{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T22:19:47Z","timestamp":1785277187159,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007475","name":"Canadian Dermatology Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007475","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Biases inherent in self\u2010assessment of sun exposure and sun\u2010safe behavior may lead to inaccurate conclusions about the effectiveness of sun\u2010safety educational programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to compare self\u2010reports to objective measures of sun exposure, when examining the effectiveness of passive versus active educational interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From May to June 2018, 73 participants recruited at a dermatology clinic were sequentially assigned to receive sun\u2010safety education through one of 3\u00a0modes: interactive online module, video, or no education. A baseline Sun Exposure and Behavior Inventory (SEBI) questionnaire was administered, and spectrophotometric measurements of sun\u2010exposed and sun\u2010protected areas were taken and reported in the CIE L*a*b* color space. Participants were followed 4\u20138 and 16\u00a0weeks after the initial visit where the SEBI was re\u2010administered, and serial measurements of skin color were taken. The change in SEBI scores and L*a*b values, as calculated by the individual typology angle (ITA\u00b0), was analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant increase in skin darkening in all the groups at 4\u20138 and 16\u00a0weeks follow\u2010up. There was no statistically significant difference between the groups in the magnitude of color change. However, subjectively at 4\u20108 weeks post\u2010intervention, participants in the interactive module and video groups had significantly improved self\u2010reported SEBI scores compared to control (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a0.05, Kruskal\u2010Wallis). By 16\u00a0weeks, only the interactive module group showed significant improvement in SEBI scores compared to control (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a0.05, ANOVA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In determining the effectiveness of sun\u2010safety programs, spectrophotometric evaluation of sun\u2010induced skin pigmentation can allow for a more complete evaluation of self\u2010reported sun exposure and sun\u2010protective behavior.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12768","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T14:55:27Z","timestamp":1640876127000},"page":"451-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of sun\u2010safety education behavior via spectrophotometric evaluation: A preliminary study"],"prefix":"10.1111","volume":"38","author":[{"given":"Panteha","family":"Eshtiaghi","sequence":"first","affiliation":[{"name":"Department of Dermatology and Skin Science University of British Columbia Photomedicine Institute Vancouver Coastal Health Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5395-8480","authenticated-orcid":false,"given":"Touraj","family":"Khosravi\u2010Hafshejani","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Skin Science University of British Columbia Photomedicine Institute Vancouver Coastal Health Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulaab","family":"Sara","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Skin Science University of British Columbia Photomedicine Institute Vancouver Coastal Health Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-5980","authenticated-orcid":false,"given":"Harvey","family":"Lui","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Skin Science University of British Columbia Photomedicine Institute Vancouver Coastal Health Research Institute  Vancouver Canada"},{"name":"Departments of Cancer Control Research Program and\/or Integrative Oncology\u2010Imaging Unit British Columbia Cancer Agency  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Kalia","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Skin Science University of British Columbia Photomedicine Institute Vancouver Coastal Health Research Institute  Vancouver Canada"},{"name":"Departments of Cancer Control Research Program and\/or Integrative Oncology\u2010Imaging Unit British Columbia Cancer Agency  Vancouver Canada"},{"name":"BC Children\u2019s Hospital Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.17269\/CJPH.107.5556"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038\u2010013\u20100454\u20105"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10227\u2010003\u20100126\u20109"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2017.03.040"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-32383-1_5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20103083.2009.03280.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100781.2002.00730.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u20102494.1991.tb00561.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100749.2006.00338.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0022\u2010202x.2001.01577.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2006.00228.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12325"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/ccid.s41578"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1203475418773360"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20104632.2010.04474.x"},{"key":"e_1_2_10_17_1","unstructured":"Canadian Dermatology Association.Sun Safety \u2010 Who's at risk of skin cancer.2009.https:\/\/www.youtube.com\/watch?v=Mk_NM5V7Bas"},{"key":"e_1_2_10_18_1","unstructured":"American Academy of Dermatology.Skin Cancer Prevention. 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