Sun behaviour patterns and perception of illness among melanoma patients

Živković, Maja; Dediol, Iva; Ljubičić, Ivana; Šitum, Mirna

doi:10.1111/j.1468-3083.2011.04154.x

Cited by 21 publications

(14 citation statements)

References 13 publications

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“…Few studies have included a control group[23, 24, 26, 35]; the largest to date compared 156 melanoma survivors to 11408 respondents without cancer who participated in 2005 and 2007 National Cancer Institute Health Information National Trends Surveys (HINTS). [26] Notably, the results were similar to our study, though HINTS respondents reported slightly lower frequencies of sunscreen use.…”

Section: Discussionmentioning

confidence: 99%

Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls

Vogel

Strayer

Engelman

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Introduction Melanoma is considered a generally preventable cancer, with excessive ultraviolet radiation (UVR) exposure being a strong causal factor. UVR exposure following a melanoma diagnosis can be modified to reduce risk of second primary melanomas. The goal of this study was to compare measures of UVR exposure and protection behaviors between long-term melanoma survivors and controls. Methods Participants from a previously conducted case-control study were recruited for a cross-sectional survey. Melanoma cases were 25–59 years old at diagnosis; controls were age and sex matched. Participants were asked about UVR exposure and protection measures used in the past year and comparisons between melanoma survivors and controls were conducted using logistic regression models, adjusting for potential confounders. Results A total of 726 (67.7%) long-term melanoma survivors and 657 (60.9%) controls completed the follow-up survey. Melanoma survivors were significantly less likely to report high sun exposure on a typical weekday (OR=0.72 [0.55–0.94]), sunburns (OR=0.40 [0.30–0.53]), or indoor tanning (OR=0.20 [0.09–0.44]) than controls; however high sun exposure on a typical weekend day was similar. Report of optimal sun protection behaviors were higher in melanoma survivors compared to controls. However, a few melanoma survivors reported indoor tanning, 10% reported intentionally seeking sun to tan, and 20% reported sunburns. Conclusion Although long term melanoma survivors reported healthier UVR exposure and protection behaviors compared to controls, a sizeable proportion still reported elevated sun exposure, sunburns, and suboptimal UVR protection behaviors. Impact Opportunities remain for improving sun protection to reduce future melanoma risk among melanoma survivors.

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Section: Discussionmentioning

confidence: 99%

Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls

Vogel

Strayer

Engelman

et al. 2017

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…This study was designed to provide a basis for strategies to increase sun‐protective behaviours in patients who might not otherwise practise them. Because patients with a personal history of skin cancer are at particularly high risk for subsequent NMSC, and are also known to practise increased sun‐protective behaviours, 19 496 participants who reported a history of skin cancer, including Bowen disease, were excluded. Thus, the final study sample consisted of 198 patients with no personal history of skin cancer, in order to best approximate the first dermatology appointment after transplantation.…”

Section: Methodsmentioning

confidence: 99%

Factors affecting sunscreen use and sun avoidance in a U.S. national sample of organ transplant recipients

Mihalis

Wysong

Boscardin³

et al. 2013

British Journal of Dermatology

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Background Organ transplant recipients have an increased risk of non-melanoma skin cancers (NMSC) due to immunosuppressive therapy following transplantation. Use of sunscreen has been shown to reduce this risk. Objectives This study sought to identify patient and healthcare factors associated with sun protective behaviours in organ transplant recipients after transplantation with the goal of increasing overall sunscreen use. Methods This study utilized a cross-sectional, retrospective survey from a national sample of one hundred and ninety eight organ transplant recipients in the US from 2004–2008 with no prior diagnosis of skin cancer. The main outcome measures were sunscreen use and sun avoidance before and after transplantation. Frequency of sunscreen use and sun exposure was obtained by self-report on Likert scales ranging from never to always, and these responses were converted to a numerical scale from 0 to 4. Results Overall sunscreen use increased after transplantation (from 1.4 to 2.1, p< 0.001). Sex, Fitzpatrick skin type, receiving advice to avoid sun from a healthcare provider, and pre-transplantation sunscreen use were significantly associated with frequency of post-transplantation sunscreen use in multivariate models. Pre-transplantation sun exposure, advice to avoid sun, and pre-transplantation sunscreen use were significantly associated with sun avoidance post-transplantation. Conclusions Both patient features and clinician advice are associated with sun protective behaviours after organ transplantation. These results help physicians target expanded sun protection counseling to those patients most in need of such intervention.

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“…However, few studies have applied the BIPQ to cancer patients, and no studies have yet applied it to HSCT recipients. Evidence suggests that patients' positive perceptions of their disease and side effects accompany a clearer understanding of their illness and enhanced self-management (Zivkovic et al, 2012). This sub-study of the PROVIVO study was the first to administer the German version of the BIPQ in long-term survivors (Kirsch et al, 2015).…”

Section: Introductionmentioning

confidence: 96%

Perception of late effects among long-term survivors after haematopoietic stem cell transplantation: Descriptive analysis and validation of the Brief Illness Perception Questionnaire. A sub-study of the PROVIVO study

Valenta

Geest

Fierz

et al. 2017

European Journal of Oncology Nursing

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a b s t r a c tPurpose: To give a first description of the perception of late effects among long-term survivors after Allogeneic Haematopoietic Stem Cell Transplantation (HSCT) and to validate the German Brief Illness Perception Questionnaire (BIPQ). Methods: This is a secondary analysis of data from the cross-sectional, mixed-method PROVIVO study, which included 376 survivors from two Swiss HSCT-centres. First, we analysed the sample characteristics and the distribution for each BIPQ item. Secondly, we tested three validity types following the American Educational Research Association (AERA)Standards: content validity indices (CVIs) were assessed based on an expert survey (n ¼ 9). A confirmatory factor analysis (CFA) explored the internal structure, and correlations tested the validity in relations to other variables including data from the Hospital Anxiety and Depression Scale (HADS), the number and burden of late effects and clinical variables. Results: In total, 319 HSCT recipients returned completed BIPQs. For this sample, the most feared threat for post-transplant life was long lasting late effects (median ¼ 8/10). The expert-survey revealed an overall acceptable CVI (0.82), three itemseon personal control, treatment control and causal representationeyielded low CVIs (<.78). The CFA confirmed that the BIPQ fits the underlying construct, the Common-Sense Model (CSM) (c 2 (df) ¼ 956.321, p ¼ 0.00). The HADS-scores correlated strongly with the item emotional representation (r ¼ 0.648; r ¼ 0.656). Conclusion: According to its overall content validity, the German BIPQ is a promising instrument to gain deeper insights into patients' perceptions of HSCT late effects. However, as three items revealed potential problems, improvements and adaptions in translation are therefore required. Following these revisions, validity evidence should be re-examined through an in-depth patient survey.

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Sun behaviour patterns and perception of illness among melanoma patients

Cited by 21 publications

References 13 publications

Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls

Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls

Factors affecting sunscreen use and sun avoidance in a U.S. national sample of organ transplant recipients

Perception of late effects among long-term survivors after haematopoietic stem cell transplantation: Descriptive analysis and validation of the Brief Illness Perception Questionnaire. A sub-study of the PROVIVO study

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