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Grant Details

Grant Number: 7R21CA103833-03 Interpret this number
Primary Investigator: Robinson, June
Organization: Northwestern University At Chicago
Project Title: Partner Assistance in Performing Skin Self-Examination
Fiscal Year: 2005
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Abstract

DESCRIPTION (provided by applicant): Skin cancer, the most common malignancy in the United States, is an important public health concern. Older age is associated with a higher risk of developing skin cancer; therefore, as the United States population of adults 65 and older increases by an estimated 20 percent in the next decade the incidence of skin cancer will increase. For those at risk to develop skin cancer, early detection by skin self-examination (SSE) is an effective strategy to decrease mortality and the physical and emotional burden of the disease. This research project will investigate whether married or cohabitating couples learn to and perform skin examination more effectively than solo learning by the person at risk to develop skin cancer. The effect of partner affiliation on dyadic learning is a novel area of research that is particularly relevant to early detection of skin cancer by SSE, which often requires the assistance of a partner to examine areas of the body that are difficult for the individual to see. The present study will examine two hundred participants at risk to develop skin cancer, who are between 50 and 70 years old and have partners, enrolled in a randomized trial with four month evaluation of SSE performance, by self-report responses, monthly diaries as body maps, and physician visits with diagnostic services. The effect on self-efficacy of performing SSE, knowledge of skin cancer and personal risk factors, attitude about the importance of skin cancer and performing SSE; is assessed by change in pre-test to post-test self-report responses. In addition, it is hypothesized that differences in partner affiliation will moderate the dyadic learning and the effectiveness of the intervention to promote SSE. This research will investigate partner affiliation variables that contribute to SSE performance and assistance with skin examination. Once partner affiliation variables and barriers have been identified, strategies will be developed to assist others without a life partner to form SSE partnerships with family members or friends. The elderly are often affected by loss of life partners and comorbid diseases that impair function. By forming skin examination partnerships, family members may become aware of the personal risk that is conferred upon them by having a family member with skin cancer.

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Publications

Aids to detection of changing pigmented lesions during partner-assisted skin examination.
Authors: Robinson JK, Stapleton J, Turrisi R, Mallett KA, Martini M
Source: J Am Acad Dermatol, 2011 Jun;64(6), p. 1186-8.
PMID: 21571185
Related Citations

Grant Numbers:
NCI NIH HHS - R21 CA103833-03 NCI NIH HHS - R21 CA103833 NCI NIH HHS - 5R21 CA-103833-02

MeSH Terms:
Humans Health Records, Personal Skin Neoplasms
Physical Examination Melanoma

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Comparing the efficacy of an in-person intervention with a skin self-examination workbook.
Authors: Robinson JK, Turrisi R, Mallett K, Stapleton J, Pion M
Source: Arch Dermatol, 2010 Jan;146(1), p. 91-4.
PMID: 20083705
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02 NCI NIH HHS - R21 CA103833-02

MeSH Terms:
Self-Examination Young Adult Humans
Books, Illustrated Retrospective Studies Aged
Skin Neoplasms Melanoma Patient Education as Topic
Aged, 80 and over Adult Follow-Up Studies
Middle Aged Female Male

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Squamous cell carcinoma in solid organ transplant recipients: influences on perception of risk and optimal time to provide education.
Authors: Kim NN, Boone SL, Ortiz S, Mallett K, Stapleton J, Turrisi R, Yoo S, West DP, Rademaker AW, Robinson JK
Source: Arch Dermatol, 2009 Oct;145(10), p. 1196-7.
PMID: 19841415
Related Citations

Grant Numbers:
NIAAA NIH HHS - R01 AA012529-01 NCI NIH HHS - R21 CA103833-01

MeSH Terms:
Sensitivity and Specificity Self-Examination Intervention Studies
Attitude to Health Humans Prognosis
Skin Neoplasms Organ Transplantation Risk Assessment
Focus Groups Registries Patient Education as Topic
Early Detection of Cancer Carcinoma, Squamous Cell Time Factors
Female Male

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Thoroughness of skin examination by melanoma patients: influence of age, sex and partner.
Authors: Boone SL, Stapleton J, Turrisi R, Ortiz S, Robinson JK, Mallett KA
Source: Australas J Dermatol, 2009 Aug;50(3), p. 176-80.
PMID: 19659978
Related Citations

