INTERACTIVE MEDIA IN SKIN CANCER CONTROL

将进行随机临床试验，以测试互动健康教育计划在促进皮肤癌预防和中老年人群定期皮肤检查行为方面的效果。该计划将在高风险皮肤癌患者、中等风险内科患者和低风险健康计划参与者中进行评估。这项研究将在三级保健医疗中心、初级保健办公室诊所和公司内联网上进行。该多媒体程序的光盘和基于网络的版本都将接受测试。计划内容包括关于皮肤癌发病率的信息、皮肤检查方法、帮助识别皮损、如何修复被太阳损伤的皮肤的指导、关于预防策略的建议，以及与基于互联网的健康教育网站的链接。该计划包括行为改变和行为自我管理方法。社会营销原则也被用来促进、启用和维持皮肤保护和皮肤筛选行为。结果衡量标准将包括皮肤癌知识衡量标准、变化阶段分类和自我效能评级，以及有关诊断和治疗服务使用及相关费用的患者记录数据。建议的商业应用：该产品将向管理型护理组织、医院系统、皮肤科诊所和老年护理机构等营销。还将针对地理和人口特征确定的目标受众进行直接营销，并对选定的互联网用户进行利基营销。

A randomized clinical trial will be conducted to test the effectiveness of an interactive health education program in promoting skin cancer prevention and regular skin examination behaviors in middle-aged and elderly populations. The program will be evaluated with high-risk skin cancer patients, medium-risk internal medicine patients, and low-risk wellness program participants. The study will take place in a tertiary care medical center, a primary care office practice, and over a corporate intranet. Both CD-ROM and network based versions of the multimedia program will be tested. Program content includes information about skin cancer rates, skin examination methods, assistance in identifying lesions, instruction in how to repair sun-damaged skin, and advice about preventive strategies, as well as linkages to Internet-based health education sites. Behavior change and behavioral self management methods are included in the program. Social marketing principles have also been used to promote, enable, and maintain skin protective and skin screening behaviors. Outcome measures will include skin cancer knowledge measures, stage of change categorizations, and self-efficacy ratings, along with patient record data on use of diagnostic and treatment services and related costs. PROPOSED COMMERCIAL APPLICATIONS: This product will be marketed to managed care organizations hospital systems, dermatology practices, and geriatric care facilities, among others. Direct marketing to target audiences defined by geographic and demographic characteristics, and niche marketing to selected Internet users will also be conducted.