Alternate Word Lists Helped Control Practice Effects in the Oral-THC Memory Study

The oral-THC crossover experiment used alternate forms of a verbal-learning test and counterbalanced their presentation. This addressed a practical problem: repeating a memory task can change performance even without a drug effect.

The task involved learning word lists

The Rey Auditory Verbal Learning Test includes repeated learning, an interference list and later recall. If the identical material is reused, familiarity can affect later scores. Alternate forms and counterbalancing were used to reduce practice effects and differences in form difficulty across the study conditions.

A design safeguard is not a positive treatment result

These procedures strengthened the THC-versus-placebo comparison. They did not demonstrate that all practice effects were eliminated, nor did they establish that THC improved memory. The reported immediate and delayed recall comparisons were nonsignificant for dose, sex and their interaction.

The result remains specific to the task

Controlling test repetition helps interpret a null comparison without turning it into proof that every memory system is unaffected. Word-list learning is also different from remembering a complex event, dividing attention or driving. The study used a single oral dose and a scheduled assessment in selected healthy adults. A useful application identifies the form controls along with those limits, rather than attributing every score change to THC or treating task familiarity as equivalent to a pharmacological tolerance effect.

Related analysis: the trial’s main results and limitations.

Research cited

Aghaei and colleagues (2024). Sex Differences in the Acute Effects of Oral THC: A Randomized, Placebo-Controlled, Crossover Human Laboratory Study.

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