title: Psychosocial mediators of a nurse intervention to increase skin self-examination in patients at high risk for melanoma.
abstract: This prospective study examines psychosocial mediators of an efficacious skin self-examination (SSE) intervention that includes provision of a whole-body digital photography book depicting the entire skin surface. Individuals (n = 100) with established risk factors for melanoma were recruited from the Memorial Sloan-Kettering Cancer Center Pigmented Lesion Clinic during their initial dermatologist visit and were randomized to receive a photobook immediately (n = 49) or 4 months after intervention delivery (n = 51). Potential mediators included self-efficacy and response efficacy drawn from Social Cognitive Theory, melanoma worry, and SSE anxiety drawn from Self-Regulation Theory, and skin cancer knowledge, and skin awareness. Only self-efficacy was a significant mediator, accounting for 8% of the total effect of photobook enhancement on SSE adherence at 4 months.
authors.affiliation: Behavioral Sciences Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. hayj@mskcc.org
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hay
authors.forename: Susan A
authors.initials: SA
authors.lastname: Oliveria
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Dusza
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Phelan
authors.forename: Jamie S
authors.initials: JS
authors.lastname: Ostroff
authors.forename: Allan C
authors.initials: AC
authors.lastname: Halpern
mesh_terms: D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008545:Melanoma / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology; D010349:Patient Compliance; D010353:Patient Education as Topic; D010781:Photography; D012307:Risk Factors; D020377:Self Efficacy; D016353:Self-Examination / Q000451:nursing*; D017592:Skin Care / Q000451:nursing*; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology