Hay Jennifer L, Oliveria Susan A, Dusza Stephen W, Phelan Deborah L, Ostroff Jamie S, Halpern Allan C
Behavioral Sciences Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Cancer Epidemiol Biomarkers Prev. 2006 Jun;15(6):1212-6. doi: 10.1158/1055-9965.EPI-04-0822.
This prospective study examines psychosocial mediators of an efficacious skin self-examination (SSE) intervention that includes provision of a whole-body digital photography book depicting the entire skin surface. Individuals (n = 100) with established risk factors for melanoma were recruited from the Memorial Sloan-Kettering Cancer Center Pigmented Lesion Clinic during their initial dermatologist visit and were randomized to receive a photobook immediately (n = 49) or 4 months after intervention delivery (n = 51). Potential mediators included self-efficacy and response efficacy drawn from Social Cognitive Theory, melanoma worry, and SSE anxiety drawn from Self-Regulation Theory, and skin cancer knowledge, and skin awareness. Only self-efficacy was a significant mediator, accounting for 8% of the total effect of photobook enhancement on SSE adherence at 4 months.
这项前瞻性研究考察了一种有效的皮肤自我检查（SSE）干预措施的心理社会调节因素，该干预措施包括提供一本描绘全身皮肤表面的数字摄影书籍。从纪念斯隆凯特琳癌症中心色素沉着病变诊所招募了100名有黑色素瘤既定风险因素的个体，他们在首次皮肤科就诊时被随机分为两组，一组立即收到摄影书籍（n = 49），另一组在干预实施4个月后收到（n = 51）。潜在的调节因素包括源自社会认知理论的自我效能感和反应效能感、源自自我调节理论的黑色素瘤担忧和SSE焦虑，以及皮肤癌知识和皮肤意识。只有自我效能感是一个显著的调节因素，在4个月时，它占摄影书籍增强对SSE依从性总效应的8%。
