A Trial Online Educational Melanoma Program Aimed at the Hispanic Population Improves Knowledge and Behaviors

Roman, Carly J.; Guan, Xiaowei; Barnholtz‐Sloan, Jill S.; Xu, Jane; Bordeaux, Jeremy S.

doi:10.1097/dss.0000000000000689

Cited by 19 publications

(27 citation statements)

References 13 publications

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“…In keeping with the recommendations provided by the ODPHP, our study results indicate that a brief, captioned video scripted at an elementary school level can be an effective method for patient instruction. These findings are consistent with prior work that has shown a benefit to video-based delivery ( Love et al, 2016 , Roman et al, 2016 , Van Acker and Kuriata, 2014 ).…”

Section: Discussionsupporting

confidence: 92%

Video education to improve recognition of common benign and malignant cutaneous lesions and skin cancer prevention in the public

Lenczowski

Tung-Hahn

Higareda

et al. 2018

International Journal of Women's Dermatology

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ObjectiveAlthough dermatologists strive to provide patient education on sun protection and skin cancer, approximately 90% of Americans have limited health literacy skills. Little has been written about the means to best teach all levels of learners to recognize common benign and malignant skin lesions. Earlier work found that with advancing age, adults were less able to identify concerning lesions, thus underscoring the need for accessible education.MethodsWe showed subjects a brief video (7th grade level) about common cutaneous growths, reducing the risk of skin cancer, and the importance of early detection. Subjects were asked about their skin cancer history, educational format preference, and the perceived impact of the video. Comprehension of symptoms of skin cancer and the benefits of sunscreen use and the ability to identify a melanoma, nevus, angioma, and seborrheic keratosis were also assessed.ResultsOf the 156 subjects, mean age 52.7 years (range, 18-88 years), 31% had a history of skin cancer. A total of 98.7% found the video to be helpful; 92% preferred having a video as part of their teaching versus 9% who preferred written materials alone, 99% knew that a new or changing lesion could signal skin cancer, and 100% correctly answered that wearing sunscreen is protective. Subjects correctly identified lesions as melanoma (99%), benign mole (97%), angiomas (96%), and seborrheic keratosis (91%). There was a nominal trend toward higher scores in people who preferred video learning, had no history of skin cancer, and were older than 60 years of age.ConclusionIn this study, we found that a brief, plain-language video was effective at conveying understandable content to help subjects learn to identify common cancerous and benign skin growths while also teaching them strategies to protect against skin cancer.

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Section: Discussionsupporting

confidence: 92%

Video education to improve recognition of common benign and malignant cutaneous lesions and skin cancer prevention in the public

Lenczowski

Tung-Hahn

Higareda

et al. 2018

International Journal of Women's Dermatology

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“…). From 22 included papers, detailed in Table S1 (see Supporting Information), we identified 18 included studies, as three papers reported on the same set of studies, with some reporting additional outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…More intervention studies ( n = 10) engaged in surveillance SSE practices were targeted at those of known risk due to their prior medical history or being older men, compared with focusing on screening SSE practice ( n = 8), for people at no increased risk of skin cancer, including healthy volunteers . Most studies ( n = 11) focused on SSE to detect melanoma, with the remaining ones not differentiating between melanoma and NMSC, but focusing on the detection of skin cancer or not.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of interventions to support the early detection of skin cancer through skin self‐examination: a systematic review and meta‐analysis

et al. 2019

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Summary Background As skin cancer incidence rises, there is a need to evaluate early detection interventions by the public using skin self‐examination (SSE); however, the literature focuses on primary prevention. No systematic reviews have evaluated the effectiveness of such SSE interventions. Objectives To systematically examine, map, appraise and synthesize, qualitatively and quantitatively, studies evaluating the early detection of skin cancer, using SSE interventions. Methods This is a systematic review (narrative synthesis and meta‐analysis) examining randomized controlled trials (RCTs) and quasiexperimental, observational and qualitative studies, published in English, using PRISMA and National Institute for Health and Care Excellence guidance. The MEDLINE, Embase and PsycINFO databases were searched through to April 2015 (updated in April 2018 using MEDLINE). Risk‐of‐bias assessment was conducted. Results Included studies (n = 18), totalling 6836 participants, were derived from 22 papers; these included 12 RCTs and five quasiexperiments and one complex‐intervention development. More studies (n = 10) focused on targeting high‐risk groups (surveillance) than those at no higher risk (screening) (n = 8). Ten (45%) study interventions were theoretically underpinned. All of the study outcomes were self‐reported, behaviour related and nonclinical in nature. Meta‐analysis demonstrated the impact of the intervention on the degree of SSE activity from five studies, especially in the short term (up to 4 months) (odds ratio 2·31, 95% confidence interval 1·90–2·82), but with small effect sizes. Risk‐of‐bias assessment indicated that 61% of the studies (n = 11) were of weak quality. Conclusions Four RCTs and a quasiexperimental study indicate that some interventions can enhance SSE activity and so are more likely to aid early detection of skin cancer. However, the actual clinical impact remains unclear, and this is based on overall weak study (evidence) quality.

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“…There have been several studies showing that knowledge-based interventions, especially WWW.MDEDGE.COM/DERMATOLOGY when delivered in Spanish, improve understanding of skin cancer, personal risk, and self-examinations, and we support Ms. Torres' efforts in utilizing her platform to provide information about melanoma in Spanish. [8][9][10][11][12] Radhika Srivastava, MD; Cindy Wassef, MD; Babar K. Rao, MD…”

Section: Authors' Responsementioning

confidence: 99%

Melanoma in Hispanics: We May Have It All Wrong

Cruzval-O’Reilly¹,

Lugo-Somolinos²

2020

Cutis

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A Trial Online Educational Melanoma Program Aimed at the Hispanic Population Improves Knowledge and Behaviors

Abstract: This study provides evidence that an online educational video targeted at the Hispanic population has potential to improve melanoma awareness. This type of intervention may lead to earlier diagnosis and better prognosis for Hispanic individuals.

Cited by 19 publications

References 13 publications

Video education to improve recognition of common benign and malignant cutaneous lesions and skin cancer prevention in the public

Video education to improve recognition of common benign and malignant cutaneous lesions and skin cancer prevention in the public

Effectiveness of interventions to support the early detection of skin cancer through skin self‐examination: a systematic review and meta‐analysis

Melanoma in Hispanics: We May Have It All Wrong

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