Focus Testing Creative Concepts for the Cannabis Public Education Campaign

Research Report

Prepared for: Health Canada

HCPOR #: POR-17-16
POR Registration #: POR-037-17
Contract Number: HT372-173380/001/CY
Contract Award Date: October 3, 2017
Date of Delivery: January 26, 2018
Contact Information: HC.cpab.por-rop.dgcap.SC@canada.ca

Ce rapport est aussi disponible en français.

Contents

Executive Summary

Earnscliffe Strategy Group (Earnscliffe) is pleased to present this report to Health Canada summarizing the results of the focus testing of creative concepts for the Cannabis Public Education Campaign.

The Government of Canada has committed to legalize, strictly regulate and restrict access to cannabis. Canadians generally view cannabis use as socially acceptable, but are ill-informed about the health and safety risks. This is especially true for youth. To get ready for, and to support, the new legislation, public education is critical to ensure Canadians are well-informed about the health and safety risks of cannabis use and about current laws.

Focus group research was required to explore the views of the general population, with a special attention to youth and young adults, on the effectiveness of new creative concepts for the Cannabis Public Education Campaign. Feedback from the research will enable Health Canada to develop content that resonates with the target audiences, and explore the extent to which it enables them to take action. The total cost to conduct this research was $97,467.46 including HST.

To meet these objectives, Earnscliffe conducted a comprehensive wave of qualitative research. The research included a series of fifteen focus groups in five cities across Canada: Toronto, ON (January 8); Vancouver, BC (January 9); Halifax, NS (January 9); Regina, SK (January 10) and, Quebec City, QC (January 10). The focus groups in Quebec City were conducted in French. In each city, a focus group was conducted with: young adults (18-24); youth (13-17) and adults (25+).

The research explored participants’ reaction to the creative concepts and content, including the clarity, credibility, relevancy and value to the audience and general appeal. The research also tested the concepts’ ability to motivate the audiences to take personal action, and elicited suggestions for potential changes to the concepts and creative material to ensure the messages and products resonate with the target audiences. Similarly, participants were also asked to evaluate a series of statements relating to cannabis to determine the credibility and relevancy of each and any personal action the statements might elicit. Finally, the research explored participants’ reaction to terms related to cannabis, recreational and medical cannabis use, and addiction, with the goal of determining which terms participants use colloquially, and those which are viewed as appropriate for use by the Government of Canada. 

For the purposes of this report, it is important to note that qualitative research is a form of scientific, social, policy and public opinion research. Focus group research is not designed to help a group reach a consensus or to make decisions, but rather to elicit the full range of ideas, attitudes, experiences and opinions of a selected sample of participants on a defined topic. Because of the small numbers involved the participants cannot be expected to be thoroughly representative in a statistical sense of the larger population from which they are drawn and findings cannot reliably be generalized beyond their number.

The key findings from the research are presented below.

Reaction to Campaign Concepts

Honest cannabis questions, honest cannabis answers.

Experts know

Clear the air

Reaction to Specific Messages

Youth

Young adults and adults

Reaction to Specific Terms

Research Firm: 

Earnscliffe Strategy Group Inc. (Earnscliffe)
Contract Number: HT372-173380/001/CY
Contract award date: October 3, 2017

I hereby certify as a Representative of Earnscliffe Strategy Group that the final deliverables fully comply with the Government of Canada political neutrality requirements outlined in the Communications Policy of the Government of Canada and Procedures for Planning and Contracting Public Opinion Research. Specifically, the deliverables do not include information on electoral voting intentions, political party preferences, standings with the electorate or ratings of the performance of a political party or its leaders.

Signed: 
Stephanie Constable

Principal, Earnscliffe
Date: January 26, 2018

Introduction

Earnscliffe Strategy Group (Earnscliffe) is pleased to present this report to Health Canada summarizing the results of the focus testing of creative concepts for the Cannabis Public Education Campaign.

The Government of Canada has committed to legalize, strictly regulate and restrict access to cannabis. Canadians generally view cannabis use as socially acceptable, but are ill-informed about the health and safety risks. This is especially true for youth. To get ready for, and to support, the new legislation, public education is critical to ensure Canadians are well-informed about the health and safety risks of cannabis use and about current laws.

Focus group research was required to explore the views of the general population, with a special attention to youth and young adults, on the effectiveness of new creative concepts for the Cannabis Public Education Campaign. Feedback from the research will enable Health Canada to develop content that resonates with the target audiences, and explore the extent to which it enables them to take action. The total cost to conduct this research was $103,395 including HST.

The specific objectives of the research include:

To meet these objectives, Earnscliffe conducted a comprehensive wave of qualitative research. The research included a series of fifteen focus groups in five cities across Canada: Toronto, ON (January 8); Vancouver, BC (January 9); Halifax, NS (January 9); Regina, SK (January 10) and, Quebec City, QC (January 10). The focus groups in Quebec City were conducted in French. In each city, a focus group was conducted with: young adults (18-24); youth (13-17) and adults age 25 and over.

All sessions were one and a half hours in length. The young adult groups were conducted from 4:30 pm to 6:00 pm, the youth groups from 6:00 pm to 7:30 pm and the adult groups from 8:00 pm to 9:30 pm. Participants received an honorarium as a token of appreciation for their time. Written consent was obtained from parents for youth participation in the focus groups.

The research explored participants’ reaction to the creative concepts and content, including the clarity, credibility, relevancy and value to the audience and general appeal. The research also tested the concepts’ ability to motivate the audiences to take personal action, and elicited suggestions for potential changes to the concepts and creative material to ensure the messages and products resonate with the target audiences. Similarly, participants were also asked to evaluate a series of statements relating to cannabis to determine the credibility and relevancy of each statement, and determine what sort of personal action the statements might elicit. Finally, the research explored participants’ reaction to terms related to cannabis, recreational and medical cannabis use, and addiction, with the goal of determining which terms participants use colloquially, and those which are viewed as appropriate for use by the Government of Canada.

