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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04715516
Registration number
NCT04715516
Ethics application status
Date submitted
11/01/2021
Date registered
20/01/2021
Titles & IDs
Public title
Increasing Knowledge of Alcohol as a Risk Factor for Breast Cancer Among Women Attending Breast Screening Services
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Scientific title
A Brief Intervention to Increase Knowledge of Alcohol as a Breast Cancer Risk Factor Among Women Attending Breast Screening Services (Health4Her): A Pilot Randomised Controlled Trial
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Secondary ID [1]
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LR19/011/50551
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Universal Trial Number (UTN)
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Trial acronym
Health4Her
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Health Knowledge, Attitudes, Practice
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Alcohol Consumption
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - alcohol brief intervention
BEHAVIORAL - lifestyle health promotion
Experimental: alcohol brief intervention + lifestyle health promotion - The intervention arm will receive 4 minutes of alcohol brief intervention, and 3 minutes of lifestyle health promotion (physical activity; maintaining a healthy weight), to increase knowledge of how to improve women's health and reduce breast cancer risk. Alcohol and lifestyle information will be delivered by way of an animation on an iPad. Participant responses to questions about current alcohol use will branch to personalised feedback consistent with level of alcohol consumption (i.e. drinking within or above current Australian Alcohol Guidelines).
Take-home pamphlets - a pamphlet summarising the alcohol information presented during the animation, and a pamphlet on nutrition to maintain a healthy weight, will be provided.
Other: lifestyle health promotion, not inclusive of alcohol information - The control arm will receive 3 minutes of lifestyle health promotion (physical activity; maintaining a healthy weight) to increase knowledge of how to improve women's health and reduce breast cancer risk, not inclusive of alcohol information. Lifestyle information will be delivered by way of an animation on an iPad.
Take-home pamphlet - a pamphlet on nutrition to maintain a healthy weight will be provided.
BEHAVIORAL: alcohol brief intervention
Nested within the lifestyle health promotion provided in both conditions, participants randomised to the experimental condition will receive an alcohol brief intervention. The strong evidence-base for alcohol brief intervention, amplified by Co-Investigators' Smith and Bragge's (BehaviourWorks) approaches to applied behaviour change, has provided the framework for the development of the alcohol brief intervention used in this study. This intervention comprises personalised feedback on alcohol consumption levels, comparison to gender/age drinking norms, and information and behaviour-change content regarding alcohol consumption (i.e. negative-framed messaging around alcohol risks and harms, positive-framed messaging on the health benefits of reducing alcohol intake, alcohol harm reduction strategies).
BEHAVIORAL: lifestyle health promotion
Lifestyle health promotion specific to physical activity and maintaining a healthy weight, developed to be relevant to women attending breast screening services, will be provided.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Knowledge of alcohol as a breast cancer risk factor
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Assessment method [1]
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Proportion of participants accurately identifying alcohol as a clear risk factor for breast cancer
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Timepoint [1]
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4-weeks post-randomisation
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Secondary outcome [1]
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Drinking within current Australian Alcohol Guidelines
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Assessment method [1]
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Proportion of participants drinking less than or equal to 10 standard drinks per week (within current Australian Alcohol Guidelines) (14-day Timeline Followback, TLFB)
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Timepoint [1]
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4-weeks and 3-months post-randomisation
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Secondary outcome [2]
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Drinking within current Australian Alcohol Guidelines (among participants who drink more than 10 standard drinks per week)
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Assessment method [2]
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Among participants who drink more than 10 standard drinks per week at baseline: Proportion of participants drinking less than or equal to 10 standard drinks per week. (14-day TLFB)
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Timepoint [2]
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4-weeks and 3-months post-randomisation
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Secondary outcome [3]
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Alcohol consumption
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Assessment method [3]
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Change in alcohol consumption (14-day TLFB; AIHW alcohol frequency quantity items)
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Timepoint [3]
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4-weeks and 3-months post-randomisation
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Secondary outcome [4]
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Alcohol consumption (among participants who drink more than 10 standard drinks per week)
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Assessment method [4]
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Among participants who drink more than 10 standard drinks per week at baseline: Change in alcohol consumption (14-day TLFB; AIHW alcohol frequency quantity items)
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Timepoint [4]
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4-weeks and 3-months post-randomisation
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Secondary outcome [5]
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Health literacy - attitudes
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Assessment method [5]
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Change in participants' attitudes regarding alcohol and breast cancer risk (5-point scale, strongly agree to strongly disagree; items adapted from previous literature, e.g. Fisher et al. 2017)
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Timepoint [5]
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4-weeks post-randomisation
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Secondary outcome [6]
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Health literacy - knowledge
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Assessment method [6]
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Proportion of participants accurately identifying i) the amount of alcohol in an Australian standard drink; 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 and open-ended questions, adapted from previous literature, e.g. Bowden et al. 2014)
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Timepoint [6]
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4-weeks post-randomisation
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Secondary outcome [7]
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Health literacy - access to health information
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Assessment method [7]
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Proportion of participants who have accessed health information on i) alcohol harms, ii) alcohol and breast cancer risk, and iii) alcohol harm-reduction
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Timepoint [7]
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4-weeks post-randomisation
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Secondary outcome [8]
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General health
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Assessment method [8]
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Change in general health (SF-12)
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Timepoint [8]
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4-weeks and 3-months post-randomisation
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Secondary outcome [9]
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Quality of life
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Assessment method [9]
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Change in quality of life (EUROHIS-QOL single item)
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Timepoint [9]
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4-weeks and 3-months post-randomisation
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Eligibility
Key inclusion criteria
* female
* attending breast screening service for a routine mammography
* 40-74 years
* English as a first language or fluent
* regular access to a telephone
* able to provide informed consent to participate
* any level of alcohol consumption (including non-drinkers)
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Minimum age
40
Years
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Maximum age
74
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* hearing impairment sufficient to prohibit a telephone interview
* pregnancy
* not able to read or comprehend English to provide informed consent or receive the brief intervention
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/02/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
2/12/2021
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Sample size
Target
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Accrual to date
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Final
558
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Maroondah BreastScreen - Ringwood East
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Recruitment postcode(s) [1]
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3135 - Ringwood East
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Funding & Sponsors
Primary sponsor type
Other
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Name
Turning Point
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Eastern Health
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Monash University
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Alcohol is a major modifiable risk factor for breast cancer in women, yet this is not widely understood by health practitioners or policy makers, let alone the general population. The investigators aim to test the effects of a targeted alcohol and lifestyle brief intervention for women attending breast screening services, to improve knowledge of alcohol as a risk factor for breast cancer and reduce harmful alcohol use.
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Trial website
https://clinicaltrials.gov/study/NCT04715516
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dan I Lubman
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Address
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Turning Point, Eastern Health; Monash University
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
We do not have Ethics approval to seek patient permission to share data outside this study, other than for related projects conducted by the research team.
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan: Brie...
[
More Details
]
https://cdn.clinicaltrials.gov/large-docs/16/NCT04715516/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan: Brie...
[
More Details
]
https://cdn.clinicaltrials.gov/large-docs/16/NCT04715516/Prot_SAP_000.pdf
Statistical analysis plan
Statistical Analysis Plan: Full SAP
https://cdn.clinicaltrials.gov/large-docs/16/NCT04715516/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04715516