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Sun protection education for adolescents: a feasibility study of a wait-list controlled trial of an intervention involving a presentation, action planning, and SMS messages and using objective measurement of sun exposure.

青少年防晒教育: 一项干预的等待列表对照试验的可行性研究,涉及介绍、行动计划和SMS消息,并使用客观测量阳光暴露。

  • 影响因子:2.94
  • DOI:10.1186/s12889-020-8265-0
  • 作者列表:"Hubbard G","Cherrie J","Gray J","Kyle RG","Nioi A","Wendelboe-Nelson C","Cowie H","Dombrowski S
  • 发表时间:2020-01-30
Abstract

BACKGROUND:People increase their risk of melanoma unless they are protected from the harmful effects of sun exposure during childhood and adolescence. We aimed to assess the feasibility of a three-component sun protection intervention- presentation, action planning, and SMS messages - and trial parameters. METHODS:This feasibility wait-list trial was conducted in the United Kingdom in 2018. Students aged 13-15 years were eligible. Feasibility outcomes were collected for recruitment rates; data availability rates for objective measurements of melanin and erythema using a Mexameter and self-reported sunburn occurrences, severity and body location, tanning, sun protection behaviours and Skin Self-Examination (SSE) collected before (baseline) and after the school summer holidays (follow-up); intervention reach, adherence, perceived impact and acceptability. Quantitative data were analysed using descriptive statistics; qualitative data were analysed thematically. RESULTS:Five out of eight schools expressing an interest in participating with four allocated to act as intervention and one control. Four parents/carers opted their child out of the study. Four hundred and eighty-seven out of 724 students on the school register consented to the study at baseline (67%). Three hundred and eighty-five were in intervention group schools. Objective skin measurements were available for 255 (66%) of the intervention group at baseline and 237 (61%) of the group at follow up. Melanin increased; erythema decreased. Complete self-report data were available for 247 (64%) students in the intervention group. The number of students on the school register who attended the presentation and given the booklet was 379 (98%) and gave their mobile phone number was 155 (40%). No intervention component was perceived as more impactful on sun protection behaviours. Adolescents did not see the relevance of sun protection in the UK or for their age group. CONCLUSIONS:This is the first study to use a Mexameter to measure skin colour in adolescents. Erythema (visible redness) lasts no more than three days and its measurement before and after a six week summer holiday may not yield relevant or meaningful data. A major challenge is that adolescents do not see the relevance of sun protection and SSE. TRIAL REGISTRATION:International Standard Randomised Controlled Trial Number ISRCTN11141528. Date registered 0/2/03/2018; last edited 31/05/2018. Retrospectively registered.

摘要

背景: 人们增加了他们患黑色素瘤的风险,除非他们在儿童和青少年时期免受阳光照射的有害影响。我们旨在评估三分量防晒干预-演示、行动计划和SMS消息-和试验参数的可行性。 方法: 这项可行性等待名单试验于 2018 年在英国进行。13-15 岁的学生有资格。收集招募率的可行性结果; 使用计客观测量黑色素和红斑的数据可用性率以及自我报告的晒伤发生情况、严重程度和身体位置、晒黑、学校暑假前 (基线) 和假期后 (随访) 收集的防晒行为和皮肤自检 (SSE); 干预达到,依从性、感知影响和可接受性。定量数据采用描述性统计分析; 定性数据进行主题分析。 结果: 八所学校中有五所表示有兴趣参与,四所分配作为干预,一所作为对照。四名父母/照顾者选择他们的孩子退出研究。学校登记册上的 724 名学生中有 67% 名在基线时同意了这项研究 ()。三百八十五人在干预组学校。干预组基线时 255 (66%) 和随访时 237 (61%) 可获得客观皮肤测量。黑色素增多; 红斑减少。干预组 247 名 (64%) 学生有完整的自我报告数据。学校登记簿上参加演示并给出小册子的学生人数为 379 (98%),给出他们的手机号码为 155 (40%)。没有干预成分被认为对防晒行为更有影响。青少年在英国或他们的年龄组中没有看到防晒的相关性。 结论: 这是第一个使用测色仪测量青少年皮肤颜色的研究。红斑 (可见发红) 持续时间不超过三天,其在六周暑假前后的测量可能不会产生相关或有意义的数据。一个主要的挑战是青少年看不到防晒和SSE的相关性。 试验注册: 国际标准随机对照试验编号isrctn11141528。注册日期 0/2/03/2018; 上次编辑 31/05/2018。回顾性注册。

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影响因子:2.93
发表时间:2020-01-01
DOI:10.1016/j.jaad.2019.04.067
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影响因子:0.96
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DOI:10.1097/DAD.0000000000001459
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皮肤肿瘤方向

皮肤肿瘤是发生在皮肤的细胞增生性疾病,是一种常见病。发生于皮内或皮下组织的新生物,种类很多,临床上分良性肿瘤和恶性肿瘤。恶性肿瘤可以不断增殖,引起转移,威胁生命,称为皮肤癌。

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