Randomized controlled trial of the mySmartSkin web-based intervention to promote skin self-examination and sun protection behaviors among individuals diagnosed with melanoma: study design and baseline characteristics

Coups, Elliot J.; Manne, Sharon L.; Ohman‐Strickland, Pamela; Hilgart, Michelle; Goydos, James S.; Heckman, Carolyn J.; Chamorro, Paola; Rao, Babar; Davis, Moira; Smith, Franz O.; Thorndike, Frances P.; Ritterband, Lee M.

doi:10.1016/j.cct.2019.06.014

Cited by 16 publications

(17 citation statements)

References 81 publications

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“…The study was conducted as an online baseline survey of a randomized controlled trial—the mySmartSkin web-based intervention designed to increase skin self-examination and sun protection behaviors among melanoma survivors. A detailed description of the mySmartSkin study, including recruitment, measures, and other analyses, is available elsewhere [ 27 ]. The Institutional Review Boards affiliated with the University and Medical Center approved this study.…”

Section: Methodsmentioning

confidence: 99%

“…Social influence factors included physician recommendation about sun protection behaviors (4 items, a = 0.741), descriptive norms regarding sun protection behaviors, and injunctive norms regarding sun protection behaviors [ 12 , 27 ]. Physician recommendation about sun protection behaviors was measured through items such as “Since you were diagnosed with melanoma, has a doctor or other health care professional advised to wear sunscreen with a sun protection factor (SPF) of 30 or more when you are outside on a sunny day?” For each item, participants selected No = 0, Yes = 1, I don’t remember = 2.…”

Section: Methodsmentioning

confidence: 99%

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Correlates of sun protection behaviors among melanoma survivors

et al. 2021

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Background The study objective was to assess potential correlates of sun protection behaviors among melanoma survivors. Methods Participants were 441 melanoma survivors recruited from three health centers and a state cancer registry in the United States. Sun protection behaviors (sunscreen, shade, protective shirts, and hats) were assessed through an online survey, as were potential correlates (demographic, melanoma risk, knowledge and beliefs, psychological and social influence factors). Hierarchical multiple regression analyses were conducted. Results Correlates of sun protection behaviors included education, skin cancer risk factors, melanoma knowledge and beliefs, melanoma worry and distress, physician recommendation for sun protection, injunctive norms, and pro-protection beliefs (e.g., perceived barriers, self-efficacy). Conclusions Future efforts to improve sun safety among melanoma survivors may benefit from targeting individuals with lower education levels, and addressing sun protection social influence, barriers, and self-efficacy.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Correlates of sun protection behaviors among melanoma survivors

et al. 2021

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“…The majority of patients (87%) in one study reported engaging in SSE for abnormal markings more often (vs. less often) in the last year, presumably compared to earlier in their diagnosis [21]. Between 7.5% and 32% reported doing thorough SSE (TSSE) in the past 2 months [25,32,35,42]. TSSE was defined according to what Weinstock et al [44].…”

Section: Prevalence Of Sse Among Melanoma Survivorsmentioning

confidence: 99%

“…Less than half of the studies used a health behavior theory or a behavior change technique as part of their framework for their research (n = 11 [18,20,22,25,27,29,32,34,35,[38][39][40]. Nineteen studies did not use or explicitly describe any theoretical framework in their research [8,9,16,17,19,21,23,24,26,28,30,31,33,36,37,[41][42][43].…”

Section: Use Of Health Behavior Theories or Frameworkmentioning

confidence: 99%

Prevalence and correlates of skin self-examination behaviors among melanoma survivors: a systematic review

Bhurosy

Heckman

Riley

2020

Translational Behavioral Medicine

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Melanoma is the most common cause of skin cancer deaths, and individuals who have had melanoma have an increased risk of developing new melanomas. Doing regular self-examinations of skin enables one to detect thinner melanomas earlier when the disease is more treatable. The aim of this systematic review is to characterize and evaluate the existing literature on the prevalence and correlates of skin self-examination (SSE) behaviors among adult melanoma survivors in the USA and Canada. A computerized literature search was performed using PubMed, Google Scholar, and ScienceDirect. The inclusion criteria for the studies were: (a) reported results for adult melanoma survivors in the USA or Canada, (b) papers described empirical research, (c) assessed SSE and related behaviors, and (d) papers were published in a peer-reviewed journal in the past 20 years. Key phrases such as “skin self-examination/SSE in melanoma survivors in the United States” and “correlates of skin self-examination/SSE” were used. Based on the inclusion criteria, 30 studies were included in the systematic review. SSE prevalence varied depending on how SSE was defined. Demographics and factors (gender, education level, patient characteristics, partner assistance, and physician support) associated with SSE were identified. Findings of this review show evidence for the need to have a consistent way to assess SSE and suggest different types of correlates on which to focus in order to promote SSE and reduce the risk of melanoma recurrence in survivors. This systematic review and its protocol have been registered in the international database of prospectively registered systematic reviews in health and social care (PROSPERO; ID: 148878)

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“…To date, a variety of self-tests addressing the possibility to obtain a personal risk score expressing the likelihood of developing different forms of skin cancer (within a given time interval) are available online (7)(8)(9)(10)(11). Although ambitious and to some extent probably fairly reliable, they all have the disadvantage that they rely on subjective, selfreported measurements, which in general include variables such as Fitzpatrick's classification of tendency to burn and tan (12), as well as some kind of counting procedure of number of pigmented nevi on a given body site.…”

mentioning

confidence: 99%

Melanoma Risk Estimation Based on Objective Measures as a Complement to Self-Assessment

Carlsson

Falk

2020

Anticancer Res

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common and well-known phenomenon that people tend to underestimate their sensitivity to UV radiation (13-15), with the possible outcome of not protecting themselves sufficiently. Although widely accepted, several studies have reported that there is a poor correlation between Fitzpatrick's classification and actual UV-sensitivity assessed by objective measures, such as by phototesting (14-18). If possible to create a risk score to a lesser degree dependent on subjective measurements, it would probably benefit the prerequisites to succeed with preventive efforts, or at least, to direct these efforts to the individuals in most adequate need of them.The aim of this study was to investigate whether the addition of objective variables, by means of UV-sensitivity phototesting and nevi count, could be of contributory value for the composition of a comprehensive risk score for skin cancer. The study also sought to investigate whether the use of such a score could contribute to change of behavior in the sun after assessment of individual risk.

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Randomized controlled trial of the mySmartSkin web-based intervention to promote skin self-examination and sun protection behaviors among individuals diagnosed with melanoma: study design and baseline characteristics

Cited by 16 publications

References 81 publications

Correlates of sun protection behaviors among melanoma survivors

Correlates of sun protection behaviors among melanoma survivors

Prevalence and correlates of skin self-examination behaviors among melanoma survivors: a systematic review

Melanoma Risk Estimation Based on Objective Measures as a Complement to Self-Assessment

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