For the purposes of this report, it is important to note that qualitative research is a form of scientific, social, policy and public opinion research. Focus group research is not designed to help a group reach a consensus or to make decisions, but rather to elicit the full range of ideas, attitudes, experiences and opinions of a selected sample of participants on a defined topic. Because of the small numbers involved the participants cannot be expected to be thoroughly representative in a statistical sense of the larger population from which they are drawn and findings cannot reliably be generalized beyond their number.

Detailed Findings

This qualitative report is divided into three sections. The first section presents the findings of the exploratory discussion on creative concepts for Health Canada’s awareness initiative. The second section explores reactions to key statements to determine if they are clear, credible and relevant. The third section explores which terms participants preferred to use when discussing cannabis and cannabis use.

Creative Concepts

The focus groups began with an initial exploratory discussion of three creative concepts. The foundational element of each concept was a 30-second stillmatic (video with static images). Each concept also included a social media and website component. Each will be discussed in turn below.

Reactions to some concepts led to an initial degree of confusion about a perceived contradiction in the Government’s position on cannabis. Participants questioned as to why the Government – which is perceived to be moving towards allowing Canadians to use cannabis recreationally – would provide messaging that indicates the substance is actually harmful and in some cases, seems to perpetuate fears assumed to have been proven baseless (i.e., that someone may turn into a “pot fiend”). This view was consistent across all five cities although tended to be more strongly held in Toronto and Vancouver; less so in Quebec.

Discussions suggested that the more that messaging about harm would be framed as “make informed choices” or “enjoy responsibly,” the less resistant participants claimed they would be to whatever facts were presented regarding risks.  

Stillmatics

Participants were asked to rate each stillmatic on a scale of 0-10, where 10 indicated a very positive reaction and 0 indicated a very negative reaction. The following tables illustrate the mean ratings overall and for each of the three audiences as well as the perceived strengths and weaknesses for each concept. Concepts are displayed in order of mean ratings (highest to lowest).

Honest Cannabis Questions. Honest Cannabis Answers.

Table 1: Summary of reactions to Honest Cannabis Questions. Honest Cannabis Answers
  TOTAL (144) Youth 13-17 (49) Young adults 18-24 (28) Adults 25+ (46)
Mean score 6.7 7.1 6.5 6.6
Overall reaction
  • Overall reaction was generally positive
  • This concept worked for participants of all ages
Strengths
  • Open forum in which real individuals could ask their own questions, in their own words, in a no-judgment safe space.
  • Authentic conversation that is guided by the public not the Government.
  • Expert advice from professionals in a variety of relevant sectors and people relevant backgrounds/experiences.
  • Interesting approach to introduce cannabis legalization; conveys that Government is open and available for a conversation about cannabis.
Weaknesses
  • If the follow-up videos and communications did not portray an accurate reflection of the variety of questions asked in the ‘pop-up space’ participants felt it would diminish the credibility and effectiveness of this approach.
  • Similarly, participants worried that experts would be Government experts offering a one-sided perspective.
  • A few adult participants questioned the cost to taxpayers for a campaign of this magnitude.

Of the three concepts, Honest Cannabis Questions. Honest Cannabis Answers. was not met with confusion in terms of the Government’s perceived intention to legalize marijuana and the inclination to warn about potential health and safety risks. Participants felt that the overall approach and tone of this concept was much more open and neutral.

The key strength that propelled positive reaction was the open forum ‘pop-up space’ in which real individuals could ask their own questions, in their own words, in a no-judgment safe space.

It is worth mentioning that the examples of questions used in the video were somewhat distracting and appeared to have caused slightly reduced initial enthusiasm for some. Discussions demonstrated that if the questions and answers selected for the videos were truly representative of the kinds of questions asked by “someone like me,” then participants would be more likely to feel that the communications would be relevant, unlocking the opportunity to hear the expert’s fact(s). 

The reliance on real experts (not the government and not actors) to provide the facts was also very well received. Participants often warned that if they suspected that the individuals were inauthentic, the credibility would be lost along with any impact on the participant. The types of experts that participants would like to see in the ‘pop-up space’ included:  medical professionals (doctors, specialists, etc.); psychologists; lawyers; those in law enforcement (i.e. police especially about roadside); regulatory experts (who would know the rules about retail and usage); growers; scientists who have studied cannabis (could be academics); and, especially those with lived experience. If experts were non-judgmental, that would be great; even better, if they had tried cannabis in the past themselves.

When given the opportunity, many participants were easily able to come up with a question they would like to see answered in the ‘pop-up space’. For reporting purposes, given the consistency between their ‘pop-up space’ questions and questions they would like to see answered on the Government’s cannabis website, we have synthesized these in the website section of this report.

With respect to target audience, participants of all ages agreed that this concept was aimed at the general public of all ages.

Finally, while not the majority view, some participants felt that the ‘pop-up space’ was an innovative way for the Government to reach out to Canadians about cannabis. They felt it demonstrated the Government’s willingness to engage in a public discourse that was not dictated by their agenda but rather that of the general public. Some extrapolated that they could see how the ‘pop-up space’ could become a public relations vehicle; offering other opportunities to connect with Canadians via the media, social media, etc.

Experts Know

Table 2: Summary of reactions to Experts Know
  TOTAL (144) Youth 13-17 (49) Young adults 18-24 (28) Adults 25+ (46)
Mean score 6.0 6.1 5.7 6.3
Overall reaction
  • Overall reaction was generally positive
Strengths
  • Reliance on experts to provide (hopefully) unvarnished facts about cannabis.
  • Desire for expert advice from a variety of professionals and particularly those with lived experiences.
  • Presentation of numerous consequences related to cannabis use was appreciated, particularly among adults.
Weaknesses
  • The stillmatic suggested that experts consulted on cannabis would be selected based on their preference to dissuade the use of recreational cannabis.
  • Participants suggested that experts who are not authentic, identified, impartial and non-judgmental could diminish the credibility of this concept.

