PLANNED VISUAL EDUCATION ABOUT SKIN CANCER

This study aimed to evaluate the effect of planned visual education based on the Health Belief Model on university students' attitudes and beliefs toward skin cancer. The planned visual education based in Health Belief Model has possitive effects on univestiy students' attitudes and beliefs toward skin cancer.

This study aimed to evaluate the effect of planned visual education based on the Health Belief Model on university students' attitudes and beliefs toward skin cancer. Planned as a cluster-randomized controlled experimental study conducted on two groups (n=116). The study was carried out in Faculty of Economics and Administrative Sciences (FEAS) and Hasan Ferdi Turgutlu Faculty of Technology (HFTFT) from the faculties of Manisa Celal Bayar University (MCBU) between February-Semptember 2019. Among seven departments in FEAS and four departments in the HFTFT, simple random sampling was used to draw lots again. The Department of Econometrics from the FEAS was assigned as the intervation groups (n=58) and Mechatronics Engineering from HFTFT was assigned as the control group (n=58). Data were collected using The Student Introduction Form and The Health Belief Model Scale in Skin Cancer.

The sample of this cluster randomized controlled experimental study consisted of 2nd year university students (n=116) training in Faculty of Economics and Administrative Sciences (FEAS) and Hasan Ferdi Turgutlu Faculty of Technology (HFTFT) from the faculties of Manisa Celal Bayar University (MCBU) between February-Semptember 2019. Among the faculties in MCBU, simple random sampling was used to draw lots, with the first lot being assigned to FEAS as the intervention group (IG), and the second lot being assigned to HFTFT as the control group (CG) . Among seven departments in FEAS and four departments in the HFTFT, simple random sampling was used to draw lots again. The Department of Econometrics from the FEAS was assigned as the IG and Mechatronics Engineering from HFTFT was assigned as the CG. 58 students for the CG and 58 students for the IG were recruited for the sample. Power of the study was calculated as post hoc at α=0.05 with a significance of 0.95.

The sample of this cluster randomized controlled experimental study consisted of 2nd year university students (n=116) training in Faculty of Economics and Administrative Sciences (FEAS) and Hasan Ferdi Turgutlu Faculty of Technology (HFTFT) from the faculties of Manisa Celal Bayar University (MCBU) between February-Semptember 2019. Among the faculties in MCBU, simple random sampling was used to draw lots, with the first lot being assigned to FEAS as the intervention group (IG), and the second lot being assigned to HFTFT as the control group (CG) . Among seven departments in FEAS and four departments in the HFTFT, simple random sampling was used to draw lots again. The Department of Econometrics from the FEAS was assigned as the IG and Mechatronics Engineering from HFTFT was assigned as the CG. The planned visual education based Health Belief Model was given.

No attempt was made by researcher during the study. Only data were collected. At the end of the study, the planned visual education based Health Belief Model was given and all students continued in the study were given key rings with pictures about sun protection designed by the researchers.

The students in IG were administered the planned visual education based on Health Belief Model for a period of seven months. The education materials were a PowerPoint presentation, a skin cancer model, videos titled "Dear 16 years old me", "Mr. Sun", a brochure, and 3 posters. .

Developed by Dogan and Caydam (2021), the scale consists of 26 items and 5 sub-dimensions (perceived susceptibility, perceived benefit, perceived severity, perceived barriers, and self-efficacy). The HBMSSC is a five-point Likert-type scale, and each item is answered from "disagree=1" to "strongly agree=5". The total Cronbach's alpha coefficient of the scale is 0.86, and for the sub-dimensions it is 0.89; 0.79; 0.77; 0.65 and 0.86, respectively. The "perceived barriers" sub-dimension of the scale is reverse coded. The scale does not have a total score, and each sub-dimension is scored within itself. Higher "perceived susceptibility, "perceived benefit, "perceived severity", and "self-efficacy" scores indicate higher perceived susceptibility, perceived benefit, perceived severity, and self-efficacy

Developed by Dogan and Caydam (2021), the scale consists of 26 items and 5 sub-dimensions (perceived susceptibility, perceived benefit, perceived severity, perceived barriers, and self-efficacy). The HBMSSC is a five-point Likert-type scale, and each item is answered from "disagree=1" to "strongly agree=5". The total Cronbach's alpha coefficient of the scale is 0.86, and for the sub-dimensions it is 0.89; 0.79; 0.77; 0.65 and 0.86, respectively. The "perceived barriers" sub-dimension of the scale is reverse coded. The scale does not have a total score, and each sub-dimension is scored within itself. Higher "perceived susceptibility, "perceived benefit, "perceived severity", and "self-efficacy" scores indicate higher perceived susceptibility, perceived benefit, perceived severity, and self-efficacy

Developed by Dogan and Caydam (2021), the scale consists of 26 items and 5 sub-dimensions (perceived susceptibility, perceived benefit, perceived severity, perceived barriers, and self-efficacy). The HBMSSC is a five-point Likert-type scale, and each item is answered from "disagree=1" to "strongly agree=5". The total Cronbach's alpha coefficient of the scale is 0.86, and for the sub-dimensions it is 0.89; 0.79; 0.77; 0.65 and 0.86, respectively. The "perceived barriers" sub-dimension of the scale is reverse coded. The scale does not have a total score, and each sub-dimension is scored within itself. Higher "perceived susceptibility, "perceived benefit, "perceived severity", and "self-efficacy" scores indicate higher perceived susceptibility, perceived benefit, perceived severity, and self-efficacy

Inclusion Criteria: who Registered and continuing department courses who agreed to participate in the study who had formal education who been second year students Exclusion Criteria: Registration and absence of the student in the department courses Refusal to participate in the study

Barbaric J, Sekerija M, Agius D, Coza D, Dimitrova N, Demetriou A, Safaei Diba C, Eser S, Gavric Z, Primic-Zakelj M, Zivkovic S, Zvolsky M, Bray F, Coebergh JW, Znaor A. Disparities in melanoma incidence and mortality in South-Eastern Europe: Increasing incidence and divergent mortality patterns. Is progress around the corner? Eur J Cancer. 2016 Mar;55:47-55. doi: 10.1016/j.ejca.2015.11.019. Epub 2016 Jan 9.

