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.
|Program Title||Healthy Texts|
|Purpose||Designed to prevent skin cancer through increase awareness and promote sun protection practices. (2015)|
|Program Focus||Awareness building and Behavior Modification|
|Population Focus||Sun-exposed individuals|
|Age||Adolescents (11-18 years), Adults (40-65 years), Young Adults (19-39 years)|
|Race/Ethnicity||White, not of Hispanic or Latino origin|
|Funded by||This information is not available.|
|User Reviews||(Be the first to write a review for this program)|
The intervention begins with a baseline telephone survey that collects participant information used to customize the text messages. The messages are tailored using each participants name, gender, skin cancer risk factors (e.g., skin color, eye color), number of times sunburnt, and previous performance of skin self-examinations. Text messages are then sent to participants once weekly for 12 weeks. Participants complete a 3-month follow-up telephone interview that is used to customize the text messages they receive monthly for 9 more months. At month 12, participants partake in a final telephone interview. Examples of text messages include, [Participant name], melanoma rarely has symptoms so look out for the AC rule when checking your moles: Asymmetry (halves that differ) and more than one Color. HealthyTexts and [Participant name], its great that you have thought about reducing your risk of skin cancer. Make this a reality by protection your skin from the sun when outdoors. HealthyTexts.
-- 30 minutes to conduct telephone interviews at baseline, 3-month follow-up, and 12-month follow-up
-- 30 minutes to schedule and send each text message to multiple recipients using an automatic system
-- Each time a text message is sent to multiple recipients, 30 minutes to confirm that all messages were received and opened and to review any responses from participants
--Baseline Interview Questions
--Mid-Program Interview Questions
--12-Month Interview Questions
--Sample Access Database Texting Platform (Screenshots)
For costs associated with this program, please contact the developer, Monika Janda. (See products page on the RTIPs website for developer contact information.)
From the mailed invitations, 678 (4.5%) indicated interest in participating in the study, 574 were eligible, and 546 completed the baseline telephone interview, and complete data were available for 512 participants at the end of the 12-month study. Of the 546 enrolled participants, 67% were females. Seventy-eight percent were born in Australia, 20% had very fair skin color, 46% had fair skin color, 20% had medium skin color, and 14% had olive skin color.
The studys primary outcomes, sun protection habits and skin self-examination, were measured through telephone interviews at baseline, 3-month follow-up, and 12-month follow-up. The adoption of sun protection behaviors was measured using the sun protection habits (SPH) index, a retrospective self-report scale. Participants rated their frequency of using six sun protective methods (wearing a shirt with sleeves, sunglasses, hat, or sunscreen; staying in the shade; and limiting time in the sun during midday hours) between 10:00 a.m. and 3:00 p.m. on a 4-point Likert scale from 1 (never/rarely) to 4 (always). For the skin self-examination outcome, participants were asked whether during the past 3 months and during the past 12 months someone who is not a doctor, such a spouse or partner, deliberately checked any part of the participants skin for early signs of skin cancer. If so, a follow-up question gathered information about the frequency and thoroughness (any skin, part of body, or whole body) of the examinations. The three groups were similar in all baseline characteristics except one: the skin self-examination intervention group had a higher rate of past-year sun tanning than the two other groups.
- At 12 months, improvement in sun protection habits was significantly greater in the skin self-examination intervention group (p=.035) and sun protection intervention group (p=.030) than the attention control group. No differences between groups were found at 3 months.
- Compared with the attention control group, the skin self-examination intervention group reported significantly more self-examination of any skin at 3 months (p<.001) and 12 months (p<.001). There were no differences between the sun protection intervention group and the attention control group.
- No differences were found between groups in whole-body skin self-examination, sunburns in the past 12 months, or attempted suntan in the past 12 months.
Youl PH, Soyer HP, Baade PD, Marshall AL, Finch L, Janda M. (2015). Can skin cancer prevention and early detection be improved via mobile phone text messaging? A randomised, attention control trial. Prevention Medicine, 71 , 50-56.
Baker J, Finch L, Soyer HP, Marshall AL, Baade P, Youl P, Janda M. (2016). Mediation of improvements in sun protective and skin self-examination behaviours: results from the healthy text study. Psycho-oncology, 25 (1), 28-35.
Finch L, Youl P, Marshall AL, Soyer HP, Baade P, Janda M. (2015). User preferences for text message-delivered skin cancer prevention and early detection. Journal of Telemedicine and Telecare, 21 (4), 227-234.
Janda M, Youl P, Marshall AL, Soyer HP, Baade P. (2013). The HealthyTexts study: a randomized controlled trial to improve skin cancer prevention behaviors among young people. Contemporary Clinical Trials, 35 (1), 159-167.
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