Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 N. St. Clair St, Ste 1600, Chicago, IL, 60611, USA.
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Am J Clin Dermatol. 2017 Jun;18(3):419-427. doi: 10.1007/s40257-016-0244-y.
Although melanoma is more common in non-Hispanic Whites, ethnic minorities face a greater risk of melanoma-related mortality, which may be partially attributed to presentation at atypical sites and a lack of awareness.
Our objective was to assess the effectiveness of a melanoma educational intervention targeted towards people of color.
Participants received one of two scripted melanoma educational interventions in the summer of 2015. They completed surveys before the intervention, immediately post-intervention, and 2 months post-intervention.
Dermatology clinic at an academic hospital.
A consecutive sample of 100 participants who self-identified as African American, Asian, or Hispanic were recruited following their dermatology visit. In total, 70 participants completed the 2-month follow-up questionnaire.
The comparison intervention group received an educational intervention using a conventional pamphlet on the 'ABCDEs' (Asymmetry, Borders, Color, Diameter, Evolution) of melanoma. The targeted intervention group received a modified pamphlet that included a skin of color section, the nomenclature "melanoma skin cancer", and an image of an individual performing a skin self-examination with the help of a friend.
Melanoma knowledge, perceived risk for developing melanoma, and skin self-examination practices were assessed through self-reported questionnaires.
Among the 100 participants, 78% self-identified as African American, 11% as Asian, and 11% as Hispanic. Both groups experienced a similar increase in melanoma knowledge that was retained at 2 months. Perceived personal risk for developing melanoma increased more in the targeted intervention group immediately post-intervention (p = 0.015), but this difference no longer existed between the groups at the 2-month follow-up. The targeted intervention group also demonstrated a greater increase in skin self-examinations (p = 0.048) and knowledge of warning signs to look for when examining the skin (p = 0.002) at the 2-month follow-up.
The educational intervention targeted towards people of color resulted in increased skin self-examinations. Educational material that is relevant to ethnic minorities may better promote early detection and help to decrease the disparity in melanoma-related morality rates.
Clinicaltrials.gov registration number NCT02437305.
尽管黑色素瘤在非西班牙裔白人中更为常见，但少数族裔面临更大的黑色素瘤相关死亡率风险，这可能部分归因于在非典型部位出现以及缺乏意识。
我们的目标是评估针对有色人种的黑色素瘤教育干预的效果。
参与者在 2015 年夏天接受了两种脚本黑色素瘤教育干预中的一种。他们在干预前、干预后立即和干预后 2 个月完成了调查。
学术医院的皮肤科诊所。
在他们的皮肤科就诊后，连续招募了 100 名自我认定为非裔美国人、亚洲人或西班牙裔的参与者。共有 70 名参与者完成了 2 个月的随访问卷。
对照组接受了关于黑色素瘤的“ABCDEs”（不对称、边界、颜色、直径、演变）的传统小册子教育干预。靶向干预组接受了修改后的小册子，其中包括肤色部分、术语“黑色素瘤皮肤癌”以及一个个体在朋友帮助下进行皮肤自我检查的图像。
通过自我报告问卷评估黑色素瘤知识、对发展黑色素瘤的感知风险以及皮肤自我检查行为。
在 100 名参与者中，78%自我认定为非裔美国人，11%为亚洲人，11%为西班牙裔。两组的黑色素瘤知识都有类似的增加，并且在 2 个月时仍然保留。干预后立即，靶向干预组对发展黑色素瘤的个人风险感知增加更多（p=0.015），但在 2 个月随访时两组之间不再存在差异。靶向干预组在 2 个月随访时还表现出皮肤自我检查（p=0.048）和检查皮肤时寻找警告迹象的知识（p=0.002）的更大增加。
针对有色人种的教育干预导致皮肤自我检查增加。与少数民族相关的教育材料可能更能促进早期发现，并有助于减少黑色素瘤相关死亡率的差异。
Clinicaltrials.gov 注册号 NCT02437305。
