Tsai Sheena, Frank Scott H, Bordeaux Jeremy S
Department of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Dermatol Surg. 2018 Apr;44(4):512-518. doi: 10.1097/DSS.0000000000001366.
Few studies describing sun-protective behaviors, knowledge, and self-efficacy in African Americans exist. Although educational programs targeting Caucasians and Hispanics have been successful in increasing melanoma awareness and knowledge, no such investigation has been applied to African Americans.
To evaluate the effectiveness of a brochure or video educational intervention on the sun-protective behaviors, knowledge, and self-efficacy regarding melanoma in African Americans.
A randomized controlled trial of a presurvey and postsurvey, in an academic outpatient dermatology clinic. Participants were self-identified African Americans, at least 18 years old, fluent, and literate in English. Patients randomized to the brochure-intervention group (n = 72) received a melanoma brochure from the National Cancer Institute. Patients randomized to the video-intervention group (n = 71) received the brochure and watched an online melanoma tutorial.
Sun-protective behaviors, knowledge, and self-efficacy regarding melanoma all improved equally from pre-to posteducation, in both the brochure- and video-intervention groups.
Melanoma educational interventions similar to those previously demonstrated to be successful in Caucasian and Hispanic populations are also effective among African Americans.
描述非裔美国人防晒行为、知识和自我效能的研究很少。尽管针对白人和西班牙裔的教育项目在提高黑色素瘤意识和知识方面取得了成功，但尚未对非裔美国人进行此类调查。
评估手册或视频教育干预对非裔美国人黑色素瘤防晒行为、知识和自我效能的有效性。
在一家学术性门诊皮肤科诊所进行一项有预调查和后调查的随机对照试验。参与者为自我认定的非裔美国人，至少18岁，英语流利且有读写能力。随机分配到手册干预组（n = 72）的患者收到了美国国立癌症研究所的黑色素瘤手册。随机分配到视频干预组（n = 71）的患者收到了手册并观看了在线黑色素瘤教程。
手册干预组和视频干预组中，从教育前到教育后，黑色素瘤的防晒行为、知识和自我效能均有同等程度的改善。
类似于先前在白人和西班牙裔人群中证明成功的黑色素瘤教育干预措施，在非裔美国人中也有效。