Grant Numbers:
NCI NIH HHS - 5 R21 CA-103833-02 NCI NIH HHS - R21 CA103833-01

MeSH Terms:
Self-Examination Young Adult Probability
Age Factors Disease-Free Survival Sex Factors
Humans Prognosis Aged
Monitoring, Physiologic Skin Neoplasms Physical Examination
Risk Assessment Melanoma Patient Education as Topic
Survival Rate Adult Health Behavior
Middle Aged Neoplasm Recurrence, Local Adolescent
Female Male Spouses

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The duty to inspect the skin and counsel those at risk to develop melanoma.
Authors: Robinson JK, Mallett KA
Source: JAMA, 2009 Apr 22;301(16), p. 1702-4.
PMID: 19388140
Related Citations

Grant Numbers:
NCI NIH HHS - R21 CA-1-3833 NCI NIH HHS - R21 CA103833-01

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Engaging patients and their partners in preventive health behaviors: the physician factor.
Authors: Robinson JK, Mallett KA, Turrisi R, Stapleton J
Source: Arch Dermatol, 2009 Apr;145(4), p. 469-73.
PMID: 19380671
Related Citations

Grant Numbers:
NCI NIH HHS - R21 CA-1-3833 NCI NIH HHS - R21 CA103833-01

MeSH Terms:
Humans Dermatology Health Behavior
Aged Middle Aged Skin Neoplasms
Health Education Physician-Patient Relations Male
Female Melanoma

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Use of photographs illustrating ABCDE criteria in skin self-examination.
Authors: Robinson JK, Ortiz S
Source: Arch Dermatol, 2009 Mar;145(3), p. 332-3.
PMID: 19289774
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02

MeSH Terms:
Self-Examination Patient Education as Topic Humans
Teaching Materials Skin Neoplasms Photography
Melanoma

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A comparison of 2 brief intervention approaches to reduce indoor tanning behavior in young women who indoor tan very frequently.
Authors: Turrisi R, Mastroleo NR, Stapleton J, Mallett K
Source: Arch Dermatol, 2008 Nov;144(11), p. 1521-4.
PMID: 19015434
Related Citations

Grant Numbers:
NCI NIH HHS - R21 CA103833-01

MeSH Terms:
Sensitivity and Specificity Young Adult Probability
Ultraviolet Rays Reference Values Intervention Studies
Attitude to Health Risk-Taking Humans
Pilot Projects Beauty Culture Skin Neoplasms
Health Education Risk Reduction Behavior Case-Control Studies
Female

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Relationship and partner moderator variables increase self-efficacy of performing skin self-examination.
Authors: Robinson JK, Stapleton J, Turrisi R
Source: J Am Acad Dermatol, 2008 May;58(5), p. 755-62.
EPub date: 2008 Feb 6.
PMID: 18258332
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02 NCI NIH HHS - R21 CA103833-01

MeSH Terms:
Self-Examination Motivation Humans
Aged Skin Neoplasms Melanoma
Adult Health Knowledge, Attitudes, Practice Middle Aged
Self Efficacy Adolescent Female
Male Spouses

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Efficacy of a partner assistance intervention designed to increase skin self-examination performance.
Authors: Robinson JK, Turrisi R, Stapleton J
Source: Arch Dermatol, 2007 Jan;143(1), p. 37-41.
PMID: 17224540
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02

MeSH Terms:
Self-Examination Self Care Humans
Aged Chicago Skin Neoplasms
Melanoma Patient Education as Topic Patient Compliance
Adult Health Knowledge, Attitudes, Practice Middle Aged
Adolescent Female Male
Spouses

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Examination of mediating variables in a partner assistance intervention designed to increase performance of skin self-examination.
Authors: Robinson JK, Turrisi R, Stapleton J
Source: J Am Acad Dermatol, 2007 Mar;56(3), p. 391-7.
EPub date: 2006 Dec 4.
PMID: 17147966
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02

MeSH Terms:
Self-Examination Negotiating Learning
Humans Health Behavior Self Efficacy
Follow-Up Studies Skin Neoplasms Spouses
Melanoma

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Skills training to learn discrimination of ABCDE criteria by those at risk of developing melanoma.
Authors: Robinson JK, Turrisi R
Source: Arch Dermatol, 2006 Apr;142(4), p. 447-52.
PMID: 16618863
Related Citations

Grant Numbers:
NCI NIH HHS - 5R21 CA-103833-02

MeSH Terms:
Self-Examination Questionnaires Humans
Aged Skin Neoplasms Ambulatory Care
Melanoma Registries Patient Education as Topic
Aged, 80 and over Risk Factors Adult
Teaching Materials Middle Aged Female
Male

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