A context-specific digital alcohol brief intervention in symptomatic breast clinics (Abreast of Health): development and usability study

Sinclair, J. M.A., Dutey-Magni, P. F., Anderson, A. S., Baird, J., Barker, M. E., Cutress, R. I., Kaner, E. F.S., McCann, M. , Priest, C. K. and Copson, E. R. (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) (PMID:32012091)

[img]
Preview
Text
186508.pdf - Published Version
Available under License Creative Commons Attribution.

150kB

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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McCann, Dr Mark
Authors: Sinclair, J. M.A., Dutey-Magni, P. F., Anderson, A. S., Baird, J., Barker, M. E., Cutress, R. I., Kaner, E. F.S., McCann, M., Priest, C. K., and Copson, E. R.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:JMIR Research Protocols
Publisher:JMIR Publications
ISSN:1929-0748
ISSN (Online):1929-0748
Published Online:24 January 2020
Copyright Holders:Copyright © 2020 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
First Published:First published in JMIR Research Protocols 9(1):e14580
Publisher Policy:Reproduced under a Creative Commons license

University Staff: Request a correction | Enlighten Editors: Update this record

Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
174057Exploring the teachable moment for alcohol reduction in breast clinics: formative work to inform intervention design, development, and process evaluation516776101 and MR/P016960/1Mark McCannMedical Research Council (MRC)516776101HW - MRC/CSO Social and Public Health Sciences Unit
168560MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027HW - MRC/CSO Social and Public Health Sciences Unit
727661SPHSU Core Renewal: Complexity in Health Improvement Research ProgrammeLaurence MooreMedical Research Council (MRC)MC_UU_12017/14IHW - MRC/CSO SPHU
SPHSU14