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dc.contributor.authorMills, Katie
dc.contributor.authorGriffin, Simon
dc.contributor.authorSutton, Stephen
dc.contributor.authorUsher-Smith, Juliet
dc.date.accessioned2019-09-23T23:30:34Z
dc.date.available2019-09-23T23:30:34Z
dc.date.issued2020-01-14
dc.identifier.issn1463-4236
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/297044
dc.description.abstractBACKGROUND: 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.
dc.format.mediumElectronic
dc.languageeng
dc.publisherCambridge University Press (CUP)
dc.rightsAll rights reserved
dc.subjectHumans
dc.subjectNeoplasms
dc.subjectHealth Surveys
dc.subjectFocus Groups
dc.subjectRisk Assessment
dc.subjectRisk Reduction Behavior
dc.subjectModels, Theoretical
dc.subjectQualitative Research
dc.subjectHealth Promotion
dc.subjectPrimary Health Care
dc.subjectFemale
dc.subjectMale
dc.subjectInterviews as Topic
dc.titleDevelopment and usability testing of a very brief intervention for personalised cancer risk assessment to promote behaviour change in primary care using normalisation process theory.
dc.typeArticle
prism.publicationDate2020
prism.publicationNamePrim Health Care Res Dev
prism.startingPagee1
prism.volume21
dc.identifier.doi10.17863/CAM.44102
dcterms.dateAccepted2019-09-13
rioxxterms.versionofrecord10.1017/S146342361900080X
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-01-14
dc.contributor.orcidMills, Katie [0000-0002-6563-2944]
dc.contributor.orcidGriffin, Simon [0000-0002-2157-4797]
dc.contributor.orcidSutton, Stephen [0000-0003-1610-0404]
dc.contributor.orcidUsher-Smith, Juliet [0000-0002-8501-2531]
dc.identifier.eissn1477-1128
rioxxterms.typeJournal Article/Review
pubs.funder-project-idCancer Research UK (21464)
pubs.funder-project-idMedical Research Council (MC_UU_12015/4)
cam.issuedOnline2020-01-14
datacite.issupplementedby.urlhttps://doi.org/10.17863/CAM.66418
cam.orpheus.successTue Feb 01 18:58:51 GMT 2022 - Embargo updated*
rioxxterms.freetoread.startdate2020-01-14


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