Abstract
Sixty-five percent of kidney transplant recipients (KTRs) develop squamous cell carcinoma (SCC). Perceptions of risk of developing skin cancer, amelioration of this risk with sun protection, and having choices among sun protection strategies may enhance sun protection use by KTRS, who are at greater risk than the general population. Thirty KTRs stratified among non-Hispanic Whites, non-Hispanic Blacks, and Hispanic/Latinos evaluated three versions of the interactive, web-based, electronic sun protection program and suggested refinements. The sequence of content presentation prepared the participant to accept the credibility, accuracy, and relevance of the message. Beginning with informing participants that using sun protection reduces the chance of developing skin cancer made the information credible to KTRs. Showing skin cancer on all skin types and patient testimonials enhanced participants’ awareness of their susceptibility to develop skin cancer and primed patients to receive their personal risk of developing skin cancer. Coupling presentation of knowledge about the benefits of sun protection in reducing the risk of developing skin cancer with the personal risk of getting the disease was essential to KTRs believing that they could influence their health outcome.
Similar content being viewed by others
References
Mossman J, Boudioni M, Slevin ML (1999) Cancer information: a cost-effective intervention. Eur J Cancer 35(11):1587–1591
Robinson JK, Guevara Y, Gaber R, Clayman ML, Kwasny MJ, Friedewald JJ, Gordon EJ (2014) Efficacy of a sun protection workbook for kidney transplant recipients: a randomized controlled trial of a culturally sensitive educational intervention. Am J Transplant 14:2821–2829
National Kidney Registry. Kidney recipients. http://www.kidneyregistry.org/kidney_recipients. Accessed 23 Oct 2014
Buoy AG, Yoo S, Alam M, Ortiz S, West DP, Gordon EJ, Robinson JK (2010) Distribution of skin type and skin cancer in organ transplant recipients. Arch Dermatol 146:344–345
Berg D, Otley C (2002) Skin cancer in organ transplant recipients: epidemiology, pathogenesis, and management. J Am Acad Dermatol 47:1–20
Ries LAG, Harkins D, Krapcho M, Mariotto A, et al. National Cancer Institute. SEER cancer statistics review, 1975–2003. Available from: http://seer.cancer.gov/csr/1975_2003. Accessed 27 Feb 2015
Karagas MR, Greenberg ER, Spencer SK, Stukel TA, Mott LA (1999) New Hampshire skin cancer study group: increase in incidence rates of basal and squamous cell carcinoma in New Hampshire, USA. Int J Cancer 81(4):555–559
Ulrich C, Jürgensen JS, Degen A, Hackethal M, Ulrich M, Patel MJ et al (2009) Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24-month, prospective, case-control study. Br J Dermatol 161(suppl3):78–84
Glanz K, Rimer BK, Lewis FM (eds) (2002) Health behavior and health education. Theory, research, and practice. Wiley and Sons, San Francisco
Emmons KM, Wong M, Puleo E, Weinstein N, Fletcher R, Colditz G (2004) Tailored computer-based cancer risk communication: correcting colorectal cancer risk perception. J Health Commun 9:127–141
Boholm A (1998) Comparative studies of risk perception: a review of 20 years of research. J Risk Res 1:135–163
Feldman-Stewart D, O’Brien MA, Clayman ML, Davison BJ, Jimbo M, Labrecque M et al (2013) Providing information about options in patient decision aids. BMC Med Inform Decis Mak 13(Suppl 2):S4
Lipkus IM (2007) Numeric, verbal, and visual formats of conveying health risks: suggested best practices and future recommendations. Med Decis Mak 27:696–713
Nelson W, Reyna VE, Fagerlin A, Lipkus I, Peters E (2008) Clinical implications of numeracy: theory and practice. Ann Behav Med 35:261–274
Clayman ML, Webb J, Zick A, Cameron KA, Rintamaki L, Makoul G (2009) Video review: an alternative to coding transcripts of focus groups. Communication Methods Measures 3(4):216–222
Messaris P (1997) Visual persuasion: the role of images in advertising. SAGE Publications, Thousand Oaks
Houts PS, Doak CC, Doak LG, Loscalzo MJ (2006) The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. Patient Educ Couns 61:173–190
Guevara Y, Gaber R, Clayman ML, Gordon EJ, Friedewald J, Robinson JK (2015) Sun protection for diverse audiences: need for skin cancer pictures. J Cancer Educ 30:187–189
Green MC, Brock TC (2000) The role of transportation in the persuasiveness of public narratives. J Pers Soc Psychol 79:701–721
Green MC (2006) Narratives and cancer communication. J Commun 56(Suppl 1):S163–S183
Buldukoglu K, Kulakac O, Kececioglu N, Alkan S, Yilmaz M, Yucetin L (2005) Recipients’ perceptions of their transplanted kidneys. Transplantation 80:471–476
Robinson JK, Joshi KM, Ortiz S, Kundu RV (2011) Melanoma knowledge, perception, and awareness in ethnic minorities in Chicago: recommendations regarding education. Psychooncology 20:313–320
Taylor SC (2005) Enhancing the care and treatment of skin of color, part 2: understanding skin physiology. Cutis 76:302–306
Galindo GR, Mayer JA, Slymen D et al (2007) Sun sensitivity in 5 US ethnoracial groups. Cutis 80(1):25–30
Buster KJ, You Z, Fouad M, Elmets C (2012) Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income. J Am Acad Dermatol 66:771–779
Conflict of Interest
The authors have indicated no relationships to disclose relating to the content of this article.
Funding
June K. Robinson, MD, was supported by R21 CA173196 from the National Cancer Institute.
Author information
Authors and Affiliations
Corresponding author
Additional information
ClinicalTrials.gov NCT01646099
Rights and permissions
About this article
Cite this article
Robinson, J.K., Friedewald, J. & Gordon, E.J. Perceptions of Risk of Developing Skin Cancer for Diverse Audiences: Enhancing Relevance of Sun Protection to Reduce the Risk. J Canc Educ 31, 153–157 (2016). https://doi.org/10.1007/s13187-015-0885-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-015-0885-1