Can adopting skin cancer preventive behaviors among seafarers be increased via a theory-based mobile phone-based text message intervention? A randomized clinical trial

Heydari, Esmat; Dehdari, Tahereh; Solhi, Mahnaz

doi:10.1186/s12889-020-09893-x

Cited by 8 publications

(7 citation statements)

References 24 publications

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“…In the current context, where the public has no previous experience with a global pandemic of this magnitude, science-based information on the origin of the virus and its dangers, which is given to the public through the healthcare system, as well as the government and the media, can cause fear (Chang et al, 2020 ). Within PMT, appellate information is seen as an important stimulus for behavior modification (Brouwers and Sorrentino, 1993 ; Heydari et al, 2021 ; Kowalski and Black, 2021 ). In addition, in our study, fears were also assessed in relation to the health of significant others.…”

Section: Discussionmentioning

confidence: 99%

Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model

et al. 2021

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Background: While COVID-19 has rapidly spread around the world, and vaccines are not widely available to the general population, the World Health Organization outlines preventive behavior as the most effective way to limit the rapid spread of the virus. Preventive behavior is associated with a number of factors that both encourage and discourage prevention.Aim: The aim of this research was to study COVID-19 threat appraisal, fear of COVID-19, trust in COVID-19 information sources, COVID-19 conspiracy beliefs and the relationship of socio-demographic variables (gender, age, level of education, place of residence, and employment status) to COVID-19 preventive behavior.Methods: The data originate from a national cross-sectional online survey (N = 2,608) undertaken in July 2020. The data were analyzed using structural equation modeling.Results: COVID-19 threat appraisal, trust in COVID-19 information sources, and fear of COVID-19 are all significant predictors of COVID-19 preventive behaviors. Together they explain 26.7% of the variance of this variable. COVID-19 conspiracy beliefs significantly negatively predict COVID-19 threat appraisal (R2 = 0.206) and trust in COVID-19 information sources (R2 = 0.190). COVID-19 threat appraisal contributes significantly and directly to the explanation of the fear of COVID-19 (R2 = 0.134). Directly, as well as mediated by COVID-19 conspiracy beliefs, threat appraisal predicts trust in COVID-19 information sources (R2 = 0.190). The relationship between COVID-19 threat appraisal and COVID-19 preventive behaviors is partially mediated by fear of COVID-19 (indirect effect 28.6%) and trust in information sources (15.8%). Socio-demographic variables add very little in prediction of COVID-19 preventive behavior.Conclusions: The study results demonstrate that COVID-19 threat appraisal is the most important factor associated with COVID-19 preventive behavior. Those Latvian residents with higher COVID-19 threat appraisal, experienced higher levels of fear of COVID-19, had more trust in COVID-19 information sources, and were more actively involved in following COVID-19 preventive behaviors. COVID-19 conspiracy beliefs negatively predict COVID-19 threat appraisal and trust in COVID-19 information sources, but not the COVID-19 preventive behaviors. Socio-demographic factors do not play an important role here.

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Section: Discussionmentioning

confidence: 99%

Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model

et al. 2021

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“…This could be explained by a young survey population, corresponding to a generation accustomed to the digital [46]. Nowadays, digital applications are common in clinical prevention practices, for example for gestational age calculation [47], physical exercise measurement [48], cardiovascular risk factor measurement [49], weight loss measurement [50], skin cancer prevention [51] with an application where a person could be shown on a screen with the consequences of unprotected sun exposure on his or her face [52]. The smartphone can be useful in health promotion by encouraging a healthier lifestyle [53].…”

