{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:00:16Z","timestamp":1782846016573,"version":"3.54.5"},"reference-count":64,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol consumption remains a major societal problem, contributing to myriad health conditions. Australian midlife women (aged 45-64 years) consume more alcohol than previous generations of midlife women and more than younger women now. Alcohol poses health risks that are unique to midlife women, including increased risk of breast cancer; 10% of breast cancers result from alcohol consumption and there is no \u201csafe\u201d limit. There is a global gap in knowledge about socially and culturally appropriate interventions for reducing alcohol consumption in these heavy-drinking groups of midlife women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The research questions (RQs) driving the study are as follows: RQ1\u2014what are the shared social practices that constitute and connect alcohol consumption in each of the 4 case study groups of midlife women? RQ2\u2014what are the perceptions of women in the case study groups about the \u201cinvisible hands\u201d shaping alcohol consumption in their social worlds? RQ3\u2014what are the possible \u201csystems-level\u201d interventions or strategies to counter or oppose the \u201cinvisible hands\u201d impacting women\u2019s alcohol consumption? and RQ4\u2014what is the validity, fidelity, and effectiveness of codeveloped critical consciousness interventions on alcohol-related social practices and consumption patterns?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our study will identify and implement ways to support the following groups of heavy-drinking midlife women to reduce their alcohol consumption (and their breast cancer risk): (1) women living in regional areas of Australia; (2) lesbian, gay, bisexual, transgender, queer, and other sexual orientation and gender identity women; (3) women living in poverty; and (4) women working in the corporate sector. An expert group of midlife women, termed a women\u2019s thought collective (WTC), will guide all stages of the study. Stage 1 (0-18 months) will collect qualitative data using social media analysis, netnography, photo elicitation, and ethnography to understand the forces oppressing women and shaping their alcohol consumption. We will recruit 50 participants in each of the case study groups. Stage 2 (19-24 months) will involve deliberative dialogue methods with the case study groups (15 participants per group) to identify policy-level changes required to support the reduction in participants\u2019 drinking. Stage 3 (25-36 months) will codevelop alcohol reduction interventions using critical consciousness development and then implement them using a quasi-experimental design. Primary outcomes are readiness to reduce alcohol and actual changes in consumption levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This protocol was funded by the Australian Research Council (DP250104494) for 3 years, starting in July 2025. Human research ethics committee approval has been granted (0457).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Expected outcomes include community actions and policy levers for alcohol reduction, addressing the intersecting sociocultural, political, and commercial factors shaping alcohol use among midlife women. The findings will help inform strategies to counter oppressive forces or transform them into sources of hope, encouraging new practices that challenge social norms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)<\/jats:title>\n                    <jats:p>PRR1-10.2196\/72628<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/72628","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T11:20:07Z","timestamp":1749640807000},"page":"e72628","source":"Crossref","is-referenced-by-count":1,"title":["Exploring Ways to Reduce Heavy Drinking by Increasing Hope Among Midlife Women in Australia: Protocol for a Mixed Methods Study"],"prefix":"10.2196","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5559-9714","authenticated-orcid":false,"given":"Paul 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