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Self Skin Exam

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7181. Factors associated with thorough skin self-examination for the early detection of melanoma. (Abstract)

Factors associated with thorough skin self-examination for the early detection of melanoma. Regular thorough skin self-examination (TSSE) has potential for detecting melanoma early and reducing melanoma mortality.We sought to model factors associated with skin self-examination (SSE) and test whether efficacy and attitudes about SSE mediated these relationships.The Check-It-Out project is a randomized trial of an intervention to encourage TSSE; 2126 participants were recruited from the practices (...) of primary care physicians. Correlates predicting baseline TSSE included demographic variables, skin cancer risk, physician advice to examine skin, and appropriate conditions for conducting SSE (availability of partner to assist with self-examination, availability of a wall mirror, and use of contact lenses/glasses).Those who were given physician advice, had a wall mirror, and had a partner available were more likely to perform TSSE.We identified the factors associated with concurrent TSSE practices

2007 Journal of the European Academy of Dermatology and Venereology : JEADV Controlled trial quality: uncertain

7182. Components of a successful intervention for monthly skin self-examination for early detection of melanoma: the "Check It Out" trial. Full Text available with Trip Pro

Components of a successful intervention for monthly skin self-examination for early detection of melanoma: the "Check It Out" trial. Multicomponent Check-It-Out project interventions were found to be effective at increasing thorough skin self-examinations (TSSE). Application of this research will benefit from determining the most important interventions for promoting TSSE.Identification of the most important Check-It-Out intervention components for promoting TSSE.This study analyzed (...) the responses of the 567 participants who were randomized into the skin examination intervention group and who did not report performing TSSE at their baseline interview.Watching the video, using the hand mirror, shower card, American Cancer Society brochure, sample photographs, and finding the health educator helpful were associated with performing TSSE at 2 months, 12 months, or both.Use of the materials within the skin group was not randomly assigned. All data were based on participant self-report.As

2008 Journal of the American Academy of Dermatology Controlled trial quality: uncertain

7183. Skin self-examination practices in a convenience sample of U.S. university students. (Abstract)

Skin self-examination practices in a convenience sample of U.S. university students. Melanoma skin cancer affects many young adults, yet few practice skin self-examination (SSE). We collected detailed information about young adult SSE practices, which can be used to guide the development of SSE interventions that target this age group.We surveyed 190 US university students to assess their SSE practices, including thoroughness of self-exams and reasons for not performing SSE.Just 33.2 (...) % of respondents had ever performed SSE, and only 5.8% had checked their entire body. The three most commonly cited reasons for failing to practice SSE were not knowing what to look for (55.9%), never thinking of it (54.3%), and not knowing it should be done (33.1%).Interventions to promote early melanoma detection must raise awareness about the importance of beginning SSE practice in young adulthood and conducting thorough self-exams. They should target all young adults, including those who already practice

2005 Preventive Medicine

7184. Patient adherence to skin self-examination. effect of nurse intervention with photographs. (Abstract)

Patient adherence to skin self-examination. effect of nurse intervention with photographs. Results from a single case-control study suggest that skin self-examination (SSE) has the potential to reduce mortality from melanoma by 63%. Despite these encouraging results, SSE rates are low. Few prospective studies of interventions to increase SSE in high-risk cohorts have been performed. The purpose of this study was to assess the impact of a brief nurse-delivered intervention using digital (...) examine your skin?"In Group A (teaching intervention with photo book), 10.2% of the patients at baseline reported skin examination three or more times during the past 4 months, while 61.2% reported skin examination three or more times at the 4-month follow-up (p =0.039 for paired comparison). In Group B (teaching intervention only), nearly 20% of the patients at baseline reported skin examination three or more times during the past 4 months, while 37% reported skin examination three or more times

2004 American journal of preventive medicine Controlled trial quality: uncertain

7185. Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out Project. (Abstract)

Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out Project. Thorough skin self-examination (TSSE) has substantial potential to reduce melanoma mortality by early detection.We interviewed 2,126 patients before a scheduled routine visit with a primary care physician, at which participation in a randomized trial was offered as part of the Check-It-Out Project. We asked about skin examination behavior (...) and related issues.By our a priori definition of TSSE, 18% of participants performed this activity, but other definitions led to widely varying estimates of 12% to 38%. Using a partner to assist in the examination was strongly associated with TSSE. That partner was generally the spouse, and wives were more likely to assist their husbands in these examinations than the reverse. The availability of a wall mirror was a particularly important predictor of TSSE performance. Visual impairment also affected

2004 Preventive Medicine Controlled trial quality: uncertain

7186. Diagnostic accuracy of patients in performing skin self-examination and the impact of photography. Full Text available with Trip Pro

