Loescher Lois, Heslin Kelly, Silva Graciela, Muramoto Myra
College of Nursing, University of Arizona, Tucson, AZ, United States.
Colleges of Medicine and Public Health, University of Arizona, Tucson, AZ, United States.
JMIR Form Res. 2020 Nov 2;4(11):e21309. doi: 10.2196/21309.
Skin cancer affects millions of Americans and is an important focus of disease prevention efforts. Partnering with non-health care practitioners such as massage therapists (MTs) can reduce the risk of skin cancer. MTs see clients' skin on a regular basis, which can allow MTs to initiate "helping conversations" (ie, brief behavioral interventions aimed at reducing the risk of skin cancer).
The purpose of this study was to evaluate (1) the feasibility of recruiting, enrolling, and retaining Arizona MTs in an online electronic training (e-training) and (2) the preliminary efficacy of e-training on knowledge, attitudes/beliefs, and practice of risk reduction for skin cancer. We explored MTs' ability to assess suspicious skin lesions.
We adapted the existing educational content on skin cancer for applicability to MTs and strategies from previous research on helping conversations. We assessed the feasibility of providing such e-training, using Research Electronic Data Capture (REDCap) tools for data capture. We assessed the preliminary efficacy using established self-report surveys at baseline, immediately post training, and at 3 and 6 months post training.
A total of 95 participants enrolled in the study, of which 77% (73/95) completed the assessments at 6 months (overall attrition=23%). Project satisfaction and e-training acceptability were high. Knowledge, personal behaviors (skin self-examination, clinical skin examination, sun protection frequency), and practice attitudes (appropriateness and comfort with client-focused communication) of risk reduction for skin cancer improved significantly and were sustained throughout the study.
The e-training was feasible and could be delivered online successfully to MTs. Participants were highly satisfied with and accepting of the e-training. As such, e-training has potential as an intervention in larger trials with MTs for reducing the risk of skin cancer.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/13480.
皮肤癌影响着数百万美国人，是疾病预防工作的重要关注点。与按摩治疗师（MT）等非医疗保健从业者合作可以降低皮肤癌风险。MT会定期查看客户的皮肤，这使得MT能够发起“帮助性对话”（即旨在降低皮肤癌风险的简短行为干预）。
本研究的目的是评估（1）招募、登记并留住亚利桑那州MT参与在线电子培训（e培训）的可行性，以及（2）e培训对皮肤癌风险降低知识、态度/信念和实践的初步效果。我们探讨了MT评估可疑皮肤病变的能力。
我们调整了现有的皮肤癌教育内容，使其适用于MT，并借鉴了以往关于帮助性对话研究中的策略。我们使用研究电子数据采集（REDCap）工具进行数据采集，评估提供此类e培训的可行性。我们在基线、培训后立即以及培训后3个月和6个月时，使用既定的自我报告调查评估初步效果。
共有95名参与者登记参加该研究，其中77%（73/95）在6个月时完成了评估（总体损耗率 = 23%）。项目满意度和e培训可接受性较高。皮肤癌风险降低的知识、个人行为（皮肤自我检查、临床皮肤检查、防晒频率）以及实践态度（以客户为中心的沟通的适宜性和舒适度）均有显著改善，并在整个研究过程中得以维持。
e培训是可行的，并且可以成功地在线提供给MT。参与者对e培训高度满意并接受。因此，e培训有潜力作为一种干预措施，用于与MT开展的更大规模试验中，以降低皮肤癌风险。
国际注册报告识别号（IRRID）：RR2-10.2196/13480
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