The online version of this article (doi:10.1186/1471-2296-15-137) contains supplementary material, which is available to authorized users.
All authors declare that they have no competing interests.
KV performed the statistical analysis. KV, LT, BB and BKA conceived the study and participated in its design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.
Despite years of public education, sun-related behaviours are difficult to change and a recent survey showed low levels of sun protection. In this study we evaluated the feasibility and acceptability of an opportunistic skin cancer prevention intervention in general practice.
We used a controlled pre-and-post intervention design. Participants (n = 100) were recruited sequentially from patients attending two general practices in Sydney, Australia, from November to December 2010. Participants in the intervention practice (n = 50) received general practitioner delivered sun protection advice after completing a skin cancer risk assessment tool, and a sun protection pamphlet, in addition to routine care, at a single attendance. The skin cancer risk assessment tool provided three levels of risk. The general practitioner (GP) reinforced the level of risk and discussed sun protection. Participants in the control practice (n = 50) received routine care. We measured feasibility by patients’ and GPs’ participation in the intervention and time taken, and acceptability by intervention participants and GPs ratings of the intervention. We measured reported sun-related knowledge, attitudes and behaviour between the two groups at 1 and 13 months.
The intervention was found to be feasible within existing primary care team arrangements. Participation at baseline was 81% (108/134), and repeated participation was 88% (88/100) at 1 month and 70% (70/100) at 13 months. Participants and practitioners found the intervention acceptable. At 1 month, sun-related knowledge had increased in both patient groups, with a greater increase in the intervention group (adjusted mean difference 0.48, p = 0.034). There were no differences between groups in sun-related knowledge, attitudes and behaviour at 13 months.
A brief opportunistic skin cancer prevention intervention in general practice is feasible and acceptable. Further research in this setting with a more intensive intervention would be justified.
RACGP: Guidelines for Preventive Activities in General Practice. 2012, South Melbourne: The Royal Australian College of General Practitioners, 8
Glazebrook C, Garrud P, Avery A, Coupland C, Williams H: Impact of a multimedia intervention “Skinsafe” on patients’ knowledge and protective behaviors. Prev Med. 2006, 46: 449-454. CrossRef
Falk M, Anderson C: Prevention of skin cancer in primary healthcare: an evaluation of three different prevention efforts and the applicability of a phototest. European J Gen Pract. 2008, 14 (2): 68-75. 10.1080/13814780802423430. CrossRef
What is General Practice?. [ http://www.racgp.org.au/becomingagp/what-is-a-gp/what-is-general-practice/]
AIHW &CA: Non-melanoma Skin Cancer: General Practice Consultations, Hospitalisation and Mortality. Cancer Series No 43 Cat No CAN 39. 2008, Canberra
Health Statistics New South Wales: [ http://www.healthstats.nsw.gov.au/Indicator/soc_seifa_lgamap/soc_seifa_lgamap]
Cancer Council Australia: SunSmart UV Alert. 2009, Cancer Council Australia, http://www.cancer.org.au/content/pdf/PreventingCancer/BeSunsmart/SunSmartUValertbrochure.pdf,
Rogers RW: Cognitive and Physiological Processes in Fear Appeals and Attitude Changes: A Revised Theory of Protection Motivation. Social Psychophysiology: A Source Book. 1983, New York: Guilford Press, 153-176.
McMath B, Prentice-Dunn S: Protection motivation theory and skin cancer risk: the role of individual differences in responses to persuasive appeals. J Appl Soc Psychol. 2005, 35 (3): 621-643. 10.1111/j.1559-1816.2005.tb02138.x. CrossRef
Jackson A, Wilkinson C, Ranger M, Pill R, August P: Can primary prevention or selective screening for melanoma be more precisely targeted through general practice? A prospective study to validate a self administered risk score. Br Med J. 1998, 316: 34-39. 10.1136/bmj.316.7124.34. CrossRef
Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, Robson R, Thabane M, Giangregorio L, Goldsmith CH: A tutorial on pilot studies: the what, why and how. BMC Med Res Meth. 2010, 10: 1-10.1186/1471-2288-10-1. CrossRef
Arain M, Campbell MJ, Cooper CL, Lancaster GA: What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Med Res Meth. 2010, 10: 67-10.1186/1471-2288-10-67. CrossRef
45 and Up Study. [ https://www.saxinstitute.org.au/our-work/45-up-study/questionnaires/]
IBM Corporation: IBM SPSS Statistics Premium. 2010, Somers, New York, http://www-01.ibm.com/software/au/analytics/spss/products/statistics/, 190,
Grunfeld EA: What influences university students’ intentions to practice safe sun exposure behaviors?. J Adolesc Health. 2004, 35 (6): 486-492. PubMed
- Feasibility of a GP delivered skin cancer prevention intervention in Australia
Bruce K Armstrong
- BioMed Central
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