Evidence map›Paper›PMID 28982813›Full record

ArticleBMJ open2017

Anxiety, locus of control and sociodemographic factors associated with adherence to an annual clinical skin monitoring: a cross-sectional survey among 1000 high-risk French patients involved in a pilot-targeted screening programme for melanoma.

Cédric Rat, Sandrine Hild, Aurelie Gaultier, Amir Khammari, Angelique Bonnaud-Antignac, Gaelle Quereux, Brigitte Dreno, Jean Michel Nguyen

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01610531 (COPARIME), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

NCT01610531 nacompletednot on this map

COPARIME: Pilot Study of a Target Detection of Malignant Melanoma

TypeinterventionalSponsorNantes University HospitalRan2011 to 2018Enrolled4,118ConditionsPatients at Risk for MelanomaArmsSAMScore questionnaire
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Spontaneous Participation in Secondary Prevention Programs: The Role of Psychosocial Predictors.International journal of environmental research and public health · 2020
    Article
  5. Review
  6. Article
  7. 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

8 authors.

Cédric RatDepartmentof General Practice, Faculty of Medicine, Nantes, France.
Sandrine HildDepartmentof General Practice, Faculty of Medicine, Nantes, France.
Aurelie GaultierDepartment of Epidemiology and Biostatistics, Nantes University Hospital, Nantes, France.
Amir KhammariFrench National Institute of Health and Medical Research (INSERM) Unit 1232, team 2, Nantes, France.
Angelique Bonnaud-AntignacDepartment of Human Sciences, Faculty of Medicine, Nantes, France.
Gaelle QuereuxFrench National Institute of Health and Medical Research (INSERM) Unit 1232, team 2, Nantes, France.
Brigitte DrenoFrench National Institute of Health and Medical Research (INSERM) Unit 1232, team 2, Nantes, France.
Jean Michel NguyenFrench National Institute of Health and Medical Research (INSERM) Unit 1232, team 2, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to assess whether adherence to annual clinical skin monitoring is dependent on patient sociodemographic characteristics or personality traits.

designThe study was a questionnaire survey. SETTING AND

participantsData were collected between February and April 2013 in a sample of 1000 patients at high risk of melanoma who participated in a pilot-targeted screening programme in western France. OUTCOME MEASURES: Sociodemographic data, overall anxiety level (State-Trait Anxiety Inventory questionnaire), locus of control (Multidimensional Health Locus of Control scale) and levels of anxiety specifically associated with screening and melanoma were collected. Actual participation in the skin monitoring examination was reported by 78 general practitioner investigators. STATISTICAL ANALYSIS: Statistical analysis was performed using R statistical software. Factors associated with non-adherence were identified by multivariate analysis.

resultsOur analysis included 687 responses (526 adherent patients and 161 non-adherent patients). Non-adherence was higher in younger patients and in men (OR=0.63 (0.41-0.99)). Viewing health status as dependent on external persons (OR=0.90, 95% CI 0.83 to 0.97) or determined by chance (OR=0.89, 95% CI 0.80 to 0.98) and overall anxiety (OR=0.98, 95% CI 0.97 to 0.99) were also factors associated with non-adherence. In contrast, there was no link between anxiety specifically associated with the screening performed or melanoma and patient adherence to monitoring. Adherence was higher in married patients (OR=1.68 95% CI 1.08 to 2.60).

conclusionsThe results of this study suggest that sociodemographic and psychological characteristics should be considered when including patients at elevated risk of melanoma in a targeted screening programme. TRIAL REGISTRATION NUMBER: NCT01610531; Post-results.

Indexed as

Early Detection of CancerInternal-External ControlAdultAgedAnxietyCross-Sectional StudiesFemaleFranceHumansLogistic ModelsMaleMelanomaMiddle AgedMultivariate AnalysisPatient CompliancePhysical Examinationattendanceclinical pathwaymelanomapsychological factorsscreening

Identifiers

PMID28982813
PMCPMC5640064

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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.