HealthSmart: Promoting Healthy Lifestyles for Young Adult Cancer Survivors Using Educational Videos

Study Overview
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Brief Summary
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To assess the efficacy of the two SunSmart intervention videos to change sun protection attitudes and behaviors

Detailed Description
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SunSmart is a novel video intervention designed to prevent secondary skin cancer in young adult cancer survivors by increasing their adherence to recommended sun protection. This study will assess two versions of the SunSmart video intervention. These are: 1) The INFORMATION VIDEO providing basic information about UV risks, including secondary skin cancer and the benefits of sun protection (SP), as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor; and 2) THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure. Primary aim of the study is to assess the impact of the video intervention on sun protection intentions and behavior in young adult cancer survivors compared to a control intervention. Secondary aims are to describe the impact of the appearance information when included in the SunSmart intervention, to investigate the extent to which the intervention changes sun protection through hypothesized mediating variables, and to describe the consistency of sleep behaviors over time in cancer survivors.

Official Title
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HealthSmart: Promoting Healthy Lifestyles for Young Adult Cancer Survivors Using Educational Videos

Conditions
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Environmental Exposure to Ultraviolet Light

Intervention / Treatment
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* Other: THE INFORMATION + APPEARANCE VIDEO
* Other: Information SunSmart video
* Other: Sleep hygiene video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: History of cancer diagnosis at least one year prior Current age 18-35 No cancer therapy in the prior 3 months (excluding chemoprevention agents) No future cancer therapy planned Able to read and write in English Not compliant with recommended sun protection, as determined by at least one of the following criteria: Any intentional sunbathing, artificial tanning or a sunburn in the past 5 years; OR Having a moderate to light complexion (Fitzpatrick skin types I-IV), and not using sunscreen ≥ 90% of the time during incidental sun exposure. Exclusion Criteria: History of skin cancer diagnosis Enrolled on DFCI protocol 17-385 or any other sun protection intervention in the past 5 years. Any impairment (e.g., hearing, visual, cognitive) that interferes with the ability to complete all measures independently

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants are randomized to view one of two SunSmart educational videos or a control video on sleep hygiene. In the three months following the video intervention, participants' sun protection attitudes and behaviors are assessed. An additional measure of sun protection behaviors 12-months later will be provided by participants who participate in the optional 1-year follow-up.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Sleep hygiene video<br>Participants will watch a sleep hygiene video | Other: Sleep hygiene video<br>* Contain information on better sleep hygiene<br>|
| Experimental: Information video<br>The INFORMATION SunSmart video providing basic information about UV risks, including secondary skin cancer and the benefits of SP, as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor | Other: Information SunSmart video<br>* The INFORMATION SunSmart video providing basic information about UV risks, including secondary skin cancer and the benefits of SP, as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor<br>|
| Experimental: Information + Appearance video<br>THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure. | Other: THE INFORMATION + APPEARANCE VIDEO<br>* THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in SP Index scores from baseline to post-summer assessment | SP index is comprised of 15 self-report items assessing SP Behaviors | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived appearance vulnerability | 2 items assessing perceived likelihood that UV exposure will lead to negative appearance changes | one month | 
| Perceived health and appearance benefit | 8 self-report items assessing expected benefits to SP | one month | 
| Perceived health vulnerability | 2 items assessing perceived likelihood that UV exposure will lead to future skin cancers. | one month | 
| SP Intentions | 13 items measuring intentions to practice SP | one month | 
| Insomnia symptoms | 7 -item Insomnia Severity Scale (ISS). Total ISS scale scores range from a low of 0 (least insomnia) to a high of 28 (worst insomnia) | one month | 
| Change in SP Index scores from post-summer assessment to one year later | SP index is comprised of 15 self-report items assessing SP Behaviors | 12-months |