Livingstone E, Windemuth-Kieselbach C, Eigentler TK, Rompel R, Trefzer U, Nashan D, Rotterdam S, Ugurel S, Schadendorf D. A first prospective population-based analysis investigating the actual practice of melanoma diagnosis, treatment and follow-up. Eur J Cancer. 2011 Sep;47(13):1977-89. doi: 10.1016/j.ejca.2011.04.029. Epub 2011 May 24.

Birch-Johansen F, Jensen A, Mortensen L, Olesen AB, Kjaer SK. Trends in the incidence of nonmelanoma skin cancer in Denmark 1978-2007: Rapid incidence increase among young Danish women. Int J Cancer. 2010 Nov 1;127(9):2190-8. doi: 10.1002/ijc.25411.

Karagas MR, Zens MS, Li Z, Stukel TA, Perry AE, Gilbert-Diamond D, Sayarath V, Stephenson RS, Barton D, Nelson HH, Spencer SK. Early-onset basal cell carcinoma and indoor tanning: a population-based study. Pediatrics. 2014 Jul;134(1):e4-12. doi: 10.1542/peds.2013-3559.

Armstrong AW, Idriss NZ, Kim RH. Effects of video-based, online education on behavioral and knowledge outcomes in sunscreen use: a randomized controlled trial. Patient Educ Couns. 2011 May;83(2):273-7. doi: 10.1016/j.pec.2010.04.033. Epub 2010 Jun 1.

Stanton WR, Chakma B, O'Riordan DL, Eyeson-Annan M. Sun exposure and primary prevention of skin cancer for infants and young children during autumn/winter. Aust N Z J Public Health. 2000 Apr;24(2):178-84. doi: 10.1111/j.1467-842x.2000.tb00139.x.

Wesson KM, Silverberg NB. Sun protection education in the United States: what we know and what needs to be taught. Cutis. 2003 Jan;71(1):71-4, 77.

Makin JK, Warne CD, Dobbinson SJ, Wakefield MA, Hill DJ. Population and age-group trends in weekend sun protection and sunburn over two decades of the SunSmart programme in Melbourne, Australia. Br J Dermatol. 2013 Jan;168(1):154-61. doi: 10.1111/bjd.12082.

Celik S, Ilce A, Andsoy II. Knowledge and Protective Behaviors About Skin Cancer Among Nursing Students in the West Black Sea Region of Turkey. J Cancer Educ. 2018 Aug;33(4):885-892. doi: 10.1007/s13187-017-1188-5.

Balyaci OE, Kostu N, Temel AB. Training program to raise consciousness among adolescents for protection against skin cancer through performance of skin self examination. Asian Pac J Cancer Prev. 2012;13(10):5011-7. doi: 10.7314/apjcp.2012.13.10.5011.

Glanz K, Steffen AD, Schoenfeld E, Tappe KA. Randomized trial of tailored skin cancer prevention for children: the Project SCAPE family study. J Health Commun. 2013;18(11):1368-83. doi: 10.1080/10810730.2013.778361. Epub 2013 Jun 27.

Nahar VK, Ford MA, Hallam JS, Bass MA, Hutcheson A, Vice MA. Skin Cancer Knowledge, Beliefs, Self-Efficacy, and Preventative Behaviors among North Mississippi Landscapers. Dermatol Res Pract. 2013;2013:496913. doi: 10.1155/2013/496913. Epub 2013 Oct 7.

Haney MO, Bahar Z, Beser A, Arkan G, Cengiz B. Psychometric Testing of the Turkish Version of the Skin Cancer and Sun Knowledge Scale in Nursing Students. J Cancer Educ. 2018 Feb;33(1):21-28. doi: 10.1007/s13187-016-1041-2.

Khani Jeihooni A, Hidarnia A, Kaveh MH, Hajizadeh E. The effect of a prevention program based on health belief model on osteoporosis. J Res Health Sci. 2015 Winter;15(1):47-53.

Kissal A, Kartal B. Effects of Health Belief Model-Based Education on Health Beliefs and Breast Self-Examination in Nursing Students. Asia Pac J Oncol Nurs. 2019 Oct-Dec;6(4):403-410. doi: 10.4103/apjon.apjon_17_19.

Tuong W, Armstrong AW. Effect of appearance-based education compared with health-based education on sunscreen use and knowledge: a randomized controlled trial. J Am Acad Dermatol. 2014 Apr;70(4):665-669. doi: 10.1016/j.jaad.2013.12.007. Epub 2014 Feb 5.

Trinh N, Novice K, Lekakh O, Means A, Tung R. Use of a brief educational video administered by a portable video device to improve skin cancer knowledge in the outpatient transplant population. Dermatol Surg. 2014 Nov;40(11):1233-9. doi: 10.1097/DSS.0000000000000148.

Dogan ES, Caydam OD. Investigation of Studies Conducted with Health Belief Model in Skin Cancer. Izmir Democracy University Health Sciences Journal.2019; 2(2):66-75.

Dogan ES, Caydam OD. A Scale Development Study: Health Belief Model Scale in Skin Cancer among Turkish University Students. Saudi Journal of Nursing and Health Care. 2021; 4(8): 205- 213. https://doi.org/10.36348/sjnhc.2021.v04i08.001.