Development and reliability of a brief skin cancer risk assessment tool

被引:99
作者
Glanz, K
Schoenfeld, E
Weinstock, MA
Layi, G
Kidd, J
Shigaki, DM
机构
[1] Univ Hawaii, Canc Res Ctr Hawaii, Honolulu, HI 96822 USA
[2] SUNY Stony Brook, Sch Med, New York, NY USA
[3] Brown Univ, Sch Med, Providence, RI 02912 USA
来源
CANCER DETECTION AND PREVENTION | 2003年 / 27卷 / 04期
关键词
skin cancer; melanoma; risk assessment; cancer prevention;
D O I
10.1016/S0361-090X(03)00094-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This study aimed to develop and pilot test a brief skin cancer risk assessment tool (BRAT), a self-administered, instrument that can be reliably used to assess skin cancer risk. To develop the BRAT, we critically reviewed published literature on risk factors; formulated a draft questionnaire; pilot tested the questionnaire; and retested 1 month later. The BRAT items address the key risk factors for melanoma and other keratinocyte skin cancers: ethnicity, personal and family history of skin cancer, mole count, freckles, childhood residence, sunburn history, and sun sensitivity factors (skin color, natural hair color, ease of sunburning and fanning). One hundred sixty-five persons completed the initial BRAT pilot study, and 52 additional people at moderate- or high-risk completed a second BRAT pilot study. Results were as follows: using a dichotomous risk measure, about 90% of subjects would be correctly classified at baseline and follow-up. Weighted K for the total BRAT score (0.41-0.68) and for individual items (0.57-0.99) were fair to good, as were correlation coefficients. The BRAT has acceptable to good reproducibility. Reliability statistics compared favorably with those reported in the literature for similar measures. (C) 2003 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:311 / 315
页数:5
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