Skin cancer education and early detection at the beach: A randomized trial of dermatologist examination and biometric feedback

Emmons, Karen M.; Geller, Alan C.; Puleo, Elaine; Savadatti, Sanghamitra S.; Hu, Stephanie W.; Gorham, Susan; Werchniak, Andrew E.

doi:10.1016/j.jaad.2010.01.040

Cited by 36 publications

(32 citation statements)

References 35 publications

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“…Una última limitación sería la dificultad para la completa evaluación de las jornadas, ya que estas se realizaron de forma puntual, sin realizarse seguimiento posterior de los participantes 12,19 , siendo aconsejable desarrollar en el futuro acciones con una mayor continuidad 2 en estos grupos diana.…”

Section: Discussionunclassified

“…Se usó un modelo multicomponente que integró estrategias de prevención primaria (promoción de hábitos saludables) y secundaria (diagnóstico precoz del cáncer de piel). Estas estrategias fueron muy similares a las usadas en campañas referentes de prevención del cáncer cutáneo en Europa 4,10 , Estados Unidos 12,17---19 , Australia 6 y en investigaciones en fotoprotección en bañistas de la playa 12,17,18 , y su objetivo final es un cambio en el comportamiento de los participantes que en el futuro se traduzca en un descenso en la incidencia de cáncer de piel en estos grupos poblacionales 10,19 . Así, en nuestra campaña se incluyeron factores cognitivos, como la información entregada y explicada acerca de los hábitos de fotoexposición, las medidas de fotoprotección o la correcta elección de las cremas protectoras, entre otros.…”

Section: Sujetos Y Métodounclassified

“…La exposición solar es el único factor ambiental mayor causal del cáncer (y precáncer) de piel cuya prevención es posible 6---8,10,11 , siendo fundamental evitar exposiciones solares intensas e intermitentes -como ocurren en golfistasy exposiciones solares crónicas -como en trabajadores de campos de golf- 10,12 .…”

Section: Introductionunclassified

See 2 more Smart Citations

Campaña de prevención y detección de cáncer cutáneo en campos de golf de la Costa del Sol

Boz

Fernández-Morano

Padilla-España

et al. 2015

Actas Dermo-Sifiliográficas

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Section: Discussionunclassified

Section: Sujetos Y Métodounclassified

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Campaña de prevención y detección de cáncer cutáneo en campos de golf de la Costa del Sol

Boz

Fernández-Morano

Padilla-España

et al. 2015

Actas Dermo-Sifiliográficas

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“…19 The practitioners could give tailored advice on primary and secondary prevention, and adapt and personalize their counseling to the patient depending on the results of the clinical examination. Linking the counseling to the objective identification of lesions is an efficient and powerful strategy, [31][32][33][34] as general practitioners can perform 2 tasks simultaneously and possibly have greater influence than if they had simply given out written information. 21 Additionally, the practitioners can show patients which moles should be monitored and how to do it, improving patients' sense of self-efficacy.…”

Section: Key Findingsmentioning

confidence: 99%

Targeted Melanoma Prevention Intervention: A Cluster Randomized Controlled Trial

Rat¹,

Quéreux²,

Rivière³

et al. 2014

The Annals of Family Medicine

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PURPOSE Targeted interventions to reduce the risk and increase the early detection of melanoma have the potential to save lives. We aimed to assess the effect of such an intervention on patient prevention behavior. METHODSWe conducted a pilot clustered randomized controlled trial, comparing a targeted screening and education intervention with a conventional information-based campaign in 20 private surgeries in western France. In the intervention group, 10 general practitioners identified patients at elevated risk for melanoma with a validated assessment tool, the Self-Assessment Melanoma Risk Score (SAMScore), examined their skin, and counseled them using information leaflets. In the control group, 10 general practitioners displayed a poster and the leaflets in their waiting room and examined patients' skin at their own discretion. The main outcome measures were sunbathing and skin self-examinations among patients at elevated risk, assessed 5 months later with a questionnaire.RESULTS Analyses were based on 173 patients. Compared with control patients, intervention patients were more likely to remember the campaign (81.4% vs 50.0%, P = .0001) and to correctly identify their elevated risk of melanoma (71.1% vs 42.1%, P = .001). Furthermore, intervention patients had higher levels of prevention behaviors: they were less likely to sunbathe in the summer (24.7% vs 40.8%, P = .048) and more likely to have performed skin self-examinations in the past year (52.6% vs 36.8%, P = .029). The intervention was not associated with any clear adverse effects, although there were trends whereby intervention patients were more likely to worry about melanoma and to consult their general practitioner again about the disease. CONCLUSIONSThe combination of use of the SAMScore and general practitioner examination and counseling during consultations is an efficient way to promote patient behaviors that may reduce melanoma risk. Extending the duration of follow-up and demonstrating an impact on morbidity and mortality remain major issues for further research.

