%0 Journal Article
%@ 1929-0748
%I JMIR Publications
%V 9
%N 1
%P e14580
%T A Context-Specific Digital Alcohol Brief Intervention in Symptomatic Breast Clinics (Abreast of Health): Development and Usability Study
%A Sinclair,Julia M A
%A Dutey-Magni,Peter F
%A Anderson,Annie S
%A Baird,Janis
%A Barker,Mary E
%A Cutress,Ramsey I
%A Kaner,Eileen F S
%A McCann,Mark
%A Priest,Caspian K
%A Copson,Ellen R
%+ Faculty of Medicine, University of Southampton, Academic Centre, College Keep, 4-12 Terminus Terrace, Southampton, SO14 3DT, United Kingdom, 44 (023) 8231 0779, julia.sinclair@soton.ac.uk
%K cancer
%K information seeking behavior
%K health risk behaviors
%K secondary prevention
%K alcohol drinking
%K health knowledge
%K attitudes
%K practice
%K health promotion
%K health literacy
%D 2020
%7 24.1.2020
%9 Original Paper
%J JMIR Res Protoc
%G English
%X 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. 
%M 32012091
%R 10.2196/14580
%U https://www.researchprotocols.org/2020/1/e14580
%U https://doi.org/10.2196/14580
%U http://www.ncbi.nlm.nih.gov/pubmed/32012091