Randomized Trial of a Social Media-Delivered Intervention Targeting Indoor Tanning Users

针对室内日光浴用户的社交媒体干预措施的随机试验

• 批准号: 9897763
• 负责人: Jerod Lynn Stapleton
• 金额: $ 1.15万
• 依托单位: RBHS -CANCER INSTITUTE OF NEW JERSEY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-15 至 2019-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9897763
• 关键词: Address; Adopted; Adult; American; Appearance; Attitude; Beauty; Behavior; Behavior Therapy; Belief; Body Image; Cognitive Dissonance; Collaborations; Conflict (Psychology); Control Groups; Development; Eating Behavior; Eating Disorders; Facebook; Feedback; Female; Funding; Future; Grant; Growth; Human; Incidence; Individual; Intervention; Intervention Studies; Intervention Trial; Lead; Malignant Neoplasms; Mediating; Mediator of activation protein; Participant; Population; Process; Randomized Controlled Trials; Recording of previous events; Reporting; Research; Research Personnel; Risk; Sampling; Site; Skin; Skin Cancer; Skin Carcinoma; Skin tanning; Surgeon; Techniques; Testing; Time; Treatment Efficacy; Woman; Work; base; behavior change; body dissatisfaction; carcinogenicity; college; cost effective; design; eHealth; effective intervention; experience; follow-up; high risk; innovation; international health organization; intervention effect; melanoma; novel; pressure; primary outcome; programs; psychosocial; randomized trial; skin cancer prevention; social media; success; tanning booths; theories; therapy design; trend; ultraviolet; usability; web site; young adult; young woman

PROJECT SUMMARY/ABSTRACT The number of U.S. adults treated annually for melanoma, the most deadly form of skin cancer, has nearly doubled in the past 15 years and the incidence rate is projected to again double by 2030. This growth is partly attributed to the popularity of artificial ultraviolet-emitting indoor tanning beds. Despite recognition by numerous national and international health organizations as being carcinogenic to humans, nearly 10 million Americans use indoor tanning beds each year. An estimated 1 in 10 of all new U.S. cases of melanoma and 400,000 annual cases of non-melanoma skin cancer are directly attributable to indoor tanning. Most concerning, nearly 1 in 5 young adult white females engage in high-risk indoor tanning, defined as using indoor tanning beds at least ten times a year, which is associated with a substantially increased risk of melanoma. As indoor tanning gained popularity among young women over the past two decades, melanoma has recently become one of the most common cancers among this population. The 2014 Surgeon General's Call to Action to Prevent Skin Cancer identified a critical research gap related to an absence of interventions that target high risk indoor tanners and address underlying motives for tanning, including “the desire to look attractive and healthy and to conform to societal beauty standards”. The purpose of this application is to implement and test an intervention designed to encourage indoor tanning cessation among high-risk tanners. The intervention is unique in using persuasive techniques and content to reduce perceived pressure to be tan, reduce the value placed on tanning, and promote positive body image rather than focusing on information about the risks of tanning. The intervention will be delivered via the social media site Facebook through the “secret groups” feature. The use of Facebook groups will allow group-based interactions among participants, which can facilitate stronger changes in attitudes and behaviors, and provides a platform to embed the intervention into individuals' normal routines. The first proposed aim is to refine the existing intervention content from our preliminary intervention studies with user-generated feedback. The second aim is to conduct a randomized controlled trial of the intervention in a sample of 400 young women engaged in high-risk tanning. Our primary hypothesis is that participants who receive the intervention will report less indoor tanning at a 6-month follow-up compared to those who participate in a control Facebook group. Our third aim will examine hypothesized psychosocial mediators of the intervention effects. The intervention has strong potential for cost-effective, widespread dissemination and targets a group at high-risk for future cancer development. If effective, the intervention has the potential to significantly reduce the growing burden of melanoma and other skin cancers.

项目摘要/摘要 每年接受黑色素瘤治疗的美国成年人的人数，是皮肤癌最致命的形式，几乎患有 在过去的15年中翻了一番，预计到2030年，事件率将再次加倍。这一增长是一部分 归因于人造紫外线发射室内晒黑床的普及。尽管被无数 国家和国际卫生组织对人类具有致癌性，近1000万美国人 每年使用室内晒黑床。估计在所有新的美国黑色素瘤病例中，有1个和40万例 年度非黑色瘤皮肤癌病例直接归因于室内晒黑。最关心的是，几乎是 1个年轻的成年白人女性中有1个从事高风险的室内晒黑，定义为使用室内晒黑床 每年至少十次，这与黑色素瘤的次要增加有关。作为室内晒黑 在过去的二十年中，黑色素瘤在年轻女性中受到欢迎，最近已成为其中之一 在这个人群中最常见的癌症。 2014年外科医生的行动呼吁防止皮肤 癌症确定了与靶向高风险室内的干预措施有关的关键研究差距 晒黑的晒黑器和地址的基本动机，包括“看起来有吸引力和健康的愿望 符合社会美容标准”。此应用程序的目的是实施和测试干预措施 旨在鼓励高风险晒黑器中的室内晒黑。干预措施在使用方面是独一无二的 有说服力的技术和内容，以减少被感知的压力为棕褐色，降低晒黑的价值， 并促进积极的身体形象，而不是专注于有关晒黑风险的信息。这 干预将通过“秘密团体”功能通过社交媒体网站Facebook提供。使用 Facebook小组将允许参与者之间的基于小组的互动，这可以促进更强大 出勤率和行为的变化，并提供了一个平台，将干预措施嵌入个人正常状态 例程。第一个建议的目的是从我们的初步干预中完善现有的干预内容 用用户生成的反馈研究。第二个目的是进行一项随机对照试验 干预400名从事高风险晒黑的年轻妇女的样本。我们的主要假设是 接受干预的参与者将在6个月的随访中报告较少的室内晒黑 那些参加控制Facebook组的人。我们的第三个目标将检查假设的社会心理 干预效果的介体。干预具有很强的具有成本效益，宽度的潜力 传播和针对高风险的一组以进行未来的癌症发展。如果有效，干预有 显着减少黑色素瘤和其他皮肤癌的燃烧的潜力。