Kyra Diehl BS, Jacob Nelson DO, Olivia Haddadin BS, Elizabeth Stoos MEd, Autumn Shafer PhD, Amy Mason BA, Deb Girard BA, Theresa Malcolm BA, Alan C. Geller MPH, Emile Latour MS, Elizabeth Bailey MD, MPH, Jade N. Young BS, Hannah Zhao BS, Jordan Gillespie BA, Hailey Pfeifer MD, Claudia Lee MD, Moira Shea BS, Mallory DeCampos-Stairiker BS, Jake Smith MD, Alyssa Becker BS, Gina N. Bash MD, PhD, Vikram Sahni BS, Yichen Fan BS, Elena Paz Munoz BS, David Baron BS, Nadia Popovici BS, Victoria E. Orfaly MD, Wenelia Baghoomian MD, MCR, Emilie Foltz BS, Kristen Kahlen BA, Stephanie Savory MD, Heidi Jacobe MD, Sancy A. Leachman MD, PhD
{"title":"皮肤的秘密：了解皮肤的专业人员在皮肤癌监测中的作用。","authors":"Kyra Diehl BS, Jacob Nelson DO, Olivia Haddadin BS, Elizabeth Stoos MEd, Autumn Shafer PhD, Amy Mason BA, Deb Girard BA, Theresa Malcolm BA, Alan C. Geller MPH, Emile Latour MS, Elizabeth Bailey MD, MPH, Jade N. Young BS, Hannah Zhao BS, Jordan Gillespie BA, Hailey Pfeifer MD, Claudia Lee MD, Moira Shea BS, Mallory DeCampos-Stairiker BS, Jake Smith MD, Alyssa Becker BS, Gina N. Bash MD, PhD, Vikram Sahni BS, Yichen Fan BS, Elena Paz Munoz BS, David Baron BS, Nadia Popovici BS, Victoria E. Orfaly MD, Wenelia Baghoomian MD, MCR, Emilie Foltz BS, Kristen Kahlen BA, Stephanie Savory MD, Heidi Jacobe MD, Sancy A. Leachman MD, PhD","doi":"10.1111/jocd.16536","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Licensed nonmedical, skin-aware professionals (e.g., hairdressers, massage therapists, etc.) have the potential to identify skin cancer, but baseline knowledge may not be sufficient to accomplish this goal. Following educational intervention, self-efficacy is one of the best surrogate metrics for behavior change. Curricula that increase knowledge and confidence levels can improve screening behaviors, but few have been tested for efficacy in this population</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>We assessed whether an online curriculum could reliably improve skin screening knowledge, attitudes, and behaviors of nonmedical professionals</p>\n </section>\n \n <section>\n \n <h3> Patients/Methods</h3>\n \n <p>Skin-aware professionals were recruited through the Oregon Health Authority and IMPACT Melanoma TM. Participants completed a pre-survey, online training module, post-survey, and one-year follow-up survey. We evaluated participants' indicated levels of concern for suspicious and nonsuspicious lesions relative to “gold standard” physician ratings. We also assessed confidence and self-reported behavior change regarding talking to clients about skin cancer and recommending they see a provider to evaluate suspicious lesions</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The pre-survey was completed by 9872 skin-aware professionals; 5434 completed the post-survey, and 162 completed the one-year follow-up survey. Participants showed a significant improvement in ability to indicate the correct level of concern for all lesion types in concordance with “gold standard” physician ratings (<i>p</i> < 0.001). Participants reported increased comfort levels in discussing health-related topics with their clients posttraining</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Our training module effectively increased skin-aware professionals' knowledge, confidence, and concern for malignant lesions. Skin-aware professionals may serve as a valuable extension of the skin self-exam, but additional studies are needed to evaluate the impact of these curricula long-term, including potential downstream consequences</p>\n </section>\n </div>","PeriodicalId":15546,"journal":{"name":"Journal of Cosmetic Dermatology","volume":"23 12","pages":"4173-4201"},"PeriodicalIF":2.5000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626339/pdf/","citationCount":"0","resultStr":"{\"title\":\"The skinny on skin: The role of skin-aware professionals in skin cancer surveillance\",\"authors\":\"Kyra Diehl BS, Jacob Nelson DO, Olivia Haddadin BS, Elizabeth Stoos MEd, Autumn Shafer PhD, Amy Mason BA, Deb Girard BA, Theresa Malcolm BA, Alan C. Geller MPH, Emile Latour MS, Elizabeth Bailey MD, MPH, Jade N. Young BS, Hannah Zhao BS, Jordan Gillespie BA, Hailey Pfeifer MD, Claudia Lee MD, Moira Shea BS, Mallory DeCampos-Stairiker BS, Jake Smith MD, Alyssa Becker BS, Gina N. Bash MD, PhD, Vikram Sahni BS, Yichen Fan BS, Elena Paz Munoz BS, David Baron BS, Nadia Popovici BS, Victoria E. Orfaly MD, Wenelia Baghoomian MD, MCR, Emilie Foltz BS, Kristen Kahlen BA, Stephanie Savory MD, Heidi Jacobe MD, Sancy A. Leachman MD, PhD\",\"doi\":\"10.1111/jocd.16536\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Licensed nonmedical, skin-aware professionals (e.g., hairdressers, massage therapists, etc.) have the potential to identify skin cancer, but baseline knowledge may