Development of an internet intervention to address behaviors associated with skin cancer risk among young adults

Purpose: Skin cancer is the most common cancer in the US, and its incidence is increasing. The major risk factor for skin cancer is exposure to ultraviolet radiation (UV). Young adults tend to expose themselves to large amounts of UV and engage in minimal skin protection, which increases their skin...

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Main Authors: Carolyn Heckman, Susan Darlow, Teja Munshi, Carolyn Caruso, Lee Ritterband, Stephanie Raivitch, Linda Fleisher, Sharon Manne
Format: Article
Language:English
Published: Elsevier 2015-09-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782915000214
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author Carolyn Heckman
Susan Darlow
Teja Munshi
Carolyn Caruso
Lee Ritterband
Stephanie Raivitch
Linda Fleisher
Sharon Manne
author_facet Carolyn Heckman
Susan Darlow
Teja Munshi
Carolyn Caruso
Lee Ritterband
Stephanie Raivitch
Linda Fleisher
Sharon Manne
author_sort Carolyn Heckman
collection DOAJ
description Purpose: Skin cancer is the most common cancer in the US, and its incidence is increasing. The major risk factor for skin cancer is exposure to ultraviolet radiation (UV). Young adults tend to expose themselves to large amounts of UV and engage in minimal skin protection, which increases their skin cancer risk. Interventions are needed to address risk behaviors among young adults that may lead to skin cancer. The internet offers a cost-effective way to widely disseminate efficacious interventions. The current paper describes the development of an online skin cancer risk reduction intervention (UV4.me) for young adults. Procedures: The iterative development process for UV4.me followed best-practice guidelines and included the following activities: individual interviews, focus groups, content development by the expert team, acceptability testing, cognitive interviewing for questionnaires, quality control testing, usability testing, and a pilot randomized controlled trial. Participant acceptability and usability feedback was assessed. Principal results: The development process produced an evidence-informed intervention that is individually-tailored, interactive, and multimedia in nature based on the Integrative Model of Behavior Prediction, a model for internet interventions, and other best-practice recommendations, expert input, as well as user acceptability and usability feedback gathered before, during, and after development. Major conclusions: Development of an acceptable intervention intended to have a significant public health impact requires a relatively large investment in time, money, expertise, and ongoing user input. Lessons learned and recommendations are discussed. The comprehensive process used may help prepare others interested in creating similar behavioral health interventions.
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spelling doaj.art-8ca7315815be447db94b58d461633f162022-12-21T18:15:25ZengElsevierInternet Interventions2214-78292015-09-012334035010.1016/j.invent.2015.04.003Development of an internet intervention to address behaviors associated with skin cancer risk among young adultsCarolyn Heckman0Susan Darlow1Teja Munshi2Carolyn Caruso3Lee Ritterband4Stephanie Raivitch5Linda Fleisher6Sharon Manne7Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, United StatesFox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, United StatesFox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, United StatesBeHealth Solutions, LLC, , 375 Greenbrier Drive, Charlottesville, VA 22901, United StatesBeHealth Solutions, LLC, , 375 Greenbrier Drive, Charlottesville, VA 22901, United StatesFox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, United StatesFox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, United StatesRutgers Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ 08901-1914, United StatesPurpose: Skin cancer is the most common cancer in the US, and its incidence is increasing. The major risk factor for skin cancer is exposure to ultraviolet radiation (UV). Young adults tend to expose themselves to large amounts of UV and engage in minimal skin protection, which increases their skin cancer risk. Interventions are needed to address risk behaviors among young adults that may lead to skin cancer. The internet offers a cost-effective way to widely disseminate efficacious interventions. The current paper describes the development of an online skin cancer risk reduction intervention (UV4.me) for young adults. Procedures: The iterative development process for UV4.me followed best-practice guidelines and included the following activities: individual interviews, focus groups, content development by the expert team, acceptability testing, cognitive interviewing for questionnaires, quality control testing, usability testing, and a pilot randomized controlled trial. Participant acceptability and usability feedback was assessed. Principal results: The development process produced an evidence-informed intervention that is individually-tailored, interactive, and multimedia in nature based on the Integrative Model of Behavior Prediction, a model for internet interventions, and other best-practice recommendations, expert input, as well as user acceptability and usability feedback gathered before, during, and after development. Major conclusions: Development of an acceptable intervention intended to have a significant public health impact requires a relatively large investment in time, money, expertise, and ongoing user input. Lessons learned and recommendations are discussed. The comprehensive process used may help prepare others interested in creating similar behavioral health interventions.http://www.sciencedirect.com/science/article/pii/S2214782915000214Skin cancer preventionYoung adults
spellingShingle Carolyn Heckman
Susan Darlow
Teja Munshi
Carolyn Caruso
Lee Ritterband
Stephanie Raivitch
Linda Fleisher
Sharon Manne
Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
Internet Interventions
Skin cancer prevention
Young adults
title Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
title_full Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
title_fullStr Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
title_full_unstemmed Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
title_short Development of an internet intervention to address behaviors associated with skin cancer risk among young adults
title_sort development of an internet intervention to address behaviors associated with skin cancer risk among young adults
topic Skin cancer prevention
Young adults
url http://www.sciencedirect.com/science/article/pii/S2214782915000214
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