Psycho‐educational interventions for melanoma survivors: a systematic review

McLoone, Jordana K.; Menzies, Scott W.; Meiser, Bettina; Mann, Graham J.; Kasparian, Nadine A.

doi:10.1002/pon.3165

Cited by 34 publications

(27 citation statements)

References 59 publications

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“…Interventions typically target individuals’ use of photoprotection, including regular use of sunscreen and physical barriers such as protective clothing and shade structures, and reducing engagement in risk behaviors such as use of tanning booths. While primary prevention of melanoma is essential, recent literature has emphasized the importance of targeting cancer prevention approaches to those at elevated risk due to biological or behavioral risk factors (Diao & Lee, 2013; Manne et al, 2004; McLoone, Menzies, Meiser, Mann, & Kasparian, 2013; Miller et al, 2015; Niendorf & Tsao, 2006; Pharoah et al, 2002). Focusing on individuals at elevated risk for melanoma is particularly relevant because skin cancer prevention guidelines emphasize the importance of screening higher risk populations, as opposed to the general population, to facilitate early detection (U.S.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of interventions to improve adherence to melanoma preventive behaviors for individuals at elevated risk

Aspinwall

Conn

et al. 2016

Preventive Medicine

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Background and Objectives To examine the effectiveness of behavioral interventions for melanoma prevention targeted to individuals at elevated risk due to personal and/or family history. Methods Through literature searches in 5 search databases (through July 2014), 20 articles describing 14 unique interventions focused on melanoma prevention among individuals at elevated risk for the disease were identified. Interventions targeting only patients undergoing active treatment for melanoma were excluded. Results The average study quality was moderate. The majority of interventions (6 out of 9, 66% of studies) led to improvements in one or more photoprotective behaviors, particularly for improvements in use of protective clothing (3 out of 5, 60% of studies), and frequency and/or thoroughness of skin self-examinations (9 out of 12, 75%). Fewer interventions (5 out of 14, 36%) targeted uptake of total body skin examinations (60% led to improvements). Also, fewer interventions targeted all three preventive behaviors (5 out of 14, 36%). Conclusions Findings suggest future interventions should aim to improve adherence across multiple preventive behaviors, over a longer time period (past 8 months post-intervention), and target high-risk children. Studies should include adequate sample sizes to investigate moderators and mediators of intervention effectiveness. Interventions may be strengthened by new techniques, such as incorporating family members (e.g., to improve thoroughness of skin self-examinations) and eHealth technology.

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Section: Introductionmentioning

confidence: 99%

A systematic review of interventions to improve adherence to melanoma preventive behaviors for individuals at elevated risk

Aspinwall

Conn

et al. 2016

Preventive Medicine

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“…German guidelines extend this by recommending implementation of regular psycho-oncological screening to identify and offer psychological care to people with melanoma experiencing difficulties adjusting to their disease 8. Several psychoeducational interventions for patients with melanoma have been reported in the literature, with beneficial outcomes 9. In a systematic review of 16 interventions, McLoone et al concluded that participation in psychological interventions resulted in lower anxiety, health-related distress and melanoma recurrence rates and positive changes in coping with illness 9…”

Section: Introductionmentioning

confidence: 99%

“…8 Open Access interventions for patients with melanoma have been reported in the literature, with beneficial outcomes. 9 In a systematic review of 16 interventions, McLoone et al concluded that participation in psychological interventions resulted in lower anxiety, health-related distress and melanoma recurrence rates and positive changes in coping with illness. 9 People at high-risk of a subsequent melanoma are particularly vulnerable to distress.…”

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confidence: 99%

“…9 In a systematic review of 16 interventions, McLoone et al concluded that participation in psychological interventions resulted in lower anxiety, health-related distress and melanoma recurrence rates and positive changes in coping with illness. 9 People at high-risk of a subsequent melanoma are particularly vulnerable to distress. Seventy-five per cent of survivors with high-risk melanoma report persistent fear and uncertainty about the possibility of developing new disease, cancer recurrence or metastases.…”

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confidence: 99%

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Psychoeducational intervention for people at high risk of developing another melanoma: a pilot randomised controlled trial

et al. 2017

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IntroductionInformation and psychological needs have been reported as one of the greatest areas of unmet needs for patients with melanoma. To respond to these needs, we developed theMelanoma Care Intervention,a developed psychoeducational intervention for people at high risk of developing another melanoma comprising of a newly developed melanoma educational booklet and individually tailored telephone support sessions provided by trained psychologists. The purpose of this study was to investigate the acceptability and feasibility of theMelanoma Care Intervention.MethodsTwenty-four adults (14 men, 10 women, mean age: 58 years, SD: 12.2) at high risk of developing a subsequent primary melanoma were recruited and randomly assigned 1:1 to the intervention (a psychoeducational booklet, a Cancer Council booklet on melanoma and up to five telephone-based sessions with a psychologist) or usual care (Cancer Council booklet only). Acceptability, feasibility, fear of cancer recurrence and secondary psychosocial outcomes were assessed at baseline, 1 and 6 months.ResultsSatisfaction and perceived benefits were rated highly for all intervention components, particularly the telephone-based psychology sessions (mean satisfaction and benefits: both 9.27 out of 10, SD=2.41). The quality of information and support provided throughout the trial was rated as ‘high’ by the intervention group, with a mean score of 4.6 out of a possible 5 (SD=0.9) and 4.2 (SD=1.2) for the control group.ConclusionsThe intervention was feasible and acceptable for improving psychological adjustment. Timely access to effective, evidence-based, psychological care is a recognised need for people with melanoma. The intervention is designed to directly address this need in a way that is feasible in a clinical setting, acceptable to patients and health professionals.Trial registration numberThe trial was registered with the Australian and New Zealand Clinical Trials Registry on 19/03/2013 (Registration Number: ACTRN12613000304730).

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“…• Psychosocial interventions must be based on clinical practice guidelines or the NCCN Guidelines for Distress Management (McLoone et al, 2013).…”

Section: Essential Requirementsmentioning

confidence: 99%

ECCO essential requirements for quality cancer care for melanoma: Defining how to organise care

Wouters

2018

European Journal of Surgical Oncology

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Psycho‐educational interventions for melanoma survivors: a systematic review

Abstract: Interventions in this field vary widely, limiting the identification of 'active ingredients' for psychological or behavioral change. Future intervention studies should ensure sufficient information is provided to support program replication and comprehensive assessment of program outcomes.

Cited by 34 publications

References 59 publications

A systematic review of interventions to improve adherence to melanoma preventive behaviors for individuals at elevated risk

A systematic review of interventions to improve adherence to melanoma preventive behaviors for individuals at elevated risk

Psychoeducational intervention for people at high risk of developing another melanoma: a pilot randomised controlled trial

ECCO essential requirements for quality cancer care for melanoma: Defining how to organise care

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