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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
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.
Health literacy, alcohol drinking, attitudes, cancer, health knowledge, health promotion, health risk behaviours, information seeking behaviour, 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
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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
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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), 1-13, [e14580]. (doi:10.2196/14580).

Record type: Article

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.

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preprint-14580-accepted - Accepted Manuscript
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More information

Accepted/In Press date: 7 September 2019
Published date: 24 January 2020
Keywords: Health literacy, alcohol drinking, attitudes, cancer, health knowledge, health promotion, health risk behaviours, information seeking behaviour, practice, secondary prevention

Identifiers

Local EPrints ID: 434585
URI: http://eprints.soton.ac.uk/id/eprint/434585
PURE UUID: 44738ad3-4b5a-4759-b4b2-357fe3b4cd3a
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025
ORCID for Pierre Dutey-Magni: ORCID iD orcid.org/0000-0002-8942-9836
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217

Catalogue record

Date deposited: 02 Oct 2019 16:30
Last modified: 22 Nov 2021 07:42

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Contributors

Author: Julia Sinclair ORCID iD
Author: Pierre Dutey-Magni ORCID iD
Author: Ellen Copson
Author: Annie Anderson
Author: Janis Baird ORCID iD
Author: Mary Barker ORCID iD
Author: Ramsey Cutress
Author: Eileen Kaner
Author: Mark McCann
Author: Caspian K Priest
Author: Ellen Copson

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