Reducing Skin Cancer Risk in Childhood Cancer Survivors
| Status: | Completed |
|---|---|
| Conditions: | Skin Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 30 - 65 |
| Updated: | 6/22/2018 |
| Start Date: | March 2015 |
| End Date: | January 1, 2018 |
The objective of this study is to determine the impact of a 12-month patient activation and
education intervention on skin cancer early detection practices among childhood cancer
survivors treated with radiation. This randomized controlled trial uses a three-group design.
Our specific aims are to: (1) Determine the impact of a Patient Activation and Education
intervention with and without physician activation and teledermatology on skin cancer early
detection practices, (2) Determine the impact of the intervention on time to diagnosis, and
(3) Estimate the cost and cost-effectiveness of the intervention as a secondary outcome.
education intervention on skin cancer early detection practices among childhood cancer
survivors treated with radiation. This randomized controlled trial uses a three-group design.
Our specific aims are to: (1) Determine the impact of a Patient Activation and Education
intervention with and without physician activation and teledermatology on skin cancer early
detection practices, (2) Determine the impact of the intervention on time to diagnosis, and
(3) Estimate the cost and cost-effectiveness of the intervention as a secondary outcome.
There are currently more than 420,000 Americans who are long-term survivors of childhood and
adolescent cancer. While these groups have greatly benefited from recent medical advances,
primarily increasing overall survival rates, treatment advances have come at a cost. It is
now clear that childhood radiation therapy has caused survivors to be at extremely high risk
for non-melanoma skin cancer (NMSC) and increased risk of melanoma. Early detection is
crucial to reduce the morbidity caused by NMSCs and the morbidity and mortality incurred due
to melanoma. Both patient and provider action are needed to detect and treat early skin
cancers and to find new solutions to ensure expedited follow-up care and treatment,
especially among those who live where they have little access to dermatologists.
The objective of this study is to determine the impact of a 12-month patient activation and
education intervention on skin cancer early detection practices among childhood cancer
survivors treated with radiation. All participants will receive text messages encouraging
them to examine their skin and request physician examinations while concurrently driving them
to a study website that provides education related to the associated skills, and reinforces
and expands the text messages. To reduce skin cancers among this young and dispersed patient
population, this study will address several key issues: (1) how to provide patients with the
skills needed to conduct effective skin self-examinations; 2) how to prompt action from
patient's physicians when worrisome moles and lesions are found; and 3) how to ensure rapid
access to dermatologic exams, which in some parts of the US can take weeks or months to
schedule.
adolescent cancer. While these groups have greatly benefited from recent medical advances,
primarily increasing overall survival rates, treatment advances have come at a cost. It is
now clear that childhood radiation therapy has caused survivors to be at extremely high risk
for non-melanoma skin cancer (NMSC) and increased risk of melanoma. Early detection is
crucial to reduce the morbidity caused by NMSCs and the morbidity and mortality incurred due
to melanoma. Both patient and provider action are needed to detect and treat early skin
cancers and to find new solutions to ensure expedited follow-up care and treatment,
especially among those who live where they have little access to dermatologists.
The objective of this study is to determine the impact of a 12-month patient activation and
education intervention on skin cancer early detection practices among childhood cancer
survivors treated with radiation. All participants will receive text messages encouraging
them to examine their skin and request physician examinations while concurrently driving them
to a study website that provides education related to the associated skills, and reinforces
and expands the text messages. To reduce skin cancers among this young and dispersed patient
population, this study will address several key issues: (1) how to provide patients with the
skills needed to conduct effective skin self-examinations; 2) how to prompt action from
patient's physicians when worrisome moles and lesions are found; and 3) how to ensure rapid
access to dermatologic exams, which in some parts of the US can take weeks or months to
schedule.
Inclusion Criteria:
- treated with radiation for a childhood cancer
- have a regular healthcare provider whom he/she has seen in the previous 2 years, or
plans to see in the next year
- have a phone that can receive text messages
- have access to a dermlite compatible smartphone or tablet
Exclusion Criteria:
- personal history of a skin cancer diagnosis
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