Abstract: Many skin cancer screenings occur in non-traditional community settings, with the beach being an important setting due to beachgoers being at high risk for skin cancer. This study is a secondary analysis of data from a randomized trial of a skin cancer intervention in which participants (n = 312) had a full-body skin examination by a clinician and received a presumptive diagnosis (abnormal finding, no abnormal finding). Participants’ pursuit of follow-up was assessed post-intervention (n = 283). Analyses examined: (1) participant’s recall of screening results; and (2) whether cognitive and behavioral variables were associated with follow-up being as advised. Just 12% of participants (36/312) did not correctly recall the results of their skin examination. One-third (33%, 93/283) of participants’ follow-up was classified as being not as advised (recommend follow-up not pursued, unadvised follow-up pursued). Among participants whose follow-up was not as advised, 71% (66/93) did not seek recommended care. None of the measured behavioral and cognitive variables were significantly associated with recall of screening examination results or whether follow-up was as advised. Research is needed to determine what factors are associated with follow-up being as advised and to develop messages that increase receipt of advised follow-up care.
Keywords: cancer screening; skin cancer prevention; skin examinations; sun protection
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Greaney, M.L.; Puleo, E.; Geller, A.C.; Hu, S.W.; Werchniak, A.E.; DeCristofaro, S.; Emmons, K.M. Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program. Int. J. Environ. Res. Public Health 2012, 9, 1836-1845.
Greaney ML, Puleo E, Geller AC, Hu SW, Werchniak AE, DeCristofaro S, Emmons KM. Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program. International Journal of Environmental Research and Public Health. 2012; 9(5):1836-1845.
Greaney, Mary L.; Puleo, Elaine; Geller, Alan C.; Hu, Stephanie W.; Werchniak, Andrew E.; DeCristofaro, Susan; Emmons, Karen M. 2012. "Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program." Int. J. Environ. Res. Public Health 9, no. 5: 1836-1845.