Loading…
Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training
Background Compared with other cancers, melanoma has the longest delays measured as the median time to patient presentation for care from symptom onset. Time to presentation for care is a key determinant of outcomes, including disease stage, prognosis, and treatment. Methods Melanoma survivors with...
Saved in:
| Published in: | Cancer medicine (Malden, MA) MA), 2020-10, Vol.9 (19), p.7301-7309 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833 |
| container_end_page | 7309 |
| container_issue | 19 |
| container_start_page | 7301 |
| container_title | Cancer medicine (Malden, MA) |
| container_volume | 9 |
| creator | Robinson, June K. Reavy, Racheal Mallett, Kimberly A. Turrisi, Rob |
| description | Background
Compared with other cancers, melanoma has the longest delays measured as the median time to patient presentation for care from symptom onset. Time to presentation for care is a key determinant of outcomes, including disease stage, prognosis, and treatment.
Methods
Melanoma survivors with localized disease and their skin check partners enrolled in two sequential randomized control trials of skin self‐examination (SSE) training. In Phase 1, the pair read a workbook in the office and had quarterly total body skin examinations with a study dermatologist. In Phase 2, materials were mailed to pairs, whose surveillance was with a community physician. SSE knowledge, performance (frequency and extent), and identification of concerning moles were compared between phases.
Results
Among 341 patients, 197 received the workbook and the others were controls. Knowledge in performing SSE was higher for the workbook relative to controls in both phases. The SSE frequency ranged from 2.38 to 5.97 times in 9 months. Patients randomized to the workbook in both phases performed significantly more SSE than controls at 9 months (P |
| doi_str_mv | 10.1002/cam4.3299 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_e299d9e864144b3b8943076416a24457</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_e299d9e864144b3b8943076416a24457</doaj_id><sourcerecordid>2448957205</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833</originalsourceid><addsrcrecordid>eNqFkstuEzEUQEcIRKvSBT-ALLGhi7R-jscskKKIR6UiJNS95bHvJE5n7GBPUsqKT2DJ9_ElOE2pUiSEN36de-x7davqOcGnBGN6Zs3ATxlV6lF1SDEXE1kz_nhvfVAd57zEZUhMa0meVgeMypqoRh5WPz_DEEdA-coHlKHvfn3_AV_N4IMZfQxoTMYHH-YodmiA3oQ4GJTXaeM3MWVkgkPjAnzaCewC7BVamTQGSPk1mqJUiDj4b1C45E1_G2HjUBifi__ajwvkQ3l1VSL2HnxWPelMn-H4bj6qLt-9vZx9mFx8en8-m15MrGBSTaQAKxuLjVSECAdcKMfqtiTaOko6J4UxtZKOWClNK9q2Y7azzDhHjGwYO6rOd1oXzVKvkh9MutHReH17ENNcl2y87UFDqbFT0NSccN6ytlGcYVl2taGcC1lcb3au1bodwFkIJZn-gfThTfALPY8bLQUnhDdF8OpOkOKXNeRRDz5b6EvZIa6zppyRBguu6oK-_AtdxnUKpVKabhFB6H8ozhslJMWiUCc7yqaYc4Lu_ssE622P6W2P6W2PFfbFfo735J-OKsDZDrj2Pdz826Rn04_8VvkbimHfAg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2448957205</pqid></control><display><type>article</type><title>Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training</title><source>Publicly Available Content Database</source><source>Wiley Open Access</source><source>PubMed Central</source><creator>Robinson, June K. ; Reavy, Racheal ; Mallett, Kimberly A. ; Turrisi, Rob</creator><creatorcontrib>Robinson, June K. ; Reavy, Racheal ; Mallett, Kimberly A. ; Turrisi, Rob</creatorcontrib><description>Background
Compared with other cancers, melanoma has the longest delays measured as the median time to patient presentation for care from symptom onset. Time to presentation for care is a key determinant of outcomes, including disease stage, prognosis, and treatment.
Methods
Melanoma survivors with localized disease and their skin check partners enrolled in two sequential randomized control trials of skin self‐examination (SSE) training. In Phase 1, the pair read a workbook in the office and had quarterly total body skin examinations with a study dermatologist. In Phase 2, materials were mailed to pairs, whose surveillance was with a community physician. SSE knowledge, performance (frequency and extent), and identification of concerning moles were compared between phases.
Results
Among 341 patients, 197 received the workbook and the others were controls. Knowledge in performing SSE was higher for the workbook relative to controls in both phases. The SSE frequency ranged from 2.38 to 5.97 times in 9 months. Patients randomized to the workbook in both phases performed significantly more SSE than controls at 9 months (P < .05). In both phases, trained survivors performed significantly more SSEs on the scalp than controls at 9 and 18 months (P < .05). Phase 1 survivors performed significantly more SSEs on the abdomen, buttocks, and soles of the feet than controls, but this did not occur in Phase 2. Finally, in both phases, survivors trained with the workbook resulted in greater detection of suspicious lesions and melanomas.
Conclusions
These findings justify the benefits of remote SSE training for patients as an adjunct to provider‐administered screening.
