Lora M Azzarello1, Paul B Jacobsen. 1. H. Lee Moffitt Cancer Center and the University of South Florida, Tampa, Florida 33612-9416, USA.
Abstract
BACKGROUND: Targeting higher risk individuals, such as melanoma patients' first-degree relatives, may be more efficient than mass skin cancer screening. OBJECTIVE: Our aim was to examine prevalence and predictors of total cutaneous examination in first-degree relatives. METHODS: Ninety-five first-degree relatives completed questionnaires assessing demographic and risk characteristics, perceived risk, perceived severity, self-efficacy, response efficacy, and total skin examination. Fourteen months later, first-degree relatives were asked if they had obtained a total skin examination during follow-up. RESULTS: At baseline, 47% reported at least one total cutaneous examination and 27% had a health care provider recommendation for total skin examination. At follow-up, 37% had obtained a total skin examination. Baseline and follow-up total cutaneous examination was associated with more risk factors, higher education, provider recommendation, and greater perceived risk and severity. In multivariate analyses, provider recommendation and college education predicted follow-up total skin examination. LIMITATIONS: Data were self reported. Knowledge, health-care access, and follow-up provider recommendation were not assessed. CONCLUSION: Physicians and other providers may be influential in promoting total cutaneous examination in first-degree relatives.
BACKGROUND: Targeting higher risk individuals, such as melanomapatients' first-degree relatives, may be more efficient than mass skin cancer screening. OBJECTIVE: Our aim was to examine prevalence and predictors of total cutaneous examination in first-degree relatives. METHODS: Ninety-five first-degree relatives completed questionnaires assessing demographic and risk characteristics, perceived risk, perceived severity, self-efficacy, response efficacy, and total skin examination. Fourteen months later, first-degree relatives were asked if they had obtained a total skin examination during follow-up. RESULTS: At baseline, 47% reported at least one total cutaneous examination and 27% had a health care provider recommendation for total skin examination. At follow-up, 37% had obtained a total skin examination. Baseline and follow-up total cutaneous examination was associated with more risk factors, higher education, provider recommendation, and greater perceived risk and severity. In multivariate analyses, provider recommendation and college education predicted follow-up total skin examination. LIMITATIONS: Data were self reported. Knowledge, health-care access, and follow-up provider recommendation were not assessed. CONCLUSION: Physicians and other providers may be influential in promoting total cutaneous examination in first-degree relatives.
Authors: Elliot J Coups; Sharon L Manne; Pamela Ohman Strickland; Michelle Hilgart; James S Goydos; Carolyn J Heckman; Paola Chamorro; Babar K Rao; Moira Davis; Franz O Smith; Frances P Thorndike; Lee M Ritterband Journal: Contemp Clin Trials Date: 2019-06-27 Impact factor: 2.226
Authors: Sharon L Manne; Carolyn J Heckman; Deborah A Kashy; Lee M Ritterband; Frances P Thorndike; Carolina Lozada; Elliot J Coups Journal: Transl Behav Med Date: 2021-07-29 Impact factor: 3.046