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

Lookup NU author(s): Professor Eileen KanerORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 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.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.

Publication metadata

Author(s): Sinclair JMA, Dutey-Magni PF, Anderson AS, Baird J, Barker ME, Cutress RI, Kaner EFS, McCann M, Priest CK, Copson ER

Publication type: Article

Publication status: Published

Journal: JMIR Research Protocols

Year: 2020

Volume: 9

Issue: 1

Print publication date: 01/01/2020

Online publication date: 03/05/2019

Acceptance date: 07/09/2019

Date deposited: 29/04/2020

ISSN (electronic): 1929-0748

Publisher: JMIR Publications


DOI: 10.2196/14580


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Funder referenceFunder name
. MMcC holds a Medical Research Council/University fellowship supported by a Medical Research Council partnershipgrant (MC/PC/13027)
MMcC and is supported by the Medical Research Council and Chief Scientist Office through the Complexity inHealth Improvement program (MC_UU_12017/14/SPHSU14).
internal grant from the NationalInstitute for Health Research (NIHR) Southampton Biomedical Research Centre.
K is a member of Fuse, the Centre forTranslational Research in Public Health; the NIHR School of Public Health Research; and the NIHR School of Primary CareResearch
Medical Research Council (grant number MR/P016960/1)