An Internet-Based Behavioral Intervention for Individuals Diagnosed with Melanoma

针对黑色素瘤诊断个体的基于互联网的行为干预

• 批准号: 9056472
• 负责人: ELLIOT J COUPS
• 金额: $ 49.23万
• 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: 2014-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9056472
• 关键词: Adoption; Age; Area; Attitude; Behavior; Behavior Therapy; Belief; Clinical; Control Groups; Cutaneous; Data; Development; Diagnosis; Disease; Distress; Dysplastic Nevus; Education; Effectiveness; Evaluation; Family; Future; Gender; Generic Drugs; Geographic Locations; Goals; Health; Income; Individual; Internet; Intervention; Knowledge; Mediating; Mediator of activation protein; Mole the mammal; Online Systems; Operative Surgical Procedures; Patients; Phase; Physicians; Psychosocial Factor; Public Health; Randomized Controlled Trials; Recommendation; Recording of previous events; Recurrence; Research; Resistance; Risk; Risk Reduction Behavior; Sampling; Self Efficacy; Self-Examination; Severities; Skin; Skin Cancer; Staging; Subgroup; Testing; Time Factors; Visual; Work; base; behavior change; cancer risk; comparative efficacy; cost; disease diagnosis; disorder risk; effective intervention; efficacy testing; experience; high risk; innovation; intervention effect; melanoma; program dissemination; sun protection; theories; therapy development; treatment as usual; trial comparing; trial design; usability; web site

DESCRIPTION (provided by applicant): Individuals diagnosed with melanoma are at risk for disease recurrence and second primary melanoma and it is recommended that they regularly perform thorough skin self-examination and routinely engage in sun protection behaviors. However, previous research indicates that the majority of melanoma patients do not perform skin self-examination on a sufficiently regular basis, and when they do so, they do not conduct a thorough inspection of all areas of the body. Many patients also fail to engage in one or more sun protection behaviors. The goal of the proposed research is to develop and test an innovative behavioral intervention to promote skin surveillance and sun protection behaviors among melanoma patients. The intervention will be delivered via the Internet as opposed to other delivery channels, as it is an efficient and potentially low cost way to deliver interactive, personally tailored content to patients. The project will be conducted in two phases. Phase 1 focuses on intervention development, acceptability and usability testing, and refinement. Phase 2 is a randomized controlled trial comparing the efficacy of an interactive tailored website versus usual care in promoting patients' engagement in thorough skin self-examination and sun protection behaviors. The primary aim of the project is to evaluate the impact of the interactive tailored website versus usual care on thorough skin self-examination and sun protection behaviors. The secondary aim of the project is to identify mediators of the impact of the intervention, which will facilitate a conceptual understanding of why the intervention worked and will also aid the development of more effective interventions. The exploratory aim of the project is to examine moderators of the impact of the intervention. This will identify patient subgroups that are particularly amenable or resistant to the effects of the intervention, which will inform future intervention development and targeting.

描述（由申请人提供）：被诊断出患有黑色素瘤的人有疾病复发的风险和第二次原发性黑色素瘤，建议他们定期进行彻底的皮肤自我检查，并经常从事防晒行为。但是，先前的研究表明，大多数黑色素瘤患者没有足够定期进行皮肤自我检查，并且在这样做时，他们不会对身体的所有区域进行彻底检查。许多患者也无法从事一种或多种防晒行为。拟议的研究的目的是开发和测试一种创新的行为干预措施，以促进黑色素瘤患者的皮肤监测和防晒行为。干预措施将通过互联网而不是其他交付渠道提供，因为这是一种有效且可能低成本的交付方式 个人为患者量身定制内容。该项目将分为两个阶段。第1阶段的重点是干预开发，可接受性和可用性测试以及改进。第2阶段是一项随机对照试验，比较了互动量身定制的网站的功效 通常的护理，以促进患者参与彻底的皮肤自我检查和防晒行为。该项目的主要目的是评估互动量身定制的网站的影响与通常的护理对彻底的皮肤自我检查和防晒行为的影响。该项目的第二目的是确定干预措施影响的调解人，这将促进对干预措施为什么有效的概念理解，并将有助于开发更有效的干预措施。该项目的探索目的是检查主持人的干预影响。这将确定患者亚组特别适合或抵抗干预措施的影响，这将为未来的干预开发和靶向介绍。