AutomedicationFrancoV1, Main, Exploration, bibRecord, 000108

Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma.

Identifieur interne : 000108 ( Main/Exploration ); précédent : 000107; suivant : 000109

Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma.

Auteurs : Adina Coroiu [États-Unis, Canada] ; Chelsea Moran [Canada] ; Catherine Bergeron [Canada] ; Martin Drapeau [Canada] ; Beatrice Wang [Canada] ; Abbas Kezouh [Canada] ; Jochen Ernst [Allemagne] ; Gerald Batist [Canada] ; Annett Körner [Canada]

Source :

BMC cancer [ 1471-2407 ] ; 2020.

RBID : pubmed:32059700

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Auto-efficacité (MeSH), Auto-examen (MeSH), Dépistage précoce du cancer (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Mélanome (diagnostic), Mélanome (épidémiologie), Québec (épidémiologie), Stadification tumorale (MeSH), Sujet âgé (MeSH), Tumeurs cutanées (diagnostic), Tumeurs cutanées (épidémiologie), Études longitudinales (MeSH).
MESH :
- diagnostic : Mélanome, Tumeurs cutanées.
- épidémiologie : Mélanome, Québec, Tumeurs cutanées.
- Adulte d'âge moyen, Auto-efficacité, Auto-examen, Dépistage précoce du cancer, Femelle, Humains, Indice de gravité de la maladie, Mâle, Stadification tumorale, Sujet âgé, Études longitudinales.

English descriptors

KwdEn :
- Aged (MeSH), Early Detection of Cancer (MeSH), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Melanoma (diagnosis), Melanoma (epidemiology), Middle Aged (MeSH), Neoplasm Staging (MeSH), Quebec (epidemiology), Self Efficacy (MeSH), Self-Examination (MeSH), Severity of Illness Index (MeSH), Skin Neoplasms (diagnosis), Skin Neoplasms (epidemiology).
MESH :
- geographic , epidemiology : Quebec.
- diagnosis : Melanoma, Skin Neoplasms.
- epidemiology : Melanoma, Skin Neoplasms.
- Aged, Early Detection of Cancer, Female, Humans, Longitudinal Studies, Male, Middle Aged, Neoplasm Staging, Self Efficacy, Self-Examination, Severity of Illness Index.

Abstract

BACKGROUND

Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a life-long risk of reoccurrence. The objective of the current study was to identify short- and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups.

METHOD

This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care.

PRIMARY OUTCOME MEASURES

Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes.

RESULTS

Comprehensive SSE did not decrease significantly from 3 (M = 2.7, SD = 1.1) to 12 (M = 2.6, SD = 1.2) and 24 months (M = 2.4, SD = 1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months.

CONCLUSIONS

The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.

DOI: 10.1186/s12885-019-6476-5
PubMed: 32059700
PubMed Central: PMC7023754

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000231
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Le document en format XML

