Abstract

Risky alcohol use is a major public health problem globally and in Sri Lanka. While a reduction in alcohol consumption can result in physical, mental, and social benefits, behaviour change is difficult to achieve. Effective, context-adapted interventions are required to minimise alcohol-related harm at a community level. THEATRE is a complex, community-based intervention evaluating whether a promising Sri Lankan pilot study that utilised arts-based research to moderate alcohol use can be scaled up. While the scaled-up pilot study protocol is presented elsewhere, the aim of this protocol paper is to describe the intervention programme theory and evaluation design, and modifications made to the study resulting from COVID-19 and the financial crisis. Drawing on the Behaviour Change Wheel (BCW) and Theoretical Domains Framework, behaviour change theories are presented with potential pathways to guide implementation and evaluation. Alcohol consumption patterns and context of drinking is detailed. The multifaceted intervention targets individuals and communities using arts-based interventions. Four of nine BCW functions are employed in the design of the intervention: education, persuasion, modelling and enablement, and training. Modifications made to the study due to COVID-19 and the financial crisis are described. Ethical approval was obtained from the Ethics Review Committee, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka (ERC/2018/21—July 2018 and Feb 2022) and the University of Sydney (2019/006). Findings will be disseminated locally to community members and key stakeholders and via international peer-reviewed publications.

Details

Title
Evaluating the programme and behavior change theories of a community alcohol education intervention in rural Sri Lanka: a study protocol
Author
Jane Brandt Sørensen 1   VIAFID ORCID Logo  ; Kylie Lee, K S 2   VIAFID ORCID Logo  ; Dawson, Andrew 3   VIAFID ORCID Logo  ; Dawson, Angela 4   VIAFID ORCID Logo  ; Senarathna, Lalith 5   VIAFID ORCID Logo  ; P H G Janaka Pushpakumara 6   VIAFID ORCID Logo  ; Rajapakse, Thilini 7   VIAFID ORCID Logo  ; Konradsen, Flemming 1   VIAFID ORCID Logo  ; Glozier, Nick 8   VIAFID ORCID Logo  ; Conigrave, Katherine M 9   VIAFID ORCID Logo  ; Siriwardhana, Prabash 10   VIAFID ORCID Logo  ; Hansen, David 11 ; Buhl, Alexandra 1   VIAFID ORCID Logo  ; Priyadhasana, Chamill 12 ; Senawirathna, Kamal 12 ; Herath, Malith 12 ; Mantillake, Sudesh 13   VIAFID ORCID Logo  ; Fonseka, Priyantha 13 ; Pearson, Melissa 14   VIAFID ORCID Logo 

1  Department of Public Health, University of Copenhagen, Copenhagen, Denmark 
2  NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Discipline of Addiction Medicine, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia; The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Royal Price Alfred Hospital, Camperdown, NSW, Australia; Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia; National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia; Burnet Institute, Melbourne, Victoria, Australia 
3  The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Royal Price Alfred Hospital, Camperdown, NSW, Australia; Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka 
4  School of Public Health, University of Technology Sydney, Sydney, Australia 
5  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka; Faculty of Applied Sciences, Rajarata University of Sri Lanka, Mihintale, Sri Lanka 
6  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka; Department of Family Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka 
7  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka; Department of Psychiatry, University of Peradeniya, Peradeniya, Sri Lanka 
8  Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia; ARC Centre of Excellence for Children and Families over the Life Course, Sydney, Australia 
9  The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Royal Price Alfred Hospital, Camperdown, NSW, Australia; Royal Prince Alfred Hospital, Drug Health Services, Sydney, NSW, Australia; Faculty of Medicine and Health, Central Clinical School, Camperdown, NSW, Australia 
10  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka; Department of Sociology, Rajarata University of Sri Lanka, Mihintale, Sri Lanka 
11  Filmmaker, The Perfect World, Sydney, Australia 
12  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka 
13  Faculty of Arts, University of Peradeniya, Peradeniya, Sri Lanka 
14  Faculty of Medicine, South Asian Clinical Toxicology Collaboration, University of Peradeniya, Peradeniya, Sri Lanka; Central Clinical School, University of Sydney, Sydney, Australia 
Publication year
2023
Publication date
Dec 2023
Publisher
Taylor & Francis Ltd.
e-ISSN
16549880
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1080/16549716.2023.2273625
ProQuest document ID
2915452973
Copyright
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.