Trauma-informed interventions versus control for cancer-risk behaviours among adults: rationale and design for a randomized trial

BMC Public Health. 2019 Oct 29;19(1):1403. doi: 10.1186/s12889-019-7641-0.

Abstract

Background: Tobacco use, alcohol use, and sugar-sweetened beverage consumption are each associated with increased cancer-risk. Psychological trauma is a common experience and a key driver of these behaviours among adults. The primary aim of this study is to evaluate the effect of trauma-informed yoga, drumming, and psychoeducation compared to control on tobacco use, alcohol use, and sugar-sweetened beverage consumption among community-based adults. Secondary aims are to evaluate the effect of these interventions compared to control on psychological and physiological stress symptomology, social connection, and coping behaviour.

Methods: Recruitment for this single-blinded randomized trial began in April 2019 in the Faculty of Health Sciences at the University of Lethbridge. Adults who consumed tobacco, alcohol, or sugar-sweetened beverages in the past month and live in Lethbridge, Alberta are being recruited using ads placed in public spaces. Participants are randomly allocated to a 12-session group yoga class, 12-session group drumming class, a 12-session psychoeducation class, or control. Participants attend an appointment in-person to fill out an online questionnaire package, provide a saliva sample, and complete physical measures pre-intervention, and 1-month and 6-months post-intervention.

Discussion: This study provides a unique opportunity to compare the impacts of two trauma-informed body-based interventions to psychoeducation and control for cancer-risk behaviour among community-based adults. The findings can be used to develop trauma-informed group interventions to reduce cancer-risk behaviour in general populations. Results are expected in 2022.

Trial registration: This trial was registered with ClinicalTrials.gov ISRCTN15583681 on 22 August 2019 (retrospectively registered).

Keywords: Alcohol; Cancer-risk behaviour; Drumming; Psychoeducation; Smoking; Yoga.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Alberta
  • Female
  • Health Promotion / methods*
  • Humans
  • Male
  • Neoplasms / prevention & control*
  • Program Evaluation
  • Psychological Trauma / psychology*
  • Research Design
  • Risk-Taking*