Grant Number:	5R01CA078800-04 Interpret this number
Primary Investigator:	Weinstock, Martin
Organization:	Rhode Island Hospital
Project Title:	Skin Self Examination for Early Detection of Melanoma
Fiscal Year:	2002

ABSTRACT=Malignant melanoma is a major public health problem for which early detection is critical. Melanoma incidence and mortality have increased over the past several decades. Prognosis is critically dependent on the depth of the primary lesion at the time of initial surgical excision. Hence, monthly thorough skin examination (SSE) by the general public for the purpose of early detection, before deep invasion, is one promising approach for reducing melanoma mortality which has been promoted with increasing vigor in recent years. However, strategies for increasing the practice of SSE have not been rigorously evaluated, nor have the effects of SSE interventions on health care resource use. The investigators propose to conduct a 3-group randomized trial of interventions for increasing SSE use. The participants will be recruited from primary care physician offices. The experimental interventions tested will include written materials, cues, aids, and a videotape given at baseline and tailored feedback reports at 2 and 6 months. One of the two experimental interventions will include face-to-face counseling at baseline and a follow-up phone call 2 weeks later. The control intervention will include materials and a videotape on healthy dietary habits. Assessments will be conducted at 2, 6, and 12 months after the initial intervention. The primary outcome variable will be performance of at least one SSE during the two months prior to the assessment. The investigators will also assess the number of visits to health care providers for skin problems since the prior assessment, and the procedures performed by the provider because of those skin problems. Upon completion of this project, the investigators will have developed an intervention package suitable for dissemination, and will have evaluated its efficacy in improving performance of SSE, as well as its potential effect on health care resource use. The knowledge and experiment thus gained will aid the continuing efforts to encourage SSE and reduce melanoma mortality.




Body Satisfaction Effect On Thorough Skin Self-examination
Authors: Risica P.M. , Weinstock M.A. , Rakowski W. , Kirtania U. , Martin R.A. , Smith K.J. .
Source: American Journal Of Preventive Medicine, 2008 Jul; 35(1), p. 68-72.
PMID: 18541179
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Components of a successful intervention for monthly skin self-examination for early detection of melanoma: the "Check It Out" trial.
Authors: Lee K.B. , Weinstock M.A. , Risica P.M. .
Source: Journal Of The American Academy Of Dermatology, 2008 Jun; 58(6), p. 1006-12.
PMID: 18406492
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Factors Associated With Thorough Skin Self-examination For The Early Detection Of Melanoma
Authors: Martin,R.A. , Weinstock,M.A. , Risica,P.M. , Smith,K. , Rakowski,W. .
Source: Journal Of The European Academy Of Dermatology And Venereology : Jeadv, 2007 Sep; 21(8), p. 1074-81.
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Melanoma early detection with thorough skin self-examination: the "Check It Out" randomized trial.
Authors: Weinstock M.A. , Risica P.M. , Martin R.A. , Rakowski W. , Dubé C. , Berwick M. , Goldstein M.G. , Acharyya S. , Lasater T. .
Source: American Journal Of Preventive Medicine, 2007 Jun; 32(6), p. 517-24.
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Relationship Of Treatment Delay With Surgical Defect Size From Keratinocyte Carcinoma (basal Cell Carcinoma And Squamous Cell Carcinoma Of The Skin)
Authors: Eide,M.J. , Weinstock,M.A. , Dufresne,R.G. , Neelagaru,S. , Risica,P. , Burkholder,G.J. , Upegui,D. , Phillips,K.A. , Armstrong,B.K. , Robinson-Bostom,L. .
Source: The Journal Of Investigative Dermatology, 2005 Feb; 124(2), p. 308-14.
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Nonmelanoma Skin Cancer Mortality (1988-2000): The Rhode Island Follow-back Study
Authors: Lewis,K.G. , Weinstock,M.A. .
Source: Archives Of Dermatology, 2004 Jul; 140(7), p. 837-42.
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Patient and referring provider satisfaction with teledermatology.
Authors: Weinstock M.A. , Nguyen F.Q. , Risica P.M. .
Source: Journal Of The American Academy Of Dermatology, 2002 Jul; 47(1), p. 68-72.
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The impact of the basic skin cancer triage curriculum on providers' skills, confidence, and knowledge in skin cancer control.
Authors: Mikkilineni R. , Weinstock M.A. , Goldstein M.G. , Dube C.E. , Rossi J.S. .
Source: Preventive Medicine, 2002 Feb; 34(2), p. 144-52.
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Epidemiology, Etiology, And Control Of Melanoma
Authors: Weinstock M.A. .
Source: Medicine And Health, Rhode Island, 2001 Jul; 84(7), p. 234-6.
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The Jaad Adopts The Consort Statement
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