Horsham Caitlin, O'Hara Montana, Sanjida Saira, Ma Samantha, Jayasinghe Dilki, Green Adele C, Schaider Helmut, Aitken Joanne F, Sturm Richard A, Prow Tarl, Soyer H Peter, Janda Monika
Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Dermatology Research Centre, The University of Queensland Diamantina Institute, The University of Queensland, Brisbane, Queensland, Australia.
JMIR Dermatol. 2022 Jun 20;5(2):e37034. doi: 10.2196/37034.
Digital 3D total-body photography of the skin surface is an emerging imaging modality that can facilitate the identification of new and changing nevi.
We aimed to describe the experiences of study participants drawn from the general population who were provided 3D total-body photography and dermoscopy for the monitoring of nevi.
A population-based prospective study of adults aged 20-70 years from South East Queensland, Australia was conducted. Participants underwent 3D total-body photography and dermoscopy every 6 months over a 3-year period. Participants were asked to provide closed and open-ended feedback on their 3D total-body photography and dermoscopy experience (eg, comfort, trust, intended future use, and willingness to pay) at the halfway study time point (18 months) and final study time point (36 months). We assessed changes in participants' reported experience of 3D total-body photography, and patient characteristics associated with patient experience at the end of the study (36 months) were analyzed.
A total of 149 participants completed the surveys at both the 18- and 36-month time points (median age 55, range 23-70 years; n=94, 63.1% were male). At the 18-month time point, most participants (n=103, 69.1%) stated they completely trusted 3D total-body imaging for the diagnosis and monitoring of their nevi, and this did not change at the 36-month (n=104, 69.8%) time point. The majority of participants reported that they were very comfortable or comfortable with the technology at both the 18- (n=138, 92.6%) and 36-month (n=140, 94%) time points, respectively; albeit, the number of participants reporting that they were very comfortable reduced significantly between the 18- and 36-month time points, from 71.1% (n=106) to 61.1% (n=91; P=.01). Almost all participants (n=140, 94%) would consider using this technology if it were to become commercially available, and this did not change during the two study time points. Half of the participants (n=74) cited barriers to participating in 3D total-body photography, including trust in the ability of this technology to detect and monitor suspicious lesions, digital privacy, cost, and travel requirements.
The majority of participants expressed positive attitudes toward 3D total-body photography for the monitoring of their moles. Half of the participants identified potential barriers to uptake.
皮肤表面的数字3D全身摄影是一种新兴的成像方式，可有助于识别新出现的和变化中的痣。
我们旨在描述从普通人群中招募的研究参与者的经历，这些参与者接受了3D全身摄影和皮肤镜检查以监测痣。
对来自澳大利亚昆士兰州东南部年龄在20至70岁之间的成年人进行了一项基于人群的前瞻性研究。参与者在3年时间内每6个月接受一次3D全身摄影和皮肤镜检查。在研究中期时间点（18个月）和最终研究时间点（36个月），要求参与者就其3D全身摄影和皮肤镜检查经历提供封闭式和开放式反馈（例如舒适度、信任度、预期未来用途以及支付意愿）。我们评估了参与者报告的3D全身摄影经历的变化，并分析了研究结束时（36个月）与患者体验相关的患者特征。
共有149名参与者在18个月和36个月时间点均完成了调查（中位年龄55岁，范围23至70岁；n = 94，63.1%为男性）。在18个月时间点，大多数参与者（n = 103，69.1%）表示他们完全信任3D全身成像用于痣的诊断和监测，在36个月时间点（n = 104，69.8%）这一情况未发生变化。大多数参与者分别在18个月（n = 138，92.6%）和36个月（n = 140，94%）时间点报告称他们对该技术非常舒适或感到舒适；尽管如此，报告非常舒适的参与者数量在18个月和36个月时间点之间显著减少，从71.1%（n = 106）降至61.1%（n = 91；P = 0.01）。几乎所有参与者（n = 140，94%）表示如果该技术商业化可用，他们会考虑使用，并且在两个研究时间点期间这一情况未发生变化。一半的参与者（n = 74）列举了参与3D全身摄影的障碍，包括对该技术检测和监测可疑病变能力的信任、数字隐私、成本以及出行要求。
大多数参与者对用于监测其痣的3D全身摄影表达了积极态度。一半的参与者指出了潜在的采用障碍。
