Skip to main content Accessibility help
×
Home

Development and preliminary validation of the physician support of skin self-examination scale

  • Adina Coroiu (a1), Chelsea Moran (a1), Rosalind Garland (a2) and Annett Körner (a1)

Abstract

Skin self-examination (SSE) is a crucial preventive health behaviour in melanoma survivors, as it facilitates early detection. Physician endorsement of SSE is important for the initiation and maintenance of this behaviour. This study focussed on the preliminary validation of a new nine-item measure assessing physician support of SSE in melanoma patients. English and French versions of this measure were administered to 188 patients diagnosed with melanoma in the context of a longitudinal study investigating predictors and facilitators of SSE. Structural validity was investigated using exploratory factor analysis conducted in Mplus and convergent and divergent validity was assessed using bivariate correlations conducted in spss. Results suggest that the scale is a unidimensional and reliable measure of physician support for SSE. Given the uncertainty regarding the optimal frequency of SSE for at-risk individuals, we recommend that future psychometric evaluations of this scale consider tailoring items according to the most up-to-date research on SSE effectiveness.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Development and preliminary validation of the physician support of skin self-examination scale
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Development and preliminary validation of the physician support of skin self-examination scale
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Development and preliminary validation of the physician support of skin self-examination scale
      Available formats
      ×

Copyright

Corresponding author

Correspondence to: Adina Coroiu, MA, PhD Candidate, Department of Educational and Counselling Psychology, McGill University, Room 614, 3700 McTavish Street, Montréal, Québec, Canada H3A 1Y2. Email: acoroiu@gmail.com

