Increasing skin self-examination after melanoma: an intervention using text and tablet delivery

Citation

Johnston M, Allan JL, Brandt B, Dennis MG, Hall SJ, Masthoff JFM, Walker FM & Murchie P (2016) Increasing skin self-examination after melanoma: an intervention using text and tablet delivery. 2nd Behaviour Change Conference: Digital Health and Wellbeing 2016, London, 24.02.2016-25.02.2016. https://doi.org/10.7490/f1000research.1111394.1

Abstract
This programme of research is developing and evaluating a digital intervention to increase the rate of total skin self-examination (TSSE) for patients following surgery for melanoma. There is a high risk of recurrence but the practice of TSSE is sub-optimal. The Achieving Self-directed Integrated Cancer Aftercare (ASICA) intervention was developed based on clinical evidence and experience and informed by behaviour change theory [Information-Motivation-Behavioural skills model (IMB) and Control Theory]. The intervention involves text message prompts from the nurse-lead (N), information and TSSE demonstration by tablet, monitoring of TSSE, photographing any skin changes and sending to N via tablet, feedback and follow-up by N. Interviews were conducted with 21 people previously treated for cutaneous melanoma. This study assessed acceptability and feasibility of ASICA. Conclusions: The ASICA intervention was acceptable to most patients and feasible following small technical adjustments. It is now proposed to evaluate the intervention in a randomised controlled trial.