Development and initial validation of the Self-Efficacy for Skin Self-Examination Scale in a Canadian sample of patients with melanoma

Bergeron, Chantal; Moran, Chelsea; Coroiu, Adina; Körner, Annett

doi:10.1016/j.ejon.2019.03.006

“…Validation analyses conducted in the current sample found that higher knowledge scores were associated with younger age and more positive attitudes about SSE, but was not associated with educational attainment, melanoma stage, or past SSE (Coroiu et al). (Bergeron, Moran, Coroiu, & Körner, 2019). Self-confidence in performing effective SSE was measured using a 5-item self-report questionnaire.…”

Section: Other Measures: Independent Variablesmentioning

confidence: 99%

Short and Long-term Barriers and Facilitators of Skin Self-Examination Among Individuals Diagnosed with Melanoma

Coroiu

¹

,

Moran

²

,

Bergeron

³

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

Background Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a life-long risk of reoccurrence. The objective of the current study was to identify short- and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups. Method This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care. Primary Outcome Measures: Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes. Results Comprehensive SSE did not decrease significantly from 3 (M=2.7, SD=1.1) to 12 (M=2.6, SD=1.2) and 24 months (M=2.4, SD=1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months. Conclusions The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.

show abstract

“…Item 3 ("There are so many moles and freckles on my body that performing skin self-exams would be difficult") was reverse coded. A previous investigation of the psychometric properties of the scale in data collected at enrolment found that it was reliable (α = 0.74) and positively associated with physician support and intentions to perform SSE [11].…”

Section: Optimal Ssementioning

confidence: 91%

“…Self-efficacy for SSE [11] Self-confidence in performing effective SSE was measured using a 5-item self-report questionnaire. Response options ranged from 0 ("strongly disagree") to 3 ("strongly agree"), with possible total scores ranging from 0 to 15 and higher total scores indicating higher levels of self-efficacy for SSE.…”

Section: Optimal Ssementioning

confidence: 99%

Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma

Coroiu

¹

,

Moran

²

,

Bergeron

³

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a lifelong risk of reoccurrence. The objective of the current study was to identify short-and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups. Method: This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care. Primary outcome measures: Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes. Results: Comprehensive SSE did not decrease significantly from 3 (M = 2.7, SD = 1.1) to 12 (M = 2.6, SD = 1.2) and 24 months (M = 2.4, SD = 1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months. Conclusions: The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.

show abstract

“…Item 3 ("There are so many moles and freckles on my body that performing skin self-exams would be difficult") was reverse coded. A previous investigation of the psychometric properties of the scale in data collected at enrolment found that it was reliable (a=0.74) and positively associated with physician support and intentions to perform SSE (Bergeron et al, 2019).…”

Section: Other Measures: Independent Variablesmentioning

confidence: 91%

“…Self-Efficacy for SSE (Bergeron, Moran, Coroiu, & Körner, 2019). Self-confidence in performing effective SSE was measured using a 5-item self-report questionnaire.…”

Section: Other Measures: Independent Variablesmentioning

confidence: 99%

Short and Long-term Barriers and Facilitators of Skin Self-Examination Among Individuals Diagnosed with Melanoma

Coroiu

¹

,

Moran

²

,

Bergeron

³

et al. 2019

Preprint

Self Cite

0

View full text Add to dashboard Cite

Background Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a life-long risk of reoccurrence. The objective of the current study was to identify short- and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups. Method This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care. Primary Outcome Measures: Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes. Results Comprehensive SSE did not decrease significantly from 3 (M=2.7, SD=1.1) to 12 (M=2.6, SD=1.2) and 24 months (M=2.4, SD=1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months. Conclusions The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.

show abstract

Development and initial validation of the Self-Efficacy for Skin Self-Examination Scale in a Canadian sample of patients with melanoma

Cited by 12 publications

References 57 publications

Short and Long-term Barriers and Facilitators of Skin Self-Examination Among Individuals Diagnosed with Melanoma

Short and Long-term Barriers and Facilitators of Skin Self-Examination Among Individuals Diagnosed with Melanoma

Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma

Short and Long-term Barriers and Facilitators of Skin Self-Examination Among Individuals Diagnosed with Melanoma

Contact Info

Product

Resources

About