Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
J Health Psychol. 2013 Apr;18(4):561-73. doi: 10.1177/1359105312449193. Epub 2012 Jul 27.
Efforts to reduce skin cancer risk behaviors using appearance-oriented interventions (e.g. ultraviolet (UV) light photos showing skin damage) or motivational interviewing (MI) have shown promise in recent trials. In the study a randomized 2 (UV photo versus no UV photo) x 2 (MI versus no MI) factorial design with longitudinal follow up was used. Results showed that progression in stage of change (SOC) was significantly more likely in the photo than the education condition. Treatment credibility as rated by participants and counselor perceived positive therapeutic alliance predicted SOC progression. There was also preliminary evidence for differential intervention effectiveness by baseline SOC. The implications are discussed.
使用注重外表的干预措施（例如紫外线（UV）光照片显示皮肤损伤）或动机性访谈（MI）来降低皮肤癌风险行为的努力在最近的试验中显示出了前景。在这项研究中，采用了随机 2（UV 照片与无 UV 照片）x 2（MI 与无 MI）的两因素设计，并进行了纵向随访。结果表明，在照片组中，改变阶段（SOC）的进展明显高于教育组。参与者评定的治疗可信度和顾问感知到的积极治疗联盟预测了 SOC 的进展。基线 SOC 也初步证明了干预效果的差异。讨论了这些结果的意义。
