A Context-Specific Digital Alcohol Brief Intervention in Symptomatic Breast Clinics (Abreast of Health): Development and Usability Study

TY - JOUR

T1 - A Context-Specific Digital Alcohol Brief Intervention in Symptomatic Breast Clinics (Abreast of Health)

T2 - Development and Usability Study

AU - Sinclair, Julia M. A.

AU - Dutey-Magni, Peter F.

AU - Anderson, Annie S.

AU - Baird, Janis

AU - Barker, Mary E.

AU - Cutress, Ramsey I.

AU - Kaner, Eileen F. S.

AU - McCann, Mark

AU - Priest, Caspian K.

AU - Copson, Ellen R.

N1 - ©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.

PY - 2020/1

Y1 - 2020/1

N2 - 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.

AB - 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.

KW - Alcohol drinking

KW - Attitudes

KW - Cancer

KW - Health knowledge

KW - Health literacy

KW - Health promotion

KW - Health risk behaviors

KW - Information seeking behavior

KW - Practice

KW - Secondary prevention

UR - https://www.scopus.com/pages/publications/85083163363

U2 - 10.2196/14580

DO - 10.2196/14580

M3 - Article

C2 - 32012091

SN - 1929-0748

VL - 9

SP - 1

EP - 13

JO - JMIR Research Protocols

JF - JMIR Research Protocols

IS - 1

M1 - e14580

ER -