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Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program
Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02215, USA
Department of Public Health, University of Massachusetts, Amherst, MA 01003, USA
Department of Society, Human Development & Health, Harvard School of Public Health, Boston, MA 02115, USA
New York University Medical Center, New York, NY, 10016, USA
Department of Dermatology, Brigham and Women’s Hospital, Boston, MA 02115, USA
Dana-Farber Cancer Institute, Boston, MA 02215, USA
* Author to whom correspondence should be addressed.
Received: 16 March 2012; in revised form: 25 April 2012 / Accepted: 2 May 2012 / Published: 10 May 2012
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.