Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change

Descriptive analysis of a monthly cross-sectional survey in England

Abigail K. Stevely, Penny Buykx, Jamie Brown, Emma Beard, Susan Michie, Petra S. Meier, John Holmes

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

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.

Original languageEnglish
Article number251
Number of pages9
JournalBMC Public Health
Volume18
Issue number1
DOIs
Publication statusPublished - 14 Feb 2018
Externally publishedYes

Keywords

  • Alcohol consumption
  • Drinking guidelines
  • Evaluation
  • Health promotion
  • Trend analysis

Cite this

Stevely, Abigail K. ; Buykx, Penny ; Brown, Jamie ; Beard, Emma ; Michie, Susan ; Meier, Petra S. ; Holmes, John. / Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change : Descriptive analysis of a monthly cross-sectional survey in England. In: BMC Public Health. 2018 ; Vol. 18, No. 1.
@article{8f9351d981044a3485099d55ddd62825,
title = "Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change: Descriptive analysis of a monthly cross-sectional survey in England",
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.",
keywords = "Alcohol consumption, Drinking guidelines, Evaluation, Health promotion, Trend analysis",
author = "Stevely, {Abigail K.} and Penny Buykx and Jamie Brown and Emma Beard and Susan Michie and Meier, {Petra S.} and John Holmes",
year = "2018",
month = "2",
day = "14",
doi = "10.1186/s12889-018-5129-y",
language = "English",
volume = "18",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change : Descriptive analysis of a monthly cross-sectional survey in England. / Stevely, Abigail K.; Buykx, Penny; Brown, Jamie; Beard, Emma; Michie, Susan; Meier, Petra S.; Holmes, John.

In: BMC Public Health, Vol. 18, No. 1, 251, 14.02.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change

T2 - Descriptive analysis of a monthly cross-sectional survey in England

AU - Stevely, Abigail K.

AU - Buykx, Penny

AU - Brown, Jamie

AU - Beard, Emma

AU - Michie, Susan

AU - Meier, Petra S.

AU - Holmes, John

PY - 2018/2/14

Y1 - 2018/2/14

N2 - 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.

AB - 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.

KW - Alcohol consumption

KW - Drinking guidelines

KW - Evaluation

KW - Health promotion

KW - Trend analysis

UR - http://www.scopus.com/inward/record.url?scp=85042015346&partnerID=8YFLogxK

U2 - 10.1186/s12889-018-5129-y

DO - 10.1186/s12889-018-5129-y

M3 - Article

VL - 18

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 251

ER -