A Pilot Intervention Study to Increase Adherence With Skin Self-Examination (SSE) in Patients at High Risk For Melanoma

2.50
Hdl Handle:
http://hdl.handle.net/10755/164861
Category:
Abstract
Type:
Presentation
Title:
A Pilot Intervention Study to Increase Adherence With Skin Self-Examination (SSE) in Patients at High Risk For Melanoma
Author(s):
Phelan, Deborah
Author Details:
Deborah Phelan, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
Abstract:
Patients with multiple nevi are at greater risk for melanoma and must perform SSE on a monthly basis to detect changes. At this NCI-designated cancer center, the standard of practice has been to use a patient education brochure teaching high-risk patients mole mapping, a procedure of recording moles by drawing them. DermaGraphix, a computerized camera system, currently offers patients a new way of performing a monthly SSE. Purpose: To determine if the addition of a photo book containing the patient's own set of images would increase patient's knowledge and compliance in SSE performance. Every patient was photographed during an initial one-hour photographic session. Method: Projected sample size is 100 patients. All participants had baseline whole-body photography and agreed to random selection into one of two groups. Group A-nurse instruction with photo book, Group B-instruction with standard brochure. Nurse instruction included video, relaxation techniques, and instruction on how, when, and where to perform SSE. Tool/Instrument: An experimental design was employed. A self-administered 47-item questionnaire was administered at three time points: baseline, post intervention, and a four-month follow-up. Questionnaires included demographics, SSE practices, skin cancer knowledge, and personal and family history of cancer. Data Analysis: McNemars test for paired comparisons, z-test for proportions, and descriptive frequencies were utilized to characterize data. An increase in mean knowledge score resulted post delivery of both interventions compared with baseline scores. The median grade for both groups (86.3 versus 94.9, p = 0.001) 86.3%, at baseline increased to 94.9% post intervention (p = 0.001). Findings and Implications: The goal was to demonstrate a significant difference in the level of compliance in performing SSE in those receiving a photo book as compared to those who did not. Group A demonstrated a higher percentage in knowledge and confidence. Benefits of the photo book in this population will be demonstrated. This new technology offers opportunities and rewards for the oncology nurse working in dermatology. Orem's Self-Care Model guided this research initiative focusing on her supportive-educative system. This presentation will present study results, questionnaires, photo book, and brochures describing benefits using this photo system increasing compliance with SSE.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Pilot Intervention Study to Increase Adherence With Skin Self-Examination (SSE) in Patients at High Risk For Melanomaen_GB
dc.contributor.authorPhelan, Deborahen_US
dc.author.detailsDeborah Phelan, Memorial Sloan-Kettering Cancer Center, New York, New York, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164861-
dc.description.abstractPatients with multiple nevi are at greater risk for melanoma and must perform SSE on a monthly basis to detect changes. At this NCI-designated cancer center, the standard of practice has been to use a patient education brochure teaching high-risk patients mole mapping, a procedure of recording moles by drawing them. DermaGraphix, a computerized camera system, currently offers patients a new way of performing a monthly SSE. Purpose: To determine if the addition of a photo book containing the patient's own set of images would increase patient's knowledge and compliance in SSE performance. Every patient was photographed during an initial one-hour photographic session. Method: Projected sample size is 100 patients. All participants had baseline whole-body photography and agreed to random selection into one of two groups. Group A-nurse instruction with photo book, Group B-instruction with standard brochure. Nurse instruction included video, relaxation techniques, and instruction on how, when, and where to perform SSE. Tool/Instrument: An experimental design was employed. A self-administered 47-item questionnaire was administered at three time points: baseline, post intervention, and a four-month follow-up. Questionnaires included demographics, SSE practices, skin cancer knowledge, and personal and family history of cancer. Data Analysis: McNemars test for paired comparisons, z-test for proportions, and descriptive frequencies were utilized to characterize data. An increase in mean knowledge score resulted post delivery of both interventions compared with baseline scores. The median grade for both groups (86.3 versus 94.9, p = 0.001) 86.3%, at baseline increased to 94.9% post intervention (p = 0.001). Findings and Implications: The goal was to demonstrate a significant difference in the level of compliance in performing SSE in those receiving a photo book as compared to those who did not. Group A demonstrated a higher percentage in knowledge and confidence. Benefits of the photo book in this population will be demonstrated. This new technology offers opportunities and rewards for the oncology nurse working in dermatology. Orem's Self-Care Model guided this research initiative focusing on her supportive-educative system. This presentation will present study results, questionnaires, photo book, and brochures describing benefits using this photo system increasing compliance with SSE.en_GB
dc.date.available2011-10-27T12:08:19Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:08:19Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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