Reaction to Experts Know was generally positive primarily because it relied on experts to provide (hopefully) unvarnished facts. The choice of experts, the tone of their presentation, and the credibility of the facts will clearly be factors that determine whether or not the final creative will resonate and be impactful.

Participants pointed out that the experts need to be authentic, identified, impartial and non-judgmental. The tone needs to be one that is informative without being alarming. The delivery needs to be one that acknowledges that viewers may reasonably be looking forward to using recreational cannabis when and if it becomes legal to do so, but presents certain facts in order to ensure they do so as safely as possible and to avoid unpleasant consequences that can sometimes result from use.

The stillmatic seemed to include only professionals who were expected to be dissuading usage of recreational cannabis and for many, the assumption was that these experts had no personal experience with the substance themselves. As mentioned earlier, one particularly frequent request was for the group of experts involved in communicating about, or answering questions on, recreational cannabis include people with lived experiences – people who have had years of experience using the substance, including both those who have suffered no particular harm as well as people who have personally experienced harms such as addiction or survived impaired driving incidents.

Clear the Air

Table 3: Summary of reactions to Clear the Air
  TOTAL (144) Youth 13-17 (49) Young adults 18-24 (28) Adults 25+ (46)
Mean score 4.9 5.5 4.5 4.7
Overall reaction
  • Reaction to this concept tended to be more negative than positive
  • It was rated the lowest of all three concepts across all three audiences
Strengths
  • Some participants felt the ad was short and to the point.
Weaknesses
  • This concept more than the other two created confusion among participants about the perceived contradiction in the Government’s position on cannabis.
  • Participants were critical of the lack of supporting evidence to support the claim that cannabis is addictive.
  • Young adults and youth felt that the tone of the video was unnecessarily dramatic and judgmental.
  • Adults felt the ad was aimed at people who had not yet made up their mind about cannabis and that the tone was preachy and moralizing.

The confusion around the perceived contradiction in the Government’s position on cannabis was particularly acute with respect to the Clear the Air concept. Reactions to this concept tended to be more negative than positive; particularly among youth (13-17) and young adults (18-24).

While a few participants felt that the views depicted in the ad were realistic examples of people and impressions held, the tone of the concept was felt to be overly negative, judgmental and steered viewers towards being more frightened than participants felt was warranted. Even as participants acknowledged knowing people who held the kinds of opinions raised in the concept, there was a widespread sense that the characters as presented were in one way or another exaggerated stereotypes or caricatures and that must have been for a reason. The sense was that this concept was designed not to merely inform, but to actually deter people from using cannabis recreationally; which led to the sense that the Government’s position was contradictory and the message was not as “balanced” as participants felt it should be.

Furthermore, participants felt that the lack of supporting evidence was a limitation of this concept. A common criticism offered was that the facts were not supported by any evidence or citing any source and were therefore discounted by many and even discredited by some. Typically, the more that a presented fact is counter-intuitive, the more it needs to be supported in order to be accepted. This need is even greater when the counter-intuitive fact being presented is perceived to be an attempt to dissuade the recipient from doing something they may aspire to do. 

Finally, some participants, particularly youth and young adults who felt the ad was aimed at parents, were put off by the pejorative tone. It was felt to be unnecessarily dramatic and judgmental.

Social Media

Participants were presented with three different approaches, complementary to each of the concepts, to social media and asked to discuss their preferences for social media connection. The following summarizes the key takeaways stemming from that discussion.

Criticisms of videos tended to revolve a sense that they lacked in authenticity and provided an opportunity for the Government to dictate the dialogue on cannabis.

Those that liked this option, praised the “live” and interactive nature of the discussion, arguing that it added to the credibility and felt less staged. The fact that real people would ask real questions and that it would not be the Government leading the dialogue, was what made this idea compelling.

Others described live social media events as awkward and there was a sense that on this particular topic, they may not be comfortable asking a question and having their name seen by others. Some participants also raised concerns about the potential for spam and trolling that tends to happen on live events and questioned the appropriateness of this for a Government of Canada event.

Website

Where time permitted, participants were presented with mock-ups for the website. The following summarizes the key takeaways stemming from that discussion.

Information Requests

When asked what they would like to find at a Government of Canada website about cannabis and what questions they would like to hear in the ‘pop-up space’ participants volunteered the following:

In addition to finding information about all of this and more, participants suggested that the website could include:

Key Statements

Participants were presented with a series of key statements related to cannabis, and asked to indicate whether the statement resonated with them (√); did not resonate with them (X); or, was confusing or unclear (?). 

The following points summarize the general findings; a more detailed analysis of each statement follows.

Detailed Analysis

The following illustrates the credibility of each statement, with analysis for each one. Words in bold and italicized font with a “1” illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement; those in bold and italicized font with a “2” illustrate words that raised questions and should be revisited; and, those in bold and italicized font with a “3” illustrate words that were problematic and detracted from the credibility of the statement. 

Legend

1 – compelling and/or persuasive in adding to credibility of the statement
2 – raised questions about the credibility of the statement and should be revisited
3 – problematic and detracted from the credibility of the statement
√– resonated
? – deemed confusing/unclear
X – did not resonate 

For each audience, the statements are displayed in order of credibility; ranked from the most to the least credible.

