Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website

Background: Alcohol consumption is a potentially modifiable risk factor for breast cancer (BC). Reducing alcohol consumption within the daily amount at low-risk for alcohol-related consequences (daily alcohol threshold) may contribute to preventing BC new cases. However, most women are unaware of ri...

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Main Authors: Claudia Sardu, Fabrizio Angius, Paolo Contu, Sofia Cosentino, Monica Deiana, Matteo Fraschini, Clelia Madeddu, Elena Massa, Alessandra Mereu, Luigi Minerba, Carola Politi, Silvia Puxeddu, Francesco Salis, Julia M.A. Sinclair, Roberta Agabio
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Breast
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Online Access:http://www.sciencedirect.com/science/article/pii/S0960977624001991
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author Claudia Sardu
Fabrizio Angius
Paolo Contu
Sofia Cosentino
Monica Deiana
Matteo Fraschini
Clelia Madeddu
Elena Massa
Alessandra Mereu
Luigi Minerba
Carola Politi
Silvia Puxeddu
Francesco Salis
Julia M.A. Sinclair
Roberta Agabio
author_facet Claudia Sardu
Fabrizio Angius
Paolo Contu
Sofia Cosentino
Monica Deiana
Matteo Fraschini
Clelia Madeddu
Elena Massa
Alessandra Mereu
Luigi Minerba
Carola Politi
Silvia Puxeddu
Francesco Salis
Julia M.A. Sinclair
Roberta Agabio
author_sort Claudia Sardu
collection DOAJ
description Background: Alcohol consumption is a potentially modifiable risk factor for breast cancer (BC). Reducing alcohol consumption within the daily amount at low-risk for alcohol-related consequences (daily alcohol threshold) may contribute to preventing BC new cases. However, most women are unaware of risk factors for BC, the daily alcohol threshold, and how to measure alcohol use. We aimed at investigating the efficacy of accessing an interactive website in increasing the knowledge that alcohol is a BC risk factor. Methods: We conducted a randomized controlled trial among women waiting for mammography. Women completed a questionnaire to investigate their knowledge before and after accessing an interactive (intervention group) and non-interactive (control group) website. Results: We recruited 671 women, randomized 329 (49.0 %) and 342 (51.0 %) to the intervention and control groups, respectively. At baseline, most women were not aware of most modifiable BC risk factors. Accessing either website significantly increased the percentage of women who acquired the knowledge on BC risk factors, with the interactive website achieving better results: 82 % and 69 % of women acquired the knowledge that alcohol is a risk factor for BC in the intervention and control groups, respectively (p < 0.001). Among women with lower levels of education, the probability of acquiring this knowledge was higher in the intervention group than control group. Conclusion: Our results show that accessing an interactive website may increase the percentage of women who acquire the knowledge that alcohol is a BC risk factor especially among women of lower levels of education.
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spelling doaj-art-9409bde25ae44490af961baecd56f28a2025-02-12T05:30:37ZengElsevierBreast1532-30802025-02-0179103868Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive websiteClaudia Sardu0Fabrizio Angius1Paolo Contu2Sofia Cosentino3Monica Deiana4Matteo Fraschini5Clelia Madeddu6Elena Massa7Alessandra Mereu8Luigi Minerba9Carola Politi10Silvia Puxeddu11Francesco Salis12Julia M.A. Sinclair13Roberta Agabio14Department of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Biomedical Sciences, Unit of Experimental Pathology, University of Cagliari, ItalyDepartment of Electrical and Electronic Engineering, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, ItalyDepartment of Biomedical Sciences, Section of Microbiology and Virology, University of Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Italy; Department of Biomedical Sciences, Section of Neuroscience and Clinical Pharmacology, University of Cagliari, ItalyFaculty of Medicine, University of Southampton, Southampton, UKDepartment of Biomedical Sciences, Section of Neuroscience and Clinical Pharmacology, University of Cagliari, Italy; Corresponding author. Dept Biomedical Sciences, Section of Neuroscience and Clinical Pharmacology, University of Cagliari, 09042, Monserrato, CA, Italy.Background: Alcohol consumption is a potentially modifiable risk factor for breast cancer (BC). Reducing alcohol consumption within the daily amount at low-risk for alcohol-related consequences (daily alcohol threshold) may contribute to preventing BC new cases. However, most women are unaware of risk factors for BC, the daily alcohol threshold, and how to measure alcohol use. We aimed at investigating the efficacy of accessing an interactive website in increasing the knowledge that alcohol is a BC risk factor. Methods: We conducted a randomized controlled trial among women waiting for mammography. Women completed a questionnaire to investigate their knowledge before and after accessing an interactive (intervention group) and non-interactive (control group) website. Results: We recruited 671 women, randomized 329 (49.0 %) and 342 (51.0 %) to the intervention and control groups, respectively. At baseline, most women were not aware of most modifiable BC risk factors. Accessing either website significantly increased the percentage of women who acquired the knowledge on BC risk factors, with the interactive website achieving better results: 82 % and 69 % of women acquired the knowledge that alcohol is a risk factor for BC in the intervention and control groups, respectively (p < 0.001). Among women with lower levels of education, the probability of acquiring this knowledge was higher in the intervention group than control group. Conclusion: Our results show that accessing an interactive website may increase the percentage of women who acquire the knowledge that alcohol is a BC risk factor especially among women of lower levels of education.http://www.sciencedirect.com/science/article/pii/S0960977624001991Breast cancerAlcoholModifiable risk factorAwarenessInteractive website
spellingShingle Claudia Sardu
Fabrizio Angius
Paolo Contu
Sofia Cosentino
Monica Deiana
Matteo Fraschini
Clelia Madeddu
Elena Massa
Alessandra Mereu
Luigi Minerba
Carola Politi
Silvia Puxeddu
Francesco Salis
Julia M.A. Sinclair
Roberta Agabio
Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
Breast
Breast cancer
Alcohol
Modifiable risk factor
Awareness
Interactive website
title Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
title_full Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
title_fullStr Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
title_full_unstemmed Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
title_short Raising awareness of alcohol as a modifiable risk factor for breast cancer: A randomized controlled trial comparing the efficacy of accessing an interactive website with a non-interactive website
title_sort raising awareness of alcohol as a modifiable risk factor for breast cancer a randomized controlled trial comparing the efficacy of accessing an interactive website with a non interactive website
topic Breast cancer
Alcohol
Modifiable risk factor
Awareness
Interactive website
url http://www.sciencedirect.com/science/article/pii/S0960977624001991
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