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Cited by 56Mobile Health and mHealth ApplicationsCutaneous Melanoma Detection and ManagementSkin Protection and Aging

Can skin cancer prevention and early detection be improved via mobile phone text messaging? A randomised, attention control trial

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Youl, Philippa H., Soyer, H. Peter, Baade, Peter D., Marshall, Alison L., Finch, Linda, Janda, Monika·2015·Preventive Medicine
DOI 10.1016/j.ypmed.2014.12.009
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Abstract

Objective To test the impact of a theory-based, SMS (text message)-delivered behavioural intervention (Healthy Text) targeting sun protection or skin self-examination behaviours compared to attention control.Method Overall, 546 participants aged 18-42 years were randomised using a computer-generated number list to the skin self-examination (N=176), sun protection (N=187), or attention control (N=183) text messages group. Each group received 21 text messages about their assigned topic over 12 months (12 weekly messages for 3 months, then monthly messages for the next 9 months). Data were collected via telephone survey at baseline, 3, and 12 months across Queensland from January 2012 to August 2013.Results One year after baseline, the sun protection (mean change 0.12; P=0.030) and skin self-examination groups (mean change 0.12; P=0.035) had significantly greater improvement in their sun protection habits (SPH) index compared to the attention control group (reference mean change 0.02). The increase in the proportion of participants who reported any skin self-examination from baseline to 12 months was significantly greater in the skin self-examination intervention group (103/163; 63%; P<0.001) than the sun protection (83/173; 48%) or attention control (65/165; 36%) groups. There was no significant effect of the intervention for participants' self-reported whole-body skin self-examination, sun tanning, or sunburn behaviours.Conclusion The Healthy Text intervention was effective in inducing significant improvements in sun protection and any type of skin self-examination behaviours.Trial registration The Australian and New Zealand Clinical Trials register (ACTRN12612000577819).Funding Cancer Australia 1011999.

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Authors
Youl, P. H., Soyer, H. P., Baade, P. D., Marshall, A. L., Finch, L., & Janda, M.
Affiliations
  • Cancer Council Queensland (AU)
  • Translational Research Institute (AU)
  • Queensland University of Technology (AU)
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2015-02
Volume
71
Pages
50-56
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2014.12.009
OpenAlex
W2036354825
Cited by
56
References
44
Citations by year
2026: 1 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 14 · 2017: 7 · 2016: 4 · 2015: 2
FWCI
7.83
Type
journal article
Language
en
Open access
Licence
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (acceptedVersion, cc-by-nc-nd)
  • Griffith Research Online (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
Keywords
skin cancer prevention, skin self-examination, sun protection, text messaging, mobile health, behavioral interventions, sunburn, suntanning, young adults
MeSH terms
Adolescent, Adult, Female, Humans, Interviews as Topic, Male, Melanoma, Queensland, Skin Neoplasms, Sunburn, Sunscreening Agents, Health Behavior, Self-Examination, Sex Distribution, Cell Phone, Early Detection of Cancer, Young Adult, Text Messaging

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