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<author><name sortKey="Drapeau, Martin" sort="Drapeau, Martin" uniqKey="Drapeau M" first="Martin" last="Drapeau">Martin Drapeau</name>
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<orgName type="university">Université McGill</orgName>
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<author><name sortKey="Ernst, Jochen" sort="Ernst, Jochen" uniqKey="Ernst J" first="Jochen" last="Ernst">Jochen Ernst</name>
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<orgName type="university">Université McGill</orgName>
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<affiliation wicri:level="3"><nlm:affiliation>Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Montreal, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Montreal</wicri:regionArea>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
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<affiliation wicri:level="3"><nlm:affiliation>Psychosocial Oncology Program, McGill University Health Centre, Montreal, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Psychosocial Oncology Program, McGill University Health Centre, Montreal</wicri:regionArea>
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<series><title level="j">BMC cancer</title>
<idno type="eISSN">1471-2407</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Early Detection of Cancer (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Melanoma (diagnosis)</term>
<term>Melanoma (epidemiology)</term>
<term>Middle Aged (MeSH)</term>
<term>Neoplasm Staging (MeSH)</term>
<term>Quebec (epidemiology)</term>
<term>Self Efficacy (MeSH)</term>
<term>Self-Examination (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Skin Neoplasms (diagnosis)</term>
<term>Skin Neoplasms (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Auto-efficacité (MeSH)</term>
<term>Auto-examen (MeSH)</term>
<term>Dépistage précoce du cancer (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Mélanome (diagnostic)</term>
<term>Mélanome (épidémiologie)</term>
<term>Québec (épidémiologie)</term>
<term>Stadification tumorale (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tumeurs cutanées (diagnostic)</term>
<term>Tumeurs cutanées (épidémiologie)</term>
<term>Études longitudinales (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Quebec</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Melanoma</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Mélanome</term>
<term>Tumeurs cutanées</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Melanoma</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Mélanome</term>
<term>Québec</term>
<term>Tumeurs cutanées</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Early Detection of Cancer</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Self Efficacy</term>
<term>Self-Examination</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Auto-efficacité</term>
<term>Auto-examen</term>
<term>Dépistage précoce du cancer</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mâle</term>
<term>Stadification tumorale</term>
<term>Sujet âgé</term>
<term>Études longitudinales</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a life-long risk of reoccurrence. The objective of the current study was to identify short- and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHOD</b>
</p>
<p>This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PRIMARY OUTCOME MEASURES</b>
</p>
<p>Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Comprehensive SSE did not decrease significantly from 3 (M = 2.7, SD = 1.1) to 12 (M = 2.6, SD = 1.2) and 24 months (M = 2.4, SD = 1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32059700</PMID>
<DateCompleted><Year>2020</Year>
<Month>10</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>10</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2407</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>20</Volume>
<Issue>1</Issue>
<PubDate><Year>2020</Year>
<Month>Feb</Month>
<Day>14</Day>
</PubDate>
</JournalIssue>
<Title>BMC cancer</Title>
<ISOAbbreviation>BMC Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma.</ArticleTitle>
<Pagination><MedlinePgn>123</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12885-019-6476-5</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Melanoma can be lethal if not detected early and treated. Early detection can be facilitated via skin self-examination (SSE) and as such, SSE is part of melanoma follow-up care for individuals with a prior history, who face a life-long risk of reoccurrence. The objective of the current study was to identify short- and long-term predictors of SSE among melanoma survivors to inform future prevention interventions in high-risk groups.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">This is an observational study with longitudinal assessments conducted with adult melanoma patients in active follow-up care.</AbstractText>
<AbstractText Label="PRIMARY OUTCOME MEASURES" NlmCategory="METHODS">Behavioral outcomes, comprehensive SSE (checking up to 5 body areas in the last 3 months) and optimal SSE (checking the entire body at least monthly in the last 3 months) were assessed at 3, 12, and 24 months post a dermatological educational session on skin cancer prevention. T tests and chi square analyses were used to examine changes in outcomes from 3 to 12 and 24 months. Linear and logistic regression models were used to examine the association between predictors and the primary outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Comprehensive SSE did not decrease significantly from 3 (M = 2.7, SD = 1.1) to 12 (M = 2.6, SD = 1.2) and 24 months (M = 2.4, SD = 1.2) post the education session, with the stronger predictor at all timepoints being intentions to perform SSE. Optimal SSE was higher at 3 months (59%) compared to 12 (46%) and 24 months (34%), with key predictors including self-efficacy and intentions to perform SSE and male sex at 3 months post; self-efficacy and reliance on medical advice at 12 months; and (lower) education and self-efficacy at 24 months.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The key findings of this study are that 1) survivors maintain SSE behaviour over time, but rates of SSE performed in agreement with medical recommendations are higher immediately post standard dermatological education (i.e. usual care) and decrease somewhat over a 24-month period; and 2) the strongest psycho-social predictors of SSE are intentions and self-efficacy to perform the behavior, which are highly modifiable, for example via motivational interviewing and goal setting health interventions.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Coroiu</LastName>
<ForeName>Adina</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Educational and Counselling Psychology, McGill University, Montréal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Moran</LastName>
<ForeName>Chelsea</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Psychology, University of Calgary, Calgary, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bergeron</LastName>
<ForeName>Catherine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Educational and Counselling Psychology, McGill University, Montréal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Drapeau</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Educational and Counselling Psychology, McGill University, Montréal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Psychiatry, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Beatrice</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Gerald Bronfman Department of Oncology, McGill University Health Center, Montréal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kezouh</LastName>
<ForeName>Abbas</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ernst</LastName>
<ForeName>Jochen</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany. Jochen.Ernst@medizin.uni-leipzig.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Batist</LastName>
<ForeName>Gerald</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Oncology, Sir Mortimer B. Davis-Jewish General Hospital, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Oncology, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Segal Cancer Centre, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre for Translational Research in Cancer, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Körner</LastName>
<ForeName>Annett</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Educational and Counselling Psychology, McGill University, Montréal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Oncology, McGill University, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Montreal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Psychosocial Oncology Program, McGill University Health Centre, Montreal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D064888">Observational Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>02</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>BMC Cancer</MedlineTA>
<NlmUniqueID>100967800</NlmUniqueID>
<ISSNLinking>1471-2407</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055088" MajorTopicYN="N">Early Detection of Cancer</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011792" MajorTopicYN="N" Type="Geographic">Quebec</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016353" MajorTopicYN="Y">Self-Examination</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Melanoma early detection</Keyword>
<Keyword MajorTopicYN="N">Melanoma patients</Keyword>
<Keyword MajorTopicYN="N">Observational study</Keyword>
<Keyword MajorTopicYN="N">Skin self-examination</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year>
<Month>09</Month>
<Day>13</Day>
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<Month>12</Month>
<Day>17</Day>
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<Month>2</Month>
<Day>16</Day>
<Hour>6</Hour>
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Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma.

Short and long-term barriers and facilitators of skin self-examination among individuals diagnosed with melanoma.

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