Bush Rachel, Brown Rhonda, McNair Ruth, Orellana Liliana, Lubman Dan I, Staiger Petra K
School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Australia.
School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, Australia.
BMC Womens Health. 2019 Feb 6;19(1):29. doi: 10.1186/s12905-019-0729-y.
There is a large disparity between alcohol treatment access and prevalence of hazardous drinking among same-sex attracted women (SSAW). Yet, this population typically report low satisfaction with care and a reluctance to attend mainstream health services. Currently, there are few culturally tailored services for SSAW available despite evidence indicating that many feel uncomfortable in mainstream services. This paper describes the protocol of a randomised controlled trial aimed at examining the impact of a culturally sensitive four-week short message service (SMS) alcohol intervention on SSAW's alcohol intake, wellbeing, and engagement with alcohol treatment.
A randomised controlled trial comparing a culturally tailored SMS intervention (The Step One Program) with a generic 'thank you' message, and a nested qualitative study to further explore the intervention's feasibility and acceptability. The Step One Program was co-designed using an Intervention Mapping framework and engaging potential consumers in the developmental process. Participants are block randomised (1:1 ratio) and followed up at the completion of the intervention and at 12 weeks post-intervention. The primary outcomes are alcohol reduction (as measured by the Alcohol Use Disorders Identification Test and self-reported alcohol intake), wellbeing (as measured by the Personal Wellbeing Index - Adult), and help-seeking (as measured by the number of alcohol services accessed and frequency of access). Upon completion of the 12-week post-intervention survey, participants in the intervention group were contacted via email regarding a phone interview on intervention acceptability.
This study may have important implications for clinical practice, improve healthcare access and equity for SSAW, and provide direction for future research in this field. The outcomes of the current study may stimulate the development of other culturally tailored health programs for SSAW. The results will inform whether individually tailoring the messages according to content and delivery frequency may be warranted to increase its acceptability.
This trial was registered with the Australian New Zealand Clinical Trials Registry (trial ID: ACTRN12617000768392 ).
在有同性吸引倾向的女性（SSAW）中，酒精治疗的可及性与有害饮酒的患病率之间存在巨大差距。然而，这一群体通常对护理的满意度较低，且不愿前往主流医疗服务机构。目前，尽管有证据表明许多SSAW在主流服务中感到不适，但针对她们的文化适配服务却很少。本文描述了一项随机对照试验的方案，旨在研究一项为期四周、具有文化敏感性的短信酒精干预措施对SSAW的酒精摄入量、幸福感以及参与酒精治疗情况的影响。
一项随机对照试验，将一项文化适配的短信干预措施（第一步计划）与一条通用的“感谢”信息进行比较，并开展一项嵌套式定性研究，以进一步探讨该干预措施的可行性和可接受性。第一步计划是使用干预映射框架共同设计的，并让潜在消费者参与到开发过程中。参与者按区组随机分组（1:1比例），并在干预结束时和干预后12周进行随访。主要结局指标包括酒精摄入量减少（通过酒精使用障碍识别测试和自我报告的酒精摄入量来衡量）、幸福感（通过成人个人幸福感指数来衡量）以及寻求帮助（通过访问的酒精服务机构数量和访问频率来衡量）。在干预后12周的调查完成后，通过电子邮件联系干预组的参与者，就干预措施的可接受性进行电话访谈。
本研究可能对临床实践具有重要意义，改善SSAW获得医疗服务机会和公平性，并为该领域的未来研究提供方向。当前研究的结果可能会促进为SSAW开发其他文化适配的健康项目。研究结果将为是否有必要根据内容和发送频率对信息进行个性化定制以提高其可接受性提供参考依据。
本试验已在澳大利亚新西兰临床试验注册中心注册（试验编号：ACTRN12617000768392）。
