Development and usability testing of a very brief intervention for personalised cancer risk assessment to promote behaviour change in primary care using normalisation process theory.
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Publication Date
2020-01-14Journal Title
Prim Health Care Res Dev
ISSN
1463-4236
Publisher
Cambridge University Press (CUP)
Volume
21
Pages
e1
Language
eng
Type
Article
This Version
AM
Physical Medium
Electronic
Metadata
Show full item recordCitation
Mills, K., Griffin, S., Sutton, S., & Usher-Smith, J. (2020). Development and usability testing of a very brief intervention for personalised cancer risk assessment to promote behaviour change in primary care using normalisation process theory.. Prim Health Care Res Dev, 21 e1. https://doi.org/10.1017/S146342361900080X
Abstract
BACKGROUND: Cancer is the second leading cause of death worldwide. Lifestyle choices play an important role in the aetiology of cancer with up to 4 in 10 cases potentially preventable. Interventions delivered by healthcare professionals (HCPs) that incorporate risk information have the potential to promote behaviour change. Our aim was to develop a very brief intervention incorporating cancer risk, which could be implemented within primary care. METHODS: Guided by normalisation process theory (NPT), we developed a prototype intervention using literature reviews, consultation with patient and public representatives and pilot work with patients and HCPs. We conducted focus groups and interviews with 65 HCPs involved in delivering prevention activities. Findings were used to refine the intervention before 22 HCPs completed an online usability test and provided further feedback via a questionnaire incorporating a modified version of the NoMAD checklist. RESULTS: The intervention included a website where individuals could provide information on lifestyle risk factors view their estimated 10-year risk of developing one or more of the five most common preventable cancers and access lifestyle advice incorporating behaviour change techniques. Changes incorporated from feedback from the focus groups and interviews included signposting to local services and websites, simplified wording and labelling of risk information. In the usability testing, all participants felt it would be easy to collect the risk information. Ninety-one percent felt the intervention would enable discussion about cancer risk and believed it had potential to be easily integrated into National Health Service (NHS) Health Checks. However, only 36% agreed it could be delivered within 5 min. CONCLUSIONS: With the use of NPT, we developed a very brief intervention that is acceptable to HCPs in primary care and could be potentially integrated into NHS Health Checks. However, further work is needed to assess its feasibility and potential effectiveness.
Keywords
Humans, Neoplasms, Health Surveys, Focus Groups, Risk Assessment, Risk Reduction Behavior, Models, Theoretical, Qualitative Research, Health Promotion, Primary Health Care, Female, Male, Interviews as Topic
Relationships
Is supplemented by: https://doi.org/10.17863/CAM.66418
Sponsorship
Cancer Research UK (21464)
Medical Research Council (MC_UU_12015/4)
Identifiers
External DOI: https://doi.org/10.1017/S146342361900080X
This record's URL: https://www.repository.cam.ac.uk/handle/1810/297044
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