The Implementation Guide is a resource for implementing this program. It provides important information about the staffing and functions necessary for administering this program in the user's setting. Additionally, the steps needed to carry out the research-tested program, relevant program materials, and information for evaluating the program are included. The Implementation Guide can be viewed and downloaded in the Products page.
Sun Protection Strategies for Kidney Transplant Recipients
|Program Title||Sun Protection Strategies for Kidney Transplant Recipients|
|Purpose||Designed to increase awareness and promote sun protection behavior and practices among kidney transplant recipients. (2014)|
|Program Focus||Awareness building and Behavior Modification|
|Age||Adults (40-65 years), Older Adults (65+ years), Young Adults (19-39 years)|
|Race/Ethnicity||Black, not of Hispanic or Latino origin, Hispanic or Latino, White, not of Hispanic or Latino origin|
|Funded by||NCI (Grant number(s): R03-CA-159083)|
|User Reviews||(Be the first to write a review for this program)|
Patients receive the workbook when they go to an appointment with their nephrologist or transplant surgeon, and they are encouraged to read the workbook during the visit and at home. The workbook explains KTRs increased probability of developing skin cancer, highlights the importance of sun protection to avoid skin cancer, describes and visually depicts types of skin cancer, and promotes the adoption of various sun protection behaviors. The workbook is designed to be culturally appropriate for non-Hispanic White, non-Hispanic Black, and Hispanic/Latino patients to reinforce the notion that all KTRs need to adopt sun safety behaviors, regardless of their ethnicity or skin tone, because of their increased risk. The workbook conveys messages that reflect values and beliefs about getting darker skin and skin cancer from sun exposure, includes photographs of skin cancers occurring in multiple skin types, and uses culturally appropriate language. For example, the workbook uses the phrase skin irritation in addition to sun burn. Further, in explaining how people receive more sun exposure than they realize, the workbook uses culturally relevant outdoor activities as examples.
Over a 5-week period starting 2 weeks after getting the workbook, patients receive three messages by telephone text or email. These messages remind patients to use sun protection and are sent on a weekday, a weekend, and the Friday before a holiday weekend.
-- Adequate time to distribute the sun protection workbook to patients and recommend to them that they read it
-- Time to set up the automated text message reminders to be sent to patients
-- Sun Protection Strategies for Kidney Transplant Recipients workbook
-- Text messages
For costs associated with this program, please contact the developer, June Robinson. (See products page on the RTIPs website for developer contact information.)
Patients were stratified to maximize representation of three racial/ethnic groups. Of the 601 eligible patients, 103 were enrolled (46 non-Hispanic Whites, 33 non-Hispanic Blacks, and 24 Hispanics/Latinos). Of enrolled participants, 68 (66%) were males, 35 (34%) were females, the average age was 54 years, 59 (57%) were married, and 43 (42%) were college educated. Forty-five (44%) of participants reported ever having a work-related sun exposure.
The studys primary outcomes were sun protection behaviors and skin pigmentation, which were assessed at baseline and 6-week follow-up. Sun protection behaviors were measured through a 79-item self-administered survey that included items on using sunscreen, wearing protective clothing, and seeking shade. The instrument also collected information on demographics, knowledge, and attitudes as well as number of hours spent outdoors per week and number of burns in the past year. Performance of sun protection was presented as a composite of self-reported use of sun protection behaviors in the summer on a warm sunny day and on a cloudy day. Skin pigmentation was measured on the right forearm using a Mobile Datacollector DC 3000 spectrophotometer including a Mexameter MX18 probe. The instrument measures the skins melanin index on a 10‒2000 scale.
- Intervention group participants had significantly greater improvement in use of sun protection behaviors than participants in the standard care group (p=.013).
- Intervention group participants had significantly less increase in skin pigmentation than participants in the standard care group (p=.036).
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