Skin cancer is a major public health problem with a major avoidable causative factor (solar ultraviolet radiation) and substantial potential for minimization of morbidity and mortality by early detection. Individuals can minimize exposure to solar ultraviolet by simple behavior changes but many do not, and primary care physicians can play an effective role in counseling and screening patients for skin cancer, but also typically do not. This project will develop, implement, and evaluate in a randomize controlled trial an innovative multicomponent educational intervention initiated in a high exposure setting (among sun bathers at the beach) and followed by a personalized expert system intervention delivered by mail (the """"""""beach/expert"""""""" component). This project will also develop, implement, and evaluate, in a controlled trial, an educational intervention for primary care physicians to increase their awareness and knowledge about skin cancer and their skills in counseling about and screening for skin cancer (the """"""""physician"""""""" component). Both components are based on the transtheoretical (""""""""stage of change"""""""") model of behavior change. The intervention package delivered at the beach includes elements appropriate to each stage. The expert system is an individualized stage-specific intervention. The physician component will include training in stage-appropriate counseling of patients as well as in early detection skills. Ultimately, the beach/expert component seeks to demonstrate the potential effectiveness of beach-based intervention programs for future use in the high risk beach-going population, and in the broader context of community-based, public health interventions; and to better define the processes and determinants leading to behavior change for sun exposure, with consequent generalization of the transtheoretical model of behavior change for cancer prevention. We also seek to demonstrate how a stage-based approach may be integrated with comprehensive educational programs developed to enhanced the effectiveness of physician-based cancer prevention. The overall project is designed to be disseminable so that the results obtained may be used in public health efforts to decrease the incidence, morbidity, and mortality from skin cancer.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
1R01AR043051-01
Application #
2082646
Study Section
Special Emphasis Panel (SRC (68))
Project Start
1994-05-24
Project End
1998-04-30
Budget Start
1994-05-24
Budget End
1995-04-30
Support Year
1
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Roger Williams Hospital
Department
Type
DUNS #
City
Providence
State
RI
Country
United States
Zip Code
02908
Yusufov, Miryam; Rossi, Joseph S; Redding, Colleen A et al. (2016) Transtheoretical Model Constructs' Longitudinal Prediction of Sun Protection Over 24 Months. Int J Behav Med 23:71-83
Mikkilineni, R; Weinstock, M A; Goldstein, M G et al. (2001) The impact of the basic skin cancer triage curriculum on provider's skin cancer control practices. J Gen Intern Med 16:302-7
Weinstock, M A; Rossi, J S; Redding, C A et al. (2000) Sun protection behaviors and stages of change for the primary prevention of skin cancers among beachgoers in southeastern New England. Ann Behav Med 22:286-93
Weinstock, M A (1999) The JAAD adopts the CONSORT statement. J Am Acad Dermatol 41:1045-7
Weinstock, M A (1999) Do sunscreens increase or decrease melanoma risk: an epidemiologic evaluation. J Investig Dermatol Symp Proc 4:97-100
Rosenstein, B S; Weinstock, M A; Habib, R (1999) Transmittance spectra and theoretical sun protection factors for a series of sunscreen-containing sun care products. Photodermatol Photoimmunol Photomed 15:75-80
Weinstock, M A; Reynes, J F (1999) The changing survival of patients with mycosis fungoides: a population-based assessment of trends in the United States. Cancer 85:208-12
Weinstock, M A; Martin, R A; Risica, P M et al. (1999) Thorough skin examination for the early detection of melanoma. Am J Prev Med 17:169-75
Weinstock, M A; Rossi, J S (1998) The Rhode Island Sun Smart Project: a scientific approach to skin cancer prevention. Clin Dermatol 16:411-3
Weinstock, M A (1998) Issues in the epidemiology of melanoma. Hematol Oncol Clin North Am 12:681-98

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