Evidence map›Paper›PMID 26810358›Full record

Trial reportAmerican journal of preventive medicine2016

Efficacy of an Intervention to Alter Skin Cancer Risk Behaviors in Young Adults.

Carolyn J Heckman, Susan D Darlow, Lee M Ritterband, Elizabeth A Handorf, Sharon L Manne

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02147080 nacompletednot on this map

A Tailored Internet Intervention to Reduce Skin Cancer Risk Behaviors Among Young Adults

TypeinterventionalSponsorFox Chase Cancer CenterRan2011 to 2014Enrolled1,234ConditionsSkin NeoplasmsArmsUV4me, Skin Cancer Foundation website
NCT03313492 nacompletednot on this mapstarted 2018, after this paper: background citation

Modifying Young Adult Skin Cancer Risk and Protective Behaviors (UV4.me2): A Hybrid Type 2 Dissemination/Effectiveness Trial

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2018 to 2020Enrolled1,746ConditionsMelanoma and Other Malignant Neoplasms of SkinArmsUV4.me2, UV4.me, E-Pamphlet
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review of interventions to reduce ultraviolet tanning: Need for treatments targeting excessive tanning, an emerging addictive behavior.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Pooled it
  4. Pooled it
  5. Digital Skin Cancer Risk Reduction Interventions for Young Adults: Findings from a Hybrid Type-II Effectiveness-Implementation Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
  6. Trial
  7. Increasing Skin Cancer Prevention in Young Adults: the Cumulative Impact of Personalized UV Photography and MC1R Genetic Testing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Trial
  8. Trial
  9. Trial
  10. An online skin cancer risk-reduction intervention for young adults: Mechanisms of effects.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017
    Trial
  11. "It just happens": A qualitative analysis of unintentional tanning behaviors.Journal of American college health : J of ACH · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carolyn J HeckmanCancer Prevention and Control, Fox Chase Cancer Center, Philadelphia, Pennsylvania. Electronic address: carolyn.heckman@fccc.edu.
Susan D DarlowCancer Prevention and Control, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Lee M RitterbandBeHealth Solutions, LLC, Charlottesville, Virginia; University of Virginia Health System, Charlottesville, Virginia.
Elizabeth A HandorfBiostatistics, Fox Chase Cancer Center, Philadelphia, Pennsylvania;
Sharon L ManneCancer Prevention and Control, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
TRAINING PROGRAM IN CANCER RESEARCHT32CA009035 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI CHERNOFF, JONATHAN · 1985 to 2020
$10.5M
A Tailored Internet Intervention for Skin Cancer Risk Reduction in Young AdultsR01CA154928 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI HECKMAN, CAROLYN · 2011 to 2014
$1.7M
NCI NIH HHS P30 CA006927NCI NIH HHS R01 CA154928NCI NIH HHS T32 CA009035
6 · The paper itself

Abstract

introductionSkin cancer is the most common cancer, and its incidence is increasing. Young adults expose themselves to large amounts of ultraviolet radiation (UV) and engage in minimal skin protection, which increases their risk. Internet interventions are effective in modifying health behaviors and are highly disseminable. The current study's purpose was to test an Internet intervention to decrease UV exposure and increase skin protection behavior among young adults. STUDY

designRCT conducted in 2014, with data analyzed in 2015. SETTING/

participantsA national sample of adults aged 18-25 years at moderate to high risk of developing skin cancer by a self-report measure was recruited online.

interventionParticipants were randomized to one of three intervention conditions: assessment only, the website of a skin cancer organization, or a tailored interactive multimedia Internet intervention program (UV4.me) based on the Integrative Model of Behavioral Prediction.

main outcome measuresSelf-reported overall UV exposure and skin protection assessed at 3 and 12 weeks after baseline. Secondary outcomes were self-reported intentional and incidental UV exposure, sunburns, sunscreen use, and skin cancer screening.

resultsFor the intervention arm, there were significant decreases in UV exposure and increases in skin protection at both follow-up time points compared with the assessment-only condition (p<0.001). The effect sizes (Cohen's d) comparing the experimental and assessment-only arm for exposure behaviors were 0.41 at 3-week follow-up and 0.43 at 12-week follow-up. The effect sizes for protection behaviors were 0.41 at 3-week follow-up and 0.53 at 12-week follow-up. The control condition was not significantly different from the assessment only condition. All three conditions exhibited decreased exposure and increased protection at both follow-ups (p<0.01), but the effect was much stronger in the intervention group. Secondary outcomes were generally also significantly improved in the intervention condition compared with the other conditions.

conclusionsThis is the first published report describing the results of an RCT of an Internet intervention to modify skin cancer risk behaviors among young adults. The UV4.me intervention significantly improved self-reported skin cancer prevention behaviors. Future research will investigate mechanisms of change and approaches for dissemination.

trial registrationThis study is registered at www.clinicaltrials.gov NCT02147080.

Indexed as

Behavior TherapyRisk-TakingAdolescentFemaleHumansInternetMaleSelf ReportSkin NeoplasmsSunburnSunscreening AgentsUltraviolet RaysYoung AdultSunscreening Agents

Identifiers

PMID26810358
PMCPMC4914462

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.