Abreast of Health: Development of a contextspecific digital alcohol brief intervention (ABI) in symptomatic breast clinics

Julia M. A. Sinclair, Peter F Dutey-Magni, Annie Anderson, Janis Baird, Mary E Barker, Ramsey I Cutress, Eileen F S Kaner, Mark McCann, Caspian K Priest, Ellen R. Copson

Research output: Other contribution

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Background: Potentially modifiable risk factors account for approximately 23% of breast cancer cases. In the UK, alcohol consumption alone is held responsible for 8-10% of cases diagnosed every year. Symptomatic breast clinics focus on early detection and treatment, but 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: 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 Six Steps in Quality Intervention Development (6SQuID) framework.

Results: A web application 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.
Original languageEnglish
Media of outputJMIR Research Protocols
Publication statusPublished - 24 Jan 2020

Publication series

NameJMIR Research Protocols
PublisherJMIR Publications
ISSN (Print)1929-0748


  • Cancer
  • Lifestyle determinants
  • Intervention theory
  • Health promotion
  • Alcohol brief intervention
  • Digital health intervention


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