The flexibility of remote training allowed greater participation than in‐person training with scheduled skin examinations with the doctor. Common patient follow‐up burdens such as difficulties scheduling appointments, time away from work and family, transportation constraints, and the cost of the physician visit were reduced by remote education. Both types of training resulted in greater detection of suspicious lesions and melanomas by trained melanoma survivors than by controls. Figure A shows SSE of the abdomen, B SSE of the scalp.</description><identifier>ISSN: 2045-7634</identifier><identifier>EISSN: 2045-7634</identifier><identifier>DOI: 10.1002/cam4.3299</identifier><identifier>PMID: 32761987</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Biopsy ; Cancer Prevention ; Clinical trials ; Enrollments ; Intervention ; Melanoma ; melanoma survivors ; Original Research ; Participation ; Patients ; remote training ; Scalp ; Skin ; Skin diseases ; skin self‐examination</subject><ispartof>Cancer medicine (Malden, MA), 2020-10, Vol.9 (19), p.7301-7309</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2020 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833</citedby><cites>FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833</cites><orcidid>0000-0003-2331-3352</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2805451296/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2805451296?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11542,25732,27903,27904,36991,36992,44569,46030,46454,53769,53771,74872</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32761987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robinson, June K.</creatorcontrib><creatorcontrib>Reavy, Racheal</creatorcontrib><creatorcontrib>Mallett, Kimberly A.</creatorcontrib><creatorcontrib>Turrisi, Rob</creatorcontrib><title>Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training</title><title>Cancer medicine (Malden, MA)</title><addtitle>Cancer Med</addtitle><description>Background
Compared with other cancers, melanoma has the longest delays measured as the median time to patient presentation for care from symptom onset. Time to presentation for care is a key determinant of outcomes, including disease stage, prognosis, and treatment.
Methods
Melanoma survivors with localized disease and their skin check partners enrolled in two sequential randomized control trials of skin self‐examination (SSE) training. In Phase 1, the pair read a workbook in the office and had quarterly total body skin examinations with a study dermatologist. In Phase 2, materials were mailed to pairs, whose surveillance was with a community physician. SSE knowledge, performance (frequency and extent), and identification of concerning moles were compared between phases.
Results
Among 341 patients, 197 received the workbook and the others were controls. Knowledge in performing SSE was higher for the workbook relative to controls in both phases. The SSE frequency ranged from 2.38 to 5.97 times in 9 months. Patients randomized to the workbook in both phases performed significantly more SSE than controls at 9 months (P < .05). In both phases, trained survivors performed significantly more SSEs on the scalp than controls at 9 and 18 months (P < .05). Phase 1 survivors performed significantly more SSEs on the abdomen, buttocks, and soles of the feet than controls, but this did not occur in Phase 2. Finally, in both phases, survivors trained with the workbook resulted in greater detection of suspicious lesions and melanomas.
Conclusions
These findings justify the benefits of remote SSE training for patients as an adjunct to provider‐administered screening.
The flexibility of remote training allowed greater participation than in‐person training with scheduled skin examinations with the doctor. Common patient follow‐up burdens such as difficulties scheduling appointments, time away from work and family, transportation constraints, and the cost of the physician visit were reduced by remote education. Both types of training resulted in greater detection of suspicious lesions and melanomas by trained melanoma survivors than by controls. Figure A shows SSE of the abdomen, B SSE of the scalp.</description><subject>Biopsy</subject><subject>Cancer Prevention</subject><subject>Clinical trials</subject><subject>Enrollments</subject><subject>Intervention</subject><subject>Melanoma</subject><subject>melanoma survivors</subject><subject>Original Research</subject><subject>Participation</subject><subject>Patients</subject><subject>remote training</subject><subject>Scalp</subject><subject>Skin</subject><subject>Skin diseases</subject><subject>skin self‐examination</subject><issn>2045-7634</issn><issn>2045-7634</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqFkstuEzEUQEcIRKvSBT-ALLGhi7R-jscskKKIR6UiJNS95bHvJE5n7GBPUsqKT2DJ9_ElOE2pUiSEN36de-x7davqOcGnBGN6Zs3ATxlV6lF1SDEXE1kz_nhvfVAd57zEZUhMa0meVgeMypqoRh5WPz_DEEdA-coHlKHvfn3_AV_N4IMZfQxoTMYHH-YodmiA3oQ4GJTXaeM3MWVkgkPjAnzaCewC7BVamTQGSPk1mqJUiDj4b1C45E1_G2HjUBifi__ajwvkQ3l1VSL2HnxWPelMn-H4bj6qLt-9vZx9mFx8en8-m15MrGBSTaQAKxuLjVSECAdcKMfqtiTaOko6J4UxtZKOWClNK9q2Y7azzDhHjGwYO6rOd1oXzVKvkh9MutHReH17ENNcl2y87UFDqbFT0NSccN6ytlGcYVl2taGcC1lcb3au1bodwFkIJZn-gfThTfALPY8bLQUnhDdF8OpOkOKXNeRRDz5b6EvZIa6zppyRBguu6oK-_AtdxnUKpVKabhFB6H8ozhslJMWiUCc7yqaYc4Lu_ssE622P6W2P6W2PFfbFfo735J-OKsDZDrj2Pdz826Rn04_8VvkbimHfAg</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Robinson, June K.