not be sufficient to accomplish this goal. Following educational intervention, self-efficacy is one of the best surrogate metrics for behavior change. Curricula that increase knowledge and confidence levels can improve screening behaviors, but few have been tested for efficacy in this population</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>We assessed whether an online curriculum could reliably improve skin screening knowledge, attitudes, and behaviors of nonmedical professionals</p>\\n </section>\\n \\n <section>\\n \\n <h3> Patients/Methods</h3>\\n \\n <p>Skin-aware professionals were recruited through the Oregon Health Authority and IMPACT Melanoma TM. Participants completed a pre-survey, online training module, post-survey, and one-year follow-up survey. We evaluated participants' indicated levels of concern for suspicious and nonsuspicious lesions relative to “gold standard” physician ratings. We also assessed confidence and self-reported behavior change regarding talking to clients about skin cancer and recommending they see a provider to evaluate suspicious lesions</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The pre-survey was completed by 9872 skin-aware professionals; 5434 completed the post-survey, and 162 completed the one-year follow-up survey. Participants showed a significant improvement in ability to indicate the correct level of concern for all lesion types in concordance with “gold standard” physician ratings (<i>p</i> < 0.001). Participants reported increased comfort levels in discussing health-related topics with their clients posttraining</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Our training module effectively increased skin-aware professionals' knowledge, confidence, and concern for malignant lesions. Skin-aware professionals may serve as a valuable extension of the skin self-exam, but additional studies are needed to evaluate the impact of these curricula long-term, including potential downstream consequences</p>\\n </section>\\n </div>\",\"PeriodicalId\":15546,\"journal\":{\"name\":\"Journal of Cosmetic Dermatology\",\"volume\":\"23 12\",\"pages\":\"4173-4201\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626339/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cosmetic Dermatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jocd.16536\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cosmetic Dermatology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jocd.16536","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DERMATOLOGY","Score":null,"Total":0}
The skinny on skin: The role of skin-aware professionals in skin cancer surveillance
Background
Licensed nonmedical, skin-aware professionals (e.g., hairdressers, massage therapists, etc.) have the potential to identify skin cancer, but baseline knowledge may not be sufficient to accomplish this goal. Following educational intervention, self-efficacy is one of the best surrogate metrics for behavior change. Curricula that increase knowledge and confidence levels can improve screening behaviors, but few have been tested for efficacy in this population
Aims
We assessed whether an online curriculum could reliably improve skin screening knowledge, attitudes, and behaviors of nonmedical professionals
Patients/Methods
Skin-aware professionals were recruited through the Oregon Health Authority and IMPACT Melanoma TM. Participants completed a pre-survey, online training module, post-survey, and one-year follow-up survey. We evaluated participants' indicated levels of concern for suspicious and nonsuspicious lesions relative to “gold standard” physician ratings. We also assessed confidence and self-reported behavior change regarding talking to clients about skin cancer and recommending they see a provider to evaluate suspicious lesions
Results
The pre-survey was completed by 9872 skin-aware professionals; 5434 completed the post-survey, and 162 completed the one-year follow-up survey. Participants showed a significant improvement in ability to indicate the correct level of concern for all lesion types in concordance with “gold standard” physician ratings (p < 0.001). Participants reported increased comfort levels in discussing health-related topics with their clients posttraining
Conclusions
Our training module effectively increased skin-aware professionals' knowledge, confidence, and concern for malignant lesions. Skin-aware professionals may serve as a valuable extension of the skin self-exam, but additional studies are needed to evaluate the impact of these curricula long-term, including potential downstream consequences
期刊介绍：
The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques.
The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.
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