Facebook Intervention for Young Onset Melanoma Patients and Families

Facebook 对年轻发病黑色素瘤患者和家庭的干预

• 批准号: 10406239
• 负责人: Sharon L Manne
• 金额: $ 52.81万
• 依托单位: RBHS -CANCER INSTITUTE OF NEW JERSEY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10406239
• 关键词: Academy; Adult; Age; Age-Years; American; American Cancer Society; Attention; Behavior; Behavior Therapy; Behavioral; Cutaneous; Dermatology; Detection; Diagnosis; Effectiveness of Interventions; Exposure to; Facebook; Family; Family member; First Degree Relative; Foundations; Frequencies; Goals; Habits; Health; Health Personnel; Hour; Intervention; Intervention Studies; Lesion; Malignant Neoplasms; Mediating; Modeling; Morbidity - disease rate; National Cancer Institute; Outcome; Participant; Patients; Persons; Population; Prevention; Prevention program; Preventive; Primary Prevention; Professional Organizations; Prognosis; Protective Clothing; Provider; Public Health; Randomized; Relative Risks; Reporting; Risk; Risk Factors; Screening for Skin Cancer; Second Primary Neoplasms; Self Efficacy; Self-Examination; Skin; Skin Cancer; Social Behavior; Solar Energy; Subgroup; Sun Exposure; Sunscreening Agents; Surgeon; Surveys; Survivors; Targeted Research; Testing; The Sun; Thick; Time; Treatment Efficacy; Ultraviolet Rays; United States; Work; aged; base; behavioral outcome; effectiveness evaluation; efficacy evaluation; family support; follow-up; healthy lifestyle; improved; innovation; melanoma; patient engagement; peer; peer support; post intervention; primary outcome; secondary outcome; skin cancer prevention; social; sun protection; theories; two-arm study; uptake; young adult

Abstract The proposed study focuses on improving sun protection and skin surveillance practices among young onset melanoma survivors and their first degree relatives (FDRs). As a group, young onset survivors have been identified by the National Cancer Institute as a unique and growing population. Survivors are at higher relative risk for a second malignancy than adults diagnosed with cancer over 39 years of age. FDRs of young melanoma patients are at increased risk for melanoma. Melanoma survivors and their FDRs should engage in regular total cutaneous exams, comprehensive skin self-examinations, and sun protection. Despite their increased risk and the fact that this population is growing, FDRs pay relatively little attention to sun protection and skin surveillance behaviors. Although the vast majority of young onset melanoma survivors engage in regular total cutaneous exams, many do not engage in regular skin self-exams or sun protection. There is no intervention research targeting the unique and growing population of young onset survivors and their FDRs. The proposed study expands an effective behavioral intervention to improve total cutaneous exams, skin self- exams, and sun protection behaviors among FDRs of survivors of all ages to young onset patients and their FDRs. We will deliver the intervention via secret groups on Facebook comprised of FDRs and young onset patients from multiple families. Our pilot work demonstrates we can engage families in a Facebook group. We will randomize 577 FDRs and 583 young onset survivors to one of two study arms: a 12-week Young Melanoma Family Facebook intervention or a 12-week Healthy Lifestyle Facebook intervention. Participants will complete a baseline, post-intervention, and a 6-month post-intervention survey. The study has one primary and two secondary aims. The primary aim (FDRs) is to examine the efficacy of the Young Melanoma Family Facebook intervention versus the Healthy Lifestyle Facebook intervention on total cutaneous exam (primary outcome), skin self-exam frequency and comprehensiveness, and sun protection practices (secondary outcomes) of FDRs of young melanoma survivors. A secondary aim (survivors) is to examine the efficacy of the Young Melanoma Family Facebook intervention on patients' skin self-exam frequency and comprehensiveness and sun protection habits. Another secondary aim is to examine the mechanisms of intervention efficacy.

抽象的 拟议的研究重点是改善年轻发病者的防晒和皮肤监测实践 黑色素瘤幸存者及其一级亲属 (FDR)。作为一个群体，年轻的发病幸存者 被国家癌症研究所确定为一个独特且不断增长的人群。幸存者的相对较高 与 39 岁以上诊断出患有癌症的成年人相比，患第二种恶性肿瘤的风险更高。年轻人的罗斯福 黑色素瘤患者患黑色素瘤的风险增加。黑色素瘤幸存者及其 FDR 应该参与 定期全面皮肤检查、全面皮肤自检、防晒。尽管他们的 风险增加以及人口不断增长的事实，罗斯福相对较少关注防晒 和皮肤监视行为。尽管绝大多数年轻发病的黑色素瘤幸存者都参与 定期进行全身皮肤检查，很多人不定期进行皮肤自我检查或防晒。没有 针对独特且不断增长的年轻发病幸存者及其 FDR 的干预研究。 拟议的研究扩展了有效的行为干预，以改善总体皮肤检查、皮肤自我检查 从各年龄段的幸存者到年轻发病患者及其患者的 FDR 中的检查和防晒行为 罗斯福。我们将通过 Facebook 上由 FDR 和年轻人组成的秘密小组进行干预 来自多个家庭的患者。我们的试点工作表明我们可以让家庭加入 Facebook 群组。我们 将 577 名 FDR 和 583 名年轻发病幸存者随机分配到两个研究组之一：为期 12 周的年轻组 黑色素瘤家庭 Facebook 干预或为期 12 周的健康生活方式 Facebook 干预。参加者 将完成基线调查、干预后调查和 6 个月干预后调查。该研究有一个主要 和两个次要目标。主要目的 (FDR) 是检查年轻黑色素瘤家族的功效 Facebook 干预与健康生活方式 Facebook 对全身皮肤检查的干预（初级 结果）、皮肤自检频率和全面性以及防晒实践（二级） 年轻黑色素瘤幸存者的 FDR 的结果）。次要目标（幸存者）是检查效果 Young Melanoma Family Facebook 对患者皮肤自我检查频率的干预 全面性和防晒习惯。另一个次要目标是研究其机制 干预效果。

项目成果

Family Attitudes and Communication about Sun Protection and Sun Protection Practices among Young Adult Melanoma Survivors and Their Family Members.

• DOI: 10.1080/10810730.2021.2008552
• 发表时间: 2021-11-02
• 期刊: JOURNAL OF HEALTH COMMUNICATION
• 影响因子: 4.4
• 作者: Manne, Sharon;Kashy, Deborah A.;Pagoto, Sherry;Peterson, Susan K.;Heckman, Carolyn J.;Gallo, Joseph;Berger, Adam;Buller, David B.;Kulik, Alexandria;Frederick, Sara;Pesanelli, Morgan
• 通讯作者: Pesanelli, Morgan