Advancing Survivors' Knowledge (ASK) about skin cancer study: Study protocol for a randomized controlled trial

Casey L. Daniel, Gregory T. Armstrong, Robyn R. Keske, Jessica A. Davine, Aaron J. McDonald, Kim M. Sprunck-Harrild, Catherine Coleman, Sebastien J. Haneuse, Ann C. Mertens, Karen M. Emmons, Ashfaq A. Marghoob, Elena B. Elkin, Stephen W. Dusza, Leslie L. Robison, Alan C. Geller

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Advances in treatment have increased childhood cancer 5-year survival rates to greater than 80%. However, children previously treated with radiation are at significantly increased risk of developing subsequent neoplasms, the most common of which are skin cancers. The National Cancer Institute and Children's Oncology Group have issued recommendations for survivors treated with radiation to perform monthly skin self-examinations and receive a physician skin examination at least annually, as early detection has demonstrated markedly improved outcomes in the diagnosis and treatment of skin cancers. The goal of the present study is to increase rates of skin self-examinations and clinical skin examinations among adult survivors of childhood cancer treated with radiation. Methods/Design: This randomized controlled trial uses a 3-group comparative effectiveness design comparing: (1) Patient Activation and Education (PAE) including text messaging, print and web-based tutorials over 12 months; (2) PAE plus physician activation (PAE+MD) adding physician activation/educational materials about survivors' increased skin cancer risk and conducting full-body skin exams; and (3) PAE plus physician activation, plus teledermoscopy (PAE+MD+TD) adding participant receipt of a dermatoscope intended to empower them to photograph suspect moles or lesions for review by the study dermatologist. Discussion: The current study addresses barriers to screening in this population by providing educational and motivational information for both survivors and physicians regarding the value of periodic skin examinations. It also utilizes innovative mobile health technology to encourage and motivate (that is activate) survivors to conduct skin self-examinations, request physician exams, and obtain treatment when worrisome lesions are found. Finally, as a comparative effectiveness trial, this study isolates the effects of adding specific components to the patient activation intervention to test the most effective intervention for enhancing skin examination vigilance among this high-risk group. Trial registration: Clinicaltrials.gov: NCT02046811; Registration date: 22 January 2014.

Original languageEnglish (US)
Article number109
JournalTrials
Volume16
Issue number1
DOIs
StatePublished - Mar 24 2015

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Skin Neoplasms
Patient Participation
Survivors
Randomized Controlled Trials
Patient Education
Skin
Self-Examination
Physicians
Radiation
Text Messaging
Neoplasms
Biomedical Technology
National Cancer Institute (U.S.)
Telemedicine
Therapeutics
Survival Rate
Population

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Pharmacology (medical)

Cite this

Daniel, C. L., Armstrong, G. T., Keske, R. R., Davine, J. A., McDonald, A. J., Sprunck-Harrild, K. M., ... Geller, A. C. (2015). Advancing Survivors' Knowledge (ASK) about skin cancer study: Study protocol for a randomized controlled trial. Trials, 16(1), [109]. https://doi.org/10.1186/s13063-015-0637-x

Advancing Survivors' Knowledge (ASK) about skin cancer study : Study protocol for a randomized controlled trial. / Daniel, Casey L.; Armstrong, Gregory T.; Keske, Robyn R.; Davine, Jessica A.; McDonald, Aaron J.; Sprunck-Harrild, Kim M.; Coleman, Catherine; Haneuse, Sebastien J.; Mertens, Ann C.; Emmons, Karen M.; Marghoob, Ashfaq A.; Elkin, Elena B.; Dusza, Stephen W.; Robison, Leslie L.; Geller, Alan C.

In: Trials, Vol. 16, No. 1, 109, 24.03.2015.

Research output: Contribution to journalArticle

Daniel, CL, Armstrong, GT, Keske, RR, Davine, JA, McDonald, AJ, Sprunck-Harrild, KM, Coleman, C, Haneuse, SJ, Mertens, AC, Emmons, KM, Marghoob, AA, Elkin, EB, Dusza, SW, Robison, LL & Geller, AC 2015, 'Advancing Survivors' Knowledge (ASK) about skin cancer study: Study protocol for a randomized controlled trial', Trials, vol. 16, no. 1, 109. https://doi.org/10.1186/s13063-015-0637-x
Daniel, Casey L. ; Armstrong, Gregory T. ; Keske, Robyn R. ; Davine, Jessica A. ; McDonald, Aaron J. ; Sprunck-Harrild, Kim M. ; Coleman, Catherine ; Haneuse, Sebastien J. ; Mertens, Ann C. ; Emmons, Karen M. ; Marghoob, Ashfaq A. ; Elkin, Elena B. ; Dusza, Stephen W. ; Robison, Leslie L. ; Geller, Alan C. / Advancing Survivors' Knowledge (ASK) about skin cancer study : Study protocol for a randomized controlled trial. In: Trials. 2015 ; Vol. 16, No. 1.
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AU - Davine, Jessica A.

AU - McDonald, Aaron J.

AU - Sprunck-Harrild, Kim M.

AU - Coleman, Catherine

AU - Haneuse, Sebastien J.

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