Correlates of sun protection behaviors among melanoma survivors

Heckman, Carolyn J.; Manne, Sharon L.; Kashy, Deborah A.; Bhurosy, Trishnee; Ritterband, Lee M.; Coups, Elliot J.

doi:10.1186/s12889-021-10951-1

Cited by 11 publications

(21 citation statements)

References 38 publications

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Section: Methodsmentioning

confidence: 99%

“…Six items assess benefits of engaging in sun protective behaviors (1= strongly disagree to 5= strongly agree ) [ 55 , 56 ]. Nine items assess the benefits of engaging in CSE [ 55 , 57 , 58 ]. Ten items assess the benefits of engaging in SSE (1= strongly disagree to 5= strongly agree ) [ 55 , 57 , 58 ].…”

Section: Methodsmentioning

confidence: 99%

“…Nine items assess the benefits of engaging in CSE [ 55 , 57 , 58 ]. Ten items assess the benefits of engaging in SSE (1= strongly disagree to 5= strongly agree ) [ 55 , 57 , 58 ]. An average is computed, and higher scores indicate more benefits.…”

Section: Methodsmentioning

confidence: 99%

“…Fifteen items assess common barriers to using sunscreen and wearing sun protective clothing (1= strongly disagree to 5= strongly agree) [ 55 , 56 ] . Seven items assess common barriers to having a CSE, and 8 items measure common barriers to having an SSE [ 55 , 57 , 58 ]. The averages are computed for each scale, and higher scores indicate more barriers.…”

Section: Methodsmentioning

confidence: 99%

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Facebook Intervention for Young-Onset Melanoma Survivors and Families: Protocol for a Randomized Controlled Trial

Manne¹,

Pagoto²,

Peterson³

et al. 2023

JMIR Res Protoc

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Background Individuals diagnosed with melanoma before the age of 40 years (young-onset melanoma survivors) and their first-degree relatives (FDRs) are a growing population at risk for developing recurrent melanoma or new melanomas. Regular surveillance using clinical skin examination (CSE) and skin self-examination (SSE) and engagement in preventive behaviors including sun protection are recommended. Given the growing population of survivors and their families who are at increased risk, it is surprising that no behavioral interventions have been developed and evaluated to improve risk-reduction behaviors. Objective We describe the rationale and methodology for a randomized controlled trial evaluating the efficacy of a Facebook intervention providing information, goal setting, and peer support to increase CSE, SSE, and sun protection for young-onset melanoma survivors and their FDRs. Methods Overall, 577 survivors and 577 FDRs will be randomly assigned to either the Young Melanoma Family Facebook Group or the Melanoma Family Healthy Lifestyle Facebook Group condition. Participants will complete measures of CSE, SSE, and sun protection, and mediator measures of attitudes and beliefs before and after the intervention. The primary aim is to evaluate the impact of the Young Melanoma Family Facebook intervention versus the Melanoma Family Healthy Lifestyle Facebook intervention on CSE, SSE frequency and comprehensiveness, and sun protection among FDRs. The secondary aims examine the efficacy of the Young Melanoma Family Facebook intervention on survivors’ SSE frequency and comprehensiveness and sun protection behaviors and mechanisms of intervention efficacy for intervention impact on FDR and survivor outcomes. The exploratory aim is to evaluate the efficacy of the 2 interventions on perceived stress, physical activity, and healthy eating. Results This project was funded by the National Institutes of Health (R01CA221854). The project began in May 2018, and recruitment started in January 2019. We anticipate completing enrollment by November 2023. Power calculations recommended a sample size of 577 survivors and 577 FDRs. Multilevel modeling treating family as the upper-level sampling unit and individual as the lower-level sampling unit will be the primary data analytic approach. Fixed effect predictors in these models will include condition, role, sex, all 2- and 3-way interactions, and covariates. Conclusions The Young Melanoma Family Facebook intervention aims to improve primary and secondary skin cancer prevention for young-onset melanoma survivors and their family members. The intervention’s delivery via a popular, freely available social media platform increases its impact because of the potential for dissemination in many contexts. If efficacious, this program could be disseminated by dermatologist practices, public health or nonprofit organizations focused on melanoma, and existing melanoma and skin cancer Facebook groups, thereby expanding its reach. This project will produce a content library of posts and a moderation guide for others. Trial Registration ClinicalTrials.gov NCT03677739; https://clinicaltrials.gov/ct2/show/NCT03677739 International Registered Report Identifier (IRRID) DERR1-10.2196/39640

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Facebook Intervention for Young-Onset Melanoma Survivors and Families: Protocol for a Randomized Controlled Trial

Manne¹,

Pagoto²,

Peterson³

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

show abstract

“…This model suggests that individuals’ engagement in preventive behaviors is influenced by multiple determinants, including background (e.g., demographic variables), affective, cognitive, and social factors [ 22 ]. This model has been utilized to predict skin cancer-related preventive behaviors (e.g., sun protection) in previous studies [ 23 , 24 , 25 ] and has also been used to investigate psychological correlates of sun protection behaviors among Hispanics in the US [ 15 , 16 , 26 , 27 ]. This study can inform future policies, outreach interventions, and research to mitigate the risks of sun exposure in this population.…”

Section: Introductionmentioning

confidence: 99%

Sunburns and Sun Protection Behaviors among Male Hispanic Outdoor Day Laborers

Niu

Riley

Stapleton

et al. 2022

IJERPH

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Individuals who work outside are at increased risk for skin cancer due to excessive exposure to ultraviolet (UV) radiation. Little is known about UV exposures and sun safety practices of outdoor day laborers, who are disproportionately Hispanic. This study identified the correlates of sunburn and sun protection behaviors in a sample of male, Hispanic day laborers (n = 175). More than half of the participants (54.9%) experienced one or more sunburns when working during the past summer, and 62.9% reported having one or more symptoms of heat illness. The frequency of engaging in sun protection behaviors was suboptimal, including sunglasses use (M = 2.68, SD = 1.71), staying in the shade (M = 2.30, SD = 0.94), wearing sunscreen (M = 2.10, SD = 1.39), and wearing a wide-brimmed hat (M = 1.75, SD = 1.32), based on a 5-point scale (1 = never; 5 = always). Lower education level, higher levels of skin sensitivity to the sun, any symptom of heat illness, fewer barriers to wearing a wide-brimmed hat, and not wearing a wide-brimmed hat were associated with a greater number of sunburns. Factors associated with each sun protection behavior varied. Implications and directions for future research are discussed.

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