Melanoma survivors: Health behaviors, surveillance, psychosocial factors, and family concerns Journal Article


Authors: Oliveria, S. A.; Shuk, E.; Hay, J. L.; Heneghan, M.; Goulart, J. M.; Panageas, K.; Geller, A. C.; Halpern, A. C.
Article Title: Melanoma survivors: Health behaviors, surveillance, psychosocial factors, and family concerns
Abstract: Background Little research has been conducted on melanoma survivors and important opportunities exist for research in this understudied population. The study objective was to examine experiences of melanoma survivors regarding sun protection, surveillance practices, psychosocial and family concerns using focus groups. Methods We identified patients (≥18 years) treated at Memorial Sloan-Kettering Cancer Center (USA) during 1996-2005 with invasive primary cutaneous melanoma, stages I-III. We stratified focus groups by age (<50 vs ≥50 years) and years since diagnosis (1 to <5 years vs 5-10 years). We performed qualitative thematic text analysis, which involved independent data review by multiple analysts (n = 2) followed by interpretation of key findings via consensus work. Results Forty-eight survivors composed the final sample. Most did not conduct routine skin self-examinations. Survivors became more conscious of sun exposure and expanded their sun protection; some experienced anxiety if caught unprotected in the sun. Survivors were aware of the increased melanoma risk for family members, yet many did not discuss risk reduction. Melanoma diagnosis elevated the importance of retaining health insurance and purchasing life insurance for younger survivors. We did not identify significance difference between those diagnosed more or less recently. Conclusions We identified areas of high priority to melanoma survivors: skin self-examination, anxiety associated with sun exposure, familial risk communication, and maintaining health insurance benefits. The implications for cancer survivors are that these behavioral data will help to design health promotion and prevention programs that are tailored to melanoma survivors' risk status. Copyright © 2011 John Wiley & Sons, Ltd.
Keywords: melanoma; survivors; surveillance; health behaviors; psychosocial factors; family concerns
Journal Title: Psycho-Oncology
Volume: 22
Issue: 1
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2013-01-01
Start Page: 106
End Page: 116
Language: English
DOI: 10.1002/pon.2059
PROVIDER: scopus
PUBMED: 23296633
PMCID: PMC5716357
DOI/URL:
Notes: --- - "Export Date: 1 February 2013" - "CODEN: POJCE" - "Source: Scopus"
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  1. Allan C Halpern
    396 Halpern
  2. Katherine S Panageas
    512 Panageas
  3. Jennifer L Hay
    264 Hay
  4. Elyse Shuk
    62 Shuk