Grant Number:	5R01CA154908-03 Interpret this number
Primary Investigator:	Robinson, June
Organization:	Northwestern University At Chicago
Project Title:	A Comparison of Interventions to Teach Melanoma Patients' Skin Self-Examination
Fiscal Year:	2013

DESCRIPTION (provided by applicant): Population based registries document that survival from melanoma, a growing public health problem with approximately 70,000 new melanoma cases and an estimated 8,600 deaths in 2010, is dependent on the thickness of the melanoma. By facilitating seeking medical care, skin self-examinations (SSEs) by individuals with a prior history of melanoma, who are at risk to develop subsequent melanomas, may lead to the early detection and treatment of melanoma when it is usually more effective. Thus, further research that enhances early detection is warranted and our application directly tests novel methods of training high-risk melanoma patients and their partners on how to conduct SSEs to promote early detection. Our proposed research builds upon the strengths of the R21 that: a) established that in-person training to conduct SSE with a partner significantly enhanced SSE performance 4 months after the intervention, and b) developed and pilot tested a manual take-home workbook training approach (WORKBOOK). Our pilot work on the WORKBOOK with partners suggests that patient-partner dyads (n = 21) perceived it to be readable, useful, and in the short term 4 month follow-up, empirically equivalent in promoting SSE knowledge, skills, and behaviors compared with patient-partner dyads in the in-person partner training condition (n = 19). Our proposed research builds on our NCI funded studies by conducting a formal examination with 430 subjects randomized to either the in-person or workbook training vs. an assessment only control group that receives standard of care over a 2 year longitudinal study with 4 month interval evaluations. Our proposed research directly tests novel methods of training Stage I and IIA melanoma patients, who have a 5 year survival of 80-90%, and their partners, on how to conduct SSEs. We will compare the efficacy of the in- person training vs. workbook for patients and partners vs. controls on SSE knowledge/skill acquisition and retention, and SSE performance and accuracy on a short (4 and 8 months post baseline) and long term basis (12, 16, 20, and 24 months post baseline) and examine whether partner-patient relationship-qualities moderate the relationship between the training approaches and SSEs knowledge/skill acquisition and retention, and SSE performance and accuracy. Establishing health promotion partnerships is important to those at risk to develop melanoma because SSE is difficult to successfully perform as an individual. It is expected that the workbook will promote SSE at least as well as and perhaps better than in-person training and become an easily disseminated SSE training approach that is not dependent on the time and teaching skills of the non-MD clinical office staff.




Remote skin self-examination training of melanoma survivors and their skin check partners: A randomized trial and comparison with in-person training.
Authors: Robinson J.K. , Reavy R. , Mallett K.A. , Turrisi R. .
Source: Cancer Medicine, 2020-08-06 00:00:00.0; , .
EPub date: 2020-08-06 00:00:00.0.
PMID: 32761987
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Skin check partner assistance for melanoma skin self-examination by at-risk patients: it takes two to identify melanomas.
Authors: Robinson J.K. .
Source: Future Oncology (london, England), 2020 Jun; 16(16), p. 1065-1068.
EPub date: 2020-04-15 00:00:00.0.
PMID: 32292057
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Persistence of partner-assisted skin self-examination supported by 'being in this together': a randomized trial.
Authors: Robinson J.K. , Abou-El-Seoud D. , Reavy R. , Turrisi R. , Mallett K.A. .
Source: The British Journal Of Dermatology, 2020-03-28 00:00:00.0; , .
EPub date: 2020-03-28 00:00:00.0.
PMID: 32222067
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Protection-adjusted UV dose estimated for body areas: Daily self-reported sun protection modification of wearable UV sensor dose.
Authors: Robinson J.K. , Durst D.A. , Gray E. , Kwasny M. .
Source: Photodermatology, Photoimmunology & Photomedicine, 2020-03-18 00:00:00.0; , .
EPub date: 2020-03-18 00:00:00.0.
PMID: 32189399
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Melanoma Skin Self-Examination Education During Mammography: Health Burden of Women Impairs Implementation.
Authors: Robinson J.K. , Brown Z. , Spring B. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2020-02-24 00:00:00.0; , .
EPub date: 2020-02-24 00:00:00.0.
PMID: 32090289
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Frequency of 'regular' skin checks by dermatologists for melanoma survivors.
Authors: Robinson J.K. .
Source: The British Journal Of Dermatology, 2019-11-27 00:00:00.0; , .
EPub date: 2019-11-27 00:00:00.0.
PMID: 31774148
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Remote partner assisted skin self-examination skills training of melanoma survivors and their partners.
Authors: Robinson J.K. , Reavy R. , Mallett K.A. , Turrisi R. .
Source: The Australasian Journal Of Dermatology, 2019 Feb; 60(1), p. e80-e82.
EPub date: 2018-07-10 00:00:00.0.
PMID: 30773613
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Assessing recall of personal sun exposure by integrating UV dosimeter and self-reported data with a network flow framework.
Authors: Alshurafa N. , Jain J. , Stump T.K. , Spring B. , Robinson J.K. .
Source: Plos One, 2019; 14(12), p. e0225371.
EPub date: 2019-12-04 00:00:00.0.
PMID: 31800626
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Variation in daily ultraviolet light exposure and sun protection behaviours of melanoma survivors: an observational single-arm pilot study with a wearable sensor.
Authors: Xu S. , Stump T.K. , Jain J. , Alshurafa N. , Robinson J.K. .