</creator><creator>Reavy, Racheal</creator><creator>Mallett, Kimberly A.</creator><creator>Turrisi, Rob</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2331-3352</orcidid></search><sort><creationdate>202010</creationdate><title>Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training</title><author>Robinson, June K. ; Reavy, Racheal ; Mallett, Kimberly A. ; Turrisi, Rob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biopsy</topic><topic>Cancer Prevention</topic><topic>Clinical trials</topic><topic>Enrollments</topic><topic>Intervention</topic><topic>Melanoma</topic><topic>melanoma survivors</topic><topic>Original Research</topic><topic>Participation</topic><topic>Patients</topic><topic>remote training</topic><topic>Scalp</topic><topic>Skin</topic><topic>Skin diseases</topic><topic>skin self‐examination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robinson, June K.</creatorcontrib><creatorcontrib>Reavy, Racheal</creatorcontrib><creatorcontrib>Mallett, Kimberly A.</creatorcontrib><creatorcontrib>Turrisi, Rob</creatorcontrib><collection>Wiley Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Cancer medicine (Malden, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robinson, June K.</au><au>Reavy, Racheal</au><au>Mallett, Kimberly A.</au><au>Turrisi, Rob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training</atitle><jtitle>Cancer medicine (Malden, MA)</jtitle><addtitle>Cancer Med</addtitle><date>2020-10</date><risdate>2020</risdate><volume>9</volume><issue>19</issue><spage>7301</spage><epage>7309</epage><pages>7301-7309</pages><issn>2045-7634</issn><eissn>2045-7634</eissn><abstract>Background
Compared with other cancers, melanoma has the longest delays measured as the median time to patient presentation for care from symptom onset. Time to presentation for care is a key determinant of outcomes, including disease stage, prognosis, and treatment.
Methods
Melanoma survivors with localized disease and their skin check partners enrolled in two sequential randomized control trials of skin self‐examination (SSE) training. In Phase 1, the pair read a workbook in the office and had quarterly total body skin examinations with a study dermatologist. In Phase 2, materials were mailed to pairs, whose surveillance was with a community physician. SSE knowledge, performance (frequency and extent), and identification of concerning moles were compared between phases.
Results
Among 341 patients, 197 received the workbook and the others were controls. Knowledge in performing SSE was higher for the workbook relative to controls in both phases. The SSE frequency ranged from 2.38 to 5.97 times in 9 months. Patients randomized to the workbook in both phases performed significantly more SSE than controls at 9 months (P < .05). In both phases, trained survivors performed significantly more SSEs on the scalp than controls at 9 and 18 months (P < .05). Phase 1 survivors performed significantly more SSEs on the abdomen, buttocks, and soles of the feet than controls, but this did not occur in Phase 2. Finally, in both phases, survivors trained with the workbook resulted in greater detection of suspicious lesions and melanomas.
Conclusions
These findings justify the benefits of remote SSE training for patients as an adjunct to provider‐administered screening.
The flexibility of remote training allowed greater participation than in‐person training with scheduled skin examinations with the doctor. Common patient follow‐up burdens such as difficulties scheduling appointments, time away from work and family, transportation constraints, and the cost of the physician visit were reduced by remote education. Both types of training resulted in greater detection of suspicious lesions and melanomas by trained melanoma survivors than by controls. Figure A shows SSE of the abdomen, B SSE of the scalp.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>32761987</pmid><doi>10.1002/cam4.3299</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2331-3352</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2045-7634 |
| ispartof | Cancer medicine (Malden, MA), 2020-10, Vol.9 (19), p.7301-7309 |
| issn | 2045-7634 2045-7634 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_e299d9e864144b3b8943076416a24457 |
| source | Publicly Available Content Database; Wiley Open Access; PubMed Central |
| subjects | Biopsy Cancer Prevention Clinical trials Enrollments Intervention Melanoma melanoma survivors Original Research Participation Patients remote training Scalp Skin Skin diseases skin self‐examination |
| title | Remote skin self‐examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in‐person training |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T23%3A52%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Remote%20skin%20self%E2%80%90examination%20training%20of%20melanoma%20survivors%20and%20their%20skin%20check%20partners:%20A%20randomized%20trial%20and%20comparison%20with%20in%E2%80%90person%20training&rft.jtitle=Cancer%20medicine%20(Malden,%20MA)&rft.au=Robinson,%20June%20K.&rft.date=2020-10&rft.volume=9&rft.issue=19&rft.spage=7301&rft.epage=7309&rft.pages=7301-7309&rft.issn=2045-7634&rft.eissn=2045-7634&rft_id=info:doi/10.1002/cam4.3299&rft_dat=%3Cproquest_doaj_%3E2448957205%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c5379-75ec78c0a79115de459d36b026bd21fd75aa697d1c77ab5bbf3cfc3add1a7833%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2448957205&rft_id=info:pmid/32761987&rfr_iscdi=true |