A context-specific digital alcohol brief intervention in symptomatic breast clinics (Abreast of Health): development and usability study
A context-specific digital alcohol brief intervention in symptomatic breast clinics (Abreast of Health): development and usability study
Background: Potentially modifiable risk factors account for approximately 23% of breast cancer cases. In the United Kingdom, alcohol consumption alone is held responsible for 8% to 10% of cases diagnosed every year. Symptomatic breast clinics focus on early detection and treatment, but they also offer scope for delivery of low-cost lifestyle interventions to encourage a cancer prevention culture within the cancer care system. Careful development work is required to effectively translate such interventions to novel settings.
Objective: The aim of this study was to develop a theory of change and delivery mechanism for a context-specific alcohol and lifestyle brief intervention aimed at women attending screening and symptomatic breast clinics.
Methods: A formative study combined evidence reviews, analysis of mixed method data, and user experience research to develop an intervention model, following the 6 Steps in Quality Intervention Development (6SQuID) framework.
Results: A Web app focused on improving awareness, encouraging self-monitoring, and reframing alcohol reduction as a positive choice to improve health was found to be acceptable to women. Accessing this in the clinic waiting area on a tablet computer was shown to be feasible. An important facilitator for change may be the heightened readiness to learn associated with a salient health visit (a teachable moment). Women may have increased motivation to change if they can develop a belief in their capability to monitor and, if necessary, reduce their alcohol consumption.
Conclusions: Using the 6SQuID framework supported the prototyping and maximized acceptability and feasibility of an alcohol brief intervention for women attending symptomatic breast clinics, regardless of their level of alcohol consumption.
Alcohol drinking, Attitudes, Cancer, Health knowledge, Health literacy, Health promotion, Health risk behaviors, Information seeking behavior, Practice, Secondary prevention
1-13
Sinclair, Julia
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Dutey-Magni, Pierre
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Copson, Ellen
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Anderson, Annie
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Baird, Janis
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Barker, Mary
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Cutress, Ramsey
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Kaner, Eileen
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McCann, Mark
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Priest, Caspian K
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Copson, Ellen
a94cdbd6-f6e2-429d-a7c0-462c7da0e92b
24 January 2020
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Dutey-Magni, Pierre
f2713e93-3179-4f7d-82cd-dcd415f1d06c
Copson, Ellen
a94cdbd6-f6e2-429d-a7c0-462c7da0e92b
Anderson, Annie
9e7a41fa-05a9-4d8c-8bcc-7299ee1e21af
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Cutress, Ramsey
68ae4f86-e8cf-411f-a335-cdba51797406
Kaner, Eileen
dd32baba-7237-4a2c-ae71-9c411af36ff2
McCann, Mark
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Priest, Caspian K
4a7aced5-ef08-48e1-800e-11762b0a0c7f
Copson, Ellen
a94cdbd6-f6e2-429d-a7c0-462c7da0e92b
Sinclair, Julia, Dutey-Magni, Pierre, Copson, Ellen, Anderson, Annie, Baird, Janis, Barker, Mary, Cutress, Ramsey, Kaner, Eileen, McCann, Mark, Priest, Caspian K and Copson, Ellen
(2020)
A context-specific digital alcohol brief intervention in symptomatic breast clinics (Abreast of Health): development and usability study.
JMIR Research Protocols, 9 (1), , [e14580].
(doi:10.2196/14580).
Abstract
Background: Potentially modifiable risk factors account for approximately 23% of breast cancer cases. In the United Kingdom, alcohol consumption alone is held responsible for 8% to 10% of cases diagnosed every year. Symptomatic breast clinics focus on early detection and treatment, but they also offer scope for delivery of low-cost lifestyle interventions to encourage a cancer prevention culture within the cancer care system. Careful development work is required to effectively translate such interventions to novel settings.
Objective: The aim of this study was to develop a theory of change and delivery mechanism for a context-specific alcohol and lifestyle brief intervention aimed at women attending screening and symptomatic breast clinics.
Methods: A formative study combined evidence reviews, analysis of mixed method data, and user experience research to develop an intervention model, following the 6 Steps in Quality Intervention Development (6SQuID) framework.
Results: A Web app focused on improving awareness, encouraging self-monitoring, and reframing alcohol reduction as a positive choice to improve health was found to be acceptable to women. Accessing this in the clinic waiting area on a tablet computer was shown to be feasible. An important facilitator for change may be the heightened readiness to learn associated with a salient health visit (a teachable moment). Women may have increased motivation to change if they can develop a belief in their capability to monitor and, if necessary, reduce their alcohol consumption.
Conclusions: Using the 6SQuID framework supported the prototyping and maximized acceptability and feasibility of an alcohol brief intervention for women attending symptomatic breast clinics, regardless of their level of alcohol consumption.
Text
preprint-14580-accepted
- Accepted Manuscript
More information
Accepted/In Press date: 7 September 2019
Published date: 24 January 2020
Additional Information:
©Julia M A Sinclair, Peter F Dutey-Magni, Annie S Anderson, Janis Baird, Mary E Barker, Ramsey I Cutress, Eileen F S Kaner, Mark McCann, Caspian K Priest, Ellen R Copson. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 24.01.2020.
Keywords:
Alcohol drinking, Attitudes, Cancer, Health knowledge, Health literacy, Health promotion, Health risk behaviors, Information seeking behavior, Practice, Secondary prevention
Identifiers
Local EPrints ID: 434585
URI: http://eprints.soton.ac.uk/id/eprint/434585
PURE UUID: 44738ad3-4b5a-4759-b4b2-357fe3b4cd3a
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Date deposited: 02 Oct 2019 16:30
Last modified: 06 Jun 2024 04:17
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Contributors
Author:
Pierre Dutey-Magni
Author:
Annie Anderson
Author:
Eileen Kaner
Author:
Mark McCann
Author:
Caspian K Priest
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