Can skin cancer prevention be improved through mobile technology interventions? A systematic review

Finch, Linda; Janda, Monika; Loescher, Lois J.; Hacker, Elke

doi:10.1016/j.ypmed.2016.06.037

Cited by 48 publications

(35 citation statements)

References 39 publications

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“…A powerful tool could be smart phones, which through the use of text messages and Apps could be useful methods for teaching individuals sun‐related knowledge in order to change attitudes and behaviours. Messaging could be individually tailored, which could be beneficial in the sense that they are more effective for health behaviour changes compared to standard messages .…”

Section: Discussionmentioning

confidence: 99%

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Ziehfreund

Schuster

Zink

2019

Acad Dermatol Venereol

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Worldwide 2–3 million cases of keratinocyte carcinoma (KC) are diagnosed annually. Sun‐related knowledge is essential for adequate protection against solar ultraviolet radiation (UVR), the main risk factor for KC. The goal was (i) to provide an updated overview of primary prevention against KC including skin cancer‐related knowledge, attitudes and sun protection behaviour (SPB) of outdoor workers, the general population and medical professionals as well as (ii) to evaluate the effectiveness and acceptability of sun protection programmes. We conducted a systematic review of articles indexed for MEDLINE on PubMed using selected MeSH terms and keywords related to the studied topic as well as an extensive hand search of publications between 1 January 2012 and 31 December 2018. We identified 51 relevant cross‐sectional studies and 22 interventional studies. Sun‐related knowledge and attitude showed substantial differences with some alarming results, including people who had not even heard about skin cancer before. Reported SPB varied enormously between the included studies, with none of the studies providing an overall sufficient SPB in their examined sun protection measures. However, sun protection programmes using new technologies seem to have great potential to increase sun‐related knowledge and SPB. In countries worldwide, particularly in those where KC is not yet a public health issue, UVR protection should be promoted by healthcare institutions and authorities, politicians, cancer foundations and dermatologists to increase awareness as well as SPB and to decrease the worldwide burden of KC.

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Section: Discussionmentioning

confidence: 99%

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Ziehfreund

Schuster

Zink

2019

Acad Dermatol Venereol

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“…Although current public understanding of the UVI is limited, new technologies (e.g., the smartphone apps GlobalUV, uv2Day, Uv-indeks) offer an opportunity to address the issues raised here alongside increased promotion of, and education about, the UVI. 49 Effective communication of evidence-based sun exposure/sun protection messages to the public remains a major barrier to achieving significant institutional, collective and individual change in sun exposure behaviours. Current guidelines have been useful but were developed in the absence of specific evidence and are somewhat simplistic.…”

Section: Discussionmentioning

confidence: 99%

Are current guidelines for sun protection optimal for health? Exploring the evidence

Lucas

Neale

Madronich

et al. 2018

Photochem Photobiol Sci

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Exposure of the skin to ultraviolet (UV) radiation is the main risk factor for skin cancer, and a major source of vitamin D, in many regions of the world. Sun protection messages to minimize skin cancer risks but avoid vitamin D deficiency are challenging, partly because levels of UV radiation vary by location, season, time of day, and atmospheric conditions. The UV Index provides information on levels of UV radiation and is a cornerstone of sun protection guidelines. Current guidelines from the World Health Organization are that sun protection is required only when the UV Index is 3 or greater. This advice is pragmatic rather than evidence based. The UV Index is a continuous scale; more comprehensive sun protection is required as the UV Index increases. In addition, a wide range of UVA doses is possible with a UVI of 3, from which there may be health consequences, while full sun protection when the UVI is "moderate" (between 3 and 5) may limit vitamin D production. Finally, the duration of time spent in the sun is an essential component of a public health message, in addition to the intensity of ambient UV radiation as measured by the UV Index. Together these provide the dose of UV radiation that is relevant to both skin cancer genesis and vitamin D production. Further education is required to increase the understanding of the UV Index; messages framed using the UV Index need to incorporate the importance of duration of exposure and increasing sun protection with increasing dose of UV radiation.

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“…Consideration when designing studies with a measurement only control arm should be taken in light of these findings. Interventions that use smartphones are increasingly used to improve adherence to preventive behaviour [25,26] and the app diary could be embedded into these already electronic interventions.…”

Section: Discussionmentioning

confidence: 99%

Capturing Ultraviolet Radiation Exposure and Physical Activity: Feasibility Study and Comparison Between Self-Reports, Mobile Apps, Dosimeters, and Accelerometers (Preprint)

Hacker¹,

Horsham²,

Allen³

et al. 2017

Preprint

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Can skin cancer prevention be improved through mobile technology interventions? A systematic review

Cited by 48 publications

References 39 publications

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Are current guidelines for sun protection optimal for health? Exploring the evidence

Capturing Ultraviolet Radiation Exposure and Physical Activity: Feasibility Study and Comparison Between Self-Reports, Mobile Apps, Dosimeters, and Accelerometers (Preprint)

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