PMID- 30728002 OWN - NLM STAT- MEDLINE DCOM- 20190708 LR - 20200309 IS - 1472-6874 (Electronic) IS - 1472-6874 (Linking) VI - 19 IP - 1 DP - 2019 Feb 6 TI - Effectiveness of a culturally tailored SMS alcohol intervention for same-sex attracted women: protocol for an RCT. PG - 29 LID - 10.1186/s12905-019-0729-y [doi] LID - 29 AB - 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 ). FAU - Bush, Rachel AU - Bush R AD - School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Australia. FAU - Brown, Rhonda AU - Brown R AD - School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, Australia. FAU - McNair, Ruth AU - McNair R AD - Department of General Practice, The University of Melbourne, 200 Berkeley Street, Carlton, Australia. FAU - Orellana, Liliana AU - Orellana L AD - Biostatistics Unit, Deakin University, 221 Burwood Highway, Burwood, Australia. FAU - Lubman, Dan I AU - Lubman DI AD - Turning Point, Eastern Health and Eastern Health Clinical School, Monash University, 110 Church St, Fitzroy, Australia. FAU - Staiger, Petra K AU - Staiger PK AUID- ORCID: 0000-0002-6968-5015 AD - School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Australia. petra.staiger@deakin.edu.au. AD - Centre for Drug Use, Addiction and Anti-Social Behaviour Research (CEDAAR), Deakin University, Geelong, Australia. petra.staiger@deakin.edu.au. LA - eng SI - ANZCTR/ACTRN12617000768392 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190206 PL - England TA - BMC Womens Health JT - BMC women's health JID - 101088690 SB - IM MH - Adult MH - Alcohol Drinking/*prevention & control MH - Australia MH - Binge Drinking/prevention & control MH - Female MH - Health Promotion/*methods MH - Homosexuality, Female/*psychology MH - Humans MH - Reminder Systems MH - Surveys and Questionnaires MH - *Text Messaging PMC - PMC6364437 OTO - NOTNLM OT - Alcohol OT - Bisexual OT - Intervention OT - Lesbian OT - Randomized controlled trial (RCT) OT - Same-sex attracted women OT - Short message service (SMS) OT - Women COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Ethics approval was obtained from the Deakin University Human Research Ethics Committee on April 20, 2017 (reference number: 2017-077; Appendix B). Participants indicated their consent to participate in the study by checking a box on the home page of the baseline survey before completing the survey. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2019/02/08 06:00 MHDA- 2019/07/10 06:00 PMCR- 2019/02/06 CRDT- 2019/02/08 06:00 PHST- 2018/05/28 00:00 [received] PHST- 2019/01/28 00:00 [accepted] PHST- 2019/02/08 06:00 [entrez] PHST- 2019/02/08 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2019/02/06 00:00 [pmc-release] AID - 10.1186/s12905-019-0729-y [pii] AID - 729 [pii] AID - 10.1186/s12905-019-0729-y [doi] PST - epublish SO - BMC Womens Health. 2019 Feb 6;19(1):29. doi: 10.1186/s12905-019-0729-y.