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)
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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 > School of Health & 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 |
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