INTERACTIVE MEDIA IN SKIN CANCER CONTROL

将进行一项随机临床试验，以测试互动式健康教育计划在促进中老年人预防皮肤癌和定期皮肤检查行为方面的有效性。该计划将与高风险皮肤癌患者，中等风险内科患者和低风险健康计划参与者进行评估。该研究将在三级医疗中心、初级保健诊所和公司内联网上进行。将测试多媒体程序的光盘和网络版本。方案内容包括关于皮肤癌发病率的信息、皮肤检查方法、协助查明病变、指导如何修复晒伤的皮肤、关于预防战略的建议以及与因特网健康教育网站的联系。行为改变和行为自我管理方法包括在该计划中。社会营销原则也被用于促进、实现和维持皮肤保护和皮肤筛查行为。结果测量将包括皮肤癌知识测量、变化分类阶段和自我效能评级，以及关于使用诊断和治疗服务及相关费用的患者记录数据沿着。拟议的商业应用：该产品将销售给管理式护理组织、医院系统、皮肤科实践和老年护理机构等。此外，亦会向按地域和人口特征划分的目标对象进行直接推销，以及向选定的互联网用户进行专门的推销。

A randomized clinical trial will be conducted to test the effectiveness of an interactive health education program in promoting skin cancer prevention and regular skin examination behaviors in middle-aged and elderly populations. The program will be evaluated with high-risk skin cancer patients, medium-risk internal medicine patients, and low-risk wellness program participants. The study will take place in a tertiary care medical center, a primary care office practice, and over a corporate intranet. Both CD-ROM and network based versions of the multimedia program will be tested. Program content includes information about skin cancer rates, skin examination methods, assistance in identifying lesions, instruction in how to repair sun-damaged skin, and advice about preventive strategies, as well as linkages to Internet-based health education sites. Behavior change and behavioral self management methods are included in the program. Social marketing principles have also been used to promote, enable, and maintain skin protective and skin screening behaviors. Outcome measures will include skin cancer knowledge measures, stage of change categorizations, and self-efficacy ratings, along with patient record data on use of diagnostic and treatment services and related costs. PROPOSED COMMERCIAL APPLICATIONS: This product will be marketed to managed care organizations hospital systems, dermatology practices, and geriatric care facilities, among others. Direct marketing to target audiences defined by geographic and demographic characteristics, and niche marketing to selected Internet users will also be conducted.