Effectiveness of a culturally tailored SMS alcohol intervention for same-sex attracted women: protocol for an RCT

Bush, Rachel, Brown, Rhonda, McNair, Ruth, Orellana, Liliana, Lubman, Dan I. and Staiger, Petra 2019, Effectiveness of a culturally tailored SMS alcohol intervention for same-sex attracted women: protocol for an RCT, BMC womens health, vol. 19, no. 1, doi: 10.1186/s12905-019-0729-y.

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Title Effectiveness of a culturally tailored SMS alcohol intervention for same-sex attracted women: protocol for an RCT
Author(s) Bush, Rachel
Brown, RhondaORCID iD for Brown, Rhonda orcid.org/0000-0002-5240-9831
McNair, Ruth
Orellana, LilianaORCID iD for Orellana, Liliana orcid.org/0000-0003-3736-4337
Lubman, Dan I.
Staiger, PetraORCID iD for Staiger, Petra orcid.org/0000-0002-6968-5015
Journal name BMC womens health
Volume number 19
Issue number 1
Article ID 29
Total pages 12
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019-02-06
ISSN 1472-6874
Keyword(s) Alcohol
Randomized controlled trial (RCT)
Same-sex attracted women
Short message service (SMS)
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Obstetrics & Gynecology
Shortmessage service (SMS)
Summary BACKGROUND: 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. METHODS: 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. DISCUSSION: 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. TRIAL REGISTRATION: This trial was registered with the Australian New Zealand Clinical Trials Registry (trial ID: ACTRN12617000768392 ).
Language eng
DOI 10.1186/s12905-019-0729-y
Field of Research 1114 Paediatrics and Reproductive Medicine
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30118807

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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