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Skin cancer interventions across the cancer control continuum: Review of technology, environment, and theory.
Prev Med 2018; 111:451-458PM

Abstract

The National Cancer Institute's Skin Cancer Intervention across the Cancer Control Continuum model was developed to summarize research and identify gaps concerning skin cancer interventions. We conducted a mapping review to characterize whether behavioral interventions addressing skin cancer prevention and control from 2000 to 2015 included (1) technology, (2) environmental manipulations (policy and/or built environment), and (3) a theoretical basis. We included 86 studies with a randomized controlled or quasi-experimental design that targeted behavioral intervention in skin cancer for children and/or adults; seven of these were dissemination or implementation studies. Of the interventions described in the remaining 79 articles, 57 promoted only prevention behaviors (e.g., ultraviolet radiation protection), five promoted only detection (e.g., skin examinations), 10 promoted both prevention and detection, and seven focused on survivorship. Of the 79 non-dissemination studies, two-thirds used some type of technology (n=52; 65.8%). Technology specific to skin cancer was infrequently used: UVR photography was used in 15.2% of studies (n=12), reflectance spectroscopy was used in 12.7% (n=10), and dermatoscopes (n=1) and dosimeters (n=2) were each used in less than 3%. Ten studies (12.7%) targeted the built environment. Fifty-two (65.8%) of the studies included theory-based interventions. The most common theories were Social Cognitive Theory (n=20; 25.3%), Health Belief Model (n=17; 21.5%), and the Theory of Planned Behavior/Reasoned Action (n=12; 15.2%). Results suggest that skin cancer specific technology and environmental manipulations are underutilized in skin cancer behavioral interventions. We discuss implications of these results for researchers developing skin cancer behavioral interventions.

Authors+Show Affiliations

Behavioral Research Program, National Cancer Institute, United States. Electronic address: jtaber1@kent.edu.Harvard TH Chan School of Public Health, United States.Harvard TH Chan School of Public Health, United States.Harvard TH Chan School of Public Health, United States.Cape Fox Facilities Services, United States.Behavioral Research Program, National Cancer Institute, United States.Behavioral Research Program, National Cancer Institute, United States.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29277407

Citation

Taber, Jennifer M., et al. "Skin Cancer Interventions Across the Cancer Control Continuum: Review of Technology, Environment, and Theory." Preventive Medicine, vol. 111, 2018, pp. 451-458.
Taber JM, Dickerman BA, Okhovat JP, et al. Skin cancer interventions across the cancer control continuum: Review of technology, environment, and theory. Prev Med. 2018;111:451-458.
Taber, J. M., Dickerman, B. A., Okhovat, J. P., Geller, A. C., Dwyer, L. A., Hartman, A. M., & Perna, F. M. (2018). Skin cancer interventions across the cancer control continuum: Review of technology, environment, and theory. Preventive Medicine, 111, pp. 451-458. doi:10.1016/j.ypmed.2017.12.019.
Taber JM, et al. Skin Cancer Interventions Across the Cancer Control Continuum: Review of Technology, Environment, and Theory. Prev Med. 2018;111:451-458. PubMed PMID: 29277407.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Skin cancer interventions across the cancer control continuum: Review of technology, environment, and theory. AU - Taber,Jennifer M, AU - Dickerman,Barbra A, AU - Okhovat,Jean-Phillip, AU - Geller,Alan C, AU - Dwyer,Laura A, AU - Hartman,Anne M, AU - Perna,Frank M, Y1 - 2017/12/23/ PY - 2017/07/14/received PY - 2017/11/11/revised PY - 2017/12/19/accepted PY - 2017/12/27/pubmed PY - 2019/5/29/medline PY - 2017/12/27/entrez KW - Behavior KW - Cancer control KW - Cancer control continuum KW - Detection KW - Environment KW - Intervention KW - Prevention KW - Review KW - Screening KW - Skin cancer KW - Technology KW - Theory SP - 451 EP - 458 JF - Preventive medicine JO - Prev Med VL - 111 N2 - The National Cancer Institute's Skin Cancer Intervention across the Cancer Control Continuum model was developed to summarize research and identify gaps concerning skin cancer interventions. We conducted a mapping review to characterize whether behavioral interventions addressing skin cancer prevention and control from 2000 to 2015 included (1) technology, (2) environmental manipulations (policy and/or built environment), and (3) a theoretical basis. We included 86 studies with a randomized controlled or quasi-experimental design that targeted behavioral intervention in skin cancer for children and/or adults; seven of these were dissemination or implementation studies. Of the interventions described in the remaining 79 articles, 57 promoted only prevention behaviors (e.g., ultraviolet radiation protection), five promoted only detection (e.g., skin examinations), 10 promoted both prevention and detection, and seven focused on survivorship. Of the 79 non-dissemination studies, two-thirds used some type of technology (n=52; 65.8%). Technology specific to skin cancer was infrequently used: UVR photography was used in 15.2% of studies (n=12), reflectance spectroscopy was used in 12.7% (n=10), and dermatoscopes (n=1) and dosimeters (n=2) were each used in less than 3%. Ten studies (12.7%) targeted the built environment. Fifty-two (65.8%) of the studies included theory-based interventions. The most common theories were Social Cognitive Theory (n=20; 25.3%), Health Belief Model (n=17; 21.5%), and the Theory of Planned Behavior/Reasoned Action (n=12; 15.2%). Results suggest that skin cancer specific technology and environmental manipulations are underutilized in skin cancer behavioral interventions. We discuss implications of these results for researchers developing skin cancer behavioral interventions. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/29277407/Skin_cancer_interventions_across_the_cancer_control_continuum:_Review_of_technology,_environment,_and_theory L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(17)30506-6 DB - PRIME DP - Unbound Medicine ER -