In this issue of JAMA Dermatology, Janda and colleagues1 report on the results of a randomized clinical trial (RCT) of a video-based behavioral intervention aimed at increasing clinical skin examination (CSE) among men 50 years or older in Queensland, Australia. At the 7-month follow-up, men who received informational brochures were as likely as the video intervention group to have obtained a CSE (53% vs 56%, respectively). However, the video intervention group was more likely than controls to self-report a whole-body rather than a partial or spot CSE (35% vs 27%, respectively), to have been asked by their physicians to return for a follow-up examination, to have been diagnosed as having a malignant neoplasm, and to have had surgical management of a lesion. Previously, several large studies conducted in Australia and the United Kingdom concluded that without whole-body examination, many melanoma and nonmelanoma diagnoses would be missed.2,3 Janda and colleagues also report on other correlates of CSE uptake and skin cancer diagnosis.
Heckman CJ. Enhancing Skin Cancer Screening Through Behavioral Intervention. JAMA Dermatol. 2014;150(4):363-365. doi:10.1001/jamadermatol.2013.9311