Youth 13-17

Table 4: Reaction to Statement 1 - Learn the facts about cannabis. Look to "trusted experts"1 for the facts you need
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

37 of 49
  • Participants described this message as straightforward, clear and to the point.
  • Most argued that expert advice on the topic of cannabis would be helpful and credible.
  • This was also very much in line with what they liked most about the stillmatic concepts presented earlier.
? 0 of 49
X 12 of 49
Table 5: Reaction to Statement 2 - If you have a family history of psychosis or schizophrenia, early and frequent use of cannabis can increase your likelihood of experiencing "psychosis or developing schizophrenia"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

24 of 49
  • Statements that related to frightening or unexpected aspects related to cannabis use were generally felt to be effective.
  • This was certainly new information for most participants and piqued their curiosity to learn more.
? 5 of 49
X 20 of 49
Table 6: Reaction to Statement 3 - Don’t let cannabis "get in the way of your goals"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

22 of 49
  • Messaging about cannabis getting in the way of your goals was credible; participants interpreted that this meant cannabis should be avoided.
  • Those, with whom this message resonated, felt that it speaks to a broad spectrum of teens in that one’s goals may be attributed to school, sport, work, etc.
  • Those who raised questions about this statement were inclined to challenge the assertion by claiming to know regular cannabis users who were still capable of performing well in school, in sport, etc.
? 13 of 49
X 14 of 49

Of the 5 groups with youth, 3 were shown the following message combined, while 2 were shown the two sentences as two individual statements. 

Interestingly whether presented as one or two statements, the relative strength of both sentences is the same when combined. However, many participants did volunteer that the combined statement was too long and felt repetitive.

Table 7: Reaction to Statement 4 - Using cannabis at a young age, frequently and over a long period of time, can impact not only your physical health but also your mental health. If you use cannabis at a young age, frequently and over a long period of time, it can have long-lasting impacts on learning, attention and memory
Level of Credibility Number of participants Explanation
20 of 29
  • Please refer to the findings outlined separately below.
? 4 of 29
X 5 of 29
Table 8: Reaction to Statement 5 - Using cannabis at a young age, "frequently and over a long period of time"1, can impact not only your physical health but also your "mental health"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

14 of 20
  • The reference to mental health risks was powerful and attention-grabbing for youth.
  • Given the reference to frequent and prolonged use, most had a hard time challenging this claim with anecdotal reference to frequent users they know.
  • Testimonials from those with lived experience making this statement would be very credible with this age group.
? 3 of 20
X 3 of 20
Table 9: Reaction to Statement 6 - If you use cannabis at a young age, frequently and over a long period of time, it can have long-lasting impacts on "learning, attention and memory"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

13 of 20
  • Risks associated with impacts on learning, attention and memory were also persuasive but slightly less so.
  • Those who raised questions about this statement were inclined to challenge the assertion by claiming to know regular cannabis users who were among the most gifted students, although most agreed that time would tell if long-term memory loss was more acute among these people.
? 3 of 20
X 4 of 20

Young Adults 18-24

Table 10: Reaction to Statement 1 - Learn about how cannabis can affect your health. "Make informed decisions"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

41 of 48
  • Participants very much appreciated the tone and simple, clear message of this statement.
  • This was very much in line with participants’ desire for a neutral position from the Government on this topic and the advice to reflect and make informed choices.
? 1 of 48
X 6 of 48
Table 11: Reaction to Statement 2 - Early and frequent cannabis use increases the chance of "addiction"3
Level of Credibility Number of participants Explanation

3 Illustrate words that were problematic and detracted from the credibility of the statement.

23 of 48
  • Many young adults are not convinced addiction is one of the risks of cannabis use.
  • Most indicated that they will need proof and evidence before they believe in the credibility of this statement.
? 8 of 48
X 17 of 48
Table 12: Reaction to Statement 3 - "Just because cannabis is a plant doesn’t mean it’s harmless"3
Level of Credibility Number of participants Explanation

3 Illustrate words that were problematic and detracted from the credibility of the statement.

20 of 48
  • Those critical of this statement explained that the tone is what makes it less credible. 
  • Participants explained that this statement inferred a negative position for the Government that is somewhat contradictory with their decision to potentially legalize cannabis. 
? 4 of 48
X 24 of 48

Young Adults (18-24) and Adults (25+)

Table 13: Reaction to Statement 1 - Learn the facts about cannabis. Look to "trusted experts"1 for the facts you need
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

78 of 95
  • As mentioned earlier, young adults and adults (like youth) appreciated the tone of this statement. It was described as short, to the point and credible.
  • Most argued that expert advice on the topic of cannabis would be helpful and credible.
  • This was also very much in line with what they liked most about the stillmatic concepts presented earlier.
? 4 of 95
X 12 of 95
Table 14: Reaction to Statement 2 - The health risks increase when "combining"1 cannabis with other substances such as tobacco, alcohol or other drugs
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

63 of 95
  • This statement resonated with most young adults and adults.
  • More than most messages tested, it tended to be thought-provoking.
  • They explained that it fit with their own experiences having mixed substances in the past (i.e., smoking and alcohol) and what they know about mixing other substances (i.e., prescription medication and alcohol, etc.).
? 11 of 95
X 20 of 95
Table 15: Reaction to Statement 3 - More research is needed to assess how "effective of safe cannabis is for medical use"2
Level of Credibility Number of participants Explanation

2 Illustrate words that raised questions and should be revisited

40 of 95
  • Reaction among both young adults and adults was mixed.
  • Those confused by or critical of the statement felt that this statement is somewhat at odds with the fact that cannabis has been used for medical purposes for some time, begging questions about the decision to permit it.
  • Those with whom this statement resonated argued that continual learning is always a good thing and that we should not stop trying to understand the effects of cannabis use – whether for medical or recreational use.
? 30 of 95
X 24 of 95

Adults 25+

Table 16: Reaction to Statement 1 - Your doctor may authorize cannabis for medical use to relieve certain symptoms
Level of Credibility Number of participants Explanation
41 of 47
  • Most were comfortable with this statement. It appeared to be straightforward and direct.
  • The few who raised questions or concerns about it felt that it was not necessary or relevant in the conversation about recreational cannabis.
? 2 of 47
X 3 of 47
Table 17: Reaction to Statement 2 - Like alcohol and tobacco, "cannabis is not without risks"2
Level of Credibility Number of participants Explanation

