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一项针对具有黑素瘤家族发病风险儿童的黑素瘤风险和预防知识的新型教育干预措施。

A novel educational intervention targeting melanoma risk and prevention knowledge among children with a familial risk for melanoma.

机构信息

Department of Dermatology, University of Utah, 30 North 1900 East, 4A330, Salt Lake City, UT 84132; Huntsman Cancer Institute, 2000 Circle of Hope, Rm 4509, Salt Lake City, UT 84112, USA.

Department of Dermatology, University of Utah, 30 North 1900 East, 4A330, Salt Lake City, UT 84132.

出版信息

Patient Educ Couns. 2018 Mar;101(3):452-459. doi: 10.1016/j.pec.2017.10.008. Epub 2017 Oct 19.

Abstract

OBJECTIVE

To examine the acceptability of and preliminary effects associated with a novel educational intervention for children at elevated risk for melanoma. The intervention incorporated information on mechanisms through which melanoma preventive behaviors mitigate risk for melanoma and was delivered to parents and children concurrently.

METHODS

Twenty-two parents (with a personal history of melanoma or spouse with a history of melanoma) and 33 children (mean age 11.8 years) were asked to complete questionnaires immediately prior to and after an educational session and at a one-month follow-up.

RESULTS

Both parents and children endorsed that the educational materials were acceptable. Knowledge about melanoma risk and preventive and screening behaviors increased significantly. Children's perceived risk for melanoma increased significantly, while parents' perceptions of children's risk started at a higher level and remained constant. There were significant increases in reported engagement in sun protective behaviors.

CONCLUSION

The educational intervention shows promise in terms of its acceptability and effects on participant knowledge, perceived risk, and engagement in melanoma preventive behaviors.

PRACTICE IMPLICATION

Children at elevated risk for melanoma and their parents may benefit from receiving educational information on their disease risk and strategies for prevention and screening.

摘要

目的

研究一种新的教育干预措施在高风险黑色素瘤儿童中的可接受性及其初步效果。该干预措施纳入了黑色素瘤预防行为降低黑色素瘤风险的机制信息,并同时向家长和儿童提供。

方法

22 名家长(有黑色素瘤个人病史或配偶有黑色素瘤病史)和 33 名儿童(平均年龄 11.8 岁)在教育课程前后和一个月随访时完成了问卷调查。

结果

家长和儿童均表示教育材料是可以接受的。对黑色素瘤风险以及预防和筛查行为的了解显著增加。儿童对黑色素瘤的感知风险显著增加,而父母对孩子风险的看法则从较高水平开始保持不变。报告的防晒行为的参与度显著增加。

结论

该教育干预措施在可接受性以及对参与者知识、感知风险和参与黑色素瘤预防行为方面显示出良好的效果。

实践意义

高风险黑色素瘤的儿童及其家长可能受益于接受有关疾病风险以及预防和筛查策略的教育信息。

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