TY - JOUR AU - Hacker, Elke AU - Horsham, Caitlin AU - Vagenas, Dimitrios AU - Jones, Lee AU - Lowe, John AU - Janda, Monika PY - 2018 DA - 2018/11/28 TI -使用紫外线辐射剂量计和智能手机应用程序的移动技术干预青少年皮肤癌预防:随机对照试验JO - JMIR Mhealth Uhealth SP - e199 VL - 6 IS - 11 KW -健康促进KW -黑色素瘤KW -预防医学KW -公共卫生KW -皮肤肿瘤KW -手机KW -晒伤KW -阳光KW -技术KW -网络应用AB -背景:皮肤癌是澳大利亚最常见和最可预防的癌症。尽管澳大利亚长期开展公共卫生运动，但澳大利亚的年轻人仍然报告说，他们暴露在高水平的紫外线辐射(UVR)下，经常被晒伤。年轻人现在越来越多地从报纸和电视等传统媒体转向基于网络的流媒体，这对卫生保健部门提出了挑战，要求他们开发新的方式，向这一群体提供有针对性的、个性化的健康促进信息。技术进步使我们能够提供与时间和环境有关的卫生干预措施。目的:本随机对照试验的主要目的是测试智能手机应用程序或UVR剂量计反馈设备对年轻人防晒习惯、阳光照射行为、晒伤和身体活动水平的影响。方法:在2015年9月至2016年4月期间，通过社交或传统媒体活动以及在当地社区的外展活动，从澳大利亚昆士兰州招募18-35岁的年轻人(n=124)。参与者随机分为3组，进行为期4周的干预:(1)无干预对照组;(2) UVR监测组，佩戴根据皮肤类型设置的UVR剂量计反馈装置;(3) SunSmart应用程序组，他们被要求下载并使用SunSmart手机应用程序。数据通过基于网络的调查在基线、干预后1周和3个月进行自我评估。 Results: Complete data were available for 86.2% (107/124) of participants (control group, n=36; UVR monitor group, n=36; and SunSmart app group, n=35). Intervention uptake in the UVR monitor group was high, with 94% (34/36) of participants using the device all or some of the time when outdoors. All SunSmart app group participants downloaded the app on their smartphone. There was no significant difference in the change in the sun protection habits (SPH) index (main outcome measure) across the 3 groups. However, compared with the control group, a significantly greater proportion of the participants in the UVR monitor group reduced their time unprotected and exposed to UVR on weekends during the intervention compared with the baseline (odds ratio [OR]: 2.706, 95% CI 1.047-6.992, P=.04). This significant effect was sustained with greater reductions observed up to 3 months postintervention (OR: 3.130, 95% CI 1.196-8.190, P=.02). There were no significant differences between the groups in weekday sun exposure, sunscreen use, sunburn, suntan, or physical activity. Conclusions: Using technology such as apps and personal UVR monitoring devices may improve some sun exposure behaviors among young adults, but as the SPH index did not increase in this study, further research is required to achieve consistent uptake of sun protection in young people. Trial Registration: The Australian and New Zealand Clinical Trials register ACTRN12615001296527; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368458 (Archived by WebCite at http://www.webcitation.org/731somROx) SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2018/11/e199/ UR - https://doi.org/10.2196/mhealth.9854 UR - http://www.ncbi.nlm.nih.gov/pubmed/30487115 DO - 10.2196/mhealth.9854 ID - info:doi/10.2196/mhealth.9854 ER -