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Impact of a video-based intervention to improve the prevalence of skin self-examination in men 50 years or older: The randomized skin awareness trial
Journal article   Peer reviewed

Impact of a video-based intervention to improve the prevalence of skin self-examination in men 50 years or older: The randomized skin awareness trial

M Janda, R E Neale, Philippa H Youl, D C Whiteman, L Gordon and P D Baade
Archives of Dermatology, Vol.147(7), pp.799-806
2011
DOI: https://doi.org/10.1001/archdermatol.2011.48
url
https://doi.org/10.1001/archdermatol.2011.48View
Published Version

Abstract

Objective: Toimprove the proportion of men 50 years or older who conduct a thorough whole-body skin self-examination (SSE), because these men are at increased risk of being diagnosed as having thick melanomas and dying of melanoma. Design: Randomized trial of a video-based intervention to increase whole-body SSE compared with brochures-only control. Setting: Men from an Australian population register. Participants: The study included 930 men 50 years or older. Intervention: The men were randomly assigned to receive either written materials only (control) or written materials along with a DVD or video and 2 postcard reminders (intervention). Telephone interviews were conducted at baseline and at 7 and 13 months. Main Outcome Measure: The proportion of men who conducted a whole-body SSE with the help of 2 mirrors and/or a person to assist with difficult-to-see areas. Results: Compared with baseline (10%), by 13 months both groups had increased their whole-body SSE behaviors similarly (36% intervention and 31% control) (P=.85). At 7 months, the intervention group was significantly more likely to examine at least 1 part of their back (P<.001) and to examine a greater number of body sites (P<.001). At 7 months, the proportion of men conducting any SSE increased by 28% in the intervention group compared with 13% in the control group (P<.001), but at 13 months, the prevalence of any self-examination (83% vs 80%) was again similar. Conclusion: While men 50 years or older are responsive to appropriately targeted intervention materials to increase their SSE behaviors, the addition of a video or DVD to written materials had only a transient advantage for optimal SSE practices. Trial Registration: anzctr.org.au Identifier: 12608000384358 ©2011 American Medical Association. All rights reserved.

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Domestic collaboration
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Dermatology

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