Young Melanoma Family Facebook Intervention or Healthy Lifestyle Facebook Intervention in Improving Skin Examination in Participants With Melanoma and Their Families

Study Overview
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Brief Summary
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This trial studies how well Young Melanoma Family Facebook intervention or Healthy Lifestyle Facebook intervention works in improving skin examination in participants with melanoma and their families. Young Melanoma Family Facebook intervention or Healthy Lifestyle Facebook intervention may help improve total cutaneous examinations, skin self-examinations, and sun protection among first degree relatives of young onset participants and the participants themselves.

Detailed Description
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PRIMARY OBJECTIVES: I. To examine the efficacy of the Young Melanoma Family Facebook intervention versus the Healthy Lifestyle Facebook intervention on total cutaneous exam (primary outcome), skin self-exam frequency and comprehensiveness, and sun protection practices (secondary outcomes) of first degree relatives (FDRs) of young melanoma survivors. SECONDARY OBJECTIVES: I. To examine the efficacy of the Young Melanoma Family Facebook intervention on patients? skin self-exam frequency and comprehensiveness and sun protection habits. II. To examine the mechanisms of intervention efficacy. OUTLINE: PHASE I: Researchers refine content for the Facebook intervention condition and conduct usability testing. PHASE II: Participants are randomized to 1 of 2 arms. ARM I: Participants join a secret Young Melanoma Family Facebook Group and view post messages focusing on skin cancer for 12 weeks. ARM II: Participants join a secret Healthy Lifestyle Facebook Group and view post messages focusing on healthy lifestyle for 12 weeks. PHASE III: Dissemination planning. After completion of study, participants are followed up at 6 months.

Official Title
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Facebook Intervention for Young Onset Melanoma Patients and Families

Conditions
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Clinical Stage 0 Cutaneous Melanoma AJCC v8, Clinical Stage I Cutaneous Melanoma AJCC v8, Clinical Stage IA Cutaneous Melanoma AJCC v8, Clinical Stage IB Cutaneous Melanoma AJCC v8, Clinical Stage II Cutaneous Melanoma AJCC v8, Clinical Stage IIA Cutaneous Melanoma AJCC v8, Clinical Stage IIB Cutaneous Melanoma AJCC v8, Clinical Stage IIC Cutaneous Melanoma AJCC v8, Clinical Stage III Cutaneous Melanoma AJCC v8, First Degree Relative, Pathologic Stage 0 Cutaneous Melanoma AJCC v8, Pathologic Stage I Cutaneous Melanoma AJCC v8, Pathologic Stage IA Cutaneous Melanoma AJCC v8, Pathologic Stage IB Cutaneous Melanoma AJCC v8, Pathologic Stage II Cutaneous Melanoma AJCC v8, Pathologic Stage IIA Cutaneous Melanoma AJCC v8, Pathologic Stage IIB Cutaneous Melanoma AJCC v8, Pathologic Stage IIC Cutaneous Melanoma AJCC v8, Pathologic Stage III Cutaneous Melanoma AJCC v8, Pathologic Stage IIIA Cutaneous Melanoma AJCC v8, Pathologic Stage IIIB Cutaneous Melanoma AJCC v8, Pathologic Stage IIIC Cutaneous Melanoma AJCC v8

Intervention / Treatment
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* Other: Informational Intervention
* Other: Informational Intervention
* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: PATIENT: Diagnosed with stage 0-3 melanoma in the last 5 years PATIENT: Age at diagnosis 18-39 years PATIENT: Completed treatment at least 3 months previously PATIENT: Recruited from New Jersey or California State Cancer Registry or MD Anderson Cancer Center PATIENT: Does not have a concurrent cancer diagnosis PATIENT: Able to speak and read English PATIENT: Access to computer, internet, and has a Facebook account PATIENT: At least one family member consents FDR: Current age 18-80 years FDR: Does not have a personal history of melanoma FDR: Able to speak and read English FDR: Access to computer, internet, and has a Facebook account FDR: Has only one FDR with melanoma (patient) FDR: Has not had a total cutaneous examination (TCE) in the past 3 years, has done skin self-exam (SSE) fewer than three times in the past year, OR has a sun protection habits average score less than or equal to 4 (?often?) FDR: Patient consents Exclusion Criteria: Physical Activity Readiness Questionnaire (Thomas, et. al., 1992): This 7-item scale will be used to screen out individuals who will need to consult a physician for medical clearance before engaging in physical activity. If a participant checks off any of the items, the investigators will ask for a physician clearance before consenting to study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm 1 Young melanoma Family Facebook focusing on skin cancer<br>Participants join a secret Young melanoma Family Facebook Group and view post messages focusing on skin cancer for 12 weeks. | Other: Informational Intervention<br>* Receive information focusing on skin cancer<br>Other: Survey Administration<br>* Ancillary studies<br>|
| Experimental: Arm 2 Healthy Lifestyle Facebook focusing on healthy lifestyle<br>Participants join a secret Healthy Lifestyle Facebook Group and view post messages focusing on healthy lifestyle for 12 weeks. | Other: Informational Intervention<br>* Receive information on healthy lifestyle<br>Other: Survey Administration<br>* Ancillary studies<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total cutaneous examination (TCE) | Will be assessed as a binary response (yes/no) did participant have one | At 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skin Self-exam (Relatives) | Skin self-exam of first degree relatives will be analyzed as a binary (yes/no) Response did participant complete one Yes/No | Up to 5 years | 
| Skin self-exam - Count Response (Relatives) | Skin self exam of first degree relatives count response will be calculated as frequency/month. Frequency per month reported as a number. | Up to 5 years | 
| Skin self-exam - Comprehensiveness (Relatives) | : Skin self-exam of first degree relatives comprehensiveness calculated as total # body parts examined during the skin self-exam | Up to 5 years | 
| Sun Protection Habits (Relatives) | sun protection habits score of first degree relatives will be calculated as continuous variables using the Sun protection behaviors scale (Glanz, et. al., 2002) which measures 5 behaviors (regular outdoor use of: sunscreen, hat, shade, long-sleeved shirt, sunglasses). | Up to 5 years | 
| Skin self-exam - Count Response (Patients) | Skin self-exam of patients count response calculated as (frequency/month). Frequency per month reported as a number | Up to 5 years | 
| Skin self-exam - Comprehensiveness (Patients) | Skin self-exam of patients comprehensiveness calculated as total # body parts examined during the skin self-exam. | Up to 5 years | 
| Sun Protection Habits (Patients) | sun protection habits score of patients will be calculated as continuous variables using the Sun protection behaviors scale (Glanz, et. al., 2002) which measures 5 behaviors (regular outdoor use of: sunscreen, hat, shade, long-sleeved shirt, sunglasses). | Up to 5 years |