Tailored versus generic interventions for skin cancer risk reduction for family members of melanoma patients.

Manne, Sharon L.; Jacobsen, Paul B.; Ming, Michael E.; Winkel, Gary; Dessureault, Sophie; Lessin, Stuart R.

doi:10.1037/a0021387

Cited by 55 publications

(87 citation statements)

References 36 publications

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“…A recent meta-analysis revealed that tailored messages in computer-mediated safer-sex interventions significantly impacted two mediator variables: sexual/condom attitudes and condom self-efficacy (Noar, Pierce, & Black, 2010). For messages promoting skin cancer detection behaviors, Manne et al (2010) observed that tailoring effects were mediated by intentions but not perceived benefits, barriers, or sunscreen self-efficacy. Most relevant to the present study, Updegraff et al (2007) found that increased message scrutiny and a host of message perceptions (persuasiveness, clarity, accuracy, memorability, importance, helpfulness, and usefulness) mediated the relationship between tailored information and flossing behavior.…”

Section: Tailored Communicationmentioning

confidence: 98%

Why are Tailored Messages More Effective? A Multiple Mediation Analysis of a Breast Cancer Screening Intervention

et al. 2012

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Past research has found that tailoring increases the persuasive effectiveness of a message. However, the observed effect has been small and the explanatory mechanism remains unknown. To address these shortcomings, a tailoring software program was created that personalized breast cancer screening pamphlets according to risk, health belief model constructs, and visual preference. Women aged 40 and older (N = 119) participated in a 2 (tailored vs. stock message) × 2 (charts/graphs vs. illustrated visuals) × 3 (nested replications of the visuals) experiment. Participants provided with tailored illustrated pamphlets expressed greater breast cancer screening intentions than those provided with other pamphlets. In a test of 10 different mediators, perceived message relevance was found to fully mediate the tailoring × visual interaction.

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Section: Tailored Communicationmentioning

confidence: 98%

Why are Tailored Messages More Effective? A Multiple Mediation Analysis of a Breast Cancer Screening Intervention

et al. 2012

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“…They observed an increase in the number of self-reported skin self-examinations by the treatment group (OR, 1.76; 95% CI, 1.06–2.91). Similarly, Manne et al (19) compared a tailored phone and print intervention to generic phone and print interventions among first-degree relatives of melanoma patients. They found that those randomized to the tailored intervention reported significantly greater sun protection habits and were almost twice as likely to have a total skin examination by a doctor.…”

Section: Introductionmentioning

confidence: 99%

Effects of Tailored Risk Communications for Skin Cancer Prevention and Detection: The PennSCAPE Randomized Trial

Glanz

Volpicelli

Jepson

et al. 2015

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Prevention and early detection measures for melanoma, such as sun avoidance and skin examinations, are important, but are practiced inconsistently. In this replication of the Project SCAPE trial, we sought to determine whether tailored print materials were more effective at improving adherence than generic print materials for patients at increased-risk of skin cancer. Methods Participants were randomized to receive personalized mailed communications about their skin cancer risk and recommended sun protection, or generic mailings. Participants were Caucasian adults, at moderate or high risk for skin cancer, recruited in outpatient primary care. The main outcomes were overall sun protection behaviors and specific protective behaviors including use of sunscreen, shirt, hat, sunglasses, shade and sun avoidance; recent sunburns; and skin self-examination and provider skin examination. Results One hundred ninety-two (93.2%) subjects completed the study. Six outcome variables showed significant intervention condition effects in mixed effects models: overall sun protection behavior (p = .025); sunscreen use (p = .026); use of sunglasses (p = .011); sunburns in the past three months (p = .033); recency of last skin self-exam (p = .017); and frequency of skin exams by health care provider (p = .016). Conclusions Relative to generic communications, tailored risk communications resulted in improved adherence to six skin cancer protective behaviors, including a composite sun protection behavior measure, sunburns, and health care provider skin examinations. Impact Tailored interventions can be more effective in improving patient prevention behaviors than non-tailored, generic information for patients at moderate to high risk of skin cancer.

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“…Individuals in a comparison group received the same educational information but not tailored to their responses and risk profile. The tailored intervention led to improvements in sun protection and total body skin exam (TBSE) behaviors assessed 12 months later, but no changes in self-skin exam (SEE) frequency when compared with the untailored intervention participants (Manne et al, 2010). …”

Section: Hereditary Melanoma Risk Communication With Adult Populationsmentioning

confidence: 99%

“…These interventions have typically included education on the individual’s elevated risk for melanoma. For example, some interventions have targeted unaffected individuals who have a first-degree relative with a history of melanoma (Geller, Emmons, et al, 2006; Manne et al, 2010). In one randomized trial, unaffected family members received information on their skin cancer risk and recommended preventive behaviors tailored to their personal risk characteristics, demographic characteristics (e.g., age, gender), and reported barriers to implementing preventive behaviors.…”

Section: Hereditary Melanoma Risk Communication With Adult Populationsmentioning

confidence: 99%

Pediatric Predispositional Genetic Risk Communication: Potential Utility for Prevention and Control of Melanoma Risk as an Exemplar

Mays

Kohlmann

et al. 2017

Journal of Genetic Counseling

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Predispositional genetic testing among minor children is intensely debated due to the potential benefits and harms of providing this type of genetic information to children and their families. Existing guidelines on pediatric genetic testing state that predispositional testing could be appropriate for minors if preventive services exist that mitigate children’s risk for or severity of the health condition in question. We use the example of hereditary melanoma to illustrate the rationale for and potential application of genetic risk communication for an adult-onset cancer to a pediatric population where childhood behaviors may reduce risk of disease later in life. We draw from the adult melanoma genetic risk communication and pediatric health behavior change literatures to suggest ways in which genetic test reporting and complementary education could be delivered to children who carry a hereditary risk for melanoma and their families in order to foster children’s engagement in melanoma preventive behaviors. Genetic discoveries will continue to yield new opportunities to provide predispositional genetic risk information to unaffected individuals, including children, and could be delivered within programs that provide personalized and translational approaches to cancer prevention.

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Tailored versus generic interventions for skin cancer risk reduction for family members of melanoma patients.

Abstract: Background-Improving strategies for risk reduction among family members of patients with melanoma may reduce their risk for melanoma.

Cited by 55 publications

References 36 publications

Why are Tailored Messages More Effective? A Multiple Mediation Analysis of a Breast Cancer Screening Intervention

Why are Tailored Messages More Effective? A Multiple Mediation Analysis of a Breast Cancer Screening Intervention

Effects of Tailored Risk Communications for Skin Cancer Prevention and Detection: The PennSCAPE Randomized Trial

Pediatric Predispositional Genetic Risk Communication: Potential Utility for Prevention and Control of Melanoma Risk as an Exemplar

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