{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T16:10:56Z","timestamp":1764000656921},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,11]],"date-time":"2015-11-11T00:00:00Z","timestamp":1447200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001111","name":"Cancer Australia","doi-asserted-by":"publisher","award":["1011999"],"award-info":[{"award-number":["1011999"]}],"id":[{"id":"10.13039\/501100001111","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Melanoma is on the rise, especially in Caucasian populations exposed to high ultraviolet radiation such as in Australia. This paper examined the psychological components facilitating change in skin cancer prevention or early detection behaviours following a text message intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Queensland\u2010based participants were 18 to 42\u00a0years old, from the Healthy Text study (<jats:italic>N<\/jats:italic>\u2009=\u2009546). Overall, 512 (94%) participants completed the 12\u2010month follow\u2010up questionnaires. Following the social cognitive model, potential mediators of skin self\u2010examination (SSE) and sun protection behaviour change were examined using stepwise logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 12\u2010month follow\u2010up, odds of performing an SSE in the past 12\u00a0months were mediated by baseline confidence in finding time to check skin (an outcome expectation), with a change in odds ratio of 11.9% in the SSE group versus the control group when including the mediator. Odds of greater than average sun protective habits index at 12\u2010month follow\u2010up were mediated by (a) an attempt to get a suntan at baseline (an outcome expectation) and (b) baseline sun protective habits index, with a change in odds ratio of 10.0% and 11.8%, respectively in the SSE group versus the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Few of the suspected mediation pathways were confirmed with the exception of outcome expectations and past behaviours. Future intervention programmes could use alternative theoretical models to elucidate how improvements in health behaviours can optimally be facilitated. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4007","type":"journal-article","created":{"date-parts":[[2015,11,11]],"date-time":"2015-11-11T11:57:30Z","timestamp":1447243050000},"page":"28-35","source":"Crossref","is-referenced-by-count":6,"title":["Mediation of improvements in sun protective and skin self\u2010examination behaviours: results from the healthy text study"],"prefix":"10.1002","volume":"25","author":[{"given":"Jannah","family":"Baker","sequence":"first","affiliation":[{"name":"School of Public Health and Social Work, Institute of Health and Biomedical Innovation Queensland University of Technology  Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Finch","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Work, Institute of Health and Biomedical Innovation Queensland University of Technology  Brisbane QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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