HealthSmart: Promoting Healthy Lifestyles for Young Adult Cancer Survivors Using Educational Videos

Not Applicable

Completed

• Conditions: Environmental Exposure to Ultraviolet Light
• Interventions: Other: THE INFORMATION + APPEARANCE VIDEO; Other: Sleep hygiene video; Other: Information SunSmart video

• Registration Number: NCT03340532
• Lead Sponsor: Dana-Farber Cancer Institute

Brief Summary

To assess the efficacy of the two SunSmart intervention videos to change sun protection attitudes and behaviors

Detailed Description

SunSmart is a novel video intervention designed to prevent secondary skin cancer in young adult cancer survivors by increasing their adherence to recommended sun protection.

This study will assess two versions of the SunSmart video intervention. These are: 1) The INFORMATION VIDEO providing basic information about UV risks, including secondary skin cancer and the benefits of sun protection (SP), as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor; and 2) THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure. Primary aim of the study is to assess the impact of the video intervention on sun protection intentions and behavior in young adult cancer survivors compared to a control intervention. Secondary aims are to describe the impact of the appearance information when included in the SunSmart intervention, to investigate the extent to which the intervention changes sun protection through hypothesized mediating variables, and to describe the consistency of sleep behaviors over time in cancer survivors.

Study Timeline

• Study First Submitted: 2017-11-09
• Study First Submitted QC: 2017-11-09
• Study First Posted: 2017-11-13
• Study Start: 2018-01-30
• Primary Completion: 2020-09-28
• Study Completion: 2021-09-27
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-02
• Last Update Posted: 2022-05-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 266

Inclusion Criteria

• History of cancer diagnosis at least one year prior

• Current age 18-35

• No cancer therapy in the prior 3 months (excluding chemoprevention agents)

• No future cancer therapy planned

• Able to read and write in English

• Not compliant with recommended sun protection, as determined by at least one of the following criteria:

  1. Any intentional sunbathing, artificial tanning or a sunburn in the past 5 years; OR
  2. Having a moderate to light complexion (Fitzpatrick skin types I-IV), and not using sunscreen ≥ 90% of the time during incidental sun exposure.

Exclusion Criteria

• History of skin cancer diagnosis
• Enrolled on DFCI protocol 17-385 or any other sun protection intervention in the past 5 years.
• Any impairment (e.g., hearing, visual, cognitive) that interferes with the ability to complete all measures independently

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Information + Appearance video	THE INFORMATION + APPEARANCE VIDEO	THE INFORMATION + APPEARANCE VIDEO which will include the full information video, along with an additional embedded video segment emphasizing negative appearance consequences of UV exposure.
Sleep hygiene video	Sleep hygiene video	Participants will watch a sleep hygiene video
Information video	Information SunSmart video	The INFORMATION SunSmart video providing basic information about UV risks, including secondary skin cancer and the benefits of SP, as well as specific SP recommendations and steps to integrate SP as part of routine self-care for the healthy cancer survivor

Primary Outcome Measures

Name	Time	Method
Change in SP Index scores from baseline to post-summer assessment	3 months	SP index is comprised of 15 self-report items assessing SP Behaviors

Secondary Outcome Measures

Name	Time	Method
Perceived health vulnerability	one month	2 items assessing perceived likelihood that UV exposure will lead to future skin cancers.
SP Intentions	one month	13 items measuring intentions to practice SP
Perceived appearance vulnerability	one month	2 items assessing perceived likelihood that UV exposure will lead to negative appearance changes
Perceived health and appearance benefit	one month	8 self-report items assessing expected benefits to SP
Insomnia symptoms	one month	7 -item Insomnia Severity Scale (ISS). Total ISS scale scores range from a low of 0 (least insomnia) to a high of 28 (worst insomnia)
Change in SP Index scores from post-summer assessment to one year later	12-months	SP index is comprised of 15 self-report items assessing SP Behaviors

Trial Locations

Locations (1)

Dana Farber Cancer Institute; 🇺🇸 Boston, Massachusetts, United States