An intervention based on protection motivation theory in reducing skin cancer risk

Authors

  • MH Baghianimoghadam
  • v Mohammadi
  • MT Noorbala
  • SS Mazloomy Mahmoodabad

Keywords:

Protection motivation theory, skin cancer

Abstract

Background Skin cancer is one of the most preventable, curable and treatable of all other cancers. In the past decade, the rates for most cancers, specially the skin cancers increased visibly. Sun exposure is a major causative factor for skin cancer for which prevention is possible. Protection motivation theory (PMT) provides one model for increasing healthy behavior through persuasive communication. We apply this theory for skin cancer prevention behavior. Materials and methods This was an experimental study. Participants were 360 female students from four high schools in Yazd city, Iran that divided in two groups (180 in case and 180 in control group). A self-report questionnaire was used to assess the variables in the PMT model at pretest, post-test and follow-up. The questionnaire was distributed before the intervention (pre-test) and afterwards (post-test) and following at a 2 month lag. For data analysis ANOVA, T-test, Wilcoxon, Pearson’s correlation and coefficient were used. Results A significant difference between all variables except fear was noted in the case and control groups in follow-up (p=0.00). There was significant difference between mean grades score of all of variables in case group, in pre-test and follow up. No significant difference was seen between mean grade scores of variables in control group in pre-test and follow up. There is significant difference between using methods for prevention skin cancer in case and control group after intervention. Conclusion Results support the effectiveness of a PMT-based intervention to change the attitude and behavior associated with skin cancer risk. Theory-based intervention can motivate people to alert their attitudes and behaviors regarding sun exposure.  

References

American Cancer Society. Sunlight and ultraviolent radiation: Non-melanoma skin cancer: Malignant melanoma. Atlanta: American Cancer Society: 1998.

American Cancer Society. Cancer facts and figures. Atlanta (GA): American Cancer Society, 1998.

Demers AA, Nugent Z, Mihalcioiu C et al. Trends of nonmelanoma skin cancer from 1960 through 2000 in a Canadian population. J Am Acad Dermatol 2005: 53: 320-8.

Kenndy C, Bajdik CD. Descriptive epidemiology of skin cancer in Aruba: 1980-1999. Int J Dermatol 2001; 40: 169-74.

Gillos G. the incidence of non melanoma skin cancer in Australia. BMJ 1998; 296: 13-7.

Asilian A, Hasanpour E, Meghdadi M. A survey about the geographic prevalence of skin cancers in center of Iran. J Pejohesh Med Sci 1998; 2: 65-8. (Persian Journal)

Noorbala MT, Kafaei P. Analysis of 15 years of skin cancer in central Iran (Yazd) Dermatol Online J 2007; 13: 1.

Wesson KM, Silverberg NB. Sun protection education in the United States: What we know and what needs to be taught. Cutis 2003; 71: 71-7.

Banks BA, Silverman RA, Schwartz RH, Tunnessen WW. Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics 1992; 89: 40-2.

Stern RS, Weinstein MC, Baker SG. Risk reduction for non-melanoma skin cancer with childhood sunscreen use. Arch Dermatol 1986; 122: 437-545.

Grin CM, Pennoyer JW, Lehrich DA et al. Sun exposure of young children while at day care. Pediatr Dermatol 1994; 11: 304-9.

Jones JL, Leary MR. Effect of appearance-based admonitions against sun exposure of tanning intentions in young adults. Health Psychol 1994; 13: 86-90.

Dadlani C, Orlow SJ. Planning for a brighter future: A review of sun protection and barriers to behavioral change in children and adolescents. Dermatol Online J 2008; 14 (9): 1.

Glanz K, Saraiya M, Wechsler H et al. Guidelines for school programs to prevent skin cancer. Morb Mortal Wkly Rep 2002; 51: 1-16.

Hill D, Dixon H. Promoting sun protection in children: rationale and challenges. Health Educ Behav 1999; 26: 409-17.

Loeacher LJ, Buller MK, Buller DB et al. Public education projects in skin cancer. The evolution of skin cancer prevention education for children at a comprehensive cancer center. Cancer 1995; 75: 651-6.

