Department of Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104-6021, USA.
Am J Public Health. 2010 Apr;100(4):735-41. doi: 10.2105/AJPH.2008.155705. Epub 2010 Feb 18.
We evaluated the impact of a mailed, tailored intervention on skin cancer prevention and skin self-examination behaviors of adults at moderate and high risk for skin cancer.
Adults at moderate and high risk for skin cancer were recruited in primary health care settings in Honolulu, HI, and Long Island, NY. After completing a baseline survey, participants were randomized to 2 groups. The treatment group received tailored materials, including personalized risk feedback, and the control group received general educational materials. Multivariate analyses compared sun protection and skin self-examination between groups, controlling for location, risk level, gender, and age.
A total of 596 adults completed the trial. The tailored materials had a significant effect on overall sun-protection habits, the use of hats, the use of sunglasses, and the recency of skin self-examination. Some effects were moderated by location and risk level.
Tailored communications including personalized risk feedback can improve sun-protection behaviors and skin self-examination among adults at increased risk for skin cancer. These convenient, low-cost interventions can be implemented in a variety of settings and should be tested further to assess their long-term effectiveness.
我们评估了邮寄定制干预措施对皮肤癌高危和中度风险成年人皮肤癌预防和皮肤自我检查行为的影响。
在夏威夷火奴鲁鲁和纽约长岛的初级保健机构中招募皮肤癌高危和中度风险的成年人。在完成基线调查后，参与者被随机分为两组。治疗组接受定制材料，包括个性化风险反馈，对照组接受一般教育材料。多变量分析比较了两组之间的防晒和皮肤自我检查情况，控制了地点、风险水平、性别和年龄。
共有 596 名成年人完成了试验。定制材料对整体防晒习惯、戴帽子、戴太阳镜和最近一次皮肤自我检查有显著影响。一些影响受到地点和风险水平的调节。
包括个性化风险反馈在内的定制沟通可以改善皮肤癌高危成年人的防晒行为和皮肤自我检查。这些方便、低成本的干预措施可以在多种环境中实施，并应进一步测试以评估其长期效果。