2 Illustrate words that raised questions and should be revisited

36 of 47
  • This statement resonated with most.
  • Those that found it unclear, asked the question “what risks?”
  • Those with whom this statement did not resonate questioned the decision to legalize.
? 5 of 47
X 5 of 47
Table 18: Reaction to Statement 3 - Know the signs of cannabis "addiction"3 and "where to get help"1
Level of Credibility Number of participants Explanation

1 Illustrate words that were found to be compelling and/or persuasive in adding to the credibility of the statement

3 Illustrate words that were problematic and detracted from the credibility of the statement.

32 of 47
  • The intention of the message resonated with most and fit with their expectations of the Government’s position on cannabis – make informed choices and know how and where to get help.
  • For those with whom this statement did not resonate, their main concern was around the risk of addiction with cannabis use and a desire for more evidence to lend credibility to this claim.
? 5 of 47
X 9 of 47
Table 19: Reaction to Statement 4 - Cannabis can be "addictive"3
Level of Credibility Number of participants Explanation

3 Illustrate words that were problematic and detracted from the credibility of the statement.

29 of 47
  • While the statement was perceived to be direct and clear, as mentioned previously some participants indicated a desire for evidence to support this claim.
? 6 of 47
X 11 of 47
Table 20: Reaction to Statement 5 - The "younger"2 someone is when they start using cannabis, and the "more often they use it" 2, the higher the likelihood that they will experience harms
Level of Credibility Number of participants Explanation

2 Illustrate words that raised questions and should be revisited

16 of 47
  • While many indicated that the spirit of this statement resonated with them, the lack of precision in terms of age and frequency resulted in these ratings.
? 16 of 47
X 14 of 47

Terms Testing

Following the statements testing, participants were shown a series of terms and asked which they used most often when referring to cannabis or cannabis use and which they preferred to see used by the Government. There were eight groups of terms tested.

The following points summarize the general findings; a more detailed analysis of each series follows:

The following summarizes the specific feedback for each of the series tested:

Table 21: Summary of feedback on terms – Series 1
  Cannabis Marijuana Pot Weed
TOTAL    
Youth (13-17)    
Young adults (18-24)    
Adults (25+)    
Government should use      
Key takeaways
  • Most participants indicated that they tend to refer to cannabis as either weed or pot in conversation. In Quebec City, participants unanimously selected pot, as weed was translated to “herbe” which is a term no one in Quebec City uses to refer to cannabis.
  • However, most felt that the term cannabis would be more appropriate for the Government to use when speaking about cannabis from a policy perspective.  
  • Under certain circumstances, such as an ad (i.e., two teens talking about weed), participants indicated that they would prefer to hear a more colloquial reference to cannabis.
  • While some were inclined to suggest that marijuana was a term the government could use, others (usually one or two participants per group) countered that their understanding of the term carried racial prejudices that would be inappropriate for the Government.
Table 22: Summary of feedback on terms – Series 2
  Frequent cannabis use Regular cannabis use Using cannabis often
TOTAL  
Youth (13-17)  
Young adults (18-24)  
Adults (25+)    
Government should use    
Key takeaways
  • Youth (13-17) and young adults (18-24) used the terms “frequent” and “regular” almost interchangeably when describing cannabis use although most felt “using” cannabis often was a bit awkward and clumsy.
  • Adults preferred “regular” cannabis use.
  • The majority said the government should refer to “regular” cannabis use. It was a little more defined than “frequent” which could be more open to interpretation.
Table 23: Summary of feedback on terms – Series 3
  Smoking up Using cannabis Getting high Getting stoned
TOTAL    
Youth (13-17)      
Young adults (18-24)      
Adults (25+)    
Government should use    
Key takeaways
  • Of the choices presented, most participants selected either getting high or getting stoned. Youth and young adults tend to pick getting high.
  • However, in conversation, most youth and young adults tended to refer to the act as “smoking”.
  • Most felt that the term using cannabis would be more appropriate for the Government to use when speaking about cannabis from a policy perspective, and getting high in an ad in which two teens discuss the act of using cannabis.
Table 24: Summary of feedback on terms – Series 4
  High Stoned Baked Blazed
TOTAL      
Youth (13-17)      
Young adults (18-24)      
Adults (25+)      
Government should use      
Key takeaways
  • With the exception of blazed, most of these terms were understood and used interchangeably by participants of all ages. 
  • Getting high was the reference that most settled on.
  • Adults tended to use the terms stoned and baked more often than younger participants.
  • And, while, the term blazed in English was not used or really understood by most participants, the translation (gêlé) was overwhelmingly the most commonly used term In Quebec City, by participants of all ages.
Table 25: Summary of feedback on terms – Series 5
  Health risks Health harms Risks to health Harmful to health
TOTAL      
Youth (13-17)      
Young adults (18-24)      
Adults (25+)      
Government should use      
Key takeaways
  • When referring to cannabis, participants of all ages tended to prefer the term risks over harms. 
  • The majority argued that health risks was a little less cumbersome than risks to health although their interpretation of both terms was the same.
Table 26: Summary of feedback on terms – Series 6
  Addiction Cannabis use disorder Substance use disorder Problematic substance use
TOTAL      
Youth (13-17)      
Young adults (18-24)      
Adults (25+)      
Government should use      
Key takeaways
  • Regardless of whether participants believed cannabis was an addictive substance, of the terms presented, addiction was the term that was selected unanimously by participants of all ages.
  • The word disorder did not feel appropriate for most and the term problematic substance use did not necessarily mean the same thing.
  • Some, particularly adults, felt the term habit-forming was a more appropriate alternative to addiction.
Table 27: Summary of feedback on terms – Series 7
  THC Potency Strength
TOTAL    
Youth (13-17)    
Young adults (18-24)    
Adults (25+)    
Government should use    
Key takeaways
  • Most participants did not think these three terms necessarily meant the same thing.
  • And, while, not everyone understood the meaning of the term THC, most argued that the scientific name for the mind-altering substance in cannabis would be the most appropriate term to use.
Table 28: Summary of feedback on terms – Series 8
  Medical cannabis Prescription cannabis Cannabis for medical purposes
TOTAL    
Youth (13-17)    
Young adults (18-24)    
Adults (25+)    
Government should use    
Key takeaways
  • The overwhelming majority of participants preferred the term medical cannabis to the other two choices although all three terms were understood by participants.

