Development of an instrument for assessing awareness of skin cancer risks and preventive behaviors with older outdoor workers

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-16 DOI:10.1016/j.gerinurse.2025.03.019

Shih-Yin Yu PhD, MSN, RN , Anne Hirsch PhD, ARNP, FAANP, FAAN , Oleg Zaslavsky PhD, MHA, RN, FAAN, FGSA , Barbara B. Cochrane PhD, RN, FAAN, FGSA

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引用次数: 0

Abstract

Early skin cancer detection helps minimize morbidity and mortality, yet no risk awareness instrument currently exists for older outdoor workers. This study aimed to obtain input from older outdoor workers to inform the usability and feasibility of the Skin Cancer Awareness Instrument for Health Promotion Enhancement (SCAI-HoPE) through a two-phase qualitative design. In phase I, instrument items were developed from the experiences of 12 rural older farmers, highlighting the need for support systems to improve skin cancer prevention access. Phase II involved cognitive interviews with six older farmers, with thematic analysis to identify four themes: (1) unfamiliar terminology, (2) unclear phrasing, (3) respondents’ fatigue with several items about sunscreen, and (4) irrelevant items and response options. Findings guided item refinements to develop a comprehensive instrument for assessing skin cancer risk, sun-protective behaviors, and social support needs, enhancing awareness and prevention efforts for outdoor workers, especially those with limited healthcare access.

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开发一种工具，用于评估老年户外工作者对皮肤癌风险的认识和预防行为

早期皮肤癌检测有助于降低发病率和死亡率，但目前尚无针对老年户外工作者的风险意识工具。本研究旨在通过两阶段定性设计，获取老年户外工作者的意见，以了解促进健康的皮肤癌意识增强工具（SCAI-HoPE）的可用性和可行性。在第一阶段，根据12名农村老年农民的经验开发了仪器项目，强调需要建立支持系统，以改善皮肤癌预防的可及性。第二阶段涉及对六名老年农民的认知访谈，通过主题分析确定四个主题：(1)不熟悉的术语；(2)措辞不清；(3)受访者对防晒产品的几个项目感到疲劳；(4)不相关的项目和回答选项。研究结果指导了项目改进，以开发评估皮肤癌风险、防晒行为和社会支持需求的综合工具，提高户外工作者的认识和预防工作，特别是那些医疗保健机会有限的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.