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Sustainable effect of individualised sun protection advice on sun protection behaviour: a 10-year follow-up of a randomised controlled study in primary care.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Cell Biology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Dermatology and Venerology.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Primary Care Center, Primary Health Care Center Kärna, Linköping.
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. Vol. 3, no 3, article id bjgpopen19X101653
Keywords [en]
Primary Health Care, Primary prevention, Questionnaire, Randomized controlled trial, Skin cancers, Ultraviolet exposure
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-161698DOI: 10.3399/bjgpopen19X101653PubMedID: 31344682OAI: oai:DiVA.org:liu-161698DiVA, id: diva2:1368351
Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-11-13Bibliographically approved

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Magnusson, HenrikGuorgis, GhassanAnderson, Chris DFalk, Magnus

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Division of PhysiotherapyFaculty of Medicine and Health SciencesDivision of Community MedicineDivision of Cell BiologyDepartment of Dermatology and VenerologyPrimary Health Care Center Kärna, Linköping
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