Pilot Study of Skin Cancer Risk Reduction Behaviors, Cancer Communication, and Skin Cancer Beliefs in Hispanics

Torres, Salina; Ramos, Marcel; Leverence, Robert; Bowen, Deborah J.; Berwick, Marianne; Hay, Jennifer L.

doi:10.32398/cjhp.v12i1.1560

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…Therefore, we cannot say that the findings will generalize to survivors of lower SES or for that matter to survivors of nonwhite races or ethnicities. These limitations are becoming increasingly important, given the rising rates of melanoma among Hispanic individuals [38]. This was a randomized trial, and therefore, there was a focus in this study on internal validity, perhaps in the expense of matters of external validity, such as a true population focus in recruitment or intervention flexibility and choice in intervention delivery.…”

Section: Discussionmentioning

confidence: 99%

Effects of web-based intervention on risk reduction behaviors in melanoma survivors

et al. 2014

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Purpose-Melanoma is the most severe form of skin cancer, and survivors of melanoma carry increased risk of additional melanoma diagnosis. Multiple methods exist for primary and secondary prevention of melanoma in survivors. This study tested a web-based family communication intervention to improve these preventive behaviors in melanoma families.Methods-Families (a survivor, at least one first-degree relative and a parent) were randomized either to receive the intervention package or to serve as comparison families. We assessed melanoma prevention behaviors in each cohort member before and after the intervention. The intervention was a web-based multicomponent intervention focused on increasing family communication and exchange of risk information. © Springer Science+Business Media New York 2014Correspondence to: Deborah J. Bowen, dbowen@uw.edu. Conflict of interest Authors Bowen, Burke, Hay, Meischke, and Harris declare that they have no conflicts of interest.Informed consent "All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study." HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptResults-Results indicated that, compared to comparison survivors, intervention survivors improved their skin self-examination and their sun protection behaviors significantly from before to after intervention.Conclusion-These data support the use of web-based interventions for behavioral changes in survivors and allow for consideration of dissemination of this successful intervention. These data have implications for interventions that can help cancer families deal with issues of risk and illness.Implications for cancer survivors-These data indicate that survivors can benefit from exposure to a website that helps direct their future health behaviors.

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Section: Discussionmentioning

confidence: 99%

Effects of web-based intervention on risk reduction behaviors in melanoma survivors

et al. 2014

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“…Skin cancer misconceptions and information overload are also apparent among Latinos. In one study with Latinos from New Mexico, participants were more likely to endorse pain as a sign of skin cancer, as well as report that it was difficult to know which prevention recommendations to follow given the high number of guidelines [16]. Accordingly, cancer education to address these prominent beliefs is a high priority to galvanize proactive engagement in risk-reducing behaviors.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Exploration of Latinos’ Perceptions About Skin Cancer: the Role of Gender and Linguistic Acculturation

et al. 2015

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Latinos have the highest rate of skin cancers among U.S. minorities. Despite a rising incidence of melanoma – the deadliest form of skin cancer – and greater disease burden, Latinos tend to have poor awareness of skin cancer risk factors which may inhibit preventive action. We expanded on prior work by qualitatively examining potential moderators (i.e., gender, acculturation) of skin cancer perceptions among Latinos from El Barrio in Harlem, New York. Four focus groups stratified by language (English/Spanish) and gender were conducted. Discussions were recorded, transcribed, and coded using thematic analysis. Thirty-eight self-identified Latinos (32% male) participated. Across groups, median age was 35 years; 50% completed < high school degree, 82% had annual incomes ≤$29,999, and 55% were born in Mexico. Mean acculturation level was 8.5 (SD=3.9, range=4–20). Major themes included: (1) knowledge of common skin cancer risk factors, (2) acknowledgment of personal risk although lighter skin individuals are at greater risk, and (3) awareness of effective risk-reduction methods, despite presence of fatalistic beliefs. Compared to males, females discussed tanning norms and appearance-based factors; identified children as vulnerable; highlighted the benefits of sun-exposure; and, wanted more information. Few linguistic acculturation patterns were noted; English-speakers questioned the carcinogenic effect of sunscreen and reported more skin cancer-related physician discussions than Spanish-speakers. Despite generally low acculturation, Latinos correctly identified skin cancer risk factors and agreed that it is preventable with engagement in risk-reducing behaviors. Future educational interventions must capitalize upon and reinforce such beliefs and address fatalistic perceptions which may hinder prevention efforts.

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“…We selected the world-wide-web as the communication system because of its versatility, flexibility, and high potential research into the general public, once evaluated. Our previous publications have documented the recruitment of families [8], baseline levels of melanoma prevention behaviors [9.10], and effects of the intervention on the case's melanoma prevention behaviors and communication about melanoma [11]. This paper presents the effects of the intervention on sun protection behaviors and skin self-and provider examination in first-degree relatives.…”

Section: Introductionmentioning

confidence: 99%

Randomized trial of a web-based survivor intervention on melanoma prevention behaviors of first-degree relatives

Bowen

Hay

Meischke

et al. 2018

Cancer Causes Control

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Objectives: Melanoma can be prevented through reducing sun exposure and detected early by increasing examination of skin for lesions. First-degree relatives of melanoma cases have higher risk than the general population and therefore could be targets of behavioral interventions through families. We tested the effects of a family-based web delivered intervention to melanoma families on the melanoma risk reduction behaviors of first-degree relatives of melanoma cases. Methods: A total of 313 families that included one first-degree relative were recruited to join this randomized trial. All intervention families received access to the Suntalk website developed to promote family communication and behavioral risk reduction among families of melanoma survivors. Results: First degree relatives in the intervention arm significantly increased their yearly performance of both skin self examination and thorough provider examination from baseline to 12-month follow-up while the control FDRs decreased their yearly performance of both of those behaviors (p's =.006 and .005 respectively). Several sun protection behaviors increased significantly in FDRs in the intervention arm but not the control arm, including wearing a covering on the head (p=.005), staying in available shade (p=.008), and avoiding sun exposure during peak hours (p=.010). Some of these changes were mediated by perceptions of risk and other process variables.

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Pilot Study of Skin Cancer Risk Reduction Behaviors, Cancer Communication, and Skin Cancer Beliefs in Hispanics

Cited by 6 publications

References 6 publications

Effects of web-based intervention on risk reduction behaviors in melanoma survivors

Effects of web-based intervention on risk reduction behaviors in melanoma survivors

A Qualitative Exploration of Latinos’ Perceptions About Skin Cancer: the Role of Gender and Linguistic Acculturation

Randomized trial of a web-based survivor intervention on melanoma prevention behaviors of first-degree relatives

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