Conclusions and Recommendations

From volunteered comments, it was abundantly clear that participants of all ages understand there is a move afoot to legalize the recreational use of cannabis, and perhaps even more relevant to discussions about harm-prevention and responsible use, that awareness of the medical use of cannabis in Canada was both widespread and contributes to views about the safety of recreational use.

To some extent, the Government’s decision to potentially legalize cannabis has resulted in a sense that Canadians have developed that cannabis is not as harmful a substance as was once feared and need not be as completely avoided as past generations had warned. It is helpful to consider this mindset to fully appreciate participants’ reactions to the concepts tested.

The focus groups began with the review of three creative concepts designed to encourage Canadians to educate themselves more fully on the risks associated with the recreational use of cannabis.

Reactions demonstrated that the position and tone of some of the concepts stirred an initial degree of confusion about why the Government of Canada – which is perceived to be moving towards allowing Canadians to use cannabis recreationally – would provide messaging that indicated the substance was actually harmful and in some cases, seems to perpetuate fears assumed to have been proven baseless. 

Discussions suggested that the more that messaging about harm would be framed as “make informed choices” or “enjoy responsibly,” the less resistant participants claimed they would be to whatever facts were presented regarding risks. The ideal communications approach seemed to have crystallized around the following principles:

Of the three concepts tested, the concept that seemed to come closest to hitting this mark was Honest Cannabis Questions, Honest Cannabis Answers. Participants felt that the overall approach and tone of this concept was much more open and neutral. The key strength that propelled positive reaction was the open forum ‘pop-up space’ in which real individuals could ask their own questions, in their own words, of real experts in a no-judgment safe space.

The reliance on real experts (not the government and not actors) to provide the facts was also very well received; which was also the biggest strength of the Experts Know concept. Participants would be keen to hear from a variety of experts – authentic, identified, impartial, and non-judgmental – including professionals in different specializations of relevance to cannabis (i.e., medical, legal, psychological, scientific, agricultural, etc.) but, perhaps, more importantly, those with lived experience as well. Indeed, participants felt that those who have had years of experience using the substance, including both those who have suffered no particular harm as well as those who have personally experienced harm would be powerful contributors.

Finally, the confusion around the perceived contradiction in the Government’s position on cannabis was particularly acute with respect to the Clear the Air concept. The sense was that this concept was designed not to merely inform, but to actually deter people from using cannabis recreationally; which led to the sense that the Government’s position was contradictory and the message was not as “balanced” as participants felt it should be.

Appendix A: Discussion Guide

Introduction

Moderator introduces herself/himself and her/his role: role of moderator is to ask questions, make sure everyone has a chance to express themselves, keep track of the time, be objective/no special interest

Moderator will go around the table and ask participants to introduce themselves.

Concept Testing

Tonight, we’re going to be reviewing creative concepts that are being proposed by the Government of Canada. We have three creative concepts to show you. Each concept includes a variety of creative pieces; the central piece being a stillmatic.

A stillmatic is basically a 30-second video advertisement. However, it is not the version you would see on television or in other media (like YouTube or social media) but rather a draft version using drawings and images. The music and voice overs you will hear are simply there for effect but will not be the final sounds of the ad. The videos will feature real people (not animation).

STILLMATIC

We will look at each of the three concepts one-by-one, beginning with the stillmatic video. As you watch each one, please feel free to make notes on anything that stands out, either in a positive or a negative way. Before we discuss any of the creatives, I will have you fill out a short rating sheet for each one.

[DISTRIBUTE HANDOUT / ASK PARTICIPANTS TO WRITE DOWN]

We will do this for each concept.

[MODERATOR TO PLAY EACH AD AND AFTER EACH, PARTICIPANTS WILL BE ASKED TO COMPLETE THE HANDOUT. NO DISCUSSION UNTIL EACH OF THE ADS IS SHOWN AND RESPONDENTS FILL OUT THE HANDOUT. ORDER OF ADS WILL BE SHOWN IN RANDOMIZED ORDER.]

For Concepts 2 and 3:

SOCIAL MEDIA
As part of this campaign, there will be a social media component. 

WEBSITE – ALL THREE WILL BE REVIEWED TOGETHER AT THE END
Finally, as part of the campaign, there will also be a web component. 

CONCEPT WRAP-UP

Message Testing

I am going to pass out a sheet with some statements. Please feel free to mark it up. I would ask that you put a “√” beside the statements that resonate with you the most, put an “X” beside any statement you feel the government should not use, a “?” beside any statements you find confusing or unclear, and then circle ones which make you personally less likely to want to use cannabis. Please feel free to mark up any word/phrases/elements with the same symbols.

LIST OF STATEMENTS IN APPENDIX A

MODERATOR TO DISTRIBUTE HANDOUT WITH STATEMENTS. MODERATOR WILL LEAD A DISCUSSION REVIEWING EACH STATEMENT ONE BY ONE:

LIST OF TERMS IN APPENDIX B

MODERATOR TO DISTRIBUTE HANDOUT WITH TERMS. MODERATOR WILL LEAD DISCUSSION TO GAUGE PREFERENCE FOR EACH TERM.
Let’s review each row one at a time.

IF TIME PERMITS…

Communicatons Needs

[IF YES]

Wrap-Up

MODERATOR TO CHECK IN THE BACK ROOM AND PROBE ON ANY ADDITIONAL AREAS OF INTEREST.

