title: Development of an Internet Intervention to Address Behaviors Associated with Skin Cancer Risk among Young Adults.
abstract: OBJECTIVE
  Skin cancer is the most common cancer in the US, and its incidence is increasing. The major risk factor for skin cancer is exposure to ultraviolet radiation (UV). Young adults tend to expose themselves to large amounts of UV and engage in minimal skin protection, which increases their skin cancer risk. Interventions are needed to address risk behaviors among young adults that may lead to skin cancer. The nternet offers a cost-effective way to widely disseminate efficacious interventions. The current paper describes the development of an online skin cancer risk reduction intervention (UV4.me) for young adults.
  
  
  METHODS
  The iterative development process for UV4.me followed best-practice guidelines and included the following activities: individual interviews, focus groups, content development by the expert team, acceptability testing, cognitive interviewing for questionnaires, quality control testing, usability testing, and a pilot randomized controlled trial. Participant acceptability and usability feedback was assessed.
  
  
  RESULTS
  The development process produced an evidence-informed intervention that is individually-tailored, interactive, and multimedia in nature based on the Integrative Model of Behavior Prediction, a model for internet interventions, and other best-practice recommendations, expert input, as well as user acceptability and usability feedback gathered before, during, and after development.
  
  
  CONCLUSIONS
  Development of an acceptable intervention intended to have a significant public health impact requires a relatively large investment in time, money, expertise, and ongoing user input. Lessons learned and recommendations are discussed. The comprehensive process used may help prepare others interested in creating similar behavioral health interventions.
authors.affiliation: Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Heckman
authors.affiliation: Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111.
authors.forename: Susan
authors.initials: S
authors.lastname: Darlow
authors.affiliation: Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111.
authors.forename: Teja
authors.initials: T
authors.lastname: Munshi
authors.affiliation: BeHealth Solutions, LLC, 375 Greenbrier Drive, Charlottesville, VA 22901.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Caruso
authors.affiliation: BeHealth Solutions, LLC, 375 Greenbrier Drive, Charlottesville, VA 22901 ; University of Virginia Health System, 1215 Lee Street, Charlottesvile, VA 22908.
authors.forename: Lee
authors.initials: L
authors.lastname: Ritterband
authors.affiliation: Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Raivitch
authors.affiliation: Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111.
authors.forename: Linda
authors.initials: L
authors.lastname: Fleisher
authors.affiliation: Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ 08901-1914.
authors.forename: Sharon
authors.initials: S
authors.lastname: Manne