title: Patterns of photoprotection following CDKN2A/p16 genetic test reporting and counseling.
abstract: BACKGROUND
  The impact of melanoma genetic testing and counseling on photoprotective behaviors is unknown.
  
  
  OBJECTIVE
  To determine if genetic testing and counseling alter compliance with photoprotection recommendations.
  
  
  METHODS
  Reported use of sunscreen, protective clothing, and sun avoidance by 59 members of CDKN2A/p16-mutation positive pedigrees was assessed as a function of mutation status and melanoma history, before, immediately after, and 1 month following test reporting.
  
  
  RESULTS
  Intentions to practice all photoprotective behaviors increased in all participant groups (P < .0001). At 1 month, 33% of participants reported the adoption of a new photoprotective behavior. Subpopulation analyses identified different patterns of change in photoprotection relative to baseline (P < .005), with no net decline in any group.
  
  
  CONCLUSIONS
  This initial study of CDKN2A/p16 families is small and awaits replication in a larger sample.
  
  
  CONCLUSIONS
  Melanoma genetic testing and counseling enhanced intentions to implement photoprotective strategies and did not result in reduced compliance in the CDKN2A/p16-subpopulation.
authors.affiliation: Department of Psychology, University of Utah, Salt Lake City, Utah, USA.
authors.forename: Lisa G
authors.initials: LG
authors.lastname: Aspinwall
authors.forename: Samantha L
authors.initials: SL
authors.lastname: Leaf
authors.forename: Wendy
authors.initials: W
authors.lastname: Kohlmann
authors.forename: Erin R
authors.initials: ER
authors.lastname: Dola
authors.forename: Sancy A
authors.initials: SA
authors.lastname: Leachman
mesh_terms: D000328:Adult; D000368:Aged; D003020:Clothing; D004781:Environmental Exposure / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D019942:Genes, p16; D005817:Genetic Counseling; D005821:Genetic Techniques; D015438:Health Behavior; D006801:Humans; D008297:Male; D008545:Melanoma / Q000235:genetics / Q000517:prevention & control; D008875:Middle Aged; D009154:Mutation; D010349:Patient Compliance; D013472:Sunlight / Q000009:adverse effects*; D013473:Sunscreening Agents; D014466:Ultraviolet Rays / Q000009:adverse effects
chemical_list: D013473:Sunscreening Agents