Skin Savvy Study

描述（由申请人提供）：青少年和年轻成年人过度暴露于紫外线（UV）辐射的风险很高，这是皮肤癌发展的主要因素。这些人中的大多数继续最低限度地保护自己并有意晒黑，包括最近晒黑亭的使用显着增加。尽管人们对紫外线辐射和皮肤癌有广泛的教育/认识，但这种无忧无虑的行为仍然存在。该项目的目的是研究改变皮肤保护行为的两种新方法的功效和寿命：1)紫外线检测照片显示当前存在的皮肤损伤；2)动机访谈（Ml），一种以人为中心的指导性咨询方式，用于增强改变健康行为的内在动机。这个项目将促进Pi的发展成为一个独立的癌症预防研究者与一个富有成效的正在进行的研究项目。培训将通过个性化指导、课程以及会议/研讨会的参与来完成。拟议的调查包括一项改进方法的试点研究；一项小型正式随机对照疗效试验；还有一个拆解研究。开展该项目将提高Pi在各种研究领域的技能，包括概念化/设计，招募和干预，以及分析和传播。这些研究还将在几个主要方面扩展现有的知识和研究：1)使用紫外线检测照片将实现高度突出和个性化的反馈，2)Ml将用于以前未尝试过的健康领域（皮肤癌预防），3)客观肤色变化将使用最先进的皮肤反射分光光度法测量，4)拟议的研究将测试几个主要心理学理论（例如，跨理论模型，原型/意愿模型）的各个方面，以确定结果的调节因子/中介。因此，这些研究应该为皮肤癌预防研究人员和临床医生提供有关过程和结果的有用信息。

DESCRIPTION (provided by applicant): Teens and young adults are at high risk for overexposure to ultraviolet (UV) radiation, a leading factor in the development of skin cancer. The majority of these individuals continue to protect themselves minimally and tan intentionally, including significant increases in tanning booth use recently. Such care-free behaviors exist despite widespread education/awareness about UV radiation and skin cancer. The purpose of the proposed project is to investigate the efficacy and longevity of two novel approaches to changing skin protection behaviors: 1) UV-detect photos that reveal currently existing skin damage and 2) motivational interviewing (Ml), a person-centered, yet directive counseling style used to enhance internal motivation to change health behaviors. This project will foster the Pi's development into an independent cancer prevention investigator with a productive ongoing program of research. Training will be accomplished via personalized mentoring, coursework, as well as conference/workshop participation. The proposed investigations include a pilot study to refine the methodology; a small formal randomized controlled efficacy trial; and a dismantling study. Conducting the project will enhance the Pi's skills in a variety of research domains including conceptualization/design, recruitment and intervention, as well as analysis and dissemination. These studies will also expand current knowledge and research in several major ways: 1) the use of UV-detect photos will enable highly salient and personalized feedback, 2) Ml will be used in a previously untried health domain (skin cancer prevention), 3) objective skin color changes will be measured using state-of-the-art skin reflectance spectrophotometry, and 4) the proposed studies will test aspects of several major psychological theories (e.g., Transtheoretical Model, Prototype/Willingness Model) to identify moderators/mediators of outcome. Therefore, the studies should provide useful information about process and outcome for skin cancer prevention researchers and clinicians.