{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:06:18Z","timestamp":1792008378351,"version":"4.4.0"},"reference-count":36,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p> Objectives. We evaluated the impact of a mailed, tailored intervention on skin cancer prevention and skin self-examination behaviors of adults at moderate and high risk for skin cancer. <\/jats:p><jats:p> Methods. Adults at moderate and high risk for skin cancer were recruited in primary health care settings in Honolulu, HI, and Long Island, NY. After completing a baseline survey, participants were randomized to 2 groups. The treatment group received tailored materials, including personalized risk feedback, and the control group received general educational materials. Multivariate analyses compared sun protection and skin self-examination between groups, controlling for location, risk level, gender, and age. <\/jats:p><jats:p> Results. A total of 596 adults completed the trial. The tailored materials had a significant effect on overall sun-protection habits, the use of hats, the use of sunglasses, and the recency of skin self-examination. Some effects were moderated by location and risk level. <\/jats:p><jats:p> Conclusions. Tailored communications including personalized risk feedback can improve sun-protection behaviors and skin self-examination among adults at increased risk for skin cancer. These convenient, low-cost interventions can be implemented in a variety of settings and should be tested further to assess their long-term effectiveness. <\/jats:p>","DOI":"10.2105\/ajph.2008.155705","type":"journal-article","created":{"date-parts":[[2010,2,19]],"date-time":"2010-02-19T03:24:08Z","timestamp":1266549848000},"page":"735-741","source":"Crossref","is-referenced-by-count":85,"title":["A Randomized Trial of Tailored Skin Cancer Prevention Messages for Adults: Project SCAPE"],"prefix":"10.2105","volume":"100","author":[{"given":"Karen","family":"Glanz","sequence":"first","affiliation":[{"name":"Karen Glanz is with the School of Medicine and the School of Nursing, University of Pennsylvania, Philadelphia. Elinor R. Schoenfeld is with the Department of Preventive Medicine, Stony Brook University, Stony Brook, NY. Alana Steffen is with the Cancer Research Center of Hawaii, University of Hawaii, Honolulu."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elinor R.","family":"Schoenfeld","sequence":"additional","affiliation":[{"name":"Karen Glanz is with the School of Medicine and the School of Nursing, University of Pennsylvania, Philadelphia. Elinor R. Schoenfeld is with the Department of Preventive Medicine, Stony Brook University, Stony Brook, NY. Alana Steffen is with the Cancer Research Center of Hawaii, University of Hawaii, Honolulu."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana","family":"Steffen","sequence":"additional","affiliation":[{"name":"Karen Glanz is with the School of Medicine and the School of Nursing, University of Pennsylvania, Philadelphia. Elinor R. Schoenfeld is with the Department of Preventive Medicine, Stony Brook University, Stony Brook, NY. Alana Steffen is with the Cancer Research Center of Hawaii, University of Hawaii, Honolulu."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.9.678"},{"key":"bib2","volume-title":"Cancer Facts and Figures 2008","author":"American Cancer Society","year":"2008"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2003.186"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-017-0511-0_6"},{"key":"bib6","volume-title":"Healthy People 2010: Understanding and Improving Health","author":"US Dept of Health and Human Services","year":"2000","edition":"2"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3549(04)50290-X"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.09.032"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(01)00198-1"},{"issue":"5","key":"bib10","first-page":"422","volume":"27","author":"Saraiya M","year":"2004","journal-title":"Am J Prev Med"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1177\/1090198105276211"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1114"},{"issue":"2","key":"bib13","first-page":"53","volume":"3","author":"Glanz K","year":"2000","journal-title":"Eff Clin Pract"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2001.0870"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.21.6.579"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(92)90082-S"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22050"},{"key":"bib18","volume-title":"Tailoring Health Messages: Customizing Communication with Computer Technology","author":"Kreuter MW","year":"2000"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.133.4.673"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1016\/S0361-090X(03)00094-1"},{"key":"bib23","first-page":"45","volume-title":"Health Behavior and Health Education: Theory, Research and Practice","author":"Janz NK","year":"2002","edition":"3"},{"key":"bib24","volume-title":"Social Foundations of Thought and Action: A Social Cognitive Theory","author":"Bandura A","year":"1986"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1177\/109019819902600305"},{"key":"bib27","first-page":"27","volume":"14","author":"Glanz K","year":"1996","journal-title":"Skin Cancer Found J"},{"key":"bib28","unstructured":"SAS [computer program]. Version 9.1. Cary, NC: SAS Institute; 2003."},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0258(20000715)19:13<1793::AID-SIM482>3.0.CO;2-Q"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(02)00216-8"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.01.004"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/88.1.17"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.7.886"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8019.2005.00053.x"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.09.012"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.04.007"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2007.46"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1207\/s15324796abm3103_2"},{"issue":"4","key":"bib39","first-page":"CD005414","author":"Bath-Hextall F","year":"2007","journal-title":"Cochrane Database Syst Rev"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2008.155705","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T20:26:08Z","timestamp":1652127968000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2008.155705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.2105\/AJPH.2008.155705"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2008.155705","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}