Stump Tammy K, Spring Bonnie, Marchese Sara Hoffman, Alshurafa Nabil, Robinson June K
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
JAMIA Open. 2019 Sep 16;2(4):547-553. doi: 10.1093/jamiaopen/ooz034. eCollection 2019 Dec.
Precision behavioral medicine techniques integrating wearable ultraviolet radiation (UVR) sensors may help individuals avoid sun exposure that places them at-risk for skin cancer. As a preliminary step in our patient-centered process of developing a just-in-time adaptive intervention, this study evaluated reactions and preferences to UVR sensors among melanoma survivors.
Early stage adult melanoma survivors were recruited for a focus group (=11) or 10-day observational study, which included daily wearing a UVR sensor and sun exposure surveys (=39). Both the focus group moderator guide and observational study exit interviews included questions on UVR sensing as a potential intervention strategy. These responses were transcribed and coded using an inductive strategy.
Most observational study participants (84.6%) said they would find information provided by UVR sensors to be useful to help them learn about how specific conditions (eg, clouds, location) impact sun exposure and provide in-the-moment alerts. Focus group participants expressed enthusiasm for UVR information and identified preferred qualities of a UVR sensor, such as small size and integration with other devices. Participants in both studies indicated concern that UVR feedback may be difficult to interpret and some expressed that a UVR sensor may not be convenient or desirable to wear in daily life.
Melanoma survivors believe that personalized UVR exposure information could improve their sun protection and want this information delivered in a method that is meaningful and actionable.
UVR sensing is a promising component of a precision behavioral medicine strategy to reduce skin cancer risk.
整合可穿戴紫外线辐射（UVR）传感器的精准行为医学技术，可能有助于个体避免处于皮肤癌风险的阳光暴露。作为我们以患者为中心开发即时自适应干预过程的初步步骤，本研究评估了黑色素瘤幸存者对UVR传感器的反应和偏好。
招募成年早期黑色素瘤幸存者参加焦点小组（n = 11）或为期10天的观察性研究，其中包括每天佩戴UVR传感器和进行阳光暴露调查（n = 39）。焦点小组主持人指南和观察性研究结束访谈均包括关于UVR传感作为一种潜在干预策略的问题。这些回答采用归纳策略进行转录和编码。
大多数观察性研究参与者（84.6%）表示，他们会发现UVR传感器提供的信息有助于他们了解特定条件（如云层、位置）如何影响阳光暴露并提供即时警报。焦点小组参与者对UVR信息表示出热情，并确定了UVR传感器的理想特性，如体积小以及与其他设备集成。两项研究的参与者都表示担心UVR反馈可能难以解读，一些人表示UVR传感器在日常生活中佩戴可能不方便或不理想。
黑色素瘤幸存者认为个性化的UVR暴露信息可以改善他们的防晒措施，并希望以有意义且可行的方式获得这些信息。
UVR传感是降低皮肤癌风险的精准行为医学策略的一个有前景的组成部分。
