Clinical skin examination outcomes after a video-based behavioral intervention analysis from a randomized clinical trial

Janda, Monika, Youl, Philippa, Neale, Rachel, Aitken, Joanne, Whiteman, David C., Gordon, Louisa, & Baade, Peter (2014) Clinical skin examination outcomes after a video-based behavioral intervention analysis from a randomized clinical trial. JAMA Dermatology, 150(4), pp. 372-379.

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Older men are at risk of dying of melanoma.


To assess attendance at and clinical outcomes of clinical skin examinations (CSEs) in older men exposed to a video-based behavioral intervention.

Design, Setting, and Participants

This was a behavioral randomized clinical trial of a video-based intervention in men aged at least 50 years. Between June 1 and August 31, 2008, men were recruited, completed baseline telephone interviews, and were than randomized to receive either a video-based intervention (n = 469) or brochures only (n = 461; overall response rate, 37.1%) and were again interviewed 7 months later (n = 870; 93.5% retention).


Video on skin self-examination and skin awareness and written informational materials. The control group received written materials only.

Main Outcomes and Measures

Participants who reported a CSE were asked for the type of CSE (skin spot, partial body, or whole body), who initiated it, whether the physician noted any suspicious lesions, and, if so, how lesions were managed. Physicians completed a case report form that included the type of CSE, who initiated it, the number of suspicious lesions detected, how lesions were managed (excision, nonsurgical treatment, monitoring, or referral), and pathology reports after lesion excision or biopsy.


Overall, 540 of 870 men (62.1%) self-reported a CSE since receiving intervention materials, and 321 of 540 (59.4%) consented for their physician to provide medical information (received for 266 of 321 [82.9%]). Attendance of any CSE was similar between groups (intervention group, 246 of 436 [56.4%]; control group, 229 of 434 [52.8%]), but men in the intervention group were more likely to self-report a whole-body CSE (154 of 436 [35.3%] vs 118 of 434 [27.2%] for control group; P = .01). Two melanomas, 29 squamous cell carcinomas, and 38 basal cell carcinomas were diagnosed, with a higher proportion of malignant lesions in the intervention group (60.0% vs 40.0% for controls; P = .03). Baseline attitudes, behaviors, and skin cancer history were associated with higher odds of CSE and skin cancer diagnosis.

Conclusions and Relevance

A video-based intervention may increase whole-body CSE and skin cancer diagnosis in older men.

Trial Registration: Identifier: ACTRN12608000384358

Impact and interest:

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30 since deposited on 20 May 2014
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ID Code: 65361
Item Type: Journal Article
Refereed: Yes
Keywords: clinical skin examination, skin cancer, malignant melanoma, video intervention, prevention, males
DOI: 10.1001/jamadermatol.2013.9313
ISSN: 2168-6084
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2014 American Medical Association
Deposited On: 20 May 2014 22:45
Last Modified: 04 Jan 2016 01:51

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