Appendix B: Statements

General Health Statements

Youth (13-17)

Young Adults (18-24)

Adults (25+)

Appendix C: Terms

Which of these terms would you expect to see in a Government of Canada ad on cannabis education?

Cannabis Marijuana Pot Weed
Frequent cannabis use Regular cannabis use Using cannabis often  
Smoking up Using cannabis Getting high Getting stoned
High Stoned Baked Blazed
Health risks Health harms Risks to health Harmful to health
Addiction Cannabis use disorder Substance use disorder Problematic substance use
THC Potency Strength  
Medical cannabis Prescription cannabis     Cannabis for medical purposes  

Appendix D: Screener

Hello, my name is _______________ and I’m calling on behalf of the Earnscliffe Strategy Group, a national public opinion research firm. We are organizing a series of discussion groups on issues of importance to Canadians, on behalf of the Government of Canada. We are looking for people who would be willing to participate in a 2-hour discussion group. Up to 10 participants will be taking part and for their time, participants will receive an honorarium of $100.00. May I continue?

Participation is voluntary. We are interested in hearing your opinions; no attempt will be made to sell you anything or change your point of view. The format is a ‘round table’ discussion led by a research professional. All opinions expressed will remain anonymous and views will be grouped together to ensure no particular individual can be identified. But before we invite you to attend, we need to ask you a few questions to ensure that we get a good mix and variety of people. May I ask you a few questions?

READ TO ALL: “This call may be monitored or audio taped for quality control and evaluation purposes.
ADDITIONAL CLARIFICATION IF NEEDED:

S1. Do you or any member of your household work for…

Organization Yes No
A marketing research firm 1 2
A magazine or newspaper, online or print 1 2
A radio or television station 1 2
A public relations company 1 2
An advertising agency or graphic design firm 1 2
An online media company or as a blog writer 1 2
The government, whether federal, provincial or municipal 1 2
The field of drug treatment 1 2
Law enforcement 1 2

IF “YES” TO ANY OF THE ABOVE, THANK AND TERMINATE. 

S2. DO NOT ASK – NOTE GENDER

S3. Could you please tell me which of the following age categories you fall in to? Are you...

ENSURE GOOD MIX OF AGES IN ALL GROUPS

ASK S4, S5, S7 AND S8, THEN PROCEED TO S19

FOR THOSE UNDER 18, ONCE ADULT IS ON THE LINE, GO BACK TO INTRODUCTION

S4. Do you normally reside in the [INSERT CITY] area?

S5. What is your current employment status?

S6. Which of the following categories best describes your total household income? That is, the total income of all persons in your household combined, before taxes [READ LIST]?

ENSURE GOOD MIX OF INCOME

S7. What is the last level of education that you have completed?

S8. Do you consider yourself to be Indigenous Canadian (First Nations, Métis or Inuit)?

AIM FOR TWO INDIGENOUS CANADIANS IN EACH GROUP – PARTICULARLY IN TORONTO, REGINA, VANCOUVER AND QUEBEC CITY.

IF 18-24 YEARS AT S4, QUALIFIES FOR YOUNG ADULT GROUPS. SKIP TO S19.

S9.  Are you a parent or guardian of a child?

PLEASE ENSURE A MINIMUM OF 5/12 FOR GROUPS WITH ADULT 25+ ARE PARENTS.

S10. Do you have a child between the ages of 13 and 17 that lives with you at least half the time?

S11. Are you regularly involved in decisions that relate to the health and safety of your child?

TO PARENTS OF YOUTH 13-17:

IF RECRUITING YOUTH: CONTINUE
IF RECRUITING PARENT (FOR ADULTS 25+): SKIP TO S19

NOTE: DO NOT RECRUIT YOUTH AND PARENT FROM SAME HOUSEHOLD

As part of this study, we are conducting discussion groups among youth between the ages of 13 and 17. 

S12. With your permission, we would like to invite your child to attend a discussion on [INSERT DATE] at [TIME]? It will last 2 hours and your child will receive $100.00 for their time. These groups are being conducted on behalf of Health Canada to help them explore the topic of youth and cannabis. Please note, while it is not our intention to ask any questions about their own possible drug use, that subject may come up. The discussion will focus on their opinions on different messages about the potential harms/health effects of cannabis use. Your written consent for your child to participate in the focus group will be required upon arrival. Would your child be available to attend on [INSERT DATE] at [TIME]?

S13. Is the child who would be participating a male or a female or prefers not to identify as either male or female?

S14. What is the age of the child who would be participating?

S15. In order to ensure we have a mix of youth participants in the room, we need to ask them some qualifying questions. May we speak with your son or daughter if it is convenient to speak with them now?

TO YOUTH:

Hello, my name is _______________ and I’m calling on behalf of the Earnscliffe Strategy Group, a national public opinion research firm. We are organizing a series of discussion groups on issues related to youth and drugs on behalf of Health Canada (Government of Canada). Up to 10 adolescents will be taking part and for their time, participants will receive an honorarium of $100.00. But before we invite you to attend, we need to ask you a few questions to ensure that we get a good mix/variety of people. May I continue?

Participation is voluntary. We are interested in hearing your opinions; no attempt will be made to sell you anything or change your point of view. The format is a ‘round table’ discussion led by a research professional. All opinions expressed will remain anonymous and views will be grouped together to ensure no particular individual can be identified.  It is important that you understand that all of your answers will be kept confidential, including from your parents. Your answers will be used for research purposes only and will help ensure we have a mix of participants in the room.

S16. For the purposes of this project, we need to ensure that we are speaking with youth between the ages of 13 and 17 years. Are you between the ages of 13 and 17?

S17. How old are you?

