3.9 Article

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

ARCHIVES OF DERMATOLOGY
Volume 147, Issue 7, Pages 799-806

Publisher

AMER MEDICAL ASSOC
DOI: 10.1001/archdermatol.2011.48

Keywords

-

Categories

Funding

  1. National Health and Medical Research Council (NHMRC) [497200, CDA 553034, CDA 552404]
  2. Australian Research Council [FT0990987]

Ask authors/readers for more resources

Objective: To improve 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.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

3.9
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Public, Environmental & Occupational Health

Childhood cancer survival and avoided deaths in Australia, 1983-2016

Danny R. Youlden, Peter D. Baade, Andrew S. Moore, Jason D. Pole, Patricia C. Valery, Joanne F. Aitken

Summary: Survival for childhood cancer in Australia has continued to improve over recent decades, with most cancers showing improvements in survival. The study also estimated the number of deaths among Australian children that were potentially avoided due to improvements in survival.

PAEDIATRIC AND PERINATAL EPIDEMIOLOGY (2023)

Article Ophthalmology

Vitamin D Supplementation and the Incidence of Cataract Surgery in Older Australian Adults

Sabbir T. Rahman, Mary Waterhouse, Briony Duarte Romero, Catherine Baxter, Dallas English, David A. Mackey, Peter R. Ebeling, Bruce K. Armstrong, Donald S. A. McLeod, Gunter Hartel, Rachel L. O'Connell, Jolieke C. van der Pols, Alison J. Venn, Penelope M. Webb, David C. Whiteman, Rachel E. Neale

Summary: Supplementing high-dose vitamin D may not significantly reduce the incidence of cataract surgery, regardless of age, sex, body mass index, serum vitamin D concentration, or ambient ultraviolet radiation.

OPHTHALMOLOGY (2023)

Article Economics

Healthcare Costs Before and After Diagnosis of Cancer of Unknown Primary Versus Ovarian Cancer in Australia

Louisa G. Gordon, C. Wood, R. W. Tothill, P. M. Webb, P. Schofield, L. Mileshkin

Summary: This study aimed to describe and quantify healthcare resource usage and costs for patients with cancer of unknown primary (CUP) in Australia, and compare them with patients with ovarian cancer. The study found that pre-diagnosis costs for CUP patients were nearly triple those for ovarian cancer patients. Six months after diagnosis, healthcare costs remained higher for CUP patients than for ovarian cancer patients.

PHARMACOECONOMICS-OPEN (2023)

Letter Dermatology

Spatial Randomness in the Distribution of Acquired Melanocytic Nevi of the Back in a Population-Based Sample

Dilki Jayasinghe, Brigid Betz-Stablein, Mitchell S. Stark, H. Peter Soyer, Monika Janda

JOURNAL OF INVESTIGATIVE DERMATOLOGY (2023)

Letter Dermatology

The rise in thick melanomas: can early detection reduce the burden?

Catherine M. Olsen, Nirmala Pandeya, David C. Whiteman

Summary: This study aimed to describe the incidence trends of invasive melanoma by histological subtype and thickness in two populations with different approaches to early detection (the US White population and Queensland, Australia). The incidence of thick melanoma (> 4.00 mm) increased at a faster rate than thinner melanomas in both populations over the period 1999-2018, primarily driven by nodular melanomas. Thin melanomas (< 1.00 mm) were predominantly of superficial spreading subtype, while thick melanomas (> 4.00 mm) were dominated by nodular melanomas.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Editorial Material Dermatology

The ethical implications of opportunistic detection of melanoma in clinical care

Catherine M. Olsen, Louisa G. Gordon, Stacy M. Carter, David C. Whiteman

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Oncology

Oral human papillomavirus (HPV) infection and HPV vaccination in an Australian cohort

Marjorie M. A. de Souza, Gunter Hartel, Catherine M. Olsen, David C. Whiteman, Annika Antonsson

Summary: This Australian-based study assessed the prevalence of oral HPV infection in Australian residents and found that the prevalence was 7.2%. The study also found a strong association between oral HPV infection and sexual behaviors, and suggested that HPV vaccination may result in a lower risk of infection with nonavalent HPV types.

