Determinants of uptake of whole-body skin self-examination in older men

Josephine Auster, Cameron Hurst, Rachel E. Neale, Phillipa Youl, David C. Whiteman, Peter Baade, Monika Janda

Research output: Contribution to journalArticlepeer-review

Abstract

Early detection through whole-body Skin Self-Examination (wbSSE) may decrease mortality from melanoma. Using the Health Action Process Approach (HAPA) or Health Belief Model (HBM) we aimed to assess determinants of uptake of wbSSE in 410 men 50 years of older who participated in the control group of a randomized trial. Overall, the HAPA was a significantly better predictor of wbSSE compared to the HBM (p <.001). The construct of self-efficacy in the HBM was a significant predictor of future wbSSE (p =.001), while neither perceived threat (p =.584) nor outcome expectations (p =.220) were. In contrast, self-efficacy, perceived threat, and outcome expectations predicted intention to perform SSE, which predicted behavior (p =.015). The HAPA construct volitional self-efficacy was also associated with wbSSE (p =.046). The use of the HAPA model for future SSE interventions for this population is warranted.

Original languageEnglish
Pages (from-to)36-43
Number of pages8
JournalBehavioral Medicine
Volume39
Issue number2
DOIs
Publication statusPublished - 1 Apr 2013
Externally publishedYes

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