Real-time sun protection decisions in first-degree relatives of melanoma patients
| Autor: | Elyse Shuk, Susan Holland, Rebecca Loeb, Jennifer L. Hay, Elizabeth Schofield, Jack E. Burkhalter, Yuelin Li |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Skin Neoplasms Adolescent Psychological intervention Sunburn PsycINFO Choice Behavior Article Young Adult 03 medical and health sciences Social support 0302 clinical medicine Protective Clothing Intervention (counseling) medicine Humans Family Melanoma Generalized estimating equation Applied Psychology Aged Morning Aged 80 and over 030505 public health integumentary system Multilevel model Middle Aged medicine.disease Psychiatry and Mental health 030220 oncology & carcinogenesis Female Skin cancer 0305 other medical science Psychology Sunscreening Agents Demography |
| Zdroj: | Health Psychology. 36:907-915 |
| ISSN: | 1930-7810 0278-6133 |
| DOI: | 10.1037/hea0000523 |
| Popis: | Objective Melanoma is the most serious skin cancer, and consistent use of sun protection is recommended to reduce risk. Yet sun protection use is generally inconsistent. Understanding the decisional factors driving sun protection choices could aid in intervention development to promote sun protection maintenance. Method In 59 first-degree relatives of melanoma patients, an interactive voice response system (IVRS) on participants' cell phones was used to assess twice daily (morning, afternoon) real-time sun protection usage (sunscreen, shade, hats, protective clothing) and decision factors (weather, type of activity, convenience, social support) over a 14-day summer interval where morning and afternoon outdoor exposures were anticipated. Generalized estimating equations and hierarchical linear models were used to examine the effect of demographics and decisional factors on sun protection choices over time. Results Sun protection use was inconsistent (e.g., 61% used sunscreen inconsistently). Most strategies were used independently, with the exception of moderate overlap of sunscreen and hat usage. Decision factors were highly relevant for sun protection. For instance, sunscreen use was related to the perception of having adequate time to apply it, whereas shade and hat usage were each related to convenience. Few findings emerged by gender, age, time of day, or year. Significant within-subject variation remained, however. Conclusions The findings support continued examination of decision factors in understanding sun protection consistency in real time. Interventions where cues to action and environmental supports work together in varied settings can be developed to improve sun protection maintenance in populations at risk for this common disease. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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