Youl Philippa H, Soyer H Peter, Baade Peter D, Marshall Alison L, Finch Linda, Janda Monika
Cancer Research Centre, Cancer Council Queensland, Brisbane, Queensland, Australia.
Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Prev Med. 2015 Feb;71:50-6. doi: 10.1016/j.ypmed.2014.12.009. Epub 2014 Dec 16.
To test the impact of a theory-based, SMS (text message)-delivered behavioural intervention (Healthy Text) targeting sun protection or skin self-examination behaviours compared to attention control.
Overall, 546 participants aged 18-42 years were randomised using a computer-generated number list to the skin self-examination (N=176), sun protection (N=187), or attention control (N=183) text messages group. Each group received 21 text messages about their assigned topic over 12 months (12 weekly messages for 3 months, then monthly messages for the next 9 months). Data were collected via telephone survey at baseline, 3, and 12 months across Queensland from January 2012 to August 2013.
One year after baseline, the sun protection (mean change 0.12; P=0.030) and skin self-examination groups (mean change 0.12; P=0.035) had significantly greater improvement in their sun protection habits (SPH) index compared to the attention control group (reference mean change 0.02). The increase in the proportion of participants who reported any skin self-examination from baseline to 12 months was significantly greater in the skin self-examination intervention group (103/163; 63%; P<0.001) than the sun protection (83/173; 48%) or attention control (65/165; 36%) groups. There was no significant effect of the intervention for participants' self-reported whole-body skin self-examination, sun tanning, or sunburn behaviours.
The Healthy Text intervention was effective in inducing significant improvements in sun protection and any type of skin self-examination behaviours.
The Australian and New Zealand Clinical Trials register (ACTRN12612000577819).
Cancer Australia 1011999.
测试一种基于理论的、通过短信（文本消息）提供的行为干预措施（健康短信）对防晒或皮肤自我检查行为的影响，并与注意力控制组进行比较。
总体而言，546名年龄在18至42岁之间的参与者通过计算机生成的数字列表被随机分配到皮肤自我检查组（N = 176）、防晒组（N = 187）或注意力控制组（N = 183），接收相应的短信。每组在12个月内收到21条关于其指定主题的短信（前3个月每周1条，共12条，接下来9个月每月1条）。在2012年1月至2013年8月期间，通过电话调查在昆士兰州的基线、3个月和12个月时收集数据。
基线一年后，与注意力控制组（参考平均变化0.02）相比，防晒组（平均变化0.12；P = 0.030）和皮肤自我检查组（平均变化0.12；P = 0.035）的防晒习惯（SPH）指数有显著更大的改善。从基线到12个月，报告进行过任何皮肤自我检查的参与者比例增加，皮肤自我检查干预组（103/163；63%；P < 0.001）显著高于防晒组（83/173；48%）或注意力控制组（65/165；36%）。该干预措施对参与者自我报告的全身皮肤自我检查、晒黑或晒伤行为没有显著影响。
健康短信干预措施有效地促使防晒和任何类型的皮肤自我检查行为有显著改善。
澳大利亚和新西兰临床试验注册中心（ACTRN12612000577819）。
澳大利亚癌症协会1011999。
