Document Detail

Tailored versus generic interventions for skin cancer risk reduction for family members of melanoma patients.
MedLine Citation:
PMID:  21090893     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Improving strategies for risk reduction among family members of patients with melanoma may reduce their risk for melanoma.
OBJECTIVE: To evaluate the effects of two behavioral interventions designed to improve the frequency of total cutaneous skin examination by a health provider (TCE), skin self-examination (SSE), and sun protection among first degree relatives of patients with melanoma; and to evaluate whether increased intentions, increased benefits, decreased barriers, and improved sunscreen self-efficacy mediated the effects of the tailored intervention, as compared with the generic intervention on TCE, SSE, or sun protection.
METHODS: Four hundred forty-three family members (56 parents, 248 siblings, 239 children) who were nonadherent with these practices were randomly assigned to either a generic (N = 218) or a tailored intervention (N = 225) which included 3 print mailings and 1 telephone session. Participants completed measures of TCE, SSE, and sun protections at baseline, 6 months, and 1 year, and measures of intentions, benefits, barriers, and self-efficacy at baseline and 6 months.
RESULTS: Those enrolled in the tailored intervention had almost a twofold increased probability of having a TCE ( p < .0001). Treatment effects in favor of the tailored intervention were also noted for sun protection habits ( p < .02). Increases in TCE intentions mediated the tailored intervention's effects on TCE. Increases in sun protection intentions mediated effects of the tailored intervention's effect on sun protection.
CONCLUSIONS: Tailored interventions may improve risk reduction practices among family members of patients with melanoma.
Sharon Manne; Paul B Jacobsen; Michael E Ming; Gary Winkel; Sophie Dessureault; Stuart R Lessin
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Health psychology : official journal of the Division of Health Psychology, American Psychological Association     Volume:  29     ISSN:  1930-7810     ISO Abbreviation:  Health Psychol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-03-17     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  8211523     Medline TA:  Health Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  583-93     Citation Subset:  IM    
Copyright Information:
© 2010 APA, all rights reserved.
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MeSH Terms
Family Health*
Health Knowledge, Attitudes, Practice
Health Promotion / methods*
Individualized Medicine*
Melanoma / prevention & control*
Middle Aged
Postal Service
Risk Reduction Behavior*
Skin Neoplasms / prevention & control*
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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