Source: The British Journal Of Dermatology, 2018-09-12 00:00:00.0; , .
EPub date: 2018-09-12 00:00:00.0.
PMID: 30207589
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Assessment of the Diameter of Pigmented Skin Lesions With and Without a Ruler.
Authors: Mannam H. , Choi A. , Jacob S. , Kwa M. , Xu S. , Robinson J.K. .
Source: Jama Dermatology, 2017-12-27 00:00:00.0; , .
EPub date: 2017-12-27 00:00:00.0.
PMID: 29282456
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Promoting early detection of melanoma during the mammography experience.
Authors: Rzepecki A.K. , Jain N. , Ali Y. , Chavez L. , Choi J. , Schlosser B. , Liko-Hazizi E. , Friedewald S.M. , Robinson J.K. .
Source: International Journal Of Women's Dermatology, 2017 Dec; 3(4), p. 195-200.
EPub date: 2017-07-05 00:00:00.0.
PMID: 29234713
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Uniform Nomenclature to Describe Clinical Features of Pigmented Lesions.
Authors: Flood K.S. , Martin G.J. , Robinson J.K. .
Source: Jama Dermatology, 2017-10-01 00:00:00.0; 153(10), p. 973-975.
PMID: 28854293
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Recognizing Latinos' Range of Skin Pigment and Phototypes to Enhance Skin Cancer Prevention.
Authors: Robinson J.K. , Penedo F.J. , Hay J.L. , Jablonski N.G. .
Source: Pigment Cell & Melanoma Research, 2017-05-15 00:00:00.0; , .
EPub date: 2017-05-15 00:00:00.0.
PMID: 28504868
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Enhancing the Relevance of Skin Self-examination for Latinos.
Authors: Robinson J.K. , Nodal M. , Chavez L. , Ali Y. , Mallett K. , Turrisi R. .
Source: Jama Dermatology, 2017-04-26 00:00:00.0; , .
EPub date: 2017-04-26 00:00:00.0.
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Skin cancer screening: recommendations for data-driven screening guidelines and a review of the US Preventive Services Task Force controversy.
Authors: Johnson M.M. , Leachman S.A. , Aspinwall L.G. , Cranmer L.D. , Curiel-Lewandrowski C. , Sondak V.K. , Stemwedel C.E. , Swetter S.M. , Vetto J. , Bowles T. , et al. .
Source: Melanoma Management, 2017 Mar; 4(1), p. 13-37.
EPub date: 2017-03-01 00:00:00.0.
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Self-confidence And Embarrassment About Partner-assisted Skin Self-examination For Melanoma
Authors: Robinson J.K. , Hultgren B. , Mallett K. , Turrisi R. .
Source: Jama Dermatology, 2016-12-14 00:00:00.0; , .
PMID: 27973675
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Early Detection of New Melanomas by Patients With Melanoma and Their Partners Using a Structured Skin Self-examination Skills Training Intervention: A Randomized Clinical Trial.
Authors: Robinson J.K. , Wayne J.D. , Martini M.C. , Hultgren B.A. , Mallett K.A. , Turrisi R. .
Source: Jama Dermatology, 2016-09-01 00:00:00.0; 152(9), p. 979-85.
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Influence of Quality of Relationship Between Patient With Melanoma and Partner on Partner-Assisted Skin Examination Education: A Randomized Clinical Trial.
Authors: Hultgren B.A. , Turrisi R. , Mallett K.A. , Ackerman S. , Robinson J.K. .
Source: Jama Dermatology, 2016 Feb; 152(2), p. 184-90.
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Cost-effective Melanoma Screening.
Authors: Robinson J.K. , Halpern A.C. .
Source: Jama Dermatology, 2016 Jan; 152(1), p. 19-21.
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Comparison of Efficacy of Differing Partner-Assisted Skin Examination Interventions for Melanoma Patients: A Randomized Clinical Trial.
Authors: Turrisi R. , Hultgren B. , Mallett K.A. , Martini M. , Robinson J.K. .
Source: Jama Dermatology, 2015 Sep; 151(9), p. 945-51.
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Correspondence between pigmented lesions identified by melanoma patients trained to perform partner-assisted skin self-examination and dermatological examination.
Authors: Stapleton J.L. , Turrisi R. , Mallett K.A. , Robinson J.K. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2015 Aug; 24(8), p. 1247-53.
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Source: Jama Dermatology, 2015 Feb; 151(2), p. 231-2.
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Skin self-examination education for early detection of melanoma: a randomized controlled trial of Internet, workbook, and in-person interventions.
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Source: Journal Of Medical Internet Research, 2014-01-13 00:00:00.0; 16(1), p. e7.
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Enhanced fidelity of an educational intervention on skin self-examination through surveillance and standardization.
Authors: Gaber R. , Mallett K.A. , Hultgren B. , Turrisi R. , Gilbertsen M.L. , Martini M.C. , Robinson J.K. .
Source: Journal Of Nursing Education And Practice, 2014; 4(2), p. 253-258.
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The Influence of Disease Perceptions on the Participation of Melanoma Patients and their Partners in Skin Self-Examination Education.
Authors: Rikki G. , Brittney H. , Jerod S. , Mallett Kimberly A. , Rob T. , Claudia H. , Karl B. , Wayne Jeffrey D. , Martini Mary C. , Robinson June K. .
Source: Journal Of Community Medicine & Health Education, 2013-11-01 00:00:00.0; 3(6), p. 242.
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