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Grant Details

Grant Number: 5R01CA154908-09 Interpret this number
Primary Investigator: Robinson, June
Organization: Northwestern University At Chicago
Project Title: A Comparison of Interventions to Teach Patients Skin Self-Examination
Fiscal Year: 2019


 DESCRIPTION (provided by applicant): In the United States in 2015, approximately 73,870 invasive melanoma cases will be diagnosed and of those, 9,940 will die from the disease. Treatment at later stages of the disease is associated with metastasis to internal organs and ultimately, death. These data underscore the critical significance of early detection of melanoma. Our ongoing R01 randomized controlled trial (RCT) demonstrated preliminary evidence for a melanoma survivor and skin check partner-assisted skin self-examination (SSE) training program resulting in regular and accurate SSEs relative to patients and partners receiving treatment as usual care. However, four critical questions remain unanswered: 1) Whether these patients will retain the knowledge/skills in real-world conditions following the conclusion of the RCT; 2) Whether they will continue to engage in reliable SSE behaviors with their skin check partners; 3) Whether they will retain the high level of accuracy of the SSEs with their skin check partners; and 4) Do they differ from patients who receive training while under the customary care of their own dermatologists? The proposed continuation builds on our NCI funded studies of Stage I to IIA melanoma patients by examining the influence of SSE training on early detection behaviors in real- world conditions. Our existing treatment condition patients' (TRT1) SSE early detection behaviors will be compared to three groups: 1) Participants who receive the tablet- intervention accessed via the web while under the customary care of their own dermatologists; (TRT2); 2) active-controls - control participants from the RCT who were repeatedly surveyed and seen by study-physicians every 4 mo. over the past two years who are also returning to the care of their own dermatologists (C1); and 3) assessment- only controls - control participants to be recruited for the proposed study (C2). The current proposal will contribute critical information to the scientific literature on the impact of early detection of melanomas using SSEs and will be the first to test the sustainability and long-term impact of an efficacious SSE intervention for early detection targeting melanoma survivors in real-world settings. Specifically, the aims of the study will examine: 1) the long-term efficacy of SSE training on knowledge, performance, and accuracy under real-world conditions; and 2) whether patient-partner relationship qualities and age moderate the relationship between the conditions (treatment/controls) and SSE outcomes (retention of SSE knowledge, performance, and accuracy).


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, 2021 08; 36(4), p. 858-864.
PMID: 32090289
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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 10; 9(19), p. 7301-7309.
EPub date: 2020-08-06.
PMID: 32761987
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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 09; 183(3), p. 571-573.
EPub date: 2020-04-23.
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 Sep; 36(5), p. 357-364.
EPub date: 2020-04-28.
PMID: 32189399
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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.
PMID: 32292057
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Frequency of 'regular' skin checks by dermatologists for melanoma survivors.
Authors: Robinson J.K. .
Source: The British journal of dermatology, 2020 05; 182(5), p. 1081.
EPub date: 2019-11-27.
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.
PMID: 30773613
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Variation in daily ultraviolet radiation 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, 2019 02; 180(2), p. 413-414.
EPub date: 2018-10-16.
PMID: 30207589
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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.
PMID: 31800626
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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, 2018-02-01; 154(2), p. 221-223.
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.
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; 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 09; 30(5), p. 488-492.
EPub date: 2017-07-04.
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, 2017-07-01; 153(7), p. 717-718.
PMID: 28445576
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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.
PMID: 28758010
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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, 2017-03-01; 153(3), p. 342-344.
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; 152(9), p. 979-85.
PMID: 27367303
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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.
PMID: 26422745
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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.
PMID: 26465644
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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.
PMID: 26049533
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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.
EPub date: 2015-06-10.
PMID: 26063475
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Rates of sunburn among dermatology patients.
Authors: Mallett K.A. , Ackerman S. , Turrisi R. , Robinson J.K. .
Source: JAMA dermatology, 2015 Feb; 151(2), p. 231-2.
PMID: 25354316
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Skin self-examination education for early detection of melanoma: a randomized controlled trial of Internet, workbook, and in-person interventions.
Authors: Robinson J.K. , Gaber R. , Hultgren B. , Eilers S. , Blatt H. , Stapleton J. , Mallett K. , Turrisi R. , Duffecy J. , Begale M. , et al. .
Source: Journal of medical Internet research, 2014-01-13; 16(1), p. e7.
EPub date: 2014-01-13.
PMID: 24418949
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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.
PMID: 25414761
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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; 3(6), p. 242.
PMID: 24795843
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New approaches to melanoma prevention.
Authors: Robinson J.K. , Baker M.K. , Hillhouse J.J. .
Source: Dermatologic clinics, 2012 Jul; 30(3), p. 405-12.
EPub date: 2012-06-02.
PMID: 22800548
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Line transect estimators for left-truncated distributions.
Authors: Alldredge J.R. , Gates C.E. .
Source: Biometrics, 1985 Mar; 41(1), p. 273-80.
PMID: 4005381
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