Evidence map›Paper›PMID 34581683›Full record

Observational studyJMIR mHealth and uHealth2021

Reactivity to UV Radiation Exposure Monitoring Using Personal Exposure Devices for Skin Cancer Prevention: Longitudinal Observational Study.

Bridget G Parsons, Elizabeth S Nagelhout, Ali P Wankier, Nan Hu, Riley Lensink, Angela Zhu, Katy Nottingham, Douglas Grossman, Jakob D Jensen, Yelena P Wu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Tumor Exposomics: A New Paradigm for Individualized Continuous Exposure Monitoring.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. "It just happens": A qualitative analysis of unintentional tanning behaviors.Journal of American college health : J of ACH · 2026
    Article
  4. Article
  5. Reactions to disclosed biofeedback information on skin DNA damage in individuals after a beach holiday: a mixed methods intervention study.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
  6. Objectively-Assessed Ultraviolet Radiation Exposure and Sunburn Occurrence.International journal of environmental research and public health · 2023
    Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Bridget G ParsonsHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0001-6867-4413
Elizabeth S NagelhoutDepartment of Public Health, Westminster College, Salt Lake City, UT, United States.ORCID 0000-0001-9983-7975
Ali P WankierHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0001-7359-4717
Nan HuDepartment of Biostatistics, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States.ORCID 0000-0002-7828-4221
Riley LensinkHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0002-1699-6581
Angela ZhuHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0002-7177-0198
Katy NottinghamHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-2333-5463
Douglas GrossmanHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-1790-7023
Jakob D JensenDepartment of Communication, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-3255-4406
Yelena P WuHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0002-1571-6154
University of Utah · USFlorida International University · USWestminster University · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Communal Feedback as an Innovative Alternative to Skin Self-ExamDP2EB022360 · NIBIB · UNIVERSITY OF UTAH · PI JENSEN, JAKOB DANIEL · 2015 to 2018
$2.5M
Translational Approaches to Melanoma Prevention in Children at High Genetic RiskK07CA196985 · NCI · UNIVERSITY OF UTAH · PI WU, YELENA PING · 2015 to 2019
$682k
NCATS NIH HHS UL1 TR000105NCI NIH HHS K07 CA196985NCI NIH HHS P30 CA042014NCRR NIH HHS UL1 RR025764NIBIB NIH HHS DP2 EB022360
6 · The paper itself

Abstract

backgroundEmerging UV radiation (UVR) monitoring devices may present an opportunity to integrate such technology into skin cancer prevention interventions. However, little is known about the effects of using a wearable UVR monitor on adults' and children's sun protection-related behaviors and attitudes (eg, cancer worry and perceived risk). Understanding the potential role of reactivity and seasonal effects will help inform the use of objective monitors in the context of skin cancer prevention research, including intervention studies.

objectiveThe aim of this study is to examine the potential reactivity associated with a wearable personal UVR monitor, specifically the effects associated with reported sun-protective behaviors and skin cancer-related attitudes, which are often the targets of skin cancer preventive interventions.

methodsChild-parent dyads (n=97 dyads) were asked to wear a UVR monitoring device during waking hours for 2 weeks. Participants were asked to sync the device daily with a smartphone app that stored the UVR exposure data. Participants were blinded to their UVR exposure data during the 2-week period; thus, the smartphone app provided no feedback to the participants on their UVR exposure. Participants completed self-report questionnaires assessing sun-protective behaviors, sunburn, tanning, skin self-examination, skin cancer-related knowledge, perceived risk, cancer worry, response efficacy, and intentions to change behaviors over the 2-week period. Linear regressions were conducted to investigate changes in the outcomes over time and to account for the role of the season of study participation.

resultsRegression results revealed that there was a significant decrease over time for several sun protection outcomes in children, including time spent outdoors on weekends (P=.02) and weekdays (P=.008), sunscreen use (P=.03), reapplication (P<.001), and unintentional tanning (P<.001). There were no significant changes over time in children's and parents' UVR exposure, sunburn occurrence, or sun protection attitudes. Season of participation was associated with several outcomes, including lower sunscreen use (P<.001), reapplication (P<.001), sunburns (P=.01), intentions to change sun-protective behaviors (P=.02), and intentional (P=.008) and unintentional tanning (P=.01) for participants who participated in the fall versus the summer.

conclusionsThe findings from this study suggest that daily use of a UVR monitoring device over a 2-week period may result in changes in certain sun-protective behaviors. These results highlight the importance of identifying and addressing potential reactivity to UVR monitoring devices, especially in the context of skin cancer preventive intervention research. Ultimately, objectively assessed UVR exposure could be integrated into the outcome assessment for future testing of skin cancer prevention interventions.

Indexed as

Radiation ExposureSkin NeoplasmsSunburnAdultHumansSelf ReportSunscreening AgentsSunscreening Agentsdigital healtheHealthmelanomamelanoma preventionmHealthmobile phoneultraviolet radiation exposureUVR monitoringwearable device

Identifiers

PMID34581683
PMCPMC8512190
OpenAlexW3190025885

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.