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Toward a precision behavioral medicine approach to addressing high-risk sun exposure: a qualitative analysis.


ABSTRACT:

Objectives

Precision behavioral medicine techniques integrating wearable ultraviolet radiation (UVR) sensors may help individuals avoid sun exposure that places them at-risk for skin cancer. As a preliminary step in our patient-centered process of developing a just-in-time adaptive intervention, this study evaluated reactions and preferences to UVR sensors among melanoma survivors.

Materials and methods

Early stage adult melanoma survivors were recruited for a focus group (n =11) or 10-day observational study, which included daily wearing a UVR sensor and sun exposure surveys (n =39). Both the focus group moderator guide and observational study exit interviews included questions on UVR sensing as a potential intervention strategy. These responses were transcribed and coded using an inductive strategy.

Results

Most observational study participants (84.6%) said they would find information provided by UVR sensors to be useful to help them learn about how specific conditions (eg, clouds, location) impact sun exposure and provide in-the-moment alerts. Focus group participants expressed enthusiasm for UVR information and identified preferred qualities of a UVR sensor, such as small size and integration with other devices. Participants in both studies indicated concern that UVR feedback may be difficult to interpret and some expressed that a UVR sensor may not be convenient or desirable to wear in daily life.

Discussion

Melanoma survivors believe that personalized UVR exposure information could improve their sun protection and want this information delivered in a method that is meaningful and actionable.

Conclusion

UVR sensing is a promising component of a precision behavioral medicine strategy to reduce skin cancer risk.

SUBMITTER: Stump TK 

PROVIDER: S-EPMC6994011 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Toward a precision behavioral medicine approach to addressing high-risk sun exposure: a qualitative analysis.

Stump Tammy K TK   Spring Bonnie B   Marchese Sara Hoffman SH   Alshurafa Nabil N   Robinson June K JK  

JAMIA open 20190916 4


<h4>Objectives</h4>Precision behavioral medicine techniques integrating wearable ultraviolet radiation (UVR) sensors may help individuals avoid sun exposure that places them at-risk for skin cancer. As a preliminary step in our patient-centered process of developing a just-in-time adaptive intervention, this study evaluated reactions and preferences to UVR sensors among melanoma survivors.<h4>Materials and methods</h4>Early stage adult melanoma survivors were recruited for a focus group (<i>n </  ...[more]

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