Sinclair Julia M A, Dutey-Magni Peter F, Anderson Annie S, Baird Janis, Barker Mary E, Cutress Ramsey I, Kaner Eileen F S, McCann Mark, Priest Caspian K, Copson Ellen R
Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Institute of Health Informatics, University College London, London, United Kingdom.
JMIR Res Protoc. 2020 Jan 24;9(1):e14580. doi: 10.2196/14580.
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.
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.
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.
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.
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.
潜在的可改变风险因素约占乳腺癌病例的23%。在英国，仅饮酒一项就导致每年8%至10%的乳腺癌确诊病例。有症状的乳腺诊所专注于早期检测和治疗，但它们也为提供低成本的生活方式干预措施提供了空间，以在癌症护理系统中培育癌症预防文化。需要进行细致的开发工作，以便有效地将此类干预措施推广到新的环境中。
本研究的目的是为针对参加筛查和有症状乳腺诊所的女性的特定背景下的酒精及生活方式简短干预措施，开发一种变革理论和实施机制。
一项形成性研究结合了证据综述、混合方法数据分析和用户体验研究，以遵循质量干预开发六步法（6SQuID）框架来开发一种干预模型。
一款专注于提高意识、鼓励自我监测并将减少饮酒重新定义为改善健康的积极选择的网络应用程序，被发现女性可以接受。在诊所候诊区使用平板电脑访问该应用程序被证明是可行的。变革的一个重要促进因素可能是与显著的健康就诊（一个可教时刻）相关的更高的学习意愿。如果女性能够相信自己有能力监测并在必要时减少饮酒，她们改变的动力可能会增强。
使用6SQuID框架支持了原型设计，并最大限度地提高了针对有症状乳腺诊所女性的酒精简短干预措施的可接受性和可行性，无论她们的饮酒水平如何。
