14 studies (n = 4077, median % females: 44.8%: weighted average age = 29.08 [SD = 6.82]), published between 2015 and 2022. Intensity, O-max, and elasticity showed the most robust concurrent validity (|r's| = 0.147-325, ps < 0.014) with the largest significant effect sizes for quantity (|r| intensity = 0.325) and cannabis dependence (|r| O-max = 0.320, |r| intensity = 0.305, |r| elasticity = 0.303). Higher proportion of males was associated with increased estimates for elasticity-quantity and P-max-problems. Higher number of MPT prices significantly altered magnitude of effects sizes for P-max and problems, suggesting biased estimations if excessively low prices are considered. Methodological quality was generally good, and minimal evidence of publication bias was observed. ConclusionsThe marijuana purchase task presents adequate concurrent validity to measure cannabis demand, most robustly for intensity, O-max, and elasticity. Moderating effects by sex suggest potentially meaningful sex differences in the reinforcing value of cannabis.

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