{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T21:19:21Z","timestamp":1778879961166,"version":"3.51.4"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ultraviolet (UV)\u2010exposure behaviors can directly impact an individual's skin cancer risk, with many habits formed during childhood and adolescence. We explored the utility of a photoaging smartphone application to motivate youth to improve sun safety practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants completed a preintervention survey to gather baseline sun safety perceptions and behaviors. Participants then used a photoaging mobile application to view the projected effects of chronic UV exposure on participants' self\u2010face image over time, followed by a postintervention survey to assess motivation to engage in future sun safety practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study sample included 87 participants (median [interquartile (IQR)] age, 14 [11\u201316] years). Most participants were White (50.6%) and reported skin type that burns a little and tans easily (42.5%). Preintervention sun exposure behaviors among participants revealed that 33 (37.9%) mostly or always used sunscreen on a sunny day, 48 (55.2%) experienced at least one sunburn over the past year, 26 (30.6%) engaged in outdoor sunbathing at least once during the past year, and zero (0%) used indoor tanning beds. Non\u2010skin of color (18 [41.9%], <jats:italic>p<\/jats:italic>\u2009=\u2009.02) and older (24 [41.4%], <jats:italic>p<\/jats:italic>\u2009=\u2009.007) participants more often agreed they felt better with a tan. Most participants agreed the intervention increased their motivation to practice sun\u2010protective behaviors (wear sunscreen, 74 [85.1%]; wear hats, 64 [74.4%]; avoid indoor tanning, 73 [83.9%]; avoid outdoor tanning, 68 [79%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings of this cross\u2010sectional study suggest that a photoaging smartphone application may serve as a useful tool to promote sun safety behaviors from a young age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.15618","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T07:38:55Z","timestamp":1716277135000},"page":"641-645","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A photoaging smartphone application to promote sun safety behaviors among youth in late childhood and adolescence"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2260-4350","authenticated-orcid":false,"given":"Jaclyn","family":"Abraham","sequence":"first","affiliation":[{"name":"USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0338-5607","authenticated-orcid":false,"given":"Nicole","family":"Natarelli","sequence":"additional","affiliation":[{"name":"USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleena","family":"Boby","sequence":"additional","affiliation":[{"name":"USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0075-1990","authenticated-orcid":false,"given":"Grace","family":"Wei","sequence":"additional","affiliation":[{"name":"USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerry","family":"Hennessy","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constance","family":"Bindernagel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Dabrow","sequence":"additional","affiliation":[{"name":"Department of Pediatrics USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lana","family":"Soylu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Titus J.","family":"Brinker","sequence":"additional","affiliation":[{"name":"Digital Biomarkers for Oncology German Cancer Research Center (DKFZ)  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6004-2451","authenticated-orcid":false,"given":"Lucia","family":"Seminario\u2010Vidal","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Albers","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Agency USEP.Health effects of UV radiation. Updated December 15 2022. Accessed August 20 2023. https:\/\/www.epa.gov\/sunsafety\/health-effects-uv-radiation"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbiomolbio.2011.08.010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14376"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.6273"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.140191"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.8231"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.9794"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2020.0511"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14861"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.4.356"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2013.777966"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016388"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797615569578"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T15:07:51Z","timestamp":1721660871000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,21]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/pde.15618"],"URL":"https:\/\/doi.org\/10.1111\/pde.15618","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,21]]},"assertion":[{"value":"2023-10-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}