A Tailored Internet Intervention to Reduce Skin Cancer Risk Behaviors Among Young Adults

Study Overview
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Brief Summary
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Skin cancer is the most common cancer in the US, with over a million new cases diagnosed yearly. Young adults are increasingly at risk of melanoma. Contributing to the increasing skin cancer risk is the fact that US adolescents have the lowest skin protection rates of all age groups and also demonstrate increased exposure to natural and artificial UV radiation. Innovative interventions are needed to have an impact on skin cancer risk among young people. Unlike previous interventions, our skin cancer risk reduction intervention will be tailored (or personalized) to each individual participant and delivered via the Internet. The intervention will emphasize appearance concerns, which are known to be the primary motivation for UV exposure and lack of skin protection among young adults. This will be accomplished in part through the use of personalized facial images showing UV damage as well as computerized age progression demonstrations. Primary Aim 1. To examine the efficacy of a tailored intervention delivered via the Internet designed to increase skin protection and decrease sun exposure behavior among young adults at moderate to high risk of developing skin cancer. Participants will be randomized to the tailored intervention, the Skin Cancer Foundation website, or an assessment only condition. Aim 2. To evaluate whether sociodemographic variables (sex, race/ethnicity, skin type, family history of skin cancer), appearance consciousness, and past exposure and protective behaviors moderate intervention effects. Aim 3. To evaluate whether Integrative Model constructs (UV-related knowledge, risk perception, beliefs, norms, self-efficacy, and intentions) mediate intervention effects. The goals of future research would be to enhance the tailored intervention, for example, by adding additional contacts or Internet technologies or features, disseminate the intervention, assess the longevity of effects, and/or adapt the tailored intervention for use with other cancer risk behaviors or at risk groups.

Official Title
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A Tailored Internet Intervention to Reduce Skin Cancer Risk Behaviors Among Young Adults

Conditions
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Skin Neoplasms

Intervention / Treatment
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* Behavioral: UV4me
* Behavioral: Skin Cancer Foundation website


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18-25 years old Moderate to high risk of skin cancer (cut-off of >=27 on the Brief Skin Cancer Risk Assessment Tool) Exclusion Criteria: History of skin cancer

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tailored Intervention<br>Subject has access to the tailored web intervention | Behavioral: UV4me<br>* Tailored website includes: personalized responses to quizzes, information on skin type and burn risk, UV damage photo of similar individual, avatar activity, age progression images, personal risk calculator, SPF (sun protection factor) calculator<br>* Other names: Tailored Intervention for Skin Cancer Risk Reduction;|
| Active Comparator: Skin Cancer Foundation Website<br>Subject has access to the pre-existing Skin Cancer Foundation website | Behavioral: Skin Cancer Foundation website<br>* Current best practice website for skin cancer and prevention. Includes information, images, news, and opportunities for advocacy.<br>|
| No Intervention: Assessment Only Condition<br>Subjects will only complete assessments | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sun protection | Continuous measure examining frequency of sun protection behaviors (e.g., sunscreen use, clothing, shade, sunglasses), using items adapted from Glanz and colleagues (2008) | Follow-up 1 (3 weeks after baseline) | 
| Sun protection | Continuous measure examining frequency of sun protection behaviors (e.g., sunscreen use, clothing, shade, sunglasses), using items adapted from Glanz and colleagues (2008) | Follow-up 2 (12 weeks after baseline) | 
| Outdoor UV Exposure | How many hours participants spend in the sun during peak daylight hours during the week | Follow-up 1 (3 weeks after baseline) | 
| Outdoor UV exposure | How many hours participants spend in the sun during peak daylight hours during the week | Follow-up 2 (12 weeks after baseline) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Indoor Tanning | Number of indoor tanning sessions in past month | Follow-up 1 (3 weeks after baseline) | 
| Indoor Tanning | Number of indoor tanning sessions in past month | Follow-up 2 (12 weeks after baseline) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prevention or control