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“…As noted by the Task Force, research to test a multilevel approach to improve adoption of sun protection has seldom been attempted. We reviewed an additional 17 randomized controlled trials that tested interventions to change sun protection behavior in adults, published and available on PubMed since that systematic review (52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68). From these, we identified only 2 that appeared to purposefully take a multilevel approach to intervention design and testing, with promising results (54,60).…”

Section: The Need For a Comprehensive Approach To Skin Cancer Preventionmentioning

confidence: 99%

Time to Get Serious About Skin Cancer Prevention

Lazovich

Choi

Vogel

2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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In this commentary, we discuss the skin cancer epidemic in the United States and provide data to indicate that the United States public is not protecting itself from ultraviolet radiation, the primary risk factor for melanoma, and nonmelanoma skin cancer. In our opinion, skin cancer control in this country may be hindered by uncertainty about the effectiveness of sun protection strategies, inconsistent messages about the relative effectiveness of sun protection measures by federal and national organizations, and conventional research approaches that have identified few effective sun protection interventions for adults and targeted individuals for behavior change without considering the environmental context. A policy and research agenda is put forth to remedy the apparent insufficiencies in the current approach to skin cancer prevention in the United States. Cancer Epidemiol Biomarkers Prev; 21(11); 1893-901. Ó2012 AACR. Skin Cancer is Epidemic in the United StatesAt a time when incidence is declining for all major cancers in men and women in the United States, the long-recognized epidemic of skin cancer persists (1). Since 1992, melanoma incidence in the United States has risen 1.8% to 4.6% per year, affecting men and women of all ages; an increase in incidence of nonmelanoma skin cancer has also been documented nationally and internationally (2-5). This pattern is especially frustrating because, compared with other cancers trending upward (pancreas and kidney cancer in men and women, thyroid cancer in women, liver cancer in men), skin cancer is preventable. Both solar and artificial sources of ultraviolet (UV) radiation are established causes of skin cancer (6, 7). The relationship of UV radiation to the development of skin cancer differs for melanoma and nonmelanoma skin cancer and depends on the interplay of genetic susceptibility, the intermittent or chronic nature of time spent in the sun, and lifetime acquisition of sunburns (8, 9). Nevertheless, UV radiation is estimated to account for 50% to 90% of melanoma or basal cell skin cancer and 50% to 70% of squamous cell skin cancers worldwide (10). Thus, effective protection of the skin from UV radiation would prevent a substantial amount of melanoma and nonmelanoma skin cancer, saving 10 to 15 years of potential life lost per skin cancer death, and annual costs of $29 to $39 million in morbidity and $1 to $3.3 billion in mortality, depending on the type of skin cancer (11).The skin cancer epidemic continues because the United States population is not protecting itself from the harmful effects of UV radiation. Since 2000, national trends indicate inconsequential changes in use of shade, sunscreen, or shirts with long sleeves; less than 5% of the population reported use of all 3 strategies in 2010 ( Fig. 1A; ref. 12). As a consequence, sunburn prevalence, a marker of nonadherence to sun protection recommendations, has not changed over time (Fig. 1B). Although indoor tanning use in the United States population declined from 15% in 2008 to 6% in 2010, it...

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Skin cancer education and early detection at the beach: A randomized trial of dermatologist examination and biometric feedback

Cited by 36 publications

References 35 publications

Campaña de prevención y detección de cáncer cutáneo en campos de golf de la Costa del Sol

Campaña de prevención y detección de cáncer cutáneo en campos de golf de la Costa del Sol

Targeted Melanoma Prevention Intervention: A Cluster Randomized Controlled Trial

Time to Get Serious About Skin Cancer Prevention

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