Psychosocial mediators of a nurse intervention to increase skin self-examination in patients at high risk for melanoma Academic Article uri icon


MeSH Major

  • Health Knowledge, Attitudes, Practice
  • Melanoma
  • Patient Education as Topic
  • Self-Examination
  • Skin Care
  • Skin Neoplasms


  • This prospective study examines psychosocial mediators of an efficacious skin self-examination (SSE) intervention that includes provision of a whole-body digital photography book depicting the entire skin surface. Individuals (n = 100) with established risk factors for melanoma were recruited from the Memorial Sloan-Kettering Cancer Center Pigmented Lesion Clinic during their initial dermatologist visit and were randomized to receive a photobook immediately (n = 49) or 4 months after intervention delivery (n = 51). Potential mediators included self-efficacy and response efficacy drawn from Social Cognitive Theory, melanoma worry, and SSE anxiety drawn from Self-Regulation Theory, and skin cancer knowledge, and skin awareness. Only self-efficacy was a significant mediator, accounting for 8% of the total effect of photobook enhancement on SSE adherence at 4 months.

publication date

  • June 2006



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1158/1055-9965.EPI-04-0822

PubMed ID

  • 16775183

Additional Document Info

start page

  • 1212

end page

  • 6


  • 15


  • 6