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PAE
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• 14 text messages
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• 1 text: welcoming participants to the study
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• PAM components:
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• 12 texts: reminders to conduct thorough skin self-examinations (TSSE), prompts to see a health care provider (HCP) for suspect lesions, messages highlighting key areas on targeting mediators and suggesting relevant website content (for example, demo of TSSE, risk factors for skin cancer)
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Playing an active role in early detection
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• 1 text: reminding participants about the 18-month survey
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Self-efficacy re TSSE and asking HCP for skin exam
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• Study website
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• Information about skin cancer risk among survivors, and the key role that skin self-examinations and early detection (ED) play
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Knowledge/awareness
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Taking action
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• Risk perception: re cancer status
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• Information about how to conduct a self-examination and clinical images illustrating what to look for
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• Information about how to ask a HCP for a skin exam:
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• Barrier reduction
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Printable checklist
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Guide to discussion
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• Information about preventive behaviors
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• Interactive skin exam quizzes
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• Tips for making ED a priority
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• Lay summaries of research on the efficacy of skin exams
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• Videos and links to additional resources about skin cancer
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PAE + MD (Additional components/Mediators addressed)
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• Physician activation packet
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• Introduction letter describing intervention and encouraging MDs to do a full-body skin examination at the patient’s next visit
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• Self-efficacy to perform a skin examination on the patient
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• Guide to conducting a full skin cancer examination
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• Information about survivors’ increased risk of skin cancer
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• Access to the provider section of the ASK website, which houses additional resources including clinical images illustrating what to look for
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• Study website
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• Information about skin cancer risk among survivors, and the key roles that skin exams and early detection (ED) play
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• Barrier reduction related to HCP provision of skin examination (for example, how to do exam; how to identify suspicious lesions)
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• Video demonstration of how to conduct a thorough clinical skin examination
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• Summaries of research on the efficacy of skin exams
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• Videos and links to additional resources regarding skin cancer
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• Access to all participant website materials
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PAE + MD + TD
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• Telederm
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• Participant given dermatoscope attachment
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• Barrier reduction decrease wait times for dermatology review of lesions
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• Website provides information about typical and atypical lesions
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• As part of regular TSSE, participant takes photographs of suspect lesions and sends to study dermatologist
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• Teledermoscopy report sent within 1 week, includes instructions to health care provider about needed follow-up or treatment
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