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Grant Details

Grant Number: 5R03CA144435-02 Interpret this number
Primary Investigator: Mallett, Kimberly
Organization: Pennsylvania State University-Univ Park
Project Title: Enhancing Patient Communication Among Dermatologists
Fiscal Year: 2010
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Abstract

DESCRIPTION (provided by applicant): Skin cancer is the most common malignancy in the United States (ACS, 2008). As the US population of adults 65 and older increases by an estimated 20 percent in the next decade, the incidence of and mortality from skin cancer will rise (Wier et al., 2003). Despite the use of educational efforts by physicians to promote the use of sun protective behaviors among their patients, studies continue to document the widespread rates of intentional sun exposure and low sun protection. These reports suggest that there remains a need to improve the impact of physician (MD) delivered skin cancer prevention. Brief Negotiation Interview interventions (BNIs) (e.g., Rollnick et al., 1997) have been shown to be efficacious in modifying health- related behaviors that are extremely resistant to change (e.g. smoking) and may be a promising approach to use in lowering UV risk behaviors, thus warranting further examination. The objective of this etiological research is to train MDs to deliver a BNI intervention to their patients in the context of a routine office visit. The primary aim of the study is to fully develop a sustainable BNI training program focused on UVL risk and protective behaviors for MDs and evaluate whether MDs can be trained to deliver the BNI to patients with fidelity. Approximately 10 dermatologists will be recruited to the study. All MDs will be observed interacting with patients prior to receiving the BNI training to assess baseline MD-patient communication during a routine office visit. Following the baseline assessments, MDs will receive the BNI training, additional supervision, and be assessed for ability to deliver the BNI with fidelity. If the study determines MDs are able to deliver the BNI to patients with fidelity, future studies will examine the impact of the BNI intervention on patients with regard to UVL risk and protective behaviors. The present study explores the ability of physicians to be trained to deliver a behavioral intervention in the context of naturally occurring patient interactions and shows promise for long term sustainability. PUBLIC HEALTH RELEVANCE: The incidence of invasive skin cancers, cutaneous melanoma in particular, has nearly tripled in the U.S. between 1975 and 2004, making it the fastest rising incidence rate for all cancers in the United States. Physicians are in an ideal position to effect change in their patients. The present study will assess whether dermatologists can be sustainably trained to deliver a brief motivational behavioral intervention to patients with fidelity during the context of a 15-minute office visit.

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Publications

The style project: feasibility of collaborating with salons for prevention and early detection of skin cancer.
Authors: Turrisi R, Gunn H, Hultgren B, Warner N, Mallett KA
Source: Arch Dermatol, 2012 Oct;148(10), p. 1206-7.
PMID: 23069967
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Enhancing patients' satisfaction and sun-protective behaviors using the ABC method of physician-patient communication.
Authors: Mallett KA, Turrisi R, Billingsley E, Comer CD, Read A, Varvil-Weld L, Gaber R, Favero S, Guttman K, Robinson JK
Source: Arch Dermatol, 2012 Sep;148(9), p. 1087-9.
PMID: 22986876
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Assessing dermatologists' ability to deliver a novel intervention to improve patients' use of sun protection: the ABC method of physician-patient communication.
Authors: Mallett KA, Turrisi R, Guttman K, Read A, Billingsley E, Robinson J
Source: Arch Dermatol, 2011 Dec;147(12), p. 1451-3.
EPub date: 2011 Aug 15.
PMID: 21844429
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Efficacy of an educational intervention with kidney transplant recipients to promote skin self-examination for squamous cell carcinoma detection.
Authors: Robinson JK, Turrisi R, Mallett KA, Stapleton J, Boone SL, Kim N, Riyat NV, Gordon EJ
Source: Arch Dermatol, 2011 Jun;147(6), p. 689-95.
EPub date: 2011 Feb 21.
PMID: 21339418
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Sustained parenting and college drinking in first-year students.
Authors: Turrisi R, Ray AE
Source: Dev Psychobiol, 2010 Apr;52(3), p. 286-94.
PMID: 20213752
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Objectification theory and our understanding of indoor tanning.
Authors: Stapleton J, Turrisi R, Todaro A, Robinson JK
Source: Arch Dermatol, 2009 Sep;145(9), p. 1059-60.
PMID: 19770454
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A randomized controlled trial of an appearance-focused intervention to prevent skin cancer.
Authors: Hillhouse J, Turrisi R, Stapleton J, Robinson J
Source: Cancer, 2008 Dec 1;113(11), p. 3257-66.
PMID: 18937268
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Peer crowd identification and indoor artificial UV tanning behavioral tendencies.
Authors: Stapleton J, Turrisi R, Hillhouse J
Source: J Health Psychol, 2008 Oct;13(7), p. 940-5.
PMID: 18809645
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Enhancing patient motivation to reduce UV risk behaviors: assessing the interest and willingness of dermatologists to try a different approach.
Authors: Mallett KA, Robinson JK, Turrisi R
Source: Arch Dermatol, 2008 Feb;144(2), p. 265-6.
PMID: 18283192
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