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Efficacy of Web-Based Instruction on Skin Cancer Triage


N/A
18 Years
N/A
Open (Enrolling)
Both
Melanoma (Skin), Non-melanomatous Skin Cancer

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Trial Information

Efficacy of Web-Based Instruction on Skin Cancer Triage


OBJECTIVES:

Primary

- Compare the efficacy of a continuing education course designed to improve primary care
physician performance in examination and counseling of patients about skin cancer vs a
continuing education course designed to improve physician assessment of weight
management.

- Evaluate physician performance of skin examination during routine patient visits at 12
months after completion of the skin cancer continuing education course.

- Evaluate physician counseling around skin cancer issues.

Secondary

- Evaluate the efficacy of the skin cancer continuing education course in improving
physician skin cancer triage skills and in changing physician attitudes and knowledge
regarding skin cancer issues.

- Assess improvements in physician assessment of weight, diet, and physical activity.

OUTLINE: This is a randomized, multicenter study. Physicians are stratified according to
participating center. Physicians are randomized to 1 of 2 intervention arms.

- Arm I (skin cancer continuing education course): Physicians complete a 1-hour
continuing education course on skin cancer. The course is available to the physician as
a reference for up to 12 months. Physicians complete an online test at baseline,
immediately after the course is completed, and at 1 month and 12 months after course
completion to assess their knowledge, attitudes, skill, and practices towards skin
examination and skin cancer counseling.

Patients are interviewed by telephone within 1 week after a routine office visit with their
physician to assess the physician's skin assessment and skin cancer counseling practices.
The interviews are conducted prior to and at 1 month and 12 months after the physician
completes the continuing education course.

- Arm II (weight control continuing education course): Physicians complete a 1-hour
continuing education course on weight, dietary, and physical activity assessment and
counseling. The course is available to the physician as a reference for up to 12
months. Physicians complete an online test at baseline, immediately after the course is
completed, and at 1 month and 12 months after course completion to assess their
knowledge, attitudes, skill, and practices towards weight, dietary, and physical
activity assessment and counseling.

Patients are interviewed by telephone within 1 week after a routine office visit with their
physician to assess the physician's weight, dietary, and physical activity assessment and
counseling practices. The interviews are conducted prior to and at 1 month and 12 months
after the physician completes the continuing education course.

PROJECTED ACCRUAL: A total of 50 physicians and 4,500 patients will be accrued for this
study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Primary care physician, meeting all of the following criteria:

- General internist or family physician

- Must devote at least 75% of their time to primary care practice

- At least 1 year in practice

- Must be in a community-based practice with no more than 1 participating
physician per practice

- Must not be planning to retire within the next 2 years

- Has a patient population that is predominantly at substantial risk of melanoma
and other skin cancers (i.e., adults whose non-sun-exposed skin color is white
or tan, but not brown)

- Patient

- Adult who is scheduled for a routine office visit with a study physician

PATIENT CHARACTERISTICS:

- Not specified

PRIOR CONCURRENT THERAPY:

- Not specified

Type of Study:

Interventional

Study Design:

Allocation: Randomized

Outcome Measure:

Patient exit interviews at 12 months

Safety Issue:

No

Principal Investigator

Martin A. Weinstock, MD, PhD

Investigator Role:

Study Chair

Investigator Affiliation:

Rhode Island Hospital

Authority:

Unspecified

Study ID:

CDR0000454721

NCT ID:

NCT00295906

Start Date:

June 2004

Completion Date:

Related Keywords:

  • Melanoma (Skin)
  • Non-melanomatous Skin Cancer
  • melanoma
  • skin cancer
  • Skin Neoplasms
  • Melanoma

Name

Location

Kimmel Cancer Center at Thomas Jefferson University - PhiladelphiaPhiladelphia, Pennsylvania  19107
Rhode Island Hospital Comprehensive Cancer CenterProvidence, Rhode Island  02903
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer CenterColumbus, Ohio  43210-1240
Scripps-Ranch Family Medicine Clinic at University of CaliforniaSan Diego, California  32131
University of Kansas School of Medicine - WichitaWichita, Kansas  67214-3199