Educational Outcomes Regarding Skin Cancer in Organ Transplant Recipients

Clowers-Webb, Holly E.; Christenson, Leslie J.; Phillips, P. Kim; Roenigk, Randall K.; Nguyen, Tri H.; Weaver, Amy L.; Otley, Clark C.

doi:10.1001/archderm.142.6.712

Cited by 56 publications

(26 citation statements)

References 18 publications

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“…The least amount of training can also be effective because patients who receive systematic training in this respect have better compliance than other patients. [28] Regarding sun protection, single and young patients had significantly better adherence, which was consistent with the results of the study by Gheith et al . [14] This could be due to younger patients' greater attention to their appearance.…”

Section: Discussionsupporting

confidence: 91%

Nonadherence behaviors and some related factors in kidney transplant recipients

Hedayati

Shahgholian

Ghadami

2017

Iranian J Nursing Midwifery Res

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Background:Kidney transplantation is the renal replacement therapy of choice for most patients with end-stage renal disease (ESRD), however, adherence to the recommended lifestyle is critical for a positive prognosis. The purpose of this study was to assess adherence to immunosuppressive therapy and lifestyle recommendations along with some related factors among kidney transplant patients.Materials and Methods:In this descriptive analytical study, all patients completed a questionnaire regarding medication intake and lifestyle recommendations (preventing of infection, self-monitoring, prevention of cardiovascular disease (CVD), and sun protection). The participants were divided into 4 groups according to the level of adherence (good, partial, poor, and nonadherent) indicated in their responses.Results:Most kidney recipients were adherent to their drug prescriptions, but were partial, poor, or nonadherent regarding lifestyle recommendations. Increased passage of time since transplantation and low family support and educational level resulted in nonadherence. Men showed greater adherence to medication intake than women. Patients with lower number of drugs and reported drug side-effects illustrated better adherence to medication intake. Women adhered to infection protection recommendations more than men, and older and married patients adhered to cardiovascular prevention recommendations more than others. However, younger patients showed greater adherence to self-monitoring recommendations, and singles, young individuals, and women were adherent to sun protection recommendations.Conclusions:Nonadherence is common among kidney transplant recipients. Thus, it is necessary to determine patients who are at risk of nonadherence and to introduce more educational programs to improve their adherence and their quality of life (QOL).

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Section: Discussionsupporting

confidence: 91%

Nonadherence behaviors and some related factors in kidney transplant recipients

Hedayati

Shahgholian

Ghadami

2017

Iranian J Nursing Midwifery Res

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“…Other similar studies have used print or verbal information as interventions. Clowers-Webb et al 8 did not find improvement in skin cancer knowledge (time since transplant unknown) 3–9 months after routine standard verbal and print skin cancer education versus repetitive print information plus the routine education. However, these authors noted that their transplantation program provided skin cancer information before, rather than after, transplantation.…”

Section: Discussionmentioning

confidence: 92%

“…This finding is consistent with results from Kim et al, 12 but contradicts other reports of significantly increased SSE from baseline evaluation up to 9 months in SOTR who received printed skin cancer information and verbal advice posttransplantation. 8,9 We did not assess SSE barriers such as age or vision. The video did not contain step-by-step SSE instructions (these were in the brochure), so SOTR may require more in-depth visual teaching strategies.…”

Section: Discussionmentioning

confidence: 99%

“…7 There are few studies of skin cancer prevention and detection information delivery for SOTR. Existing studies have used print and verbal information interventions, 8,9 which may not sustain skin cancer knowledge, attitudes, and behaviors. 8,10 Interventions such as video have not been studied in SOTR, yet transplantation experts have suggested that video is an important messaging strategy.…”

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confidence: 99%

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A Preliminary Study of a Video Intervention to Inform Solid Organ Transplant Recipients About Skin Cancer

Loescher

Hansen

Hepworth

et al. 2013

Transplantation Proceedings

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Purpose To obtain preliminary evidence on the effect of a skin cancer prevention video for adult solid organ transplant recipients (SOTR) and informational brochures on outcomes of skin cancer knowledge, beliefs, prevention and detection behaviors, and personal agency (self-confidence/personal control) for behaviors. Background SOTR have a high risk of skin cancer potentiated by life-long immunosuppressive therapy posttransplantation. Skin cancer in SOTR is aggressive and difficult to treat. Prevention and early detection are important for reducing risk and improving skin cancer outcomes, but methods to inform SOTR about their risk are understudied. Methods A brief, evidence-based skin cancer informational video tailored to SOTR was evaluated using a quasi-experimental design that compared the outcome variables in two groups of SOTR seen in 4 transplantation clinics within 4–6 weeks posttransplantation. The video/brochure group (VBG) viewed the video once and received skin cancer information brochures. The brochure group (BG) received brochures only. Participants completed a survey on sun protection behavior (6 items; alpha = 0.75), personal agency (6 items; alpha = 0.64), beliefs (6 items; alpha = 0.60), skin cancer knowledge (6 items), and skin self-examination (SSE; 1 item) at baseline and 3 months postintervention. Data were analyzed using descriptive statistics and 2 × 2 analysis of variance. Results Of 113 participants, 90 completed both surveys (VBG, n = 46; BG, n = 44). Both groups had a significant increase in sun protective behavior (P < .001), skin cancer knowledge (P < .001), beliefs (P = .003), and personal agency (P = .003). There was no effect of either intervention on SSE. Conclusion Both interventions effectively informed SOTR about skin cancer and sun protection, promoted favorable beliefs, and improved personal agency, but were not differentially effective, suggesting that the addition of the video may not be necessary or that the video may need to be viewed more than once. More in-depth SSE teaching strategies may be necessary.

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“…(6–8) Recent studies of targeted educational interventions for adult kidney transplant recipients have shown efficacy in improving compliance with sun-protection recommendations and promoting skin self-exams. (9, 10)…”

Section: Introductionmentioning

confidence: 99%

Skin cancer risk education in pediatric solid organ transplant patients: an evaluation of knowledge, behavior, and perceptions over time

Coughlin

Pérez

Kumar

et al. 2016

Pediatric Transplantation

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Skin cancer risk is elevated in solid organ transplant recipients (OTRs). Studies of skin cancer awareness and sun-protection behaviors in pediatric transplant recipients (pOTRs) have not been reported. We measured effects over time of a multimodal educational intervention on knowledge of sun-protection practices and skin cancer risk, engagement in sun-protection behaviors, and self-efficacy and perceived barriers to photoprotection in pOTRs, their guardians, and a comparison group of children and guardians. Knowledge about skin cancer risk increased in pOTRs and their guardians (P ≤ .01) and frequency of pOTRs’ sun-protection behaviors reported by pOTRs and their guardians also improved.

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Educational Outcomes Regarding Skin Cancer in Organ Transplant Recipients

Cited by 56 publications

References 18 publications

Nonadherence behaviors and some related factors in kidney transplant recipients

Nonadherence behaviors and some related factors in kidney transplant recipients

A Preliminary Study of a Video Intervention to Inform Solid Organ Transplant Recipients About Skin Cancer

Skin cancer risk education in pediatric solid organ transplant patients: an evaluation of knowledge, behavior, and perceptions over time

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