An Electronic Brief Alcohol Intervention for Women Attending a Breast Screening Service (Health4Her)
- Conditions
- Alcohol DrinkingHealth Knowledge, Attitudes, Practice
- Interventions
- Behavioral: Lifestyle health promotionBehavioral: Brief alcohol intervention (Health4Her-Automated)
- Registration Number
- NCT06019442
- Lead Sponsor
- Turning Point
- Brief Summary
Alcohol is a major modifiable risk factor for female breast cancer; yet, awareness of this risk remains surprisingly low and is not systematically addressed in healthcare settings. This study aim to test the effectiveness of a co-designed, automated brief alcohol intervention (Health4Her-Automated) in reducing women's drinking intentions, improving alcohol literacy, and reducing consumption.
- Detailed Description
Alcohol is a major modifiable risk factor for female breast cancer, even in very low amounts. In Australia, alcohol consumption accounts for 6.6 per cent of cases in post-menopausal women, and 18 per cent of breast cancer deaths. Yet, awareness of this risk remains low and is not systematically addressed in healthcare settings. Embedding a brief alcohol intervention within lifestyle information offered to all women attending breast screening provides the opportunity to address harmful drinking in a discrete, non-judgmental way, to prevent alcohol-attributable breast cancer among this at-risk population.
Brief alcohol interventions are short, single-session programs typically offered in general practice settings to gather information on a person's alcohol consumption and, in a non confrontational way, provide strategies and motivate change to reduce consumption and related risk of harm. An automated brief alcohol intervention, self-completed on a device such as an iPad, is a low-cost, labour- and time-efficient approach that overcomes many of the issues of providing intervention within busy healthcare environments.
Building on the previous pilot trial of a prototype brief e-health intervention (which included alcohol-related questions asked by a researcher, and an animation viewed on an iPad that was activated by the researcher), the aim of the current study is to test the effectiveness of a co-designed, automated brief alcohol intervention (Health4Her-Automated) in reducing women's drinking intentions, improving alcohol literacy, and reducing consumption.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 143
- Female
- 40+ years of age
- Attending routine breast screening
- With or without a breast cancer history
- Reporting any level of alcohol consumption
- Not able to read or comprehend English to enable participation
- No access to a computer, tablet or smartphone to complete follow-up assessment
- Women who are pregnant (also an exclusion from breast screening)
- Participation in the pilot Health4Her trial
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lifestyle health promotion Lifestyle health promotion The control arm will receive: * lifestyle health promotion focused on physical activity and maintaining a healthy weight for reducing breast cancer risk. Participants will receive an iPad and earphones to self-complete the control intervention. Lifestyle information will be delivered by way of an animation on an iPad, and a self-completed activity to reinforce intervention content. Brief alcohol intervention (Health4Her-Automated) + lifestyle health promotion Lifestyle health promotion The intervention arm will receive: * brief alcohol intervention * lifestyle health promotion focused on physical activity and maintaining a healthy weight for reducing breast cancer risk. Participants will receive an iPad and earphones to self-complete the intervention. Alcohol and lifestyle information will be delivered by way of an animation on an iPad, and self-completed activities to reinforce intervention content. Brief alcohol intervention (Health4Her-Automated) + lifestyle health promotion Brief alcohol intervention (Health4Her-Automated) The intervention arm will receive: * brief alcohol intervention * lifestyle health promotion focused on physical activity and maintaining a healthy weight for reducing breast cancer risk. Participants will receive an iPad and earphones to self-complete the intervention. Alcohol and lifestyle information will be delivered by way of an animation on an iPad, and self-completed activities to reinforce intervention content.
- Primary Outcome Measures
Name Time Method Drinking intentions immediately post-randomisation Change in next-month drinking intentions (5-point scale: 1, not at all; 5, to a very large extent)
- Secondary Outcome Measures
Name Time Method Drinking intentions - standard drinks 4-weeks post-randomisation Change in intended number of standard drinks consumed over the next month (composite of intention frequency/quantity response items)
Knowledge of other breast cancer risk factors 4-weeks post-randomisation Proportion of participants accurately identifying inactivity and excess weight as risk factors for breast cancer
Drinking intentions 4-weeks post-randomisation Change in next-month drinking intentions (5-point scale: 1, not at all; 5, to a very large extent)
Proportion of participants intending to reduce alcohol consumption 4-weeks post-randomisation Proportion of participants intending to reduce their next-month alcohol consumption (5-point scale: 1, not at all; 5, to a very large extent)
Knowledge of alcohol as a breast cancer risk factor 4-weeks post-randomisation Proportion of participants accurately identifying alcohol as a clear risk factor for breast cancer
Alcohol literacy 4-weeks post-randomisation Proportion of participants accurately identifying i) the increased breast cancer risk associated with drinking one average restaurant serve of wine a day; ii) the number of standard drinks in an average restaurant serve of red wine; iii) the maximum number of standard drinks per week recommended by current Australian Alcohol Guidelines (multiple-choice questions)
Alcohol consumption 4-weeks post-randomisation Among women who have had an alcohol drink in the past month, change in alcohol consumption (composite of frequency/quantity response items)
Trial Locations
- Locations (1)
Maroondah BreastScreen
🇦🇺Ringwood East, Victoria, Australia