Skin cancer prevention and detection practices among siblings of patients with melanoma

Geller, Alan C.; Emmons, Karen M.; Brooks, Daniel R.; Zhang, Zi; Powers, Catherine A.; Koh, Howard K.; Sober, Arthur J.; Miller, Donald R.; Li, Frederick; Haluska, Frank G.; Gilchrest, Barbara A.

doi:10.1067/s0190-9622(03)02126-1

Cited by 51 publications

(84 citation statements)

References 26 publications

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“…This prevalence rate is similar to that found by Manne and colleagues (9) but was lower than rates found by others for this population (7,8). Differences in measurement of sunscreen use (8) and sample demographics may account for differing rates (7). Among our participants, practice of other SPB was lower than rates of sunscreen use.…”

Section: Discussionsupporting

confidence: 71%

“…This finding differs from previous research (8,9), which found no relationship between education and SPB. Given these conflicting results, more research is needed before definitive conclusions may be drawn regarding this relationship.…”

Section: Discussioncontrasting

confidence: 57%

“…Although FDRs received skin examinations and counseling, results indicated that 59% used sunscreen with a high sun protection factor, 28% used protective clothing, and 22% stayed in the shade. In a study of adult siblings of melanoma patients, Geller and colleagues (8) found that 54% reported routine sunscreen use; participants who were female and had skin with a tendency to burn, a dermatologist, and greater knowledge of suspicious moles were more likely to use sunscreen routinely. Recently, Manne and colleagues (9) assessed SPB correlates in FDRs of melanoma patients.…”

Section: Introductionmentioning

confidence: 99%

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Sun-Protective Behavior among Individuals with a Family History of Melanoma

Azzarello¹,

Dessureault

Jacobsen

2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Routine sun protection is recommended to prevent skin cancer. Skin cancer prevention may be particularly important for individuals at greater risk, such as those with a family history of melanoma. Our aims were to examine the prevalence of sun-protective behavior (SPB) in unaffected first-degree relatives (FDR) of individuals diagnosed with melanoma and to examine the relationship between protection motivation theory (PMT) variables (i.e., perceived risk, perceived severity, self-efficacy, response efficacy) and SPB. FDRs (n = 100), who were nominated by melanoma patients, completed a standardized, self-report questionnaire measuring demographic characteristics, melanoma risk factors, PMT variables, and SPB. The results indicated that less than one-third of FDRs used sunscreen routinely when in the sun and fewer stayed in the shade or used protective clothing on a frequent basis. FDRs with a college education and with more melanoma risk factors reported higher levels of SPB. Of the four PMT variables, greater perceived risk and greater self-efficacy were significantly correlated with higher levels of SPB. Furthermore, results of multiple regression analyses suggest that perceived risk mediated the relationship between education and SPB and between melanoma risk factors and SPB. These findings suggest that interventions to increase the frequency of SPB in at-risk individuals should highlight risk information as well as methods to improve individuals' confidence in their abilities to engage in SPB. (Cancer Epidemiol Biomarkers Prev 2006;15(1):142 -5)

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Section: Discussionsupporting

confidence: 71%

Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

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Sun-Protective Behavior among Individuals with a Family History of Melanoma

Azzarello¹,

Dessureault

Jacobsen

2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…These constructs are derived from Social Cognitive Theory (23), which emphasizes the importance of beliefs about the efficacy of one's efforts in behavioral performance as an important mechanism of behavior change. Empirically, self-efficacy and response efficacy are related to increased use of SSE in highrisk individuals (8,(10)(11)(12). We hypothesized that the provision of the photobook, a personalized, concrete, take-home guide and point of comparison of the appearance of moles would further enhance efficacy beliefs, and thus adherence with SSE, over educational intervention alone.…”

Section: Methodsmentioning

confidence: 99%

“…Psychosocial predictors of SSE in high-risk populations include higher knowledge about SSE (10), high self-efficacy, or confidence that they can perform efficacious screening (8,10), a positive attitude about SSE and the benefits of SSE, low levels of perceived barriers to SSE performance (10)(11)(12), and physician recommendation and counseling to perform SSE (12). Finally, increased SSE is related to ability to ask for help from a spouse or partner (8,10) and increased levels of melanoma concern and risk perceptions (10,11).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Mediators of a Nurse Intervention to Increase Skin Self-examination in Patients at High Risk for Melanoma

Hay¹,

Oliveria

Dusza

et al. 2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

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This prospective study examines psychosocial mediators of an efficacious skin self-examination (SSE) intervention that includes provision of a whole-body digital photography book depicting the entire skin surface. Individuals (n = 100) with established risk factors for melanoma were recruited from the Memorial Sloan-Kettering Cancer Center Pigmented Lesion Clinic during their initial dermatologist visit and were randomized to receive a photobook immediately (n = 49) or 4 months after intervention delivery (n = 51). Potential mediators included self-efficacy and response efficacy drawn from Social Cognitive Theory, melanoma worry, and SSE anxiety drawn from Self-Regulation Theory, and skin cancer knowledge, and skin awareness. Only self-efficacy was a significant mediator, accounting for 8% of the total effect of photobook enhancement on SSE adherence at 4 months. (Cancer Epidemiol Biomarkers Prev 2006;15(6):1212-6)

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