S18. Sometimes participants are also asked to write out their answers to a questionnaire, read materials or watch TV commercials during the discussion. Is there any reason why you could not participate? [READ IF NEEDED: I can assure you that everything written or discussed in the groups will remain confidential.]

[INTERVIEWER NOTE:  TERMINATE IF RESPONDENT OFFERS ANY REASON SUCH AS SIGHT OR HEARING PROBLEM, A WRITTEN OR VERBAL LANGUAGE PROBLEM, A CONCERN WITH NOT BEING ABLE TO COMMUNICATE EFFECTIVELY OR IF YOU HAVE A CONCERN.]

IF YOUTH QUALIFIES, PROCEED TO PRIVACY QUESTIONS.

NOTE: DO NOT RECRUIT PARENT (ADULTS 25+) AND YOUTH (13-17) FROM THE SAME HOUSEHOLD.

S19. Have you participated in a discussion or focus group before? A discussion group brings together a few people in order to know their opinion about a given subject.

S20. When was the last time you attended a discussion or focus group?

S21. How many of these sessions have you attended in the last five years?

S22. And what was/were the main topic(s) of discussion in those groups?

IF RELATED TO CANNABIS, DRUGS, GOVERNMENT POLICY ON DRUGS, THANK AND TERMINATE          

S23. Participants in discussion groups are asked to voice their opinions and thoughts. How comfortable are you in voicing your opinions in front of others? Are you… (READ LIST) 

S24.  Sometimes participants are asked to read text and/or review images during the discussion. Is there any reason why you could not participate? 

S25.  The discussion group will take place on DATE @ TIME for 2 hours and participants will receive $100.00 for their time. Would you be willing to attend?

PRIVACY QUESTIONS
Your / Your child’s views, opinions and feedback are personal information. The personal information you / your child provides as a research participant will be collected, used, retained and disclosed by Health Canada in accordance with the Privacy Act and is being collected under the authority of section 4 of the Department of Health Act. You / your child also have the right to file a complaint with the Privacy Commissioner of Canada if you think personal information has been handled improperly.

Now I have a few questions that relate to privacy, your personal information and the research process. We will need your consent on a few issues that enable us to conduct our research. As I run through these questions, please feel free to ask me any questions you would like clarified.

P1)   First, we will be providing the hosting facility and session moderator with a list of respondents’ names and profiles (screener responses) so that they can sign you into the group. This information will not be shared with the Government of Canada department organizing this research. Do we have your permission to do this? I assure you it will be kept strictly confidential.

We need to provide the facility hosting the session and the moderator with the names and background of the people attending the focus group because only the individuals invited are allowed in the session and the facility and moderator must have this information for verification purposes. Please be assured that this information will be kept strictly confidential. GO TO P1A
P1a) Now that I’ve explained this, do I have your permission to provide your name and profile to the facility?

P2)  An audio and/or video tape of the group session will be produced for research purposes. The tapes will be used only by the research professional to assist in preparing a report on the research findings and will be destroyed once the report is completed. 

 Do you agree to be audio and/or video taped for research purposes only?

It is necessary for the research process for us to audio/video tape the session as the researcher needs this material to complete the report. 

P2a) Now that I’ve explained this, do I have your permission for audio/video taping?

P3) Each month we submit the names of individuals that have participated in our focus groups to the Marketing Research and Intelligence Association Qualitative Central system (www.mria-arim.ca). Qualitative Central serves as a centralized database to review participation in qualitative research and focus groups. You will not be contacted for any reason whatsoever as a result of being on this list.

Do we have your permission to submit your name and phone number to MRIA’s Qualitative Central
system?

P3a) To participate in this focus group we must have your permission to add your name to the Qualitative Central system as it is the only way for us to ensure the integrity of the research process and track participation in qualitative research. The system is maintained by the industry body, the Professional Marketing Research Society, and is solely used to track your participation in qualitative research (such as focus groups). You will not be contacted for any reason whatsoever as a result of being on this list.

Now that I've explained this do I have your permission to add your name to our qualitative central list?

AS REQUIRED, ADDITIONAL INFO FOR THE INTERVIEWER:
Please be assured that this information is kept confidential and is strictly accessed and used by professional market research firms to review participation and prevent “professional respondents” from attending sessions. Research firms participating in MRIA’s Qualitative Central require your consent to be eligible to participate in the focus group - the system helps ensure the integrity of the research process.

AS REQUIRED, NOTE ABOUT MRIA:
The Marketing Research and Intelligence Association is a non-profit organization for marketing research professionals engaged in marketing, advertising, social, and political research. The Society's mission is to be the leader in promoting excellence in the practice of marketing and social research and in the value of market information.

Invitation:
Wonderful, you qualify to participate in one of our discussion sessions. As I mentioned earlier, the group discussion will take place the evening of [Day, Month, Date] @ [Time] for up to 2 hours.

Do you have a pen handy so that I can give you the address where the group will be held? It will be held at: [PROVIDE FACILITY NAME AND ADDRESS].

We ask that you arrive fifteen minutes early to be sure you find parking, locate the facility and have time to check-in with the hosts. The hosts may be checking respondents’ identification prior to the group, so please be sure to bring some personal identification with you (for example, a health card, a student card, or a driver’s license). If you require glasses for reading make sure you bring them with you as well.

As we are only inviting a small number of people, your participation is very important to us. If for some reason you are unable to attend, please call us so that we may get someone to replace you. You can reach us at [INSERT PHONE NUMBER] at our office. Please ask for [NAME]. Someone will call you in the days leading up to the discussion to remind you.

So that we can call you to remind you about the discussion group or contact you should there be any changes, can you please confirm your name and contact information for me?

First name
Last Name
email
Daytime phone number
Evening phone number

If the respondent refuses to give his/her first or last name or phone number please assure them that this information will be kept strictly confidential in accordance with the privacy law and that it is used strictly to contact them to confirm their attendance and to inform them of any changes to the discussion group. If they still refuse THANK & TERMINATE.