A Self-Regulation Approach to an Indoor Tanning Intervention for Frequent Users

针对频繁使用者的室内晒黑干预的自我调节方法

• 批准号: 8796708
• 负责人: Jerod Lynn Stapleton
• 金额: $ 13.72万
• 依托单位: RBHS -CANCER INSTITUTE OF NEW JERSEY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-02-01 至 2019-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8796708
• 关键词: Affect; Age; American Cancer Society; Appearance; Area; Attitude; Award; Behavior; Behavior Therapy; Behavioral; Belief; Cancer Control; Cancer Institute of New Jersey; Centers for Disease Control and Prevention (U.S.); Cessation of life; Cues; Cutaneous Melanoma; Data; Decision Making; Development; Devices; Diagnosis; Epidemiology; Ethnography; Event; Female; Focus Groups; Frequencies; Future; Goals; Group Interviews; Health; Health behavior; Hour; Human; Incidence; Individual; Informal Social Control; Internet; Intervention; Intervention Studies; Interview; Knowledge; Language; Learning; Link; Literature; Malignant Neoplasms; Medicine; Mentors; Modeling; Moods; Nature; Outcome; Participant; Perception; Process; Qualitative Research; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Research Project Grants; Research Proposals; Research Technics; Risk; Risk Behaviors; Series; Skin Cancer; Skin Carcinoma; Skin tanning; Surveys; Testing; Thinking; Time; Training; United States; Woman; Wood material; aged; base; cancer prevention; cancer risk; career development; communication theory; cost effective; design; disorder prevention; experience; group intervention; informant; innovation; insight; interest; international health organization; medical schools; meetings; melanoma; mortality; novel; prevent; professor; research and development; research study; skills; social; tanning booths; theories; therapy design; training project; ultraviolet; uptake; young adult; young woman

DESCRIPTION (provided by applicant): The purpose of this K07 award application is to establish a career development and research plan that will provide Dr. Jerod L. Stapleton, Assistant Professor of Medicine at The Cancer Institute of New Jersey and Robert Wood Johnson Medical School, with the experiences and skills necessary to become a successful independent investigator in the area of applying innovative models of health behavior to the development of tailored behavioral interventions to reduce cancer risk behaviors. The research goals of the proposal are to assess novel predictors of frequent artificial ultraviolet indoor tanning using a self-regulation theoretical framework and to apply findings to the development of an online, tailored intervention to reduce indoor tanning behaviors among young women. Dr. Stapleton's career development goals will be met through formal coursework, mentored learning, and research activities in four areas: (1) cancer prevention and control; (2) health behavior theory; (3) qualitative research methods; and (4) the development of tailored behavioral interventions. Dr. Stapleton has strategically identified a strong mentor team of Dr. Sharon Manne (behavioral interventions), Dr. Ben Crabtree (qualitative research methods), and Dr. Howard Leventhal (health behavior theory). A team of collaborators, Dr. Lee Ritterband (internet interventions) and Dr. Kathryn Greene (communication theory), will assist Dr. Stapleton in meeting his research goals. Melanoma, the most deadly form of skin cancer, has a rapidly rising incidence and mortality rate and is now the sixth most common cancer in the United States. The American Cancer Society estimates that in 2013, 76,690 melanomas will be diagnosed and 9,480 people will die from melanoma in the U.S., an average of 9 diagnoses and 1 death every hour. Epidemiological research has shown a link between use of artificial ultraviolet indoor tanning beds and risk of melanoma. The risk of melanoma increases exponentially among those who frequently use indoor tanning. This research has prompted numerous national and international health organizations to recognize indoor tanning as carcinogenic to humans. Rates of indoor tanning and melanoma have both been increasing among young women for nearly 20 years, further illustrating the risks of indoor tanning. A recent report by the Centers for Disease Control and Prevention showed that nearly 1 in 3 white women between the ages of 18-25 years old used indoor tanning in 2010 and 1 in 5 used indoor tanning at a frequency higher than those shown to exponentially increase melanoma risk. There is a need for a greater understanding of the decision-making of frequent indoor tanning users in order to create behavioral interventions to reduce indoor tanning in this group. The research proposal involves using a series of qualitative research studies to understand decision-making by adapting a self-regulation theory framework. Findings from these studies will be used to develop and pilot test an innovative online, tailored behavioral intervention. This type of intervention has great potential for cost-effective dissemination and the potential to reduce incidence of future skin cancers.

描述（由申请人提供）：此K 07奖项申请的目的是建立职业发展和研究计划，为Jerod L.博士提供。斯台普顿，医学助理教授在新泽西癌症研究所和罗伯特伍德约翰逊医学院，与必要的经验和技能，成为一个成功的独立调查员在该地区的应用创新模式的健康行为的发展量身定制的行为干预措施，以减少癌症风险行为。该提案的研究目标是使用自我调节理论框架评估频繁人工紫外线室内晒黑的新预测因素，并将研究结果应用于在线定制干预的开发，以减少年轻女性的室内晒黑行为。斯台普顿博士的职业发展目标将通过正式的课程，指导学习和研究活动在四个领域：（1）癌症预防和控制;（2）健康行为理论;（3）定性研究方法;和（4）量身定制的行为干预措施的发展。斯台普顿博士从战略上确定了一个强大的导师团队，由莎伦·曼恩博士（行为干预）、本·克拉布特里博士（定性研究方法）和霍华德·利文撒尔博士（健康行为理论）组成。一组合作者，李里特班德博士（互联网干预）和凯瑟琳格林博士（通信理论），将协助博士斯台普顿在满足他的研究目标。黑色素瘤是最致命的皮肤癌，发病率和死亡率迅速上升，现在是美国第六大常见癌症。美国癌症协会估计，2013年，美国将诊断出76,690例黑色素瘤，9,480人将死于黑色素瘤，平均每小时有9例确诊和1例死亡。流行病学研究表明，使用人工紫外线室内晒黑床与患黑色素瘤的风险之间存在联系。黑色素瘤的风险在那些经常使用室内晒黑的人中呈指数级增加。这项研究促使许多国家和国际卫生组织认识到室内晒黑对人类致癌。近20年来，室内晒黑和黑色素瘤的发病率在年轻女性中一直在上升，这进一步说明了室内晒黑的风险。美国疾病控制和预防中心最近的一份报告显示，2010年，18-25岁的白色女性中有近三分之一使用室内晒黑，五分之一使用室内晒黑的频率高于指数增加黑色素瘤风险的频率。有必要更好地了解频繁的室内晒黑用户的决策，以创建行为干预措施，以减少这一群体的室内晒黑。研究建议涉及使用一系列的定性研究，通过适应自我调节理论框架来理解决策。这些研究的结果将用于开发和试点测试一种创新的在线定制行为干预。这类干预措施具有成本效益传播的巨大潜力，并有可能减少未来皮肤癌的发病率。