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Exposure to revised drinking guidelines and ‘COM-B’ determinants of behaviour change: descriptive analysis of a monthly cross-sectional survey in England
- Source :
- BMC Public Health, BMC Public Health, Vol 18, Iss 1, Pp 1-9 (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Background January 2016 saw the publication of proposed revisions to the UK’s lower risk drinking guidelines but no sustained promotional activity. This paper aims to explore the impact of publishing guidelines without sustained promotional activity on reported guideline exposure and determinants of behaviour (capability, opportunity and motivation) proposed by the COM-B model. Methods Data were collected by a monthly repeat cross-sectional survey of adults (18+) resident in England over 15 months between November 2015 and January 2017 from a total of 16,779 drinkers, as part of the Alcohol Toolkit Study. Trends and associated 95% confidence intervals were described in the proportion of reported exposure to guidelines in the past month and measures of the capability, opportunity and motivation to consume alcohol within drinking guidelines. Results There was a rise in reported exposure to drinking guidelines in January 2016 (57.6–80.6%) which did not reoccur in January 2017. Following the increase in January 2016, reported exposure reduced slowly but remained significantly higher than in December 2015. In February 2016, there was an increase in measures of capability (31.1% reported tracking units of alcohol consumption and 87.8% considered it easier to drink safely) and opportunity (84.0% perceived their lifestyle as conducive to drinking within guidelines). This change was not maintained in subsequent months. Other measures showed marginal changes between January and February 2016 with no evidence of change in subsequent months. Conclusions Following the publication of revised drinking guideline in January 2016, there was a transient increase in exposure to guidelines, and capability and opportunity to drink within the guidelines that diminished over time. The transience and size of the changes indicate that behaviour change is unlikely. Well-designed, theory-based promotional campaigns may be required for drinking guidelines to be an effective public health intervention. Electronic supplementary material The online version of this article (10.1186/s12889-018-5129-y) contains supplementary material, which is available to authorized users.
- Subjects :
- Adult
Male
medicine.medical_specialty
Alcohol Drinking
Cross-sectional study
Drinking guidelines
Guidelines as Topic
Models, Psychological
Lower risk
Unit of alcohol
03 medical and health sciences
0302 clinical medicine
Trend analysis
Risk-Taking
Environmental health
Epidemiology
Medicine
Humans
Alcohol consumption
030212 general & internal medicine
Evaluation
Motivation
business.industry
030503 health policy & services
Public health
lcsh:Public aspects of medicine
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Guideline
Health promotion
Cross-Sectional Studies
England
Female
Biostatistics
0305 other medical science
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Database :
- OpenAIRE
- Journal :
- BMC Public Health, BMC Public Health, Vol 18, Iss 1, Pp 1-9 (2018)
- Accession number :
- edsair.doi.dedup.....ee999d706e547c1b15fce2964d09c32a