Partner Assistance in Performing Skin Self-Examination

合作伙伴协助进行皮肤自我检查

• 批准号: 6697582
• 负责人: JUNE K ROBINSON
• 金额: $ 14.35万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6697582
• 关键词: aging; clinical research; dyadic interaction; early diagnosis; human subject; self care; self examination; skin disorder diagnosis; skin neoplasms

DESCRIPTION (provided by applicant): Skin cancer, the most common malignancy in the United States, is an important public health concern. Older age is associated with a higher risk of developing skin cancer; therefore, as the United States population of adults 65 and older increases by an estimated 20 percent in the next decade the incidence of skin cancer will increase. For those at risk to develop skin cancer, early detection by skin self-examination (SSE) is an effective strategy to decrease mortality and the physical and emotional burden of the disease. This research project will investigate whether married or cohabitating couples learn to and perform skin examination more effectively than solo learning by the person at risk to develop skin cancer. The effect of partner affiliation on dyadic learning is a novel area of research that is particularly relevant to early detection of skin cancer by SSE, which often requires the assistance of a partner to examine areas of the body that are difficult for the individual to see. The present study will examine two hundred participants at risk to develop skin cancer, who are between 50 and 70 years old and have partners, enrolled in a randomized trial with four month evaluation of SSE performance, by self-report responses, monthly diaries as body maps, and physician visits with diagnostic services. The effect on self-efficacy of performing SSE, knowledge of skin cancer and personal risk factors, attitude about the importance of skin cancer and performing SSE; is assessed by change in pre-test to post-test self-report responses. In addition, it is hypothesized that differences in partner affiliation will moderate the dyadic learning and the effectiveness of the intervention to promote SSE. This research will investigate partner affiliation variables that contribute to SSE performance and assistance with skin examination. Once partner affiliation variables and barriers have been identified, strategies will be developed to assist others without a life partner to form SSE partnerships with family members or friends. The elderly are often affected by loss of life partners and comorbid diseases that impair function. By forming skin examination partnerships, family members may become aware of the personal risk that is conferred upon them by having a family member with skin cancer.

描述(申请人提供)：皮肤癌是美国最常见的恶性肿瘤，是一个重要的公共卫生问题。年龄越大，患皮肤癌的风险越高；因此，随着美国65岁及以上的人口在未来十年中增加约20%，皮肤癌的发病率也会增加。对于那些有患皮肤癌风险的人，通过皮肤自我检查(SSE)及早发现是降低死亡率和疾病的身体和精神负担的有效策略。 这项研究项目将调查已婚或同居的夫妇是否比单独学习更有效地学习和执行皮肤检查，从而患上皮肤癌。伴侣从属关系对二元学习的影响是一个新的研究领域，与SSE早期发现皮肤癌特别相关，这通常需要伴侣的协助来检查个人难以看到的身体区域。这项研究将检查200名有患皮肤癌风险的参与者，他们的年龄在50岁到70岁之间，有伴侣，参加了一项随机试验，通过自我报告、每月日记作为身体地图和提供诊断服务的医生访问，对SSE表现进行了四个月的评估。进行SSE对自我效能感、对皮肤癌和个人危险因素的了解、对皮肤癌重要性的态度和进行SSE的影响；通过测试前到测试后自我报告反应的变化来评估。 此外，本研究还假设，合作伙伴隶属关系的不同会对促进SSE的双元学习和干预的有效性产生调节作用。这项研究将调查合作伙伴的从属关系变量，这些变量对SSE的表现和皮肤检查的帮助有贡献。一旦确定了伴侣隶属关系的变量和障碍，将制定战略，帮助其他没有生活伴侣的人与家人或朋友建立SSE伙伴关系。老年人经常受到失去生活伴侣和损害功能的共病的影响。通过建立皮肤检查伙伴关系，家庭成员可能会意识到家庭成员患有皮肤癌所带来的个人风险。