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Grant Details

Grant Number: 7R21CA103833-03 Interpret this number
Primary Investigator: Robinson, June
Organization: Northwestern University 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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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