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

项目概要/摘要 此K 07奖申请的目的是建立一个职业发展和研究计划， 提供Dr. Jerod L.新泽西癌症研究所的医学助理教授斯台普顿和 罗伯特伍德约翰逊医学院，与经验和技能，成为一个成功的 独立调查员在该领域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 使用自我调节理论评估频繁人工紫外线室内晒黑的新预测因子 框架，并将研究结果应用于在线定制干预措施的开发，以减少室内晒黑 年轻女性的行为。斯台普顿博士的职业发展目标将通过正式的 在四个领域的课程、指导学习和研究活动：（1）癌症预防和控制;（2） 健康行为理论;（3）定性研究方法;（4）定制行为的发展 干预措施。斯台普顿博士战略性地确定了一个强大的导师团队博士沙龙曼恩（行为 本·克拉布特里博士（定性研究方法）和霍华德·利文塔尔博士（健康行为 理论）。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 （传播理论），将协助斯台普顿博士达到他的研究目标。 黑色素瘤是最致命的皮肤癌，其发病率和死亡率迅速上升， 美国第六大常见癌症美国癌症协会估计，2013年， 在美国，将有76,690例黑色素瘤被诊断出来，9,480人将死于黑色素瘤，平均9 每小时确诊1例死亡。流行病学研究表明，使用人工 紫外线室内晒黑床和黑色素瘤的风险。患黑色素瘤的风险呈指数级增加， 那些经常使用室内晒黑的人。这项研究已经引起了许多国家和国际 健康组织承认室内晒黑对人类致癌。室内晒黑率， 近20年来，黑色素瘤在年轻女性中的发病率一直在上升，这进一步说明了 室内晒黑疾病控制和预防中心最近的一份报告显示，近三分之一的人 2010年，18-25岁的白色女性使用室内美黑，五分之一的女性使用室内美黑 其发生频率高于呈指数增长的黑色素瘤风险。 有必要更好地了解频繁的室内晒黑用户的决策，以便 采取行为干预措施，减少这一群体的室内晒黑。该研究计划涉及使用 一系列的定性研究，以了解决策适应自我调节理论 框架.这些研究的结果将用于开发和试点测试一个创新的在线，量身定制的 行为干预这类干预措施在成本效益高的传播方面具有很大的潜力， 降低未来皮肤癌发病率的潜力。 ! ! ! ! ! !

PROJECT SUMMARY/ABSTRACT 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. ! ! ! ! ! !