References

Hide All
Bellizzi, K.M., Rowland, J.H., Jeffery, D.D. and Mcneel, T. 2005: Health behaviors of cancer survivors: examining opportunities for cancer control intervention. Journal of Clinical Oncology 23, 88848893.
Bentler, P.M. 1990: Comparative fit indexes in structural models. Psychological Bulletin 107, 238246.
Bradford, P.T., Freedman, D., Goldstein, A.M. and Tucker, M.A. 2010: Increased risk of second primary cancers after a diagnosis of melanoma. Archives of Dermatology 146, 265272.
Browne, M.W. and Cudeck, R. 1993: Alternative ways of assessing fit. In Bollen, K.A. and Long, J.S., editors, Testing structural equation models. Newbury Park, CA: Sage, 136162.
Carli, P., De Giorgi, V., Palli, D., Maurichi, A., Mulas, P., Orlandi, C., Imberti, G.L., Stanganelli, I., Soma, P. and Dioguardi, D. 2003: Dermatologist detection and skin self-examination are associated with thinner melanomas: results from a survey of the Italian Multidisciplinary Group on Melanoma. Archives of Dermatology 139, 607612.
Cohen, J. 1988: Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.
Coroiu, A., Moran, C., Kingsland, E., Thombs, B.D. and Körner, A. In preparation: The effect of psycho-educational interventions on health and process outcomes in individuals at increased risk for melanoma: a systematic review of randomized controlled trials (Prospero trial registration CRD42016033765).
Coups, E.J., Manne, S.L., Stapleton, J.L., Tatum, K.L. and Goydos, J.S. 2016: Skin self-examination behaviors among individuals diagnosed with melanoma. Melanoma Research 26, 7176.
Geller, A.C. 2009: Educational and screening campaigns to reduce deaths from melanoma. Hematology/Oncol Clinics of North America 23, 515527.
Hu, L. and Bentler, P.M. 1999: Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal 6, 155.
Katalinic, A., Waldmann, A., Weinstock, M.A., Geller, A.C., Eisemann, N., Greinert, R., Volkmer, B. and Breitbart, E. 2012: Does skin cancer screening save lives?: An observational study comparing trends in melanoma mortality in regions with and without screening. Cancer 118, 53955402.
Kline, R.B. 2005: Principles and practice of structural equation modeling. New York: Guilford Press.
Körner, A., Coroiu, A., Martins, C. and Wang, B. 2013a: Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient’s level of education. International Archives of Medicine 6, 8.
Körner, A., Drapeau, M., Thombs, B.D., Rosberger, Z., Wang, B., Khanna, M., Spatz, A., Coroiu, A., Garland, R. and Batist, G. 2013b: Barriers and facilitators of adherence to medical advice on skin self-examination during melanoma follow-up care. BMC Dermatology 13, 110.
Loescher, L.J., Harris, R.B., Lim, K.H. and Su, Y. 2006: Thorough skin self-examination in patients with melanoma. Oncology Nursing Forum 33, 633637.
Manne, S., Fasanella, N., Connors, J., Floyd, B., Wang, H. and Lessin, S. 2004: Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: prevalence and predictors. Preventive Medicine 39 (1), 3647.
Manne, S. and Lessin, S. 2006: Prevalence and correlates of sun protection and skin self-examination practices among cutaneous malignant melanoma survivors. Journal of Behavioral Medicine 29 (5), 419434.
Marciano, N.J., Merlin, T.L., Bessen, T. and Street, J.M. 2014: To what extent are current guidelines for cutaneous melanoma follow up based on scientific evidence? International Journal of Clinical Practice 68, 761770.
Mujumdar, U.J., Hay, J.L., Monroe-Hinds, Y.C., Hummer, A.J., Begg, C.B., Wilcox, H.B., Oliveria, S.A. and Berwick, M. 2009: Sun protection and skin self-examination in melanoma survivors. Psycho-Oncology 18 (10), 11061115.
Muthén, L.K. and Muthén, B.O. 2007: Statistical analysis with latent variables using Mplus. Los Angeles, CA: Muthén & Muthén.
Pollitt, R.A., Geller, A.C., Brooks, D.R., Johnson, T.M., Park, E.R. and Swetter, S.M. 2009: Efficacy of skin self-examination practices for early melanoma detection. Cancer Epidemiology Biomarkers & Prevention 18, 30183023.
Reise, S.P., Widaman, K.F. and Pugh, R.H. 1993: Confirmatory factor analysis and item response theory: two approaches for exploring measurement invariance. Psychological Bulletin 114, 552566.
Rhee, J.S., Matthews, B.A., Neuburg, M., Burzynski, M. and Nattinger, A.B. 2005: Creation of a quality of life instrument for nonmelanoma skin cancer patients. The Laryngoscope 115, 11781185.
Robinson, J.K., Wayne, J.D., Martini, M.C., Hultgren, B.A., Mallett, K.A. and Turrisi, R. 2016: Early detection of new melanomas by patients with melanoma and their partners using a structured skin self-examination skills training intervention: a randomized clinical trial. JAMA dermatology 152, 979985.
Steiger, J.H. 1990: Structural model evaluation and modification: an interval estimation approach. Multivariate Behavioral Research 25, 173180.
Swetter, S.M., Pollitt, R.A., Johnson, T.M., Brooks, D.R. and Geller, A.C. 2012: Behavioral determinants of successful early melanoma detection. Cancer 118, 37253734.
Tsao, H., Rogers, G.S. and Sober, A.J. 1998: An estimate of the annual direct cost of treating cutaneous melanoma. Journal of the American Academy of Dermatology 38, 669680.
Tucker, L.R. and Lewis, C. 1973: A reliability coefficient for maximum likelihood factor analysis. Psychometrika 38, 110.
Wang, B. 2007: Montreal University Health Centre (MUHC) Melanoma Team: guidelines of care for cutaneous melanoma. Montréal: Québec.
Watts, C.G., Dieng, M., Morton, R.L., Mann, G.J., Menzies, S.W. and Cust, A.E. 2015: Clinical practice guidelines for identification, screening and follow-up of individuals at high risk of primary cutaneous melanoma: a systematic review. British Journal of Dermatology 172, 3347.
Williams, G.C., Grow, V.M., Freedman, Z.R., Ryan, R.M. and Deci, E.L. 1996: Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology 70, 115126.
Zschocke, I., Augustin, M. and Muthny, F.A. 1996: Coping in patients with malignant melanoma at different stages of the illness trajectory (German). Psychomedicine 8, 8388.
Zschocke, I., Rhein, J., Grimme, H., Stein, B., Muthny, F.A. and Augustin, M. 2000: Self-examination of patients with malignant melanoma in the aftercare: relevance of psychosocial factors and instructions by the physicians. Dermatology and Psychosomatics 1, 814.

Keywords

Development and preliminary validation of the physician support of skin self-examination scale

  • Adina Coroiu (a1), Chelsea Moran (a1), Rosalind Garland (a2) and Annett Körner (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed