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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Study protocol

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

Authors: Cheryl L. Currie, Jennifer L. Copeland, M. Lauren Voss, Lisa-Marie Swanepoel, Mirela Ambeskovic, Nimesh B. Patel, Erin K. Higa

Published in: BMC Public Health | Issue 1/2019

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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).
Literature
1.
2.
Ordóñez-Mena JM, Schöttker B, Mons U, Jenab M, Freisling H, Bueno-de-Mesquita B, et al. Quantification of the smoking-associated cancer risk with rate advancement periods: meta-analysis of individual participant data from cohorts of the CHANCES consortium. BMC Med [Internet]. 2016;14(1):62 [cited 2018 Nov 9]. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​27044418.CrossRef
3.
4.
5.
6.
Bagnardi V, Blangiardo M, La Vecchia C, Corrao G. Alcohol consumption and the risk of cancer: a meta-analysis. Alcohol Res Heal. 2001;25:263–70.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Imamura F, O’Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ [Internet]. 2015;351:h3576 [cited 2018 Nov 9]. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​26199070.CrossRef
17.
18.
19.
Stead M, Angus K, Langley T, Katikireddi SV, Hinds K, Hilton S, et al. Mass media to communicate public health messages in six health topic areas: a systematic review and other reviews of the evidence [Internet]. Mass media to communicate public health messages in six health topic areas: a systematic review and other reviews of the evidence. NIHR Journals Library; 2019 [Cited 2019 Aug 9]. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​31046212.
20.
21.
Alexander B. The globalization of addiction: a study in poverty of the spirit. Oxford, UK: Oxford University Press; 2010.CrossRef
22.
23.
24.
25.
McDonald SW, Kingston D, Bayrampour H, Tough S. Adverse childhood experiences in Alberta, Canada: a population based study. Med Res Arch. 2015;3:1–18.
26.
27.
28.
29.
30.
Currie CL, Wild TC, Schopflocher D, Laing L. Racial discrimination, post-traumatic stress and prescription drug problems among aboriginal Canadians. Can J Public Heal. 2015;106(6):e382–7.CrossRef
31.
Currie CL, Wild TC. Adolescent use of prescription drugs to get high in Canada. Can J Psychiatr. 2012 Dec;57(11):745–51.CrossRef
32.
Currie, CL, Copeland, JL, Metz GA, Chiefmoon-Riley, K, Davies C. Past-year racial discrimination and allostatic load among Indigenous adults in Canada: the role of cultural continuity. Psychosom Med. 2019;In press.
33.
34.
35.
36.
Franzoni E, Gualandi S, Caretti V, Schimmenti A, Di Pietro E, Pellegrini G, et al. The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. Neuropsychiatr Dis Treat [Internet]. 2013;9:185–93 [cited 2019 Aug 19]. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​23550168.CrossRef
37.
38.
39.
Emerson D. Trauma-sensitive yoga in therapy : bringing the body into treatment. WW Norton; 2015.
40.
41.
Macy RJ, Jones E, Graham LM, Roach L. Yoga for trauma and related mental health problems: a meta-review with clinical and service recommendations. Trauma, Violence, Abus. 2018;19(1):35–57.CrossRef
42.
43.
44.
45.
Bittman BB, Snyder C, Bruhn KT, Liebfreid F, Stevens CK, Westengard J, et al. Recreational music-making: an integrative group intervention for reducing burnout and improving mood states in first year associate degree nursing students: insights and economic impact. Int J Nurs Educ Scholarsh. 2004;1:Article12.PubMedCrossRef
46.
Carr C, d’Ardenne P, Sloboda A, Scott C, Wang D, Priebe S. Group music therapy for patients with persistent post-traumatic stress disorder - an exploratory randomized controlled trial with mixed methods evaluation. Psychol Psychother Theory Res Pract. 2012 Jun;85(2):179–202.CrossRef
47.
Smith C, Viljoen JT, McGeachie L. African drumming: a holistic approach to reducing stress and improving health? J Cardiovasc Med. 2014 Jun;15(6):441–6.CrossRef
48.
Dunbar RIM, Kaskatis K, MacDonald I, Barra V. Performance of music elevates pain threshold and positive affect: implications for the evolutionary function of music. Evol Psychol. 2012 Oct;10(4):147470491201000.CrossRef
49.
Wachi M, Koyama M, Utsuyama M, Bittman BB, Kitagawa M, Hirokawa K. Recreational music-making modulates natural killer cell activity, cytokines, and mood states in corporate employees. Med Sci Monit. 2007 Feb;13(2):CR57–70.PubMed
50.
Koyama M, Wachi M, Utsuyama M, Bittman B, Hirokawa K, Kitagawa M. Recreational music-making modulates immunological responses and mood states in older adults. J Med Dent Sci. 2009 Jun;56(2):79–90.PubMed
51.
Bittman BB, Berk LS, Felten DL, Westengard J, Simonton OC, Pappas J, et al. Composite effects of group drumming music therapy on modulation of neuroendocrine-immune parameters in normal subjects. Altern Ther Health Med. 2001 Jan;7(1):38–47.PubMed
52.
Fancourt D, Perkins R, Ascenso S, Carvalho LA, Steptoe A, Williamon A. Effects of group drumming interventions on anxiety, depression, social resilience and inflammatory immune response among mental health service users. Quinn TJ, editor. PLoS One. 2016;11(3):e0151136.PubMedPubMedCentralCrossRef
53.
Atkinson J. The drum code: living well between the beats. Calgary, AB: Create Space Publishing; 2017.
54.
Hull A. Drum circle facilitation: building community through rhythm. Village Music Circles: Santa Cruz, CA; 2006.
55.
Paoletti P, Fornai E, Maggiorelli F, Puntoni R, Viegi G, Carrozzi L, et al. Importance of baseline cotinine plasma values in smoking cessation: results from a double-blind study with nicotine patch. Eur Respir J. 1996;9:643–51.PubMedCrossRef
56.
Fleming MF, Barry KL, MacDonald R. The alcohol use disorders identification test (AUDIT) in a college sample. Int J Addict. 1991;26:1173–85.PubMedCrossRef
57.
Allen JP, Litten RZ, Fertig JB, Babor T. A review of research on the alcohol use disorders identification test (AUDIT). Alcohol Clin Exp Res. 1997;21:613–9.PubMedCrossRef
58.
Metadata
Title
Trauma-informed interventions versus control for cancer-risk behaviours among adults: rationale and design for a randomized trial
Authors
Cheryl L. Currie
Jennifer L. Copeland
M. Lauren Voss
Lisa-Marie Swanepoel
Mirela Ambeskovic
Nimesh B. Patel
Erin K. Higa
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7641-0

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