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Guorgis, Ghassan
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Magnusson, H., Guorgis, G., Anderson, C. D. & Falk, M. (2019). Sustainable effect of individualised sun protection advice on sun protection behaviour: a 10-year follow-up of a randomised controlled study in primary care.. BJGP open, 3(3), Article ID bjgpopen19X101653.
Open this publication in new window or tab >>Sustainable effect of individualised sun protection advice on sun protection behaviour: a 10-year follow-up of a randomised controlled study in primary care.
2019 (English)In: BJGP open, ISSN 2398-3795, Vol. 3, no 3, article id bjgpopen19X101653Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In the light of increasing skin cancer incidences worldwide, preventive measures to promote sun protection in individuals with risky sun habits have continued relevance and importance.

AIM: To report the long-term effect of individualised sun protection advice given in primary health care (PHC), on sun habits and sun protection behaviour.

DESIGN & SETTING: In 2005, 309 PHC patients were enrolled in a randomised controlled study performed in a Swedish PHC setting.

METHOD: At baseline, the study participants completed a Likert scale-based questionnaire, mapping sun habits, propensity to increase sun protection, and attitudes towards sun exposure, followed by randomisation into three intervention groups, all receiving individualised sun protection advice: in Group 1 (n = 116) by means of a letter, and in Group 2 (n = 97) and 3 (n = 96) communicated personally by a GP. In Group 3, participants also underwent a skin ultraviolet-sensitivity phototest, with adjusted sun protection advice based on the result. A repeated questionnaire was administered after 3 and 10 years.

RESULTS: Statistically significant declines were observed in all groups for sun exposure mean scores over time. When using a cumulative score, according to the Sun Exposure and Protection Index (SEPI), significantly greater decrease in SEPI mean score was observed in Groups 2 and 3 (GP), compared to Group 1 (letter); P<0.01. The addition of a phototest did not enhance the effect of the intervention.

CONCLUSION: Individualised sun protection advice mediated verbally by the GP can lead to sustained improvement of sun protective behaviour.

Place, publisher, year, edition, pages
London, United Kingdom: Royal College of General Practitioners, 2019
Keywords
Primary Health Care, Primary prevention, Questionnaire, Randomized controlled trial, Skin cancers, Ultraviolet exposure
National Category
General Practice
Identifiers
urn:nbn:se:liu:diva-161698 (URN)10.3399/bjgpopen19X101653 (DOI)31344682 (PubMedID)
Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-12-13Bibliographically approved
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