Diagnostic accuracy of patients in performing skin self-examination and the impact of photography. To determine the sensitivity and specificity of skin self-examination (SSE) to detect new and changing moles with and without the aid of baseline digital photographs in patients with dysplastic nevi.Patients had baseline digital photography and mole counts of their back, chest, and abdomen and were instructed to perform a baseline SSE. Print copies of the images were provided to the patient (...) and specificity of SSE for detection of both altered and new moles without photography were 60.2% and 96.2%, respectively. Skin self-examination with photography yielded a sensitivity and specificity of 72.4% and 98.4%, respectively. The findings were similar when stratified by site (back vs chest or abdomen). The sensitivity and specificity for new moles were higher compared with altered moles.Access to baseline photography improved the diagnostic accuracy of SSE on the back and chest or abdomen and improved

2004 Archives of Dermatology

7187. Examination of mediating variables in a partner assistance intervention designed to increase performance of skin self-examination. (Abstract)

Examination of mediating variables in a partner assistance intervention designed to increase performance of skin self-examination. We sought to identify mediating variables that may explain the increased effectiveness of a partner-learning skin self-examination (SSE) skills training program over a solo-learning SSE skills training program in a sample of patients at risk for melanoma.We conducted a randomized control design with pretest, immediate posttest, and 4-month follow-up measures (...) variables such as increasing attitudes toward SSE, increasing self-efficacy beliefs in the ability to perform SSE, and making participants feel confident in their ability to examine their skin.

2007 Journal of the American Academy of Dermatology Controlled trial quality: uncertain

7188. Relationship and partner moderator variables increase self-efficacy of performing skin self-examination. Full Text available with Trip Pro

Relationship and partner moderator variables increase self-efficacy of performing skin self-examination. We sought to identify relationship and partner-related moderating variables that influence the effectiveness of both a couples and a solo learning intervention designed to increase skin self-examination behavior in a sample of patients at risk for developing melanoma.Patients received a brief intervention designed to teach skin self-examination skills and were randomly assigned into either (...) a solo learning condition where the intervention was administered to the patient alone (n = 65) or a couple learning condition where the intervention was administered to the patient and patient's spouse or cohabiting partner (n = 65). The main outcome measure was skin self-examination self-efficacy, which is the strongest mediator of skin self-examination. The relationship moderator variables measured were quality of relationship, partner motivation, and ability to assist in implementation

2008 Journal of the American Academy of Dermatology Controlled trial quality: uncertain

7189. Public awareness of the threat of melanoma and performance of skin self-examination. Full Text available with Trip Pro

Public awareness of the threat of melanoma and performance of skin self-examination. 9795586 1998 11 16 2018 11 13 0093-0415 169 4 1998 Oct The Western journal of medicine West. J. Med. Public awareness of the threat of melanoma and performance of skin self-examination. 225 Robinson J K JK eng Journal Article United States West J Med 0410504 0093-0415 AIM IM Humans Melanoma diagnosis Skin Neoplasms diagnosis 1998 10 31 1998 10 31 0 1 1998 10 31 0 0 ppublish 9795586 PMC1305295 J Natl Cancer Inst

1998 Western Journal of Medicine

7190. Skin self-examination in patients at high risk for melanoma: a pilot study. Full Text available with Trip Pro

Skin self-examination in patients at high risk for melanoma: a pilot study. To compare the effect of providing high-risk patients with standard brochures versus personalized photo books as part of a comprehensive nursing intervention on knowledge, awareness, and confidence with skin self-examination (SSE) performance, as well as compliance in performing SSE.Randomized intervention design.The Lawrence E. Rockefeller Ambulatory Outpatient Cancer Center at Memorial Sloan-Kettering Cancer Center (...) in New York, NY.100 patients at high risk for melanoma.Patients completed a baseline questionnaire before their initial photographs were taken and at the end of a nurse-teaching intervention at the clinic.Skin cancer knowledge, awareness, and self-confidence in SSE.A two-way analysis of variance with repeated measures was performed to examine differences within and among groups in relation to knowledge, awareness, and confidence. The group-time interaction was not significant. In group A (nursing

2003 Oncology nursing forum Controlled trial quality: uncertain

7191. Dermatologist detection and skin self-examination are associated with thinner melanomas: results from a survey of the Italian Multidisciplinary Group on Melanoma. Full Text available with Trip Pro

Dermatologist detection and skin self-examination are associated with thinner melanomas: results from a survey of the Italian Multidisciplinary Group on Melanoma. To investigate patterns of detection and variables associated with early diagnosis of melanoma in a population at intermediate melanoma risk.Survey.Hospital and university centers belonging to the Italian Multidisciplinary Group on Melanoma.Eight hundred sixteen patients who were consecutively diagnosed as having melanoma and treated (...) -0.65 and OR, 0.24; 95% CI, 0.15-0.37, respectively), and the habit of performing a skin self-examination (OR, 0.65; 95% CI, 0.45-0.93). When adjusted for all the previously mentioned variables, only melanoma detection made by a dermatologist, maybe incidentally, was associated with a statistically significant additional effect on early diagnosis (OR, 0.45; 95% CI, 0.28-0.73). No significant effect of anatomical site (trunk compared with other sites: OR, 0.83; 95% CI, 0.59-1.17), presence

2003 Archives of Dermatology

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