Exploring the ‘teachable moment’: logic model for an alcohol brief intervention in breast screening and symptomatic breast clinics

Existing research on alcohol brief interventions(ABI) has yet to examine the potential for symptomatic breast cancer clinics and breast screening mammographyas a ‘ teachable moment’ for alcohol prevention. We are preparing an early phase study set in symptomatic breast clinics at University Hospital Southampton to assess: - women’s information needs regarding effects of alcoholon cancerrisk, - the nature of tailored feedback required, and - the potential of a digital ABI to develop alcohol awareness into a long-term intrinsic motivation to reduce alcohol consumption. This knowledge is required to develop an intervention that meets patient need. The early development work for this research has shaped the following intervention logic model: - Context: annually, symptomatic breast clinics in England see approximately 275,000 women. Mammography screening appointments are attended by a further 4.4 million. These stressful health events have for the wide majority no further medical implications. But they are a missed opportunity to address women’s concerns and promote healthy lifestyles. - Input: a digital interface accessed by patients in the waiting room. - Outputs: information on the alcohol dose-response of alcohol on breast cancer risk and advice on healthy lifestyles. - Short-terms outcomes of this intervention are increased motivation and readiness to change in the short-term. The expected medium-term outcome is a reduction in frequency and intensity of drinking. The poster aims to present the different components of this logic model, prompt discussions with the addiction research community an invite feedback and suggestions for the design of our intervention development study.