Skin Cancer Screening Education Study
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 113
- 试验地点
- 1
- 主要终点
- Number needed to screen (NNS) to identify 1 skin tumor and number needed to excise (NNE) to identify 1 skin tumor
研究概览
简要总结
The overall aim of this population-based screening study is to assess whether the skin cancer screening training of family physicians and dermatologists leads to improved screening outcomes. The training course aims to increase the accuracy of detecting early stages of skin cancer. Screening outcomes of an intervention region (Calgary, Canada) in which physicians receive training will be compared with screening outcomes of a control region (Edmonton, Canada) where no physician training is administered.
The investigators will determine whether:
- clinical screening outcomes are more favorable in the group of trained physicians compared to non trained physicians
- there is an increase of knowledge about skin cancer screening among trained physicians, compared to non trained physicians
- skin cancer screenings are associated with psycho-social harms
- population-based screening has an effect on the overall incidence and stage-specific-incidence of skin cancer in Alberta
The investigators are aiming to recruit 100 physicians per region (total of 200 physicians) who will screen 40,000 to 80,000 individuals over a period of 20 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Male and female residents of Alberta mainly living and receiving care in Edmonton or in Calgary
- •English-speaking
- •Individuals who consent to participate
- •Registered dermatologists and family physicians administering care either in Edmonton or in Calgary
- •English-speaking
- •Physicians who consent to participate
排除标准
- •Physicians who have undergone special training in skin cancer screening within the last 2 years
研究组 & 干预措施
Skin Cancer Screening Training
Recruited family physicians and dermatologists in Calgary, Canada, take part in a 5.5-hour face-to-face skin cancer screening training program. Screening for skin cancer will be conducted by trained physicians according to instructions they received in the training program.
干预措施: Skin Cancer Screening Training (Other)
No Skin Cancer Screening Training
Recruited family physicians and dermatologists in Edmonton, Canada, WILL BE TRAINED AFTER THE SCREENING PHASE, i.e. during the screening phase non-trained physicians will carry out skin cancer screenings according to standard medical practice.
结局指标
主要结局
Number needed to screen (NNS) to identify 1 skin tumor and number needed to excise (NNE) to identify 1 skin tumor
时间窗: 20 months
Case report forms will be analyzed to determine clinical screening outcomes such as the NNS, NNE and tumor thickness.
Change in the diagnostic accuracy including knowledge on skin cancer screening
时间窗: month 1 pre-training (intervention and control region), month 1 post-training (intervention region only), and month 12 (both regions)
Educational outcomes of physicians will be measured pre- and post-training using knowledge tests in the intervention and control region
Patient-rated well-being
时间窗: 20 months
A patient questionnaire will be used to assess psycho-social harms of skin cancer screenings.
Trends of overall skin cancer incidence and stage-specific-incidence
时间窗: Up to 6 years (2012-2018)
次要结局
未报告次要终点