INTERNATIONAL JOURNAL OF CANCER (2023)

Article Medicine, General & Internal

Exercise during CHemotherapy for Ovarian cancer (ECHO) trial: design and implementation of a randomised controlled trial

Sandra Hayes, Andreas Obermair, Linda Mileshkin, Alison Davis, Louisa G. Gordon, Elizabeth Eakin, Monika Janda, Vanessa L. Beesley, Elizabeth H. Barnes, Rosalind Renee Spence, Carolina Sandler, Tamara Jones, Dimitrios Vagenas, Penny Webb, John Andrews, Alison Brand, Yeh Chen Lee, Michael Friedlander, Kate Pumpa, Helene O'Neille, Merran Williams, Martin Stockler

Summary: This is a randomized controlled trial on the effect of exercise in ovarian cancer patients. The trial aims to determine the impact of exercise on progression-free survival and physical well-being. The study involves 500 women with newly diagnosed primary ovarian cancer who will be randomly assigned to an exercise intervention group or a control group. The findings will be disseminated through peer-reviewed publications and international conferences.

BMJ OPEN (2023)

Article Dermatology

International patterns and trends in the incidence of melanoma and cutaneous squamous cell carcinoma, 1989-2020

Catherine M. Olsen, Nirmala Pandeya, Bruna S. Ragaini, Rachel E. Neale, David C. Whiteman

Summary: We compared the incidence trends of cutaneous SCC (cSCC) and melanoma in populations residing at mid-to-high latitudes and found that the ratio of cSCC-to-melanoma incidence increased with proximity to the equator and over time, especially in women.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Review Endocrinology & Metabolism

Health Effects of Vitamin D Supplementation: Lessons Learned From Randomized Controlled Trials and Mendelian Randomization Studies

Roger Bouillon, Meryl S. LeBoff, Rachel E. Neale

Summary: Vitamin D plays an important role in calcium homeostasis and cellular processes. However, the benefits of vitamin D supplementation on skeletal and extraskeletal outcomes are conflicting. Large RCTs and MR studies suggest that vitamin D supplementation does not decrease bone loss, fractures, falls, cancer incidence, hypertension, or cardiovascular risk in generally healthy populations. Vitamin D supplementation may have extraskeletal benefits for the immune system, autoimmune diseases, and multiple sclerosis. Accumulating evidence indicates that vitamin D may reduce all-cause mortality. Therefore, the focus of vitamin D supplementation should shift to targeted supplementation in select individuals, good nutritional approaches, and elimination of vitamin D deficiency globally.

JOURNAL OF BONE AND MINERAL RESEARCH (2023)

Article Medicine, General & Internal

Health care service use by people diagnosed with invasive melanoma in Queensland: a benefit incidence analysis

Daniel Lindsay, David C. Whiteman, Catherine M. Olsen, Louisa G. Gordon

Summary: This study quantifies the differences in health care service use by people diagnosed with invasive melanoma in Queensland, Australia, based on their residential remoteness and socio-economic status. The analysis shows that there are minor variations in hospital admissions and specialist consultations, with public hospital admissions more frequent in areas of greater socio-economic disadvantage and outside major cities, while private hospital admissions and specialist consultations are more frequent in areas of lesser disadvantage and in major cities.

MEDICAL JOURNAL OF AUSTRALIA (2023)

Article Medicine, General & Internal

Diabetes mellitus and the progression of non-alcoholic fatty liver disease to decompensated cirrhosis: a retrospective cohort study

James O'Beirne, Richard Skoien, Barbara A. Leggett, Gunter F. Hartel, Louisa G. Gordon, Elizabeth E. Powell, Patricia C. Valery

Summary: The study aimed to determine the incidence of decompensated cirrhosis and associated risk factors in patients hospitalized with NAFLD or NASH. The results showed that patients with diabetes, aged 70 years or older, a history of other cancers or major cardiovascular events had a higher risk of decompensated cirrhosis. Additionally, patients with both diabetes and cirrhosis had a higher risk of decompensation. The study emphasized the importance of timely diagnosis and treatment to prevent disease progression in patients with NAFLD/NASH.

MEDICAL JOURNAL OF AUSTRALIA (2023)

Article Public, Environmental & Occupational Health

It is time to update sun safety campaigns to recognise population diversity: Findings from two citizens' juries in Australia

Judy Gregory, Rachel E. Neale, Oliver Frank, Louisa G. Gordon

Summary: This paper reports on a study exploring public perspectives about the harms and benefits of sun exposure, emphasizing the need for improved public information and an updated sun safety campaign in Australia.

HEALTH PROMOTION JOURNAL OF AUSTRALIA (2023)

No Data Available