Environmental Exposure to Ultraviolet Light
Conditions
Brief summary
To assess the efficacy of the two SunSmart intervention videos to change sun protection attitudes and behaviors
Detailed description
SunSmart is a novel video intervention designed to prevent secondary skin cancer in young adult cancer survivors by increasing their adherence to recommended sun protection. This study will assess two versions of the SunSmart video intervention. These are: 1) The INFORMATION VIDEO providing basic information about UV risks, including secondary skin cancer and the benefits of sun protection (SP), as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor; and 2) THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure. Primary aim of the study is to assess the impact of the video intervention on sun protection intentions and behavior in young adult cancer survivors compared to a control intervention. Secondary aims are to describe the impact of the appearance information when included in the SunSmart intervention, to investigate the extent to which the intervention changes sun protection through hypothesized mediating variables, and to describe the consistency of sleep behaviors over time in cancer survivors.
Interventions
OTHERTHE INFORMATION + APPEARANCE VIDEO
THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure.
OTHERInformation SunSmart video
The INFORMATION SunSmart video providing basic information about UV risks, including secondary skin cancer and the benefits of SP, as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor
OTHERSleep hygiene video
Contain information on better sleep hygiene
Sponsors
National Cancer Institute (NCI)
Prevent Cancer Foundation
Dana-Farber Cancer Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Participants are randomized to view one of two SunSmart educational videos or a control video on sleep hygiene. In the three months following the video intervention, participants' sun protection attitudes and behaviors are assessed. An additional measure of sun protection behaviors 12-months later will be provided by participants who participate in the optional 1-year follow-up.
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* History of cancer diagnosis at least one year prior * Current age 18-35 * No cancer therapy in the prior 3 months (excluding chemoprevention agents) * No future cancer therapy planned * Able to read and write in English * Not compliant with recommended sun protection, as determined by at least one of the following criteria: 1. Any intentional sunbathing, artificial tanning or a sunburn in the past 5 years; OR 2. Having a moderate to light complexion (Fitzpatrick skin types I-IV), and not using sunscreen ≥ 90% of the time during incidental sun exposure.
Exclusion criteria
* History of skin cancer diagnosis * Enrolled on DFCI protocol 17-385 or any other sun protection intervention in the past 5 years. * Any impairment (e.g., hearing, visual, cognitive) that interferes with the ability to complete all measures independently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in SP Index scores from baseline to post-summer assessment | 3 months | SP index is comprised of 15 self-report items assessing SP Behaviors |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perceived health and appearance benefit | one month | 8 self-report items assessing expected benefits to SP |
| Perceived health vulnerability | one month | 2 items assessing perceived likelihood that UV exposure will lead to future skin cancers. |
| Perceived appearance vulnerability | one month | 2 items assessing perceived likelihood that UV exposure will lead to negative appearance changes |
| Insomnia symptoms | one month | 7 -item Insomnia Severity Scale (ISS). Total ISS scale scores range from a low of 0 (least insomnia) to a high of 28 (worst insomnia) |
| Change in SP Index scores from post-summer assessment to one year later | 12-months | SP index is comprised of 15 self-report items assessing SP Behaviors |
| SP Intentions | one month | 13 items measuring intentions to practice SP |
Countries
United States
Outcome results
None listed