Effects of web-based intervention on risk reduction behaviors in melanoma survivors
Effects of web-based intervention on risk reduction behaviors in melanoma survivors
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DOI：
10.1007/s11764-014-0412-0
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发表时间：
2015-06-01
影响因子：
3.7
通讯作者：
Harris, Julie N.
中科院分区：
文献类型：
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作者：
Bowen, Deborah J.;Burke, Wylie;Harris, Julie N.
黑色素瘤是最严重的皮肤癌，黑色素瘤幸存者增加了额外诊断黑色素瘤的风险。对于幸存者的黑色素瘤有多种一级和二级预防方法。这项研究测试了一种基于网络的家庭沟通干预，以改善黑色素瘤家庭的这些预防行为。家庭(一名幸存者，至少一名一级亲属和一名父母)被随机分组，接受干预方案或作为对照家庭。我们评估了干预前后每个队列成员的黑色素瘤预防行为。结果表明，与对照幸存者相比，干预幸存者在干预前后的皮肤自查和防晒行为均有显著改善，这些数据支持使用基于网络的干预措施来改变幸存者的行为，并为这一成功的干预措施的推广提供了考虑。这些数据对帮助癌症家庭处理风险和疾病问题的干预措施有影响。这些数据表明，幸存者可以从接触一个有助于指导他们未来健康行为的网站中受益。
Melanoma is the most severe form of skin cancer, and survivors of melanoma carry increased risk of additional melanoma diagnosis. Multiple methods exist for primary and secondary prevention of melanoma in survivors. This study tested a web-based family communication intervention to improve these preventive behaviors in melanoma families.Families (a survivor, at least one first-degree relative and a parent) were randomized either to receive the intervention package or to serve as comparison families. We assessed melanoma prevention behaviors in each cohort member before and after the intervention. The intervention was a web-based multicomponent intervention focused on increasing family communication and exchange of risk information.Results indicated that, compared to comparison survivors, intervention survivors improved their skin self-examination and their sun protection behaviors significantly from before to after intervention.These data support the use of web-based interventions for behavioral changes in survivors and allow for consideration of dissemination of this successful intervention. These data have implications for interventions that can help cancer families deal with issues of risk and illness.These data indicate that survivors can benefit from exposure to a website that helps direct their future health behaviors.