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

项目摘要/摘要 此K07奖项申请的目的是建立一个职业发展和研究计划，将 提供新泽西州癌症研究所医学助理教授Jerod L.Stapleton博士和 罗伯特·伍德·约翰逊医学院，拥有成为成功人士所需的经验和技能 在将创新的健康行为模式应用于制定 量身定做的行为干预措施，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的室内紫外线晒黑的新预测因子 框架，并将发现应用于开发在线、量身定做的干预措施，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 四个领域的课程作业、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)量身定制的行为发展 干预措施。斯台普顿博士战略性地为莎伦·曼恩博士(行为学)找到了一支强大的导师团队 干预)、本·克拉布特里博士(定性研究方法)和霍华德·莱文塔尔博士(健康行为 理论)。一个合作者团队，Lee Ritterband博士(互联网干预)和Kathryn Greene博士 (传播学)，将帮助斯台普顿博士实现他的研究目标。 黑色素瘤是最致命的皮肤癌，发病率和死亡率迅速上升，目前 在美国排名第六的常见癌症。美国癌症协会估计，2013年， 在美国，将诊断出76,690例黑色素瘤，9,480人将死于黑色素瘤，平均9 每小时有一例死亡病例。流行病学研究表明，使用人工智能与 紫外线室内日光浴床和黑色素瘤的风险。黑色素瘤风险在以下人群中呈指数级增加 经常使用室内日光浴的人。这项研究已经促使许多国内和国际 卫生组织承认室内晒黑对人类具有致癌作用。室内晒黑率和 近20年来，年轻女性中的黑色素瘤一直在增加，这进一步说明了患黑色素瘤的风险 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岁的白人女性使用室内日光浴，五分之一的白人女性使用室内日光浴 频率高于显示为指数级增加黑色素瘤风险的频率。 有必要更好地理解经常使用室内日光浴的人的决策，以便 在这一群体中，制定行为干预措施以减少室内晒黑。这项研究提案涉及使用 通过采用自我调节理论来理解决策的一系列定性研究 框架。这些研究的结果将被用于开发和试点一种创新的在线、量身定做的 行为干预。这种类型的干预具有极大的成本效益传播潜力， 有可能降低未来皮肤癌的发病率。 好了！ 好了！ 好了！ 好了！ 好了！ 好了！

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. ! ! ! ! ! !