The development of an adolescent smoking cessation intervention--an Intervention Mapping approach to planning

Dalum, Peter; Schaalma, H.P.; Kok, Gerjo

doi:10.1093/her/cyr044

Cited by 38 publications

(35 citation statements)

References 32 publications

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“…Many studies have demonstrated behavioral tracking to be an effective behavior change intervention, though none have been reported in the area of skin cancer prevention. 66-69 Participants who were less interested in or motivated by the topic may not have completed the follow-up questionnaires, resulting in the appearance of a certain amount of behavioral improvement across all groups, although improvements for all groups were maintained based on the last observation carried forward method. Finally, though prior studies have found self-report of UV exposure and protection to be reliable and valid, 39–41 future intervention researchers may want to include a measure of social desirability.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of an Intervention to Alter Skin Cancer Risk Behaviors in Young Adults

Heckman

Ritterband

Handorf

et al. 2016

American Journal of Preventive Medicine

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Introduction Skin cancer is the most common cancer, and its incidence is increasing. Young adults expose themselves to large amounts of ultraviolet radiation (UV) and engage in minimal skin protection, which increases their risk. Internet interventions are effective in modifying health behaviors and are highly disseminable. The current study's purpose was to test an Internet intervention to decrease UV exposure and increase skin protection behavior among young adults. Study design RCT conducted in 2014, with data analyzed in 2015. Setting/participants A national sample of adults aged 18–25 years at moderate to high risk of developing skin cancer by a self-report measure was recruited online. Intervention Participants were randomized to one of three intervention conditions: assessment only, the website of a skin cancer organization, or a tailored interactive multimedia internet intervention program (UV4.me) based on the Integrative Model of Behavioral Prediction. Main outcome measures Self-reported overall UV exposure and skin protection assessed at 3 and 12 weeks after baseline. Secondary outcomes were self-reported intentional and incidental UV exposure, sunburns, sunscreen use, and skin cancer screening. Results For the intervention arm, there were significant decreases in UV exposure and increases in skin protection at both follow-up time points compared with the assessment-only condition (p<0.001). The effect sizes (Cohen's d) comparing the experimental and assessment-only arm for exposure behaviors were 0.41 at 3-week follow-up and 0.43 at 12-week follow-up. The effect sizes for protection behaviors were 0.41 at 3-week follow-up and 0.53 at 12-week follow-up. The control condition was not significantly different from the assessment only condition. All three conditions exhibited decreased exposure and increased protection at both follow-ups (p<0.01), but the effect was much stronger in the intervention group. Secondary outcomes were generally also significantly improved in the intervention condition compared with the other conditions. Conclusions This is the first published report describing the results of an RCT of an Internet intervention to modify skin cancer risk behaviors among young adults. The UV4.me intervention significantly improved self-reported skin cancer prevention behaviors. Future research will investigate mechanisms of change and approaches for dissemination.

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Section: Discussionmentioning

confidence: 99%

Efficacy of an Intervention to Alter Skin Cancer Risk Behaviors in Young Adults

Heckman

Ritterband

Handorf

et al. 2016

American Journal of Preventive Medicine

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“…The counselling was carried out by experienced nurses who had attended a minimum of 3-day smoking cessation counselling course and in addition were trained directly for this project. The intervention took place in the weeks 6−10 (2004) at the intervention schools and in the weeks 13−16 (2005) at the control schools after the second follow up [12].…”

Section: Interventionmentioning

confidence: 99%

A cluster randomised controlled trial of an adolescent smoking cessation intervention: Short and long-term effects

Dalum

Paludan-Müller

Engholm

et al. 2012

Scand J Public Health

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“…Indeed, numerous recent studies have successfully used needs assessments to develop self-management programs for individuals with chronic illness. [31][32][33] Thus, the aim of this study was 2-fold: (1) to explore the information and service needs of YAs with chronic pain from the perspective of YAs and their HCPs, and (2) to determine the acceptability of an Internet-based program of self-management.…”

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confidence: 99%