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Manne S , Jacobsen PB , Ming ME , Winkel G , Dessureault S , Lessin SR
Tailored Versus Generic Interventions for Skin Cancer Risk Reduction for Family Members of Melanoma Patients
Health Psychology. 2010 Nov;29(6) :583-593
PMID: ISI:000284794700004 PMCID: PMC3058834
AbstractBackground: 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 I 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.
NotesManne, Sharon Jacobsen, Paul B. Ming, Michael E. Winkel, Gary Dessureault, Sophie Lessin, Stuart R. [Ca 107312]; [ca006927] This work was supported by CA 107312 to Sharon Manne and CA006927 to Fox Chase Cancer Center. We thank Liza Brown, Rebecca Dunn, Timothy Estrella, Janelle Garcia, Michelle Giacobello-Rogers, Julie Hess, Jennifer Iacovone, Amber Karlins, Shahbaz Khan, Tracy Max, Rebecca Moore, Nancy Rohowyz, Kristen Sorice, Kathryn Volpicelli, Sharon Voros, Emily Weitberg, and Sara Worhach for data collection. Tracy Max, Rebecca Moore, and Kathryn Volpicelli provided telephone counseling. Maryann Krayger provided technical assistance in preparation of this article. 41 Amer psychological assoc; 750 first st ne, washington, dc 20002-4242 usa 687rd