Staci C, Martin MA, Paul B et al. Predicting children's sunscreen use: Application of the theories of reasoned action and planned behavior. Prev Med 1999; 29: 37-44.

Rogers R. Cognitive and physiological processes in fear-based attitude change: A revised theory of protection motivation. In: Caccioppo J, Petty R, eds. Special Psychophysiology: A Sourcebook. New York: Guilford: 1983. P. 153-176.

Rogers RW, Prentice Dunn S. Protection motivation theory. In D. Gochman D, ed. Handbook of Health Behavior Research. Vol 1. New York: Plenum; 1997. P. 113-32.

Mazloomi SS, Noorbala MT, Rahaee Z, Mohammadi M, Knowledge, attitude and performance study of secondary school teachers of Yazd city regarding skin cancer. J Eur Acad Dermatol Venereol 2010; 24: 424-8.

Mayer JA, Eckhardt L, Stepansli BM et al. Promoting skin cancer prevention counseling by pharmacists. Am J Public Health 1998; 88: 1096-9.

Mayer JA, Slymen DJ, Eckhardt L et al. Reducing ultraviolet radiation exposure in children. Prev Med 1977; 26: 516-22.

Winett, RA, Cleaveland BL, Lombard DN et al. The effect of the safe – sun program on patterns' and lifeguards' skin cancer risk – reduction behaviors at swimming pools. J Health Psychol 1997; 2: 85-96.

Jackson KM, Aiken LS. A psychosocial model of sun protection and sunbathing in young women: The impact of health belief, attitudes, norms, and self- efficacy for sun protection. Health Psychol 2000; 19:469-478.

Prentice-Dunn S, Floyd DL, Floumoy JM. Effect of persuasive message order on coping with breast cancer information. Health Educ Res 2001; 16: 81-4.

McClendon BT, Prentice-Dunn S, Blake R, McMath B. The role of appearance concern in responses to intervention to reduce skin cancer risk. Health Educ 2002; 102: 76-83.

Beranth C. The health belief model applied to glycemic control. Diabetes Educ 1999; 21: 321-9.

Tan MY. The relationship of health beliefs and complication prevention behaviors of Chinese individuals with type 2 diabetes mellitus. Diabetes Res Clin Pract 2004; 66: 71-7.

Viswanathan V, Madhavan S, Rajasekar S et al. Amputation prevention initiative in South India: positive impact of foot care education. Diabetes Care 2005; 28: 1019-21.

Graziani C, Rosenthal MP, Diamond JJ. Diabetes education program use and patient-perceived barriers to attendance. Fam Med 1999; 31: 358-63.

Driver VR, Madsen J, Goodman RA. Reducing amputation rates in patients with diabetes at a military medical center: The limb prevention service model. Diabetes Care 2005; 28: 248-53.

Ghofranipour F, Shojaee Zade D. Use of health belief model in prevention of brucellosis in Shahre Cord city in Iran. Daneshvar J 1997; 15: 23-8 (Farsi).

Driver VR, Madsen J, Goodman RA. Reducing amputation rates in patients with diabetes at a military medical center: the limb preservation service model. Diabetes Care 2005; 28: 248-53.

Tsao H, Atkins MB, Sober AJ. Management of cutaneous melanoma. N Engl J Med 2004; 351: 998-1012.

Demire MF, Maguire Eisen M, O'Donnell N et al. A sun protection community intervention in Quincy middle schools. J Dermatol Nurses' Assoc 2009; 1: 111-8.

Norman GJ, Adams MA, Calfas KJ et al. A randomized trial of a multicomponent intervention for adolescent sun protection behavior. Arch Pediatr Adolesc Med 2007; 161: 146-52.

Brain T, McClendon BT. Prentice-Dunn S. Reducing skin cancer risk: An intervention based on protection motivation theory. J Health Psychol 2001; 6: 321-8.

Downloads

Published

2016-12-22

How to Cite

1.
Baghianimoghadam M, Mohammadi v, Noorbala M, Mahmoodabad SM. An intervention based on protection motivation theory in reducing skin cancer risk. J Pak Assoc Dermatol [Internet]. 2016Dec.22 [cited 2025Apr.22];21(3):141-8. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/462

Issue

Section

Original Articles