Psychosocial mediators of a nurse intervention to increase skin self-examination in patients at high risk for melanoma Journal Article
| Authors: | Hay, J. L.; Oliveria, S. A.; Dusza, S. W.; Phelan, D. L.; Ostroff, J. S.; Halpern, A. C. |
| Article Title: | Psychosocial mediators of a nurse intervention to increase skin self-examination in patients at high risk for melanoma |
| Abstract: | This prospective study examines psychosocial mediators of an efficacious skin self-examination (SSE) intervention that includes provision of a whole-body digital photography book depicting the entire skin surface. Individuals (n = 100) with established risk factors for melanoma were recruited from the Memorial Sloan-Kettering Cancer Center Pigmented Lesion Clinic during their initial dermatologist visit and were randomized to receive a photobook immediately (n = 49) or 4 months after intervention delivery (n = 51). Potential mediators included self-efficacy and response efficacy drawn from Social Cognitive Theory, melanoma worry, and SSE anxiety drawn from Self-Regulation Theory, and skin cancer knowledge, and skin awareness. Only self-efficacy was a significant mediator, accounting for 8% of the total effect of photobook enhancement on SSE adherence at 4 months. Copyright © 2006 American Association for Cancer Research. |
| Keywords: | adult; clinical article; controlled study; aged; cancer risk; melanoma; skin neoplasms; risk factors; patient education; skin examination; patient compliance; self efficacy; self concept; anxiety; medical photography; high risk population; health knowledge, attitudes, practice; awareness; photography; skin care; social psychology; self examination; self-examination; knowledge; nurse practitioner; social cognitive theory |
| Journal Title: | Cancer Epidemiology Biomarkers and Prevention |
| Volume: | 15 |
| Issue: | 6 |
| ISSN: | 1055-9965 |
| Publisher: | American Association for Cancer Research |
| Date Published: | 2006-06-01 |
| Start Page: | 1212 |
| End Page: | 1216 |
| Language: | English |
| DOI: | 10.1158/1055-9965.epi-04-0822 |
| PUBMED: | 16775183 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 8" - "Export Date: 4 June 2012" - "CODEN: CEBPE" - "Source: Scopus" |
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