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

作者: Tammy K Stump , Bonnie Spring , Sara Hoffman Marchese , Nabil Alshurafa , June K Robinson

DOI: 10.1093/JAMIAOPEN/OOZ034

关键词: Observational studyIntervention (counseling)Sun protectionFocus groupBehavioral medicineMedicineSkin cancerSun exposurePrecision medicineGerontology

摘要: 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 just-in-time adaptive intervention, this study evaluated reactions and preferences to UVR among melanoma survivors. Materials Methods Early stage adult survivors were recruited focus group (n = 11) or 10-day observational study, which included daily wearing sensor surveys (n = 39). Both the moderator guide exit interviews questions on sensing as potential intervention strategy. These responses transcribed coded using an inductive Results Most participants (84.6%) said they would find information provided by be useful learn about how specific conditions (eg, clouds, location) impact provide in-the-moment alerts. Focus expressed enthusiasm identified preferred qualities sensor, such small size integration with other devices. Participants both studies indicated concern feedback difficult interpret some not convenient desirable wear life. Discussion Melanoma believe personalized could improve their protection want delivered method is meaningful actionable. Conclusion promising component precision strategy reduce cancer risk.

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