Section: Approachabilitymentioning

confidence: 99%

A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study

Albouy

Parthenay

Nogues

et al. 2022

IJERPH

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Introduction: The digitalized PREVED (PREgnancy, PreVention, Endocrine Disruptor) questionnaire was used in the clinical practices of health professionals (HP) who adhered to the MEDPREVED strategy. The objectives were to assess the strategy and to determine if it could improve access to endocrine disruptor (ED) exposure prevention. Methods: After having filled in the digital questionnaire in HP waiting rooms, patients were invited to talk about ED exposure during the consultation. HPs were previously trained in ED and had received a prevention kit for their patients. After the seven-month implementation phase, the evaluation phase consisted of five mixed assessments: interviews with: (i) patients who were young children’s parents; (ii) patients in the general population; (iii) paediatricians; (iv) midwives; and a quantitative study on GPs. Assessment concerned feasibility, accessibility, and usefulness of the strategy; we then used the Levesque model to evaluate how it could improve access to ED exposure prevention. Results: The study included 69 participants. The strategy appeared feasible for the filling-out step due to digital and environment access. However, it depended on patient and HP profiles. The strategy seemed useful insofar as it facilitated reflexive investment, an intention to healthy behaviour and, rather rarely, talk about ED exposure. The beginning of this discussion depended on time, prioritizing of the topic and HP profile. The strategy has confirmed the Levesque model’s limiting factors and levers to access ED prevention. Conclusions: The MEDPREVED strategy is feasible, accessible, and useful in clinical prevention practice. Further study is needed to measure the impact on knowledge, risk perception and behavior of beneficiaries of the MEDPREVED strategy in the medium and long term.

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“…At the end of each day, a question related to the health messages, educational le, or clip is proposed, and the participant sends his answer in audio or text. Messages are based on the scienti c literature on topics related to improving sun protection behavior (7,12,33). The educational content will be prepared after an extensive literature review on sun protection interventions ((33-39)).…”

Section: ) Whatsapp Appmentioning

confidence: 99%

“…Skin cancer is one of the most serious public health problems and is the most common type of cancer in people with fair skin in many parts of the world (6). Evidence from Iran have shown that due to high sunlight in most seasons and lack of proper coverage like outdoor clothing and hats, skin cancer has been increasing in recent years (7). The annual UV index average map in Iran shows a very high index in the country's southern half.…”

Section: Introductionmentioning

confidence: 99%

Photoaging and theory-based intervention to improve sun protection behaviors in students in Zahedan: study protocol for a randomized controlled trial

Okati–Aliabad

Hosseini

Sharifabad

et al. 2022

Preprint

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Background: Excessive exposure to solar ultraviolet (UV) radiation can cause skin cancer. Implementing new technologies and computational algorithms can potentially change the outlook for cancer prevention and facilitate early detection of melanoma, thereby reducing mortality. Mobile technology as a potential provider of health services in delivering health information and conducting interventions, especially in skin fields, where a significant part of diagnosis is based on visual examination, can be important. Evidence showed that constructs of protection motivation theory (PMT) were good predictors of practicing sun protection behaviors in students. This study will investigate whether mobile applications improve safe and healthy behaviors and affect students' reduced UV exposure.Method/design: This randomized controlled trial will be conducted on 320 students in 06/04/2022 in Zahedan. We created mobile applications (Sunshine and Skin Health and WhatsApp apps). Sunshine and Skin Health app allows users to see their changed faces in three stages of adolescence, middle age, and old age based on sun protection behavior. The WhatsApp app has 27 health messages based on PMT theory, eight educational files, and a skin cancer clip that will be sent through WhatsApp during a week. Randomization will be performed using a 1:1 (control: intervention) ratio. The primary endpoint is the group difference in sun-protective behaviors immediately after the intervention. The secondary endpoint is the group difference in sun-protective behaviors at a 3-month follow-up. The data will be analyzed in SPSS.22, and the significance level will be considered 0.05.Discussion: The present study examines the effectiveness of mobile applications in improving sun-protective behaviors. If this intervention enhances sun protection behaviors, it can prevent students' skin damage. Trial registration: This trial was prospectively registered on the Iranian Registry of Clinical Trials on February 8, 2021 (IRCT20200924048825N1).

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Can adopting skin cancer preventive behaviors among seafarers be increased via a theory-based mobile phone-based text message intervention? A randomized clinical trial

Cited by 8 publications

References 24 publications

Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model

Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model

A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study

Photoaging and theory-based intervention to improve sun protection behaviors in students in Zahedan: study protocol for a randomized controlled trial

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