School of Public Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland 4059, Australia.
Contemp Clin Trials. 2010 Jan;31(1):119-30. doi: 10.1016/j.cct.2009.11.003. Epub 2009 Nov 11.
Incidence and mortality from skin cancers including melanoma are highest among men 50 years or older. Thorough skin self-examination may be beneficial to improve skin cancer outcomes.
To develop and conduct a randomized-controlled trial of a video-based intervention to improve skin self-examination behavior among men 50 years or older.
Pilot work ascertained appropriate targeting of the 12-minute intervention video towards men 50 years or older. Overall, 968 men were recruited and 929 completed baseline telephone assessment. Baseline analysis assessed randomization balance and demographic, skin cancer risk and attitudinal factors associated with conducting a whole-body skin self-examination or receiving a whole-body clinical skin examination by a doctor during the past 12 months.
Randomization resulted in well-balanced intervention and control groups. Overall 13% of men reported conducting a thorough skin self-examination using a mirror or the help of another person to check difficult to see areas, while 39% reported having received a whole-body skin examination by a doctor within the past 12 months. Confidence in finding time for and receiving advice or instructions by a doctor to perform a skin self-examination were among the factors associated with thorough skin self-examination at baseline.
Men 50 years or older can successfully be recruited to a video-based intervention trial with the aim to reduce their burden through skin cancer. Randomization by computer generated randomization list resulted in good balance between control and intervention group and baseline analysis determined factors associated with skin cancer early detection behavior.
包括黑色素瘤在内的皮肤癌的发病率和死亡率在 50 岁及以上的男性中最高。彻底的皮肤自我检查可能有助于改善皮肤癌的预后。
开发并进行一项基于视频的干预措施的随机对照试验，以改善 50 岁及以上男性的皮肤自我检查行为。
初步工作确定了 12 分钟干预视频针对 50 岁及以上男性的适当目标人群。共有 968 名男性被招募，其中 929 名完成了基线电话评估。基线分析评估了随机分组的平衡以及与过去 12 个月内进行全身皮肤自我检查或接受医生全身临床皮肤检查相关的人口统计学、皮肤癌风险和态度因素。
随机分组导致干预组和对照组之间的平衡良好。总体而言，13%的男性报告使用镜子或他人的帮助检查难以看到的区域进行了彻底的皮肤自我检查，而 39%的男性报告在过去 12 个月内接受了医生的全身皮肤检查。在发现时间和接受医生建议或指导进行皮肤自我检查方面的信心是与基线时彻底皮肤自我检查相关的因素之一。
可以成功招募 50 岁及以上的男性参加基于视频的干预试验，旨在通过皮肤癌减轻他们的负担。通过计算机生成的随机列表进行随机分组，使对照组和干预组之间达到了良好的平衡，基线分析确定了与皮肤癌早期检测行为相关的因素。
