Whack-a-Mole: Testing an Intervention to Increase Melanoma Identification

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to evaluate an interactive game designed to increase people's ability to identify cancerous moles.

Official Title
-----------------
Whack-a-Mole: Testing an Intervention to Increase Melanoma Identification

Conditions
-----------------
Diagnoses Disease

Intervention / Treatment
-----------------
* Behavioral: ABCD Information
* Behavioral: UDS information
* Behavioral: Standard (clinical) feedback
* Behavioral: Motivational feedback


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Resident of U.S. At least 18 years old Capable of reading English Member of panel assembled by survey provider Exclusion Criteria: Individuals under 18 years old

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ABCD training with standard feedback<br>Asymmetry, Border, Color, Diameter (ABCD) training message intervention with standard dermatological feedback | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>Behavioral: Standard (clinical) feedback<br>* Feedback on mole identification task provided by a dermatologist.<br>|
| ABCD training with motivational feedback<br>ABCD training message intervention with dermatological feedback and a motivational message | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>Behavioral: Motivational feedback<br>* Feedback on mole identification task provided by a dermatologist plus exposure to a motivational fear appeal message designed to increase skin self exam intentions.<br>|
| ABCD training with no feedback<br>ABCD message intervention with no feedback | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>|
| UDS method training with standard feedback<br>Ugly Duckling Sign (UDS) method message intervention with dermatological feedback. | Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>Behavioral: Standard (clinical) feedback<br>* Feedback on mole identification task provided by a dermatologist.<br>|
| UDS method training with motivational feedback<br>UDS message intervention with dermatological feedback and a motivational message. | Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>Behavioral: Motivational feedback<br>* Feedback on mole identification task provided by a dermatologist plus exposure to a motivational fear appeal message designed to increase skin self exam intentions.<br>|
| UDS training with no feedback<br>UDS message intervention with no feedback. | Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>|
| ABCD-F training with standard feedback<br>ABCD-F intervention with dermatological feedback. | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>Behavioral: Standard (clinical) feedback<br>* Feedback on mole identification task provided by a dermatologist.<br>|
| ABCD-F training with motivational feedback<br>ABCD-F intervention with dermatological feedback and a motivational message. | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>Behavioral: Motivational feedback<br>* Feedback on mole identification task provided by a dermatologist plus exposure to a motivational fear appeal message designed to increase skin self exam intentions.<br>|
| ABCD-F training with no feedback<br>ABCD-F intervention with no feedback. | Behavioral: ABCD Information<br>* The intervention condition includes exposure to a message emphasizing the ABCD strategy to identify malignant melanoma.<br>Behavioral: UDS information<br>* The intervention condition includes exposure to a message emphasizing the UDS strategy to identify malignant melanoma.<br>|
| No message intervention with standard feedback<br>No message intervention, but with dermatological feedback. | Behavioral: Standard (clinical) feedback<br>* Feedback on mole identification task provided by a dermatologist.<br>|
| No message intervention with motivational feedback<br>No message intervention, but with dermatological feedback and a motivational message. | Behavioral: Motivational feedback<br>* Feedback on mole identification task provided by a dermatologist plus exposure to a motivational fear appeal message designed to increase skin self exam intentions.<br>|
| No message intervention with no feedback<br>No message intervention and no feedback. True control. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mole identification accuracy | Mole identification accuracy will be reported as the amount of mole correctly identified as either melanoma or typical nevi | Day 2 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skin Self Exam Intentions | Self-report measure of intentions to perform a skin self exam. Quantified using a single item indicator with scores ranging from 1-7 with higher scores indicating greater intentions to perform a skin self exam to detect potential melanomas. | Day 2 | 
| Intentions to see a Dermatologist | Self-report measure of intentions to schedule an appointment with a dermatologist to receive a skin cancer exam. Quantified using a single item indicator with scores ranging from 1-7 with higher scores indicating greater intentions to schedule an appointment with a dermatologist. | Day 2 | 
| Skin Self Exam Attitudes | Self-report measure of attitudes towards skin cancer exams. Quantified using the mean of the self report scale with scores ranging from 1-7 with higher scores indicating more positive attitudes towards skin self exams. | Day 2 | 
| Skin Self Exam Beliefs | Self-report measure of beliefs towards skin cancer exams. Quantified using the mean of the self report scales for perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy with scores ranging from 1-7 with higher scores indicating more strongly held beliefs about skin self